04-5764 (SFD)0
Application description
Property Zoning . . . .
Application valuation .
Titip 4 44 Q"
4P1C0
ORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
04-00005764 Date 7/29/04
. . . 60115 DESERT ROSE DR
764-270-999-112 -300233-
. . . DWELLING - SINGLE FAMILY DETACHED
. . . MEDIUM HIGH DENSITY RES
. . . 151374
Owner Contractor
SHEA LA QUINTA
SHEA HOMES, INC.
.0/O JEFF MCQUEEN
81260 AVENUE 62
8800 N GAINEY CENTER
350 LA QUINTA
CA 92253
SCOTTSDALE AZ 85258 (760) 777-6005
WCC: NTL UNION
INS.
WC: 7165833
08/01/04
CSLB: 672285
06/30/05
CCC. B
--------------------------
Structure Information -------------------------
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone
NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC
FIRE SPRINKLERS
NO
GARAGE SQ FTG
488.00
PATIO SQ FTG
134.00
NUMBER OF UNITS
1.00
FIRST.FLOOR SQ FTG
1733.00
-------------------------------------------------------------------------.---
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee
821.50 Plan Check Fee
533.98
Issue Date . . . .
Valuation . . .
. 151374
Qty Unit Charge
Per
Extension
BASE FEE
639.50
52.00 3.5000
THOU BLDG 100,001-5001000
182.00
----------------------------------------------------------------------------
Permit ... . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
46.00 Plan Check Fee
11.50
Issue Date . . . .
Valuation . . .
. 0
Qty Unit Charge
Per
Extension
P.O. Box 1504 a".
VOICE (760) 777-7012
TAf
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0 4- S76041 Date: —
Applicant: Arh* I�JEn' eer: t �
t
Applicant's Mailing Address: Architect or Engineer's Address.
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisioJ�s of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Licen in full forcg and effect.
License Class /
[cense No. �Oy
Shy , V "CM
OWNER -BUILDER DECLARATION
t hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to,a civil penalty of not more than five hundred dollars ($500).):
U 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).
U 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. . BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain work compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
^^sued. M v rleer�com satin uralum bean
I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree t I. if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
(. Jforthwith comply with those provisions.
Date ` I4 Applic6
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name a
Lender's Address r `
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if ork is not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellation.
I certify that t have read this application and state that the above information is co . I agree to comply with all city and county ordinances and state laws relating to building
construct[ , and hereby authorize representatives of this countv to e0Qr up th ove-mentioned property for inspection purposes.
�Qate Oignature (Applicant or Age . V �—
I
Application Number . . . . . 04-00005764
Page 2
Date 7/29/04
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0000
EA
MECH
FURNACE <=100K
9.00
1.00
9.0000
EA
MECH
B/C <=3HP/100K BTU
9.00
1.00
6.5000
EA
MECH
VENT FAN
6.50
1.00
6.5000
EA
MECH
EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit . .
. . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee
85.42
Plan Check Fee
21.36
Issue Date .
. . .
Valuation
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1733.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
60.66
488.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
9.76
---------------------------------------------=------------------------------
Permit . ...
. . .
PLUMBING
.Additional desc
. .
Permit Fee .
. . .
122.25
Plan Check Fee
30.56
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
9.00
6.0000
EA
PLB
FIXTURE
54.00
1.00
15.0000
EA
PLB
BUILDING SEWER
15.00
1.00
7.5000
EA
PLB
WATER HEATER/VENT
7.50
1.00
3.0000
EA
PLB
WATER INST/ALT/REP
3.00
1.00
9.0000
EA
PLB
LAWN SPRINKLER SYSTEM
9.00
5.00
.7500
EA
PLB
GAS PIPE >=5
3.75
1.00
15.0000
EA
PLB
GAS METER
15.00
------------- --------------------------------------------------------------
Permit . . .
. . .
GRADING PERMIT
Additional desc
Permit Fee .
