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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 . ` I i 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 %:%AQ, a����, .;ac'```�n a,.�?/oUoJl fmr1 Lin (Do—A- Do �rY jy7e�r ( OU AA 3 1 n` �? .' n -, r c ` . .s • h r- CF ., co r., a.r �., i n .•. c`sC \�! b C' e ��S G �% c� �` 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 ` -MQC A - P l Ifn (� if del 9 c \. ar'..,.�A� :t1T�, o����� t 1 ♦c+C rte.. snnc to 1. C. wG�Q �a l a�1�C _I ., �! b C l�_ f n. t._. ;� 1 , .4 t�! �IS f q lr � tf A � A !K a.+ 1 • F �t C 1 TT, iA ..+ 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