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04-5761 (SFD)BUILDING & SAFETY DEPARTMENT BOx`1=504-i� (760).777-7012 78-495,,CALJAMPICO FAX (760) 777-7011 Ln `QUtNTA, CALIF RpNIA 92253 INSPECTION REQUESTS (760) 777-7153 ,7ocI.� CE 7. _-- BUILDING PERMIT Application Number Property Address APN : Application description Property Zoning Application valuation 04-00005761 Date 7/29/04 . . . 6 -0245 -DESERT ROSE DR 764-270-999-109 -300233- . . . DWELLING - SINGLE FAMILY DETACHED . . . MEDIUM HIGH DENSITY RES . . . 148930 Owner ------------------------- SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE AZ $5258 Contractor SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA CA 92253 (760)'777-6005 WCC: NTL UNION INS WC: 7165833 08/01/04 CSL13: 672285 06/30/05 CCC: B ------ Structure Information PLAN 4520B -- -- Construction Type TYPE V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/LONG <=10 Other struct info . . . . CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 532.00 PATIO SQ FTG 177.00 NUMBER OF UNITS 1.00 .FIRST FLOOR SQ FTG 1685.00 -----------------------r---------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 811.00 Plan Check Fee 527.15 Issue Date . . . . Valuation . . . . 148930 Qty Unit Charge Per Extension BASE FEE 639.50 49.0'0 3.5000 THOU BLDG 100,001•-500,000 171.50 -------------------------------------------- -------------------------------- Permit . . . . MECHANICAL Additional desc Permit Fee . . . . 64.00 Plan Check Fee 16.00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension 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 Application Number: 04 • 5.2&1e: t Applicant: Artl�itq�t' Agi r Applicant's Mailing Address: Architect or Engineer's Address: A Lic. No.: 0-o-t-g,.o(4 U 1 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm undprs ally of perjury that I am licensed under provi ions oL�jra er (cort�nen�i�with Section 7000) of Division 3 of the Business and Professionals C9de, and my Licen full force and effect. n I YS 11 kens . Cla e Nov Lo!t/Date Contra 1 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: 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 th work for which this permit is issued. tt dwill maintain w ers'compensation I certify that, in the perfornance of the work for which is 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 t, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, 1 shall forthift Comply with those pro vi ' ns. ate V •J li--k Appli t 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 if w 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 have read this application and state that the above inform 'on is co agree to comply with all city and county ordinances and state laws relating to building construction, and erre�b/y�authoriize representatives of this county to er pon the a ntioned property for inspection purposes. ate 1S� ignature (Applicant or Agerl r� Page 2 Application Number . . . . . 04-00005761 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 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 . . . . 84.62 Plan Check Fee 21.16 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per. Extension BASE FEE 15.00 1685.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 58.98 532.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.64 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 128.25 Plan Check Fee 32.06 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 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 - Plan 45203 1685 sqft with MBR Bay Cl Page 3 Application Number .. . . . . 04-00005761 Date 7/29/04 ---------------------------------------------------------------------------- Special Notes and Comments (23sgft) & Garage Extension (44sgft) ---------------------------------------------------------------------------- Other Fees . . . ... . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 52.72 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 14.89 .DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged' Paid Credited Due Permit Fee Total ---------- 1102.87 ------------------------------ .00 .00 1102.87 Plan Check Total 596.37 .00 .00 596.37 Other Fee Total 2472.61 .00 .00 2472.61 Grand Total, 4171.85 .00 .00 4171.85 JCM Inspections 3EM 39725 Garand Lane Suite F Palm DesertCA 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 81-260 Avenue 62 La Quinta, CA 92274 Project No: 02-1109 Set ID Structure Age of Test Compression Strength JCM ID Location Date Cast Cylinder ID (days) (psi) Set A Phase 7C - Lot # 3109 Slab on Grade 10-25-04 Concrete 273-382 Bedroom/Bath 2 Required psi: 4000 Page 1 of 1 8096 7 3640 8097 28 5050 8098 28 X00 CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 b1/!ti8/2005 08:35 17603401819 PAGE 34/37 INSULATION CERTIFICATE This is :o certify that insulation has been installed in conformance with the current energy regulatkin, California Administrative Code, Title 24,* State of California, in the building at 60-245 DESERT ROSE DRIVE, LOT 3109, PHASE 7C, LA QUINTA CA CEILI )QPS: TYPE: SLOW MANUFACTURER, Certainteed THICKNESS: R-38 WALU: TYPE: ;SLOW MANUFACTURER: Certainteed THICKNESS: R-13 GENET* AL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: F. PARAC. iON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 la:111A� Afjlq-TIT E, BY: LE: ACCOUNT REPRESENTIVE DAT INSULATION CERTIFICATE This is 1):, certi�-kat insulation has been installed In conformance with the current energy dministrative Code, Title 24,, State of California, in the buiuildingl regulatii: n, Californi g I CEILINOS: TYPE- 1: LOW MAUNFACTURE ertainte THICKNESS: R-38 WALLS: TYPE: BATTS MAUNFA RER: Certainteed ICKNESS: R-13 GENERAL CONTRACT LICENSE # BY: TITLE: PARA(19K/ScHMID BUILDING PRODUCTS A MASCO Company LICENSE #22151 BY: TITLE: ACCOUNT REPRESENTIVE DATE: Copy 1 JCM Inspections Copy 2 Project Superintendent _ opy 3 v Governing Agency Page of� JCM Inspections 39725 Garand Lane Suite F _ .MJ- Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: I �_ Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: �✓ 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, Inc/Suncoast Post Tension LP Slump (inches): (� fir--- Supplier: Q �� v,- Weather: Time Sampled: t0 : 00 oM Mix Design: lf.fl f1 Time in Mixer (min.): Specified Strength (PSI): LA On -0 Unresolved I s: Water Added @ Jobsite (gals.): Addmixture: \ -N4 —r-Sn 0'Z.3—_1. None Concrete Temperature (F): � � Truck #: '50-1 Ticket#:-lL Ambient Air Temperature (F): `�� Field ID Marking: ❑ see Below c Location of Sample:SN 't no nor, ❑ No Samples Taken Description of Work Inspecte o atA o r O sr E.Rtt'I'_ &-ra. OrT14, Left. -.'-t r' < - �s , lY erQ 41 X`� 01�' t n A !' ` �C' c ' A i,. �'f Ln% .'� ' n r• 4 U Q r A T C t% c s W n_-. c e O c M �__)n CAr nA S IT IF c _ � It.D1 \ r f ! r ftc J r nP' 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: J ck C. Millin ICC Certi is TP 842216-80 Contr ctor's.Repres ntative: Copy 1 JCM Inspections Copy 2 Project Superintendent _ opy 3 v Governing Agency Page of� INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 ah Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 0_Ot„, Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 81-260 Avenue 62 City: La Quinta, CA [?]IBC Title 24 Other: Client: Shea La Quinta, LLC Sub-Contractor: 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: tg None ❑ See Below Location of Sample: No Samples Taken Description of Work Inspected: V\1 sac) n r t?�p� o Qtiv� E fciq .0�n'icn �nn� ni (.mr4-r r, knC_1r `.1 C�tG\ G�f��nC ltto��k .\klvdO OPo�i1v.�. �C\(C�n Ac CrL h-1tn o Oe �igo/lc,'1 `I*Tz CO A, e� h✓1 f 1 4 R. o'.c�.+� tin �e oar., 7c i �a.�pt� �n��c>�� enc`. SQV�r��T •�-. r�,rl;A.�c (6/ % J�t�. Sty.. � Wil/ 14 `�tn��. ``dr�1�1i(, n e�R'ti_\� n o n.r+ '1 . � M s ��n i... E-� VJ��e��t11. 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 Certification No: 0842216-80 "I \,I Con(tractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent ✓ Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F L I YX q, Palm Desert, CA 92211 I :; s P F C T 10 N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: O v)6_ rJ Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 81-260 Avenue 62 City: La Quinta, CA ❑✓ IBC E] 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): 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: vent Unresol terns: ®. None ❑ See Below Location of Sample: C0r.CC O� S\ c�, n, �o�c,� AW,.i• Oit'c2 u ��„� — r (n7rh e �rti� o,t F] No Samples Taken Description of Work InspecteR\nOlz � 3 J► , ` Coo ay S Z10 t` r D t ; Q.. 1 ,ekf.`Stx��hn\ � eOrlc 6Ca �+1� �cT( 0(r�, Q. ,Ln Q �a1r t'cs o b., lnriles. I )kq\ C` r +♦ 1 , p \ ('I � � \ SC. �.►. `G �S� nL �. Q � e�'lt;.- . ♦ � C' C ` � U � � , c n) v%\w .') V.C O 11:'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: Ja C. Millin [CC Certificatin o: 6842216-80 '` t. . Contractor's Representative: L l 1 1 Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I oll