. . .
.15.00
Plan Check Fee
.00
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes
and Comments
SFD - LOT 112,
PLAN 4530C,
1733
SF.
Fee summary Charged
Permit Fee Total 1090.17,
Plan Check Total 597.40
Other Fee Total 2473.53
Grand Total 4161.10
Paid Credited Due
.00 .00 1090.17
.00 .00 597.40
.00 .00 2473.53
.00 .00 4161.10
Page
3
Application Number . . . . .
.04-00005764 Date
7/29/04
----------------------------------------------------------------------------
Special Notes and Comments
PERMIT DOES NOT INCLUDE BLOCK
WALLS,
POOL, SPA OR DRIVEWAY APPROACH
----------------------------------------------------------------------------
Other Fees . . . . . ... . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
53.40
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE.
.00
DIF.LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
15.13
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Permit Fee Total 1090.17,
Plan Check Total 597.40
Other Fee Total 2473.53
Grand Total 4161.10
Paid Credited Due
.00 .00 1090.17
.00 .00 597.40
.00 .00 2473.53
.00 .00 4161.10
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
COMPRESSION STRENGTH TEST RESULTS
Client: Shea La Quinta,,LLC Date: 1/13/05
Project: Trilogy @ La Quinta - Shea Homes
Project No: 02-1109
81-260 Avenue 62
La Quinta, CA 92274
Set ID
Structure
Age of Test
Compression Strength
JCM ID
Location
Date Cast Cylinder ID
(days)
(psi)
Set A
Phase 7C - Lot # 3112 Slab on Grade
10-28-04
Concrete
273-384
K/tchen
Required psi: 4000
8144
7
4070
8145
28
5580
8146
28
5530
CERTIFIED-
Page 1 of 1
JCM Inspections supplies the service
of compression strength test results only.
Per ASTMC39
01/18/2005 08:35 17603401819 PAGE 37/37
11.111- "ell III/Al",
INSULATION CERTIFICATE
This is "o certify that insulation has been installed in conformance with the current energy
regulal: un, California Administrative Code, Title 24, State of California, in the building at
60-115 DESERT ROSE DRIVE, LOT 3112, PHASE 7C, LA OU114TA CA
TYPE: 13LOW MANUFACTURER: Certainteed THICKNESS: R-38
IMALL! l:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENET .AL CONTRACTOR: SHEA HOMES LICENSE #
BY:
TITLE:
PARAC. iON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY; TITLE: ACCOUNT REPRESENTIVE DATE: /OZ / �7
INSULATION CERTIFICATE
This is t(: certify that insulation has been installed in conformance with the current ener 5�
bull t
regulatio:i, California Administrative Code, Title 24, State of California, in the ;buil ocated
CEILING S:
TYPE: 8 ,OW MA ACTURER:Ce ed THICKNESS, R-38
WALLS:
TYPE: :iATTs ATNIFACTURER:' dainteed THICKNESS: R-13
GENER)l L CONT #ACTOR: LICENSE X
BY: TITLE:
PARAGA SCHMID BUILDING PRODUCTS A MASCO Compa ICENSE 9 221517
BY: TITLE, ACCOUNT REPRESENTIVE DA'
` t JCM inspections
39725 Garand Lane�Suite F
Palm Desert, CA 92211
I N S PH C T I O N S - Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT Datelo ag_0
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City'
81-260 Avenue 62 La Quinta, CA
Z✓ IBC
Title 24
other:
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
General Contractor: Architect: Structural Engineer:
Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Slump (inches): 41-7 Supplier: S o
Time Sampled: I a5 qy„1 Mix Design:
Time in Mixer (min.): Specified Strength (PSI): q000
Water Added @ Jobsite (gals.): Acidmixture: �Oz,2
Concrete Temperature (F): � ( Truck #: 3`% f Ticket #:"'�'�y �
Ambient Air Temperature (F): Field lb Marking: P _LASee
y
Weather:
o��na/
1 Ov.
Unresolved-Itelms,
.� None
Below
Location of Sample: n ,rti ,r c An — kc n s n
No Samples Taken
Description of Work Inspected: \ \cksl�� lC 1;p���♦� ',�,� ,G n y a O G
T1n n `n c c . & V 4 f A r a A,— � d.J (1C i n ca. c1 i' F� �e r l A r" Or' a tk^_ i•� SCI 1Y� :i •:L ., 5 C 1' '� A� J'
6e o rr. 0 x C C, �r CX c a c'_Q�N n 4Ls '✓ s� ��� 0.-1 Gc- Q xc r �Ga C a_oAz ell .
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n
1.`rA �Q.'. c,6.mrn'sL �` Q_e\fXC%, ,C 5 v+. " S Gt.cX4_1 C.6nSa���/� �.ConeC cam.
n\vt t. � ., .ce � i�„�.L, i�1 l?tst e''v. Qf't�1c c '
((��,Atn
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AA
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ne,.l
I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications applicable building laws. Final report issued at project completion.
P-1
Inspector: \ ack C. Mil Inn ` ICC Certificatidn o 0842216-80
Coinfractor's Representative:
qel -
Copy 1 JCM Inspections
V_
Copy 2 Project Superintendent Copy 3 Governing Agency Page of
t
LI
INSPECT104S t
JCM Inspections
39725 Garand Lane Suite F
Palm. Desert, CA 92211
Phone: 760-345-5554 - 9ax:760-772-3895
I
INSPECTIONS
REINFORCED CONCRETE INVECTION REPORT
Date: O _0
Project Name:
Trilogy @ La Quinta - Shea Homes
Project No:
02-1109
Project Address:
81-260 Avenue 62
City:
La Quinta, CA
ZIBC
Title 24
Other:
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
General C`tractor:
Shea Homes
Architect: Structural Engineer:
Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Slump (inches):
Time Sampled:
Time in Mixer (min.):
Water Added @ Jobsite (gals.):
Concrete Temperature (F):
Ambient Air Temperature (F):
Supplier:
Mix Design:
Specified Strength (PSI):
Addmixture:
Truck #: Ticket #:
Field ID Marking:
Weather:
C,
Unresolved Items:
None
See Below
Location of Sample: COc%cco. O. �ar���� �s���aus��,�c.\con ciaf�no
'?
LJ No Samples Taken
Description of Work Inspected: p
fJ\ n ULvn 0.�1� A T C c
Nca �o 0.c,c t+ i s— S` a Ole a m
Al ra
�^ o
chan"cr�
I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications _applicable building laws. Final report issued at project completion.
Inspector: Jack Millin ICC Certificao
CNAk- C-0
; Qp:0842216-80
Cjo�ntractor'- -Repreentative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I o
I
L
INSPECTIONS
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT
Date: �� O
Project Name:
Trilogy @ La Quinta - Shea Homes
Project No:
02-1109
Project Address:
81-260 Avenue 62
City:
La Quinta, CA
Q✓ IBC
Title 24
Other:
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
General Contractor:
Shea Homes
Architect: Structural Engineer:
Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Slump (inches):
Time Sampled:
Time in Mixer (min.):
Water Added @ Jobsite (gals.):
Concrete Temperature (F):
Ambient Air Temperature (F):
Supplier:
Mix Design:
Specified Strength (PSI):
Addmixture:
Truck #: Ticket #:
Field ID Marking:
Weather:
Unresolved Ite s:
None
®
See Below
Location of Sample:
No Samples Taken
Description of Work Inspected 1 ,r}
Q-12 C."Ok n Al 1 r A/
^ O c q
`
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if del 9
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21
I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications applicable building laws. Final report issued at project completion.
Inspecto : Jack C. Millin ICC
`\Cei i ation No: 0842216-80
Air.,—r'-^�
Contractor's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent `f Copy 3 Governing Agency Page Of