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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 `�.�..»•/!.-r.�:'rri r. /r/v'i ti•r.�• ri'.'r:•n•/� n/'/•r-r-v^:•.-.wr•r:/•v,/.�.r,...r•n•r:;v',.;,-!,•-r?r..irv.: Mirvw•....a'wi^ia^/-.r'r..••.'!r'.^n^....-:..>:... �r.•.�.,,.n.y..r.r,.a•.•..•..•!-/,•l. r.l..lr i.:..,,.r.l. �. „i 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 / I r !;. !/lIr'' r%!//'. rhr! ,. . . ..f .'/•. .. �,%:^.i:'/.•� . / i . is%fl.%ln: i):r. /:%/�//./r!I '!//.%/./�/ �• ,!ilil•%.'I , ri%.i !/n%!%'I�%/.v.rlili i:'/.'!/�'!r /• !•%^ . li.l r ..!.'/' ^/: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 rrrl AMs ..'./Y/!%.lrl"/1.ffl.' .1711/11 lr////%7l/.r//fir.r..',/,I:..4�11r1.1Y/!'!/?!////llIl —lv1+;r l: lilt.•.•,.:.'." 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 3 1w QCtsf �1c! �atnS nal �p? y� 1 ) Vf'rt��['0rN yr iii 1 1 i� —Ak —\kno �\\ 1 � ! ��f1A."r. '4y -�7��OW(iS f! Q ( L R s � � r^�,,.i r� f, a�.3 C. Ao c 0-& r, <- 10-S .CL 1 14 \Sa lr6z , s c`tr �r r% �c ��:cs an:Z' r+� s on S �'"'' `�r.c c_` � 1�c. c ^ c Z:-s.c ra`�.cs,Y•n�., � oyrc a c.r� � `�'t.s�z , i�4 oc- �. c+,, � e 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 `o. _ OrA I-, C` Y C' C / _.•l Gem. Oil \ n ^' �` C 1.�8'C t\r� Q_ X vrc \ am r n Q.)l YI A . iV n � Ike, l�� �c a t��^� V\e%n . , a a �►:. % .. r.s,k1: C.RCn . • I\le AAC%6\cN� '% o Wb S\ �JQ�471 dna-J:f� i� r of G r C. :J qtcla�. �� v `�.�r,\�c\^C. v,�cr, arA3 8� C-•'1nGCa0.o er•.' �C ��a wrn et t1Svrs\1 �ln4t f :1b r to E' cOMI, \\ f�o,3A 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