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04-5261 (SFD)' J BUILDING & SAFETY DEPARTMENT MO_BOX14504 (760) 777-7012 )78-495 CALLE TAMPICo' FAX (760) 777-7011 � 1 N 11 a .1. - 1A_QUINTA, CA•LIFORN'IA 02253 INSPECTION REQUESTS (760) 777-7153 '_.. BUILDING PERMIT Application Number z04-0000526i_L� Date 6/29/04 Property Address . . . . 60400-DESERT,ROSE DR APN: 764-270-999-9 -300233- Application'description DWELLING.- SINGLE FAMILY DETACHED Property Zoning . . . . . .. . MEDIUM HIGH-DENSITY RES Application valuation.. 153474 Owner Contractor ------------------------ SHEA"LA QUINTA ------------,------------ SHEA HOMES-, INC.. C/O. JEFF MCQUEEN 8.1260. AVENUE. 62. 8800 .N. GAINEY CENTER.. 3.50 LA QUINTA CA 9225.3 . SCO.TTSDALE , . AZ. 85258 (760) .777-6005.' :. . WCC:. NTL UNION -:INS WC: 716583.3 .08/01/04 CSLB`: 672285 06./30/05 ..CCC : . B -- Structure Information PLAN 4530B 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 488.00 PATIO. SQ FTG 134.00 NUMBER OF UNITS. 1.00 FIRST FLOOR SQ FTG 1759.00 -----------------.--------------- Permit BUILDI.NG ----------------L--------------------------- PERMIT ..Addi.tional desc Permit Fee 828.50 Plan,, -Check Fee 538.53. Issue Date Valuation . . . 153474 Qty Unit Charge Per Extension BASE FEE 639.50 54.00 3.5000 THOU BLDG 100,001-500,000 .189.00 ----------------------------- ----------------------------------------------- Permit .. MECHANICAL. Additional desc Permit Fee :.: 46.00 Plan Check Fee 11.50 Issue Date Valuation 0 Qty Unit Charge Per Extension P.O. Box 1504 , 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Applicant: Applicant's Mailing Address: C"O .Tit( 4.0" BUILDING & SAFETY DEPARTMENT M VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: �) 1Y10% Architect or Engineer: Architect or Engineer's Address: ic. No.: &C L 2. O L D I BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under nafly of perjury that I am licensed under provisions of Chapter 9 (colxm'mencing with Section 7000) of Division 3 of the Business and. Professionals, "Code�and s. Lioen in full force and affect.nse No. v v .a — i v dor � �� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that 1 am exempt from the Contractors' Stat 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' Stat (commencing Law (Chapter 9 (cortencing 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 1, as owner of the property. or my employees with wages as their sole compensation, will do the work, and the stricture Is not intended or offered for safe (See. 7044, Business and Professions Code: The Contractors' Stat 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 properly, am exclusively contracting with licensed contractors to, construct the project (Sec. 7044, Business and Professions Code: The Contractors' Stat License Law does not.appiyto an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' Stat License Law.). .0 1 am exempt under Sec. , BA P.C. for this reason Dat 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 selfinsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the.perfomrance of the work for which this perk is issued.. I have and will, maintain ers' compensation insurance, s required by Section 3700 of the Labor Code. for the performance of the work for which this perk is issu MY�rp�fcers' sation insuranceca _ I certify that, in the performance of the work for this 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 tha If 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall GfoL.' comply with those provisions / Dat ri O 1 plicant r 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 agrees to, and shall, defend, indemnify and hold hartess the City of La Quinta, its officers, agents and employees for any act or omission related to lf)e work being performed under or following issuance of this permit 2. Any permit issued as a result of this application becomes null and void rbo�ve-mentioned 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. 1 certify that I have read this application and state that the above information is coagree to comply with all city and county ordinances and state laws relating to building const � o , ann hereby autho�presentatives of this county toe r upon property for inspection purposes. ate . L//Y Signature (Applicant or Agent). Page 2 Application Number . . . . . .04-00005261 Date 6/29/04 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 1.00 6.5000 EA MECH VENT FAN 6.50 1.00 6.5000 I EA MECH EXHAUST HOOD 6.50 ------------------- Permit . --------------------------------'------------------------ . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 86.33 Plan Check Fee 21.58 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE. FEE 15.00 1759.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 61.57 488.00 0200 ELEC GARAGE OR,NON-RESIDENTIAL 9.76 ------------------------------------------------------------------------'---- Permit . . . . . . PLUMBING Additional desc Permit'Fee. . . 122.25 Plan Check Fee 30.56 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 9.00 6.0000 EA PLB FIXTURE 54.00 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 -------------------------------------------------7-------------------------- 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 Comment's -------------------------=_-- SFD - Plan 45303 w/ Box Bay Great Rm J r Page 3 Application Number . . . . . I 04-00005261 Date 6/29/04 ---------------------------- Special Notes and ----------------------------= Comments ------------------- (26sf) ---------------------------------------------------------------------'------- Other Fees . . . ... . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 "-ENERGY REVIEW FEE 53.85 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 15.34 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid -Credited Due ----------------- Permit Fee Total ---------- 1098.08 ---------- -------------------- .00 .00 1098.08 Plan Check Total 602.17 .00 .00 602.17 Other Fee Total 2474.19 .00 .00 2474.19 Grand Total 4174.44 .00 .00 4174.44 r A1/14q,/2005 08:35 17603401819 -- r'-.1 INSULATION CERTIFICATE This is to certify thatinsulation has been installed in conformahce with the current energy regula, ion, California Administrative Code, Title 24, State of California, in the building at < 0460 DESERT -ROSE- DRIVE', LOT,��CGQii,'PHIASE 713, LA QUINTA CA CEILI I JGS: TYPE BLOW MANUFACTURER: Certainteed THICKNESS: R-38 WALE TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13 GENE :IAL CONTRACTOR: SHEA HOMES LICENSE# BY: TITLE: PAGE 13/37 'PARA'.:IONSCHMIDBUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY. TITLE: ACCOUNT REPRESENTIVE DATE: /vlowel INSULATION CERTIFICATE'' This ismortify that insulation has been installed in conformance with the Current gy regulatii in, C Administrative Code, Title 24, State of California, in in i ding located CEILIN(:;S- TYPE: I: LOW MAUNFACTU Cert eed THICKNESS: R-38 WALL TYPE: BATTS MAIJN CTURER: Certainteed THICKNESS: R-13 GENEF:!kL, CONT LICENSE # IrJRI�TOR: BY:— TITLE: PAiAOON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE #122 7 BY: TITLE: ACCOUNT REPIRESENTIVE DATE: Installation Certificate: Residential r Site Address =4001.DescrfRose Drive 1. BUILDER INFORMATION Shea Homes - Trilogy - LaQuinta 81260 Ave. 62 La Quinta, CA 92253 I CF -6R SUBDIVISION: Trilogy P3 La Quinta CITY: La Quinta COUNTY: Riverside 4 INSTALLING CONTRACTOR: WEST PAC AIR CONDITIONING 2. PROJECT INFORMATION DISTRIBUTION MU OR PIPING R- - TYPE VAAL I Flexible Ductwork Flexible Ductwork in Attic and Will have a R -Value Between Floors of 4.2 or Better I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. in addition, lhave verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. 3.11EATING INFORMATION HEATING MANUFACT I4EATINO UNIT ACTUAL EFF. HEATING EQUIP . HEATING EQUIP. MAKE MODEL # AFUE CAPACI'T'Y LOAD Furnace Lennox 80UHG4/5X100 80% 100000 80% 4. COOLING INFORMATION COOLING MANUFACT COMPRESSOR ACTUAL EFF. COOLING EQUIP COOLING EQUIP. MAKE MODEL # SEER CAPACITY LOAD A/C Lennox 13ACC-060 12 The building design heat loss and design heat gains .rate have been determined using a method specified in Section 150(h) of the Energy Efficiency Standards, and are two of the cm..teria used for equipment sizing and selection. &THERMOSTATIC EXPANSION VALVE (TXV); Thermostatic Expansion Valve (or Comnision approved equivalent) is installed and access is provided for inspection. Yes ❑ No N/A[*.._] 6. SUBMITTED BY Signature Installing HVAC Contractor. DATE: - ' JCM .39725 Garand _ Palm Desert, INSPECTIONS _ Phone: 760-345-5554 Inspections Lane Suite CA 92211 - Fax: 760-772-3895 F INSPECTIONS PRESTRESSEDrtCONCRETE INSPECTION