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04-5758 (SFD)({ I Tar °F4WQ" 4cw P.O. Box 1504 Ci'4 4 78=4951 -CALL E-TAMPICO = AL-QUI�NT-A,-C�IN IFORNIA 92253 I iii T' '� BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 App Pi–aaat_On'—: •Nu-mber= 0 0004-0-5 5 Date 7/29/04 Property Addres."s . . . 60275 DESERT ROSE DR APN: 764-270-999-108 -300233- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning MEDIUM HIGH DENSITY RES Application valuation 149793 Owner SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE IAZ 85258 Contractor SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA CA 92253 (760) 777-6005 Qty Unit Charge Per. Extension WCC: NTL UNION INS 7165833 08/01/04 .WC: CSLB: 672285 06/30/05 CCC: B -------------------------- Structure I.riformation ------------- - --------_- 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 576.00 PATIO SQ FTG 177.00 NUMBER`OF UNITS 1.00 .FIRST FLOOR SQ FTG 1685.00 ----------------------- ----------------------------------------------------- Permit . . . . ... BUILDING PERMIT Additional desc Permit Fee . . . . 814.50 Plan Check Fee 529.43 Issue Date . . . . Valuation . . . . 149793 Qty Unit Charge ,Per Extension BASE FEE 639.50 50.00 3.5000 THOU BLDG 100,001-500,000 - 175.00 -------------------------- Permit . . . . . . ---------------------------------- MECHANICAL --------------- Additional desc Permit Fee . . . . 93.00 Plan Check Fee 23.25 Issue Date . . . . Valuation 0 Qty Unit Charge Per. Extension P.O. BOX 1504�� VOICE (760) 777-7012 Tiff 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: n Date: Applicant: qr�Eftr •�, 11 Applicant's Mailing Address: Architect or Engineer's Address:0 ic. No.: UL .2(0146' BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm r penalty of perjury that I am licensed under pro v ionsChapter 9 (c mmencin with Section 7000) of Division 3 of the Business and Professionals Code, and ss Li in full force and effect. ' Cense Glass icense N 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 1, as owner of the property, am exclusively ;6ntractingwith 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 ke e work for which this permit is issued. In ill maintain w kers' compensation insur �rrier olicy Number [[� I certify that, in the performance 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 that, i should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall fortwith comply with those p ' 'o /Date CfftDlicant, 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 Ouinta, its officers, agents and employees for any act or omission related to the work b g performed under or following issuance of this permit. 2. Any, permit issued as a result of this application becomes null and void if wo 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 hav read this application and state that the above i orm ion is corect. agree to comply with all city and county ordinances and state laws relating to building constructio , an reby authorize representatives of this coun a upon th a mentioned , party for inspection purposes. gnature (Applicant or Age J Application Number 04-00005758 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 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 4.00 6.5000 EA MECH VENT FAN 26.00 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 . . . . 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 r. Page 3 Application Number 04-00005758 Date 7/29/04 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 108, 1685 SF PLAN 4520C.BAY @ MBR -23 SF, 88 SF GARAGE EXT. 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 52.94 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 14.97 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1065.81 ------------------------------ .00 .00 1065.81 Plan Check Total 588.51 .00 .00 588.51 Other Fee Total 2472.91 .00 .00 2472.91 Grand Total 4127.23 .00 .00 4127.23 JCM Inspections 39725 Garand Lane Suite F JEM 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 # 3108 Slab on Grade 10-25-04 Concrete 273-383 Kitchen Required psi: 4000 //�� nn 60 -2-7S" Mt9t% /C4S� U/2. 