04-5727 (SFD)w
Tihf 4 4 a"
a �Q BUILDING & SAFETY DEPARTMENT
PDA
_P.OBOX1504 (760).777-7012
CAL TAMPICO FAX (760) 777-7011
LA QUIN AI, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
z1"
BUILDING PERMIT
;ITM OF LA QNIRIYQ
. 04-00005727 Date 7/29/04
6016-07 S�ERT ROSE DR
764-270-999-17 -300233-
. . . DWELLING - SINGLE FAMILY DETACHED
. . . MEDIUM HIGH DENSITY RES
. . . 210828
Application Number
Property Address . . .
APN:
Application description
Property Zoning . . .
Application valuation
Owner
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
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
478.00
PATIO SQ FTG
178.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
2464.00
----------------------- -----------------------------------------------------
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit'Fee . . . .
1028.00 Plan Check Fee
668.20
Issue Date . . . .
Valuation . . .
. 210828
Qty Unit Charge
Per
Extension
BASE FEE
639.50
111.00 3.5000
THOU BLDG 100,001-500,000
388.50
--------------7----------------------------==-------------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
77.00 Plan Check Fee
19.25
Issue Date . . . .
Valuation . . .
. 0
Qty, Unit Charge Per
Extension
P.O. Box 1504�� VOICE (760) 777-701.2
T-Vf
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT �r
Application Number: (, 7 S 702 % Date: — Y `�
Applicant: �Ci4CEngiV*-l./. I I !�,
Applicant's Mailing Address:
1
Architect or Engineer's Address:
tic. Not C % 1146
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I herJaffirmuenalty of perjury that I am licensed under provisiot's of aa(conairtg with Section 7000) of Division 3 of the Business and Professionals
Codis in full force and effect.'`(nJcep cens N/omat ontractor � , r,,,
/6a e
OWNER -BUILDER 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 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U I, 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.).
(--) I, 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.
hLve a vnll maintai orkers' compensation insurance, s required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
.�- sue y workers ompensation ins u nce ca �
_ I certify that, in the performance of the work for hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
CA pensation laws of California, and agree t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
fo with comply with thosrovis' ns. ..r
1--Date� �,.nt
WARNING: FAILURE TO SEC %RE 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
Lenders 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 rees 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 the w rk eing performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void f w rk 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 I hare ad this application and state that the above info tion is co I agree to comply with all city and county ordinances and state laws relating to building
construct' n, an hereby authorize representatives of this co nt upon ov ntioned property for inspection purposes.
mate Se (Applicant or Agen
c
Application Number . . . . . 04-00005727
Page 2
Date 7/29/04
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
2.00
9.0000
EA
MECH
FURNACE <=100K
18.00
2.00
9.0000
EA
MECH
B/C <=3HP/100K BTU
18.00
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
. . . .
110.80
Plan Check Fee
27.70
Issue Date
. . . .
Valuation
0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
2464.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
86.24
478.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
9.56
----------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc . .
Permit Fee
. . . .
165.00
Plan Check Fee
41.25
Issue Date
Valuation . . . .
0
Qty
Unit Charge
Per.
Extension
BASE
FEE
15.00
16.00
6.0000
EA
PLB
FIXTURE
96.00
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 SPR-INKLER 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
t
Extension
$Per
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes
and Comments
SFD - LOT
17, PLAN 5515C,2464
SF
A
Page 3
Application Number
. . . . .
04-00005727 Date
7/29/04
----------------------------------------------------------------------------
.Special Notes and Comments
INCLUDES 290 SF GUEST
SUITE, BOX BAY @
MBR -26 SF & NOOK -26
SF. PERMIT
DOES NOT
INCLUDE BLOCK WALLS,
POOL, SPA
OR DRIVE
WAY APPROACH
------------------------
Other Fees . . . .
---------------------------------------------------
. . . . .
ART IN PUBLIC PLACES -RES
27.07
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
66.82
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
21.08
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
----------
1395.80
------------------------------
.00 .00
1395.80
Plan Check Total
756.40
.00 .00
756.40
Other Fee Total
2519.97
.00 .00
2519.97
Grand Total
4672.17
.00 .00
4672.17
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: 1113105
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 # 3017 Slab on Grade 10-12-04 Concrete
273-372 Master Bath n Required psi: 4000
COU -�(0 0 U/C�S-T �OC2. OCL. 7948 7 3440
7949 28 4660
7950 28 461N
CERTIFIED: LLC.
CM spections supplies the service
of compression strength test results only.
Per ASTMC39
r.A
Page 1 of 1
01/18/2005 08:35 17603401819 PAGE 25/37
INSULATION CERTIFICATE
This to certify that insulation has been installed in conformance with,the current energy
regult. ition, California Administrative Code, Title 24, State of Califomia, in the building at
60-160 DESERT ROSE DRIVE, LOT 3017, PHASE 7C, LA QUINTA CA
CEIL NGS:
TYPI:: BLOW MANUFACTURER: Certainteed THICKNESS: R-38
WAL.! S.'
