04-5725 (SFD);i
Todf 4 4 a" -
P.O. Box 1504
78-495pCALLE�TAMP
�4-1-LA QUINTA;IF'o,'1
L_s-�.
IfY O!F 1. QUI H TTA
Applicat'Yon
Property'Address
APN:
Application description
Property Zoning . . . . .
Application valuation
Owner
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
92253 INSPECTION REQUESTS (760) 777-7153
LDING PERMIT
04=00005725 Date 7/29/04
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350.
SCOTTSDALE AZ 85258
6-02-50—DESERT ROSE DR
764 -270 -999 -14 -300233 -
DWELLING - SINGLE FAMILY DETACHED
MEDIUM HIGH DENSITY RES
168914
Contractor
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA CA 92253
(760) 777-6005
Qty Unit Charge Per
Extension
WCC: NTL UNION
INS
WC: 716.5833
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
488.00
PATIO SQ FTG
177.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
1943.00
----------------------------------------------------------------------------
Permit . . . .
BUILDING PERMIT
Additional desc
Permit Fee . . . .
881.00 Plan Check Fee
572.65
Issue Date . . . .
Valuation . . .
. 168914
Qty Unit Charge
Per
Extension
BASE FEE
639.50
.69.00 3.5000
THOU BLDG 100,001-500,000
241.50
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee .`. . .
80.00 Plan Check Fee
20.00
Issue Date . . . .
Valuation
0
Qty Unit Charge Per
Extension
P.O. Box 1504• QU&M
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: o4 - X570? ".=)- Date: O ��
Applicant: �AWhjJWpI EngMRgr_, ,
Applicant's Mailing Address:
I hereby affirm
Code, and my
/'License C 11 lass_
Architect or Engineer's Address:
No.:2�5 _1L 6
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
of perjury that I am licensed under provisi s of1h a ovencing with Section 7000) of Division 3 of the Business and Professionals
ill force and effect. S
icense No.
P%�Dxe_-Z.
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 the work for which this permit is issued.
ave an w' maintain orkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
� `L ed. workers' �mp nsation m nce car '
L'arieN6 olicy Number
I certify that, in the performance of he work for whic is perms is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, agree that, i I hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall
forthwith comply with thos o . /
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 t ,and shall, defend, indemnify and hold harmless the City of La Quinta, its
officers, agents and employees for any act or omission related to the work beim p rformed under or following issuance of this permit.
2. Any permit issued as a result of this application become null and void if work i no commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to can Ilation.
I certify that I ha a read this application and state that the above infor i is correct -I- gr to comply with all city and county ordinances and state laws relating to building
construct n, an hereby authorize representatives of this count e n the a ove ntion prope=inspection purposes.
ate ignature (Applicant or Agent): /
Qty Unit Charge Per
BASE FEE
Extension
15.00
Page
2
Application Number .
. .
. . 04-00005725 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
11.0000
EA
MECH
FURNACE >100K
11.00
1.00
9.0000
EA
MECH
B/C <=3HP/100K BTU
9.00
1.00
16.5000
EA
MECH
B/C >3-15HP/>100K-500KBTU
16.50
2.00
6.5000
EA
MECH
VENT FAN
13.00
1.00
6.5000
EA
MECH
EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit .
. . . . .
ELEC-NEW
RESIDENTIAL
Additional
desc
Permit Fee
. . . .
15.06
Plan Check Fee
3.77
Issue Date
. . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
.04
1.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
.02
----------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc . .
Permit Fee
. . . .
152.25
Plan Check Fee
38.06
Issue Date
Valuation
0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
14.00
6.0000
EA
PLB
FIXTURE
84.00
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
BASE FEE
Extension
15.00
Fee summary Charged
Permit Fee Total 1143.31
Plan Check Total 634.48
Other Fee Total 2479.16
Grand Total 4256.95
Paid Credited Due
---------- ---------- ----------
.00 .00 1143.31
.00 .00 634.48
.00 .00 2479.16
.00 .00 4256.95
Page
3
Application Number . . . .
. 04-00005725 Date
7/29/04
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 14 PLAN 4520C, 1943
SF
INCLUDES 255 SF CASITA, BOX
BAY @ MBR -26
SF PERMIT DOES NOT INCLUDE
BLOCK WALL,
POOL 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
57.27
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
16.89
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Permit Fee Total 1143.31
Plan Check Total 634.48
Other Fee Total 2479.16
Grand Total 4256.95
Paid Credited Due
---------- ---------- ----------
.00 .00 1143.31
.00 .00 634.48
.00 .00 2479.16
.00 .00 4256.95
JCM Inspections
39725 Garand Lane Suite F
__ Palm Desert, CA 92211 I I_
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
COMPRESSION STRENGTH TEST RESULTS
Client: Shea La Quinta, LLC
Project: Trilogy @ La Quinta - Shea Homes
81-260 Avenue 62
La Quinta, CA 92274
Date: 1/13/05
Project No: 02-1109
Set ID
CERTIFIED:
Structure
Age of Test
Compression Strength
JCM ID
Location
Date Cast Cylinder ID
(days)
(psi)
Set A
Phase 7C - Lot # 3014 Slab on Grade
10-6-04
Concrete
273-369
Casita
Required psi: 4000
60 _ 2- SO 14fe-
7889
7
3240
7890
28
4440
7891
28
50(1_
450(1--
CERTIFIED: )ZLI Q - ,
J nspections supplies the service
of compression strength test results only.
