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04-5762 (SFD)r BUILDING & SAFETY DEPARTMENT w4 P.O. Box 1504 (760).777-7012 OFT19 78-495FCALLE TAMPICO FAX (760) 777-7011 LA-QUINITA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT App --j73 jl To` n-iNumbe-r . . . . -62 Date 7/29/04 Property Address . . . . . 60165 DESERT ROSE DR APN: 764-270-999-111 -300233- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . MEDIUM HIGH DENSITY RES Application valuation . . . . 164982 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 WCC: NTL UNION INS WC: 7165833 08/01/04 CSLB: 672285 06/30/05 CCC: B ------ Structure Information. PLAN 5505A --�-- Construction Type . . . . . TYPE V'- NON RATED Occupancy Type DWELLG/LODGING/LONG <=10 Flood Zone . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 456.00 PATIO SQ FTG 536.00 .NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 1843.00 ----------------------------------------------=----------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 867.00 Plan Check Fee 563.55 Issue Date . . . . Valuation . . . . 164982 Qty Unit Charge Per Extension BASE FEE 639.50 65.00 3.5000 THOU BLDG 100,001-500,000 227.50 ---------------------------------- 7 ------------------------------------------ Permit . . . . . . MECHANICAL Additional desc Permit Fee . . 59.00 Plan Check Fee 14.75 Issue Date . . Valuation . . . . 0 Qty Unit Charge Per Extension 1► "i P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING &SAFETY DEPARTMENT g ,I Application Number: - S % & � Date: V -`r'-0 Applicant: Applicant's Mailing Address: Ar,02* pct gEng . 13ibk� Architect or Engineer's Address: Lic. No.: Q—'f C BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affinrt nalty of perjury that I am licensed under provisio sof a ter 9 (comm�ing with Section 7000) of Division 3 of the Business and Professionals Code, and my se i in full force and effect. cense ass icense No. Date v 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.). U 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: _ 1 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 v ani will maintain workers' compensation insurance as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ed. workers' co pensatiurance Carrier Policy Number I certify that, in the performance of the work for which this emit is ' u d, I she I not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall to with comply with those row ' ns. ,-_Date0(—F lican !L F� PP , 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 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 agrees 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 work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void�eaw ork is not commenced within 180 days from date of issuance of such permit. or cessation of work for 180 days will subject pe 't to cancellation. I certify that I haver ad this application and state that the ve i ation 's I agree to comply with all city and county ordinances and state laws relating to building construction and he by authorize representatives of this ter u o ovementioned property for inspection purposes. ate ignature (Applican I Application Number . . . . . 04-00005762 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 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 . . . . 88.63 Plan Check Fee 22.16 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1843.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 64.51 456.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.12 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 129.00 Plan Check Fee 32.25 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE 60.00 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 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 - PLAN 5505A w/Bay MBR (22sf ), ' &.'._�- ^.ia. ;i::,.. `c;•. ry, .•bad =`?;Y iy Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 1158.63 Page 3 Application Number . . . 04-00005762 Date 7/29/04 ---------------------------------------------------------------------------- Special Notes and Comments . .00 Extended Patio (315sf). 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 56.36 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 16.49 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 1158.63 .00 632.71 .00 2477.85 .00 4269.19 .00 Credited Due .00 1158.63 .00 632.71 .00 2477.85 .00 4269.19 JCM Inspections 39725 Garand Lane Suite F 0==L" 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 # 3111 Slab on Grade 10-26-04 Concrete 273-380 Bedroom/Bath 2 Required psi: 4000 - / jp S ,QE��T �D32 ,D/L • 8108 7 3270 8109 28- 4590 8110 28 4620 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 36/37 t ,.. .. .. .. ..... .:.i.•...•i., .......•i�i•/:i•��iii.