REPORT Date: Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 81-260 Avenue 62 City: La Quinta, CA 0 IBC Title 24 Other: Client:' Sub -Contractor:. Shea La Quinta, LLC Sun Coast Tensioning General Contractor: Architect: Shea Homes Bassenian Lagoni Structural Engineer: Borm & Assoc,lnc/Suncoast Post Tension LP Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips S1/0,�D psi to 33.04 kips/33,000 lbs Calibration Date: Machine # •, Phase'11N Lot# 3ooci Product Plan o-9 q40 eSo asp �Aa- Weather: vnnL Unresolved -Ii s: ® None ❑ See Below Description of Work Inspected: Lot # Location Tendons Specified Elongation (in) Actual Elongation (in) M �A%\A %% nr5 -t �k C'ct % '► no ; Jr ILI ;6,-1 -3 Cel �.�� c`io/t �;� W I A -;DA- I Z—Alt' � L3 f 8 d 0cx+1 - aecu'c- y� t� \� R CaoX-S AWrsr� L I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability 1 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 CertifiNatT1 0:0842216-89 o.._.0 -.t L , Cont or' pres ve: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Go ming Agency Page I of 1 �, ®" INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Pala' Desert, CA 92211 1 Phone: 760-345-5554 - Fax: 760-772-3895 I INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT. Date: Project Name: Trilogy @ La Quints"`- Shea Homes Project No: 02-1109 Project Address: 81-260 Avenue 62 City: La Quinta, CA F71 Title 24 File # App#, AWS Q 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, I nc/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: c Unresoi ems: None ❑ See Below Location of Sample: ® No Samples Taken Description of Work Inspected \-,, — ok , h 's (� / {� (.'0 L4 Ula a-'�'"R1 aatzSC c �`.4aG AJC Ucti M Y l l Q� n� ',{ .@. � r ,..n: ..r^ rc nt � 11. llHi1 ntQ •//,f 1 . r•. i -r n P 0- -A1,t3 9-T LL. SFR rrim^ i ,C, @ nno ` 6IC ��o�! cA` f ACP n� . Fs -VW rn f+ yl _n .fir �r . �'C � f A i n� n rV rr� A. � ' 'r n. C 0 t n �- 'FJ c, r) ' S1.Si O rA r G �7� ��S WQ (�•••� e' 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 0 42216-80 Cora is Re resentative: 4 v Copy t JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of 4— JCM Inspections <f 39725 Garand Lane Suite F II Palm Desert, CA 922.11 , LIM IN SPEC TIO N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS - REINFORCED CONCRETE INSPECTION REPORT. Date: Project Name: Project No: Trilogy @ La Quinta - Shea Homes / u2-1109 Project Address: City: 81-260 Avenue 62 La Quinta, CA Title 24 AWS RV UBC Other: File # E]D 1.1 App# ❑ D 1.4 other Client: Sub -Contractor: Shea La Quinta; LLC DCCCC t General Contractor: Architect: ` Structural Engineer: Shea Homes , Bassenian Lagoni j Borm & Assoc,lnc/Suncoast Post Tension LP SuPPIler: .a Cu: p.� Time Sampled: q ; `� Q rM Mix Design: hg3i�' Time In Mixer (min.): ``,, ,r Specified Strength (PSI): p CYC; , 1r Water Added @ Jobsite (gals.U_-�o Addmixture: oZ---31'� Concrete Temperature (F):%O Truck #:30-)l Ticket e7 `7a(D ,zrrta Ambient Air Temperature (F):�Ct Field ID Marking: S� - L` G.�� " Weather:SlumP(inches): J0(1t) Unresolved-Ite ®None E] see Below Location of Sample: St a 1� a �� ..?! �� E -- ��1 r e s^ �atllbOr� No Samples Taken Description of Work Inspected: , 3(7-D q ire O i7 CJ �2-Se r 1R oS c_ �r � �;�•� c�raCV- ren• rc CsCCtrIts CrC' AQ— g.Gn'e�s rCS1J0 6o rc 11 ?of t, n _ i(I ^a S o n �.TCpc�e C.CXC r.3 GvCatr tr WIII(lOV�% \ 1 (� lhr tz', e (c1k 1'� dhec�ncD rh�C �i i G_ �� vJAj �jc n r ^0 Irl• (� 'tC. a Ci f Q �1 A' S`c.t�cta�JAi 4 ,C,elWrcc Sa`Rcak1�1 �'b,'0. 1n GciCCA o6 c�C"�7�n�rtiS or „c S,�^s►o� w�ic., 1. �)a� Srrnt^�-�-�r �r11 otclOOttrt 1 C n r c +�R�\Q _l �nC c C�� FCS3r o z �C 5 +�Cr i St 1� oR0 nnm n 4%c 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: Jack C. f� C, . Millin ICC Ce . . ifi a o o: 0842216-80 ntrac is re Contative: Copy 1 JCM Inspections Copy 2 Project Superintendent (/ Copy 3 Governing Agency Page of T JCM Inspections 39725 Garand Lane Suite F 1 Palm Desert CA 92211 L==Lm INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 11/14/04 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 713 - Lot # 3009 Slab on Grade 9-27-04 Concrete 273-W Master Bedroom Required psi: 4000 7779 7 3190 60 oo pl f !; E7 V� ( P, 0 5)E � 1�,1- V L 7780 28 4840 lJ V 7781 28 4700 CERTIFIED: Page 1 of 1 JCMnspections supplies the service of compression strength test results only. Per ASTMC39