Per ASTMC39
Page 1 of 1
01/'2i8/2005 08:35 17603401819 PAGE 22/37
INSULATION CERTIFICATE
This i.,: to certify that insulation has been installed in conformance with the current energy
regulal on, California Administrative Code, Title 24, State of California, in the building at
X60-250 DESERT ROSE DRIVE, LOT 3014, PHASE 7C, LA QUINTA CA
TYPE. BLOW MANUFACTURER: Certainteed THICKNESS: R-38
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENET' AL CONTRACTOR: SHEA HOMES LICENSE #
TITLE:
PARAi:;ON SCHMID BUILDING PRODUCTS A MASCO Company LICoENSE # 221517
I
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
INSULATION CERTIFICATE
This is b. rtify that insulation has been installed in conformance with the currentenerq)�_�,*
regulatio 1, C rnia Administrative Code, Title 24, State of California, in the build'
ocated
CEILIN :13-,
TYPE: D–OW MAUNFACTU - Certain tee'dTHICKNESS: Ft -38
WALLS:
TYPE: :)ATTS MAUNF TURER: Certainteed THICKNESS: R-13
.:r
"1:::S L
GENER)".- CONTRACR LICENSE #
BY:—. TITLE:
PARAGIN SCHMID BUILDING PRODUCTS A MASCO Company LICENc1;E#221517____'
BY: TITLE: ACCOUNT REPRESEN TIVE DATE:
r'
INSPECTIONS
JCM Inspections
39725 Garand Lane Suite F
"Palm Desert, CA 9`2211
Phone: 760-345-5554 - Fax: 760-772-3895
l
INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT. Date:
to—
Project Name:
Trilogy @ La Quinta - Shea Homes
Project No:
02-1109
Project Address: I
81-260 Avenue 62
City:
La Quinta, CA
Title 24
File #
App#
AWS 0 UBC Other:
D 1.1
D 1.4
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:
�a n
Unresolve ms:
None
E] See Below
Location of Sample:_�•`,��c;,.,,•c
-�
f4
OT(_
❑ No Samples Taken
Description of Work Inspected:
_
y
1
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: Jac C. Millin ICC Certificati
No: 0842216-80
Contra tor's.Repres 'ntative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page __� of
IJCM
I N S P E C T t O N S
Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
Phone: 760-345-5554 - Fax: 760-772-3895 r, 5 P E C T I O N S
REINFORCED CONCRETE INSPECTION REPORT Date:,��,,,�
Project Name:
Trilogy @ La Quinta - Shea Homes
" Project No:
02-1109
Project Address:
81-260 Avenue 62
City:
La Quinta, CA
Title 24 AWS Q✓ UBC Other:
File # F_� D 1.1
App# D 1.4
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): ��;�� Supplier: irhQt �y�
Time Sampled: Mix Design: �� S P
_t
Time in Mixer (min.): �. Specified Strength (PSI): Li� bOo
Water Added @ Jobsite (gals.): �nQ _ Addmixture: �Z-�-3-
Concrete Temperature (F): Truck #: Ticket #:72q�k
Ambient Air Temperature (F): $ Field ID Marking:
Weather:
SuV,n"
Unresolved Ite s:
None
E] See Below
Location of Sample:
E] No Samples Taken
Description of Work Inspected:
� o s ivy
h� a C Q
ot,, x-�-4, r r,� -X)e o a'ns. �Q r �,� c_ &Q a
. r. e;A �. n r _ n Q xe cam[ �`-c o tZ
(►fi�t
c` n e 1 R e) U IQ at l_ a S f Q ti V.111^ X11 O 4� e
.n._� n
\. f�'c f' M 11 �CAdI� f r 11'Jdc•. Qi'�4i0�
aVL
; "N. .,. "«� ,� , c(�T1. a
r \
W
1-
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 Certifica, i
"k
o: 0842216.80
L.V_
Contractors -R presentative:
Copy 1 JCM Inspections Copy 2 Project Superintendent ,14y3 Goveming Agency Page of
Copy 1 JCM Inspections Copy 2 Project Superintendent !. �CCopy 3 Governing Agency Page �of
t ,.
C.
JCM Inspections
39725 Garand Lane Suite F
d111_4
Palm Desert, CA 92211 j
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:
Title 24 AWS [7 UBC Other:
81-260 Avenue 62
k
La Quinta, CA
File # D 1.1
APP# F� D 1.4
Client:
Sub -Contractor: •
Shea La Quinta, LLC
OCCCC
E] Other
General Contractor:
Architect: Structural Engineer:
Shea Homes
, - Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Slump (inches):
_ Supplier:
Weather:
Time Sampled:
Mix Design:
Time in Mixer (min.):
Specified Strength (PSI):
Unresolved It.
Water Added @ Jobsite (gals.):
Addmixture:
None
Concrete Temperature (F):
Truck #: Ticket #:
Ambient Air Temperature (F):
Field ID Marking:
E] See Below
Location of Sample:
No Samples Taken
Descriptlon of Work Inspected.
P'10 @ S -R S V, \i q-, r'r
1 Q\G. ,M:\ CA &. :
.L , 0 av e)4r �or �. c„L11
Alt, f
+3
3 'C, A c+.r
r l .. $ 1 ♦ .i. Tp f 1 ci! I , #� e d Y+� �\ .5� 1
•G,GCCDJ
11410
A•OV 4 (h♦ \n ic):lr�4r SX'at. O'"rC>_ re. Vif
bit a
1`2..0 'aCt o., mina �al Cnri�?n
SAC (1 ` n f D ,r ► �7✓ 4�
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. illin ICC Certification o: 8A2016-80
Contract'or's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent !. �CCopy 3 Governing Agency Page �of
t ,.
C.