8092 7 3300 8093 28 4540 8094 28 4490 CERTIFIED: Page 1 of 1 JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 e1/16/20e5 08:35 176034e1e19 PAGE 33/37 INSULATION CERTIFICATE This is :o certify that insulation has been installed in conformance with the current energy regulati:)n, California Administrative Code, Title 24, State of California, in the building at DESERT ROSE DRIVE, LOT 3108, PHASE 7C, LA QUINTA CA CE[Llhl:;S: ? TYPE: ;SLOW MANUFACTURER: Certainteed THICKNESS:'R-38 WALL;:: TYPE, ;SLOW MANUFACTURER: Certainteed THICKNRSS: R-13 GFNFF;.'%LC0NTRACT()R- AHFAROMPA BY: TITLE: PARA(: ON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY:V-A. . ACCOUNT REPRESENTIVE DATE:- INSULATION CERTIFICATE T41ts Is t., certify that insulation has been installed in conformance with the currant energy regi lM):i, California Administrative Code, Title 24, State of California, in the building located CEILIN : S: X TYPE, E; ,.OW MA�UCTURER: Certainteed KNESS: FI -38 WALLS: Ce teed THICKNESS: MAUNFACTU :Ce THICKNESS: R TYPE: 3ATTS -13 To S GENEWL CONTRACTOR- LICENSE 9 BY:—..— TIT TITLE: PARAGWSCPiMID BUILDING PRODUCTS A MASCO Comr)anv LICE SE # 221517 BY: TITLE, ACCOUNT REPRESENTIVE DATE: vw' JCM Inspections 39725 Garand Lane Suite F :( Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 L:='0% L INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date:'® �t Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: 81-260 Avenue 62 La Quinta, CA ❑✓ IBC []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): (DA-= Supplier: �� po6�� Time Sampled: Ck Mix Design: Time in Mixer (min.):—co Specified Strength (PSI): n"'�d Water Added @ Jobsite (gals.): 10 Addmixture:Q'-'.3;Q, Concrete Temperature (F): --� (0 Truck #: s-39 Ticket #:-igA'1'7 M� Ambient Air Temperature (F): 1 Field ID Marking: S,A _ l� c,,� Weather: + J Unresolved.lt ms: © None ❑ See Below Location of Sample: ❑ No Samples Taken Description of Work Inspected W,�Q ` � ' A c A,U - _ / ID Qanc_:r e o s'u' O( : t f-, r o Ali c vr^f� n �� `lf1 r f nc- C OvNr c C �1 r li-X C�1 <� C L�T� rs ^C &V'n M36 C .� J ^ ` t` 1 n r r ? �. s 1K\Q r61r) n" r ` ! r r.\ I, n !A A, ! a.. r 13 c it r C c a �S���a riu..�nti �.`onr�1� ult' r r.�c.co o 11K,t) G. 'I am n n 01 bon c` O rr o %I n -n C C'l'� t `r� C rC l� \ "n f n X(� 11 r►.1.41 IL r \ .n.. 1 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. Inspec r: Jack C. Millin ICC Certi is ion No: 0842216-80 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page LA � 1 j Copy t JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1. of T JCM Inspections 39725 Garand Lane Suite F n_ Palm Desert, CA 92211 I YiYSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 10 - Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: ZIBC 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): Supplier: Weather: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Unresolve'd'ltems: Water Added @ Jobsite (gals.): Addmixture: ISJI None LZY Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: E] See Below Location of Sample: No Samples Taken Description of Work Inspected: C, II o t7ee �A. l �qr� L O 0�. S �e�� �Q �r;vim � Q ' E4 � e el C 4. l t i c c i) n S. 01,11-. ok C" Q rt 6 IS, . Q C -9Z � / 1 �. 3 i,3i\ .. e^e a A CU, i.r n A. l-3 - @S JC1e�IVO�J.I Q n Q.i�:' r'1 \ :�. c�.�� �ioar�► PT � .Sn i r�a�a rd i.,.�. �� q 4�/� Sll o. 21YLC r?,t_ VJ\11O'r0_" Ot'r' Mose .Q c;` . e n o n �. - ° 3 ii' n . ��, o c- ao o..- @. o S; n Z--,\AAn � oaJ .� `I' -t -. U�QbuT C: 4111l0n�,L, 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 k C. Millin( ICC Certification N •:442216-80 � Cont a/ctor's Representative: C1--s�C 1. �-✓ \ y ��An. �?„�L� _�"_ . � 1 j Copy t JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1. of T INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 LIM INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 6 _ O 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: 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: ski n0 "- Unresolved Ite s: None See Below Location of Sample:�A,. .. e, ^� fA _,.( ` WIN No Samples Taken Description of Work Inspected. QSR G L,^11 �� n g QC 0 N v c- T r L Cl rh I-, n 1 t,, t+ ww n f 1a . w. A (w , f .7 P \ R ✓� . f 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 k C. Millin ICC Certific on o: 0842216-80 Conga' di 's R,re�presentative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _f of r