TYPI',: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENI: RAL CONTRACTOR: SHEA HOMES LICENSE#
TITLE:
PAPj!.GON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221617
BY; TITLE: ACCOUNT REPRESENTIVE DATE: 7
is v
INSULATION CERTIFICATE
is :o certify that insulation has been installed in conformance with the current energy
11
req-DW;:)n, California Administrative Code, Title 24, State of Califomia, in th(,- building_1pp-ated--
CEILI Q3&
TYPE: ;CLOW MA CTURER: Cera' mr6e�d THICKNESS: R-38
]MA CTUR
WALL":,'
NFACTU
TYPE: BATTS 1--lMAUNFACTURER: Ce inteed THICKNESS: R-13
.To
GENEF At CONTRACTOR: LICENSE
BY: TITLE:
PARA1;',ONS('0*HMID BUILDING PRODUCTS A'MASCO Company l- NSE #221517
BY: TITLE. ACCOUNT REPRESENTIV
E DAT
JCM Inspections
39725 Gairand Lane Suite F
- Palm Desert, CA 92211
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: CO:
81-260 Avenue 62 La Quinta, CA
E] Title 24 AWS ❑✓ UBC Other:
File # ❑ D 1.1
App# ❑ 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:
Weather:
_t r
UnresolvecHtems:
0 None
❑ See Below
Location of Sample: C�rcc c nw+C7+�os. f�reJ��'�^^e�i�9\., c�p,� �l.fI„p *Jc+Co ^'iA' 0A
Al n E]No Samples Taken
Description of Work Inspected ��� G �� ( ”) 1 c o� c Q` o
j� 1 1� 4� G t 4 P ✓1 f3� t. r � C n � },c... Cf� rr r � \e� �r, r C,_ c+. Cc�. h C., �l` t` i � c � 1 c �a cera r+•�c �, J � a l� 17,�i
r mArt,��' f1S R.. �'.7f1 v C' V�. a\ C nom.
01%, A, ^r r�> �1' �C e+, .-, r ��". ,� a.n n n r C ZI ,
I hereby certify that 1 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: Ja C. Millin ICC 6e 'fi a�ti�on No: 0842216-80
���=•x'`.-_.:_
ContPacto`r's Representative:
Copy 1 JCM Inspec—,,ns Copy 2 Project` Superintendent ( �,.�Copy 3 Governing Agency Page 4 of
JCM Inspections
39725 Garand Lane Suite F r
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 `' INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT. Date: o _ �_0
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:
81-260 Avenue 62 La Quinta, CA
[]Title 24 AWS f✓ UBC Other:
File # ❑ D 1.1
App# ❑ 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: e n'
Time Sampled: ) n : Ct rti Mix Design: ���r
Time In Mixer (min.): - Specified Strength (PSI): L4o
Water Added @ Jobsite (gals.): �� Addmixture: o ��
Concrete Temperature (F): Truck #: L f C Ticket #:"I fj ln3pol
Ambient Alr Temperature (F): q ` Field ID Marking:
Weat r:
Qo �`
�"�i1N
ou�
Unresolved Ite s:
None
See Below
Location of Sample: 0\10 n f o A �� a
❑ No Samples Taken
Description of Work Inspected. n
Y
�hn f� R C. Mh ►• r7 M G A r "V clo in r C th C. �h V.i� C'r'I:i `✓ �"-C (i 111 �. ♦ t �\
n (�n1S ('\Kco.ti tea(r,nn tSn nn ._. fiCQ 4 111G
c ��
� .�,.� �' �.. ►t-¢. � Q� � x � W� t, �n,�_ti �a �, !-li 1�0._ r c.� r n*(��., �• N a� o
/�E- te.
�
�Q� �� � - `� [n1.1 , G.Of�tr�`Il-w C_) .. \initis � � . f •. u,r" VY.S �! GnI+J A fOtt `�+� C•
- f r.
r � : ee-"!nom ��oe l e�. ao� .�1 ;�•n G f^.t)n.`1 ! nM, �uh nt�� �t1F.t�1.@QC 'Tt�C a� nlf.�"
A `
Q,t Ct t � d h1 n i1 \ •
Xt, T4 I.. C r .'XA C!? nG�Cf%.,r.; 4Z-)
IL
I hereby certify that 1 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 C. illin ICC Certific 1 o: 842216-80
Contractor's R,eppres ntative:
I'f�lis 1�
Copy 1 JCM In Copy 2 Project Superintendent zldopy 3 Governing Agency Page J of
JCM Inspections
39725 Garand Lane Suite F -
Palm Desert, CA 92211
I N 5 i—ECT IONS Phone: 760-345-5554 -Fax: 760-772-3895 INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT. Date: to
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:
81-260 Avenue 62 La Quinta, CA
Title 24 AWS Q✓ 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:
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:
Weather:
MnN
�-
J L) yl n t
Unresolved ms:
® None
See Below
Location of Sample:
No Samples Taken
Description of Work Inspected: G 30 1-7 n rl
Y
1C, rz V%Vr�cj �1 fe iCrl i e) tr, r. z`y
�r
``
1 , �. �. ��''f •� Tei �f rti A{f O W �`\n u� N iF] f�..'1 l r. 1e C" r• .+... 1 n
e-♦�L
tl
�. (I 1' r LC VAC- w ^. .O is r
I
SOf1Ct�1�C WC1L���/ �t t�CVlnr (�A r /VT�J�1 `t (1D 1
.S+�\M
4' NA 1fl IrN t1��•� _ l �.lC` _ �Q\74C `nC _0 of _ �i`�-\�)4!.d � Ott Sn�f f1_ iN
't \. _\7'lh 9_-"n-.) fU. %'A -.MA;),, $. a "nG C r ft7"we%
>. tist`b
t.'rUr 6 GA t. AN. -"J,
_
o .:C�Q e, Dnc`�� o JX'j-1 Pa X
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: Jab C. Millin ICC ifica io No: 0842216-80
G
Contractor's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent 4'Copy 3 Governing Agency Page of