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06-2403 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: . Application valuation: Applicant: V0116 06-00