•.ri:.../.v:y.�..r....rr,i,..�.�i•/iii•i.i.i•rc......:....,�.:r....,:.. ....•/.•,,.�•,i............ ;f i INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance wlth the current energy regulaii:m, California Administrative Code, Title 24, State of California, in the: building at 60-165 DESERT ROSE DRIVE, LOT 3111, PHASE 7C, LA QUINTA CA CEILII', GS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-•38 WALL; is TYPE: 13LOW MANUFACTURER: Certainteed THICKNESS: R-13 ; GEN El: IAL CONTRACTOR: -SHEA HOMES LICENSE # BY:_ ,- - TITLE: ; PARA; i ON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 f BY: I P TITLE: ACCOUNT REPRESENTIVB: DATE: ' : ... •r.:^...^ :^ r .. . ..• ....... . .. r. it :. •i.•..•. •^r... ,. ..... , . / r.ir..r..,.., /. i,.r..r..r/.i ,.. ir.v.,. •i.i r..•.....-.: / . ....r / . , .• . , , r .. �:: •^. .::...:....,,.^, •,�•:...�.,^.:.,.r.,.. �.»...,..r....v..i<,.s.c..,:oc..:r.>;.r.<,:.,r:..v....s.r..-�,..-,:.<.s,-.. rrr.:.,:n:., �•r...>,�..,.:�....,./.•.rn,nr.,.,,.-..r•�.,....r..ec,rs,►,.<,.-...-rw.,rw,eY:r.•irs:.r �.:.:..�;.,.,,....•........ INSULATION CERTIFICATE Tfils,s 1:> certify that insulation has been installed in conformance with the current energy regula + California Administrative Code, Title 24, State of California, in the building located ; CEILINGS: TYPE: 11LOW M FACTURER: Cert THICKNESS: R-38 WALL�I TYPE:'•BATTTS MAUNFACTURE . ertainteed GENEFI AI�CONTRACTOR: LICENSE # BY:_, , TITLE: PARACION SCHMID BUILDING PRODUCTS A MASCO THICKNESS: R-13 ICENISE * 221517 BY: TITLE: ACCOUNT REPRESENTIVE Di4 ^�. irr.,.,•„,.,•,/:�,,^.p:,..•i.,.r...../i/rru,:•..r./ui�//'rn'r�.i/ii/r/i1/r/•./inair✓ii.v.i/iif.•fir/iv/�/,,./..,././l/lq•.9✓/%/%,.,.::^,,rrrh•n•%^.'. lrr ..•.'r •i r.•.v.q y,.-.. /" JEM JCM Inspections 39725 Garand Lane Suite F LM Palm Desert, CA 92211 �__ 174'S P E C T 1 ON S Phone: 760-345-5554 - Fax: 760-772-3895 1.% S P. C T 10 .; 5 REINFORCED CONCRETE INSPECTION REPORT Date: Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: Z IBC 81-260 Avenue 62 La Quinta, CA Title 24 Client: Sub-Contractor: Shea La Quinta, LLC DCCCC Other: General Contractor: Architect: Structural Engineer: Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP Slump (inches): �r..1 Supplier: i� � � Weather: Time Sampled: . Mix Design: Time in Mixer (min.): W Specified Strength (PSI): My Unresolved dt ms: Water Added @ Jobsite (gals.): Addmixture: �ny'� �� ® None Concrete Temperature (F): Truck #: C L Ticket tvny� Ambient Air Temperature (F): _, Field ID Marking: Q _L4�� • ❑ See Below T Location of Sample: t No Samples Taken Description of Work Inspected:, c C"' c' • r f . n Ttz +n.• 'r1 r 1� \ '� /'� Rte'' wH. F �� ` n (mow •1 nr `1P ` Si XI r +� .� 1 J M 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 C. Millin ICC Certificaticr NO: 0842216-80 Contn ctor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of Copy 1 JCM Inspions Copy 2 Project Superintendent ___Co'6y 3 Governing Agency Page —4 of T JCM Inspections 39725 Garand 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: City: Z IBC 81-260 Avenue 62 La Quinta, CA Title 24 Client: Sub -Contractor: Shea La Quinta, LLC DCCCC Other: General Contractor: Architect: Structural Engineer: Shea Homes Bassenian Lagoni Borm & Assoc, I nc/Suncoast Post Tension LP Slump (inches): Supplier: Weather: Time Sampled: Mix Design: Soo C� Time in Mixer (min.): Specified Strength (PSI): Unresolv. s: Water Added @ Jobsite (gals.): Addmixture: rVi None Concrete Temperature (F): Truck #: Ticket #: 144 Ambient Air Temperature (F): Field ID Marking: E] See Below Location of Sample: No Samples Taken Description of Work Inspected: � 1r r' c a +i4r1,� 1 n C. r AA Y J'A.. \ r r 1 t �. ' i 3 1 C"n O X., A R G� , rk E C rt. W' n , A n � CC S n{C\ f�R .��• 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: Ja C. Millin ICC Certifi a 'o ; n 842216-80 Contra or's Representative: Copy 1 JCM Inspions Copy 2 Project Superintendent ___Co'6y 3 Governing Agency Page —4 of T INSPECTIONS ` JCM Inspections 39725 Garand Lane Suite F 4c,Palin Desert, CA 92211 Phone: 760-345-5554 - Fax- 760-772-3895 a. INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Project Name: Trilogy @ La Quinta - Shea Homes Date: 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: ev 4's ( k y(kp Unresolved Items: None See Below Location of Sample: .I E] No Samples Taken Description of Work Inspected: J s, n cn. 'p rl Q r i• a r �� C t •rte Q �� f1 c f .0 \�1 .. _ 4 �. t 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 buildinglaws. Final report issued at project completion. Inspector: ack C. Millin IC a i1flZption No: 0842216-80 Contyraaettor's Repp�resentative: Copy 1 JCM Inspections Copy 2 Project Superintendentopy 3 Governing Agency Page