04-5728 (SFD)34
E TAMPICO
CALIFORNIA 92253
Property Addre,ss.
APN:
Application description
Property Zoning . . . .
Application valuation .
Owner
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760) _777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
i.-x—O Date 7/29/04
6-073-0—DES-E-RT ROSE DR
764-270-999-18 -300233-
. . . DWELLING - SINGLE FAMILY DETACHED
. . . MEDIUM HIGH DENSITY RES
. . . 187396
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE AZ 85258
Contractor
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA CA 92253
(760) 777-6005
Qty Unit Charge Per
Extension
WCC: NTL UNION
INS
WC: 7165833
0,8/01/04
CSLB: 672285.
06/30/05
CCC: B
--------------------------
Structure Information ----------------------
7 --
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10'
Flood Zone
NON -AO FLOOD ZONE
Other struct info .
. . CODE EDITION
2001 CBC
FIRE SPRINKLERS
NO
GARAGE SQ FTG
478.00
PATIO SQ FTG
178.00
NUMBER OF UNITS
1.00
------
FIRST FLOOR SQ FTG
2174.00
---------------------
Permit . . . . . .
--------------------------------------------------
BUILDING PERMIT
Additional desc
Permit Fee . . . .
926.50 Plan Check Fee
602.23
Issue Date . . . .
Valuation
181091
Qty Unit Charge
Per
Extension
BASE FEE
639.50
82.00 3.5000
THOU BLDG 100,001-5001'000
287.00
-------------------------------------------
Permit . . . . . .
--------------------------------
MECHANICAL
Additional desc
Permit Fee . . . .
77.00 Plan Check Fee
21.63
Issue Date . . . .
Valuation . . .
. 0
Qty Unit Charge Per
Extension
P.O. Box 1504�� VOICE (760) 777-7012
T-Vf
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT C
Application Number: �%� I Date: O'-�
Applicant:
Applicant's Mailing Address:
•AMcam. ngi ee
Architect or Engineer's Address:
No.: LC Ili- 2-64 b
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm un er alty of perjury that I am licensed under provisions of Chapter 9 m acing with Section 7000) of Division 3 of the Business and Professionals
e, and my
Li is full force and effect. /
License Class „ License No. '
OWNER43UILDER DECLARATION
I 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 7081.5 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. It, 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. B.& 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 e an w I maintain w ers' compensation insurance, as required S ction 3700 of the Labor Code, for the performance of the work for which this permit is
ued. M orkers' c pensation ' rance c : -
�Camer Policy Number
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 Califon' , and agree that, if I ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
foNwith
comply with those pr 'sion
/Date �pticant
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.).
Lenders Name
Lender's Address
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 ^ees to, and shall, defend, indemnity and hold harmless the City of La Quinta, its
officers, agents and employees for any act or omission related to theww ing performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void is not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to ancellation.
1 certify t t I hav read this application and state that the above alion is I agree to comply with all city and county ordinances and state laws relating to building
constructs n, and hereby authorize representatives of this coun r upon above-mentioned property for inspection purposes.
ate —1 nature Si
g (Applicant or Ag
.,/
Page
2
Application Number
.
. . .
. 04-00005728
Date
7/29/04
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
2.00
9.0000
EA
MECH
FURNACE <=100K
18.00
.00
11.0000
EA
MECH
FURNACE >100K
.00
2.00
9.0000
EA
MECH
B/C <=3HP/100K BTU
18.00
_
.00
16.5000
EA
MECH
B/C >3-15HP/>100K-500KBTU
.00
3.00
6.5000
EA
MECH
VENT FAN
19.50
1.00
6.5000
EA
MECH
EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit . . .
. . .
ELEC-NEW RESIDENTIAL
Additional desc
. .
Permit Fee .
. . .
100.65
Plan Check Fee
3.77
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
2174.00
.0350,
ELEC
NEW RES - 1 OR 2 FAMILY
76.09
478.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
9.56
------------------------------------------------------------7---------------
Permit . . .
. . .
PLUMBING
Additional desc
. .
Permit Fee .
. . .
138.00
Plan Check Fee
34.50
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
12.00
6.0000
EA
PLB
FIXTURE
72.00
1.00
15.0000
EA
PLB
BUILDING SEWER
15.00
1.00
7.5000
EA
PLB
WATER HEATER/VENT
7.50
1.00
9.0000
EA
PLB
LAWN SPRINKLER SYSTEM
9.00
6.00
.7500
EA
PLB
GAS PIPE >=5
4.50
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 5 PLAN
5515C,
2174
SF, INCLUDED
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
1257.15
Page
3
Application Number . . .
04-00005728 Date
7/29/04
----------------------------------------------------------------------------
Special Notes and Comments
.00
26 SF BOX BAY @ MBR & 26 SF
BOX BAY @
NOOK. PERMIT DOES NOT INCLUDE BLOCK
WALL, 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
60.22
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
18.73
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
1257.15
.00
662.13
.00
2483.95
.00
4403.23
.00
Credited Due
.00
1257.15
.00
662.13
.00
2483.95
.00
4403.23
JCM Inspections
39725 Garand Lane Suite F
LJE"
LL"
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 # 3018 Slab on Grade 10-12-04
Concrete
273-373 Bay Window @ Master Bedroom
Required psi: 4000
/��1,,,, n 7952 7
60 -1-30 &c, �7- �OS 2 UI-•
3450
7953 28
4900
7954 28
4930
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 26/37
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INSULATION CERTIFICATE
This !> to certify that insulation has been installed in conformance with the current energy
reguls ition, Cnlifornia Administrative Code, Title 24, State of California, in the building at
60.930 DESERT ROSE DRIVE, LOT 3018, PHASE 7C, LA QUINTA CA
CEI ��GS: •
TYPI: BLOW MANUFACTURER: Certainteed THICKINESS: R-38
WALLS:
TYPE:: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENE: RAL CONTRACTOR: SHEA, HOMES LICENSE #
BY._ TITLE:
PARaI GON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
TITLE: ACCOUNT REPRESENTIVE DATE: 7.A W
s
r
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^/:v .. .v:V.. 1: JY/:C:v71ni1! Ir.Y3•l."l:H:HSov,.l:!`An^R%.';/.vl!:y:.i.�r7.•v.`/Yl:(r:Mi'/TT.^%:�s%!':Vf:;.r.+r4`P.`7:Y!f.+bst�:./nYr:f!�l:�l!.ML••l:.-/{.`V:lv/.1•:ri:V^'r.'7.'Y:r vi: :. T./..,..: ......r r.'1.': .••!: .,• •. •r%•:: ./:!••..
INSULATION CERTIFICATE
This is t:) certlf r that insulation has been installed in conformance with the current ene
ulat in, California Administrative Code, Title 24, State of California, in the located
r
CEILINI:;S:
TYPE: I: ;LOW MA ACTURER: Certain THICKNESS: R-38
WALLS,
TYPE: BATTS MAU TURER: Ce ' teed THICKNESS: R-13
y GENER. �L CONTR OR: LICENSE #
BY: TITLE:
PARM,-ON SCHMID BUILDING PRODUCTS A MASCO Company LICEN1 *2215`17
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
/ ' 1
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INSPECTIONS
JCM Inspections
39725 Garand Lane Suite F
tr Palm Desert, CA 92211
Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT
Date: lo_
Project Name:
Trilogy @ La Quinta - Shea Homes
Project No:
02-1109
Project Address:
81-260 Avenue 62
City:
La Quinta, CA
Z 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:
! - a
_ ^J
No Samples Taken
Description of Work Inspected
-�- �t- r,Z , �j� , ��� n 73 13 Zi
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 CMillin ICC Cert fi C tion No: 0842216-80
Contractor's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent L/ opy 3 Governing Agency Page 4-
of
JCM Inspections
39725 Garand Lane Suite F
r. Palm Desert, CA192211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT. Date:
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:
81-260 Avenue 6.2 La Quinta, CA
Title 24 AWS Q UBC Other:
File # E] D 1.1
App# F_� D 1.4
[] 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): Supplier:
Time Sampled: Mix Design:
Time in Mixer (min.): Specified Strength (PSI):
Water Added @ Jobsite (gals.): Addmixture:
Concrete Temperature (F): Truck #: Ticket #:
Ambient Air Temperature (F): Field ID Marking:
Weath r
Unresolved ms:
® None
E] See Below
Location of Sample:
No Samples Taken
Description of Work Inspects) '� G
i� :11'ZQ I,,\V CpC &.1 Ir IMin s1Z f fCSC'.1c' �l Or-
��� i rr CA, t C- t
Cc�Dc ivA r
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1 1
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t_'.Vt-4+ C, AA
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 pfo_ject completion.
Inspector: Jack Millin (BICC CfertificatioNo: 842216-80
l�.la
Cont actor's. Retative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of
_ JCM Inspections `
39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTION'S
REINFORCED CONCRETE INSPECTION REPORT. Date:
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:
81-260 Avenue 62 La Quinta, CA
F�Title 24 AWS n-1 UBC Other:
File # ❑ D 1.1
App# ❑ D 1.4
E] Other
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
General Contractor: Architect: Structural Engineer:
a
Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Slump (Inches): 4 -a5 Supplier:� U� r f i r1 C
Time Sampled: fjra �� Mix Design:
Time in Mixer (min.): fie-- Specified Strength (PSI):
Water Added @ Jobsite (gals.): �} Addmixture: pZ.Z..3o1�
Concrete Temperature (F): V06 Truck #: 30-7 Ticket #:`j (,,'30
Ambient Air Temperature (F): Cp:Z Field ID Marking: S -. LA 4:�
Weat erg
Unresolved Ite
® None
E] See Below
Location of Sample: Tn r� ��„ Qom„ \yN e-3 A3 C <�-Of- (le—Arr,n,on
No Samples Taken
Description of Work Inspected.
c> PS�r raf,a, C 1 \fes
—fin eCtA�
l`y�.ao
e
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iV n
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C.RCn . • I\le AAC%6\cN� '% o Wb S\ �JQ�471 dna-J:f� i� r of G r C.
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E' cOMI,
\\
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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.
n
Inspector: Jac .Millin ICC Crertifi `O N .\01,1221. 6-80 Contradtor' 11 se .tative:
s
Copy 1 JCM Inspections Copy 2 Project Superintendent (Copy 3 Governing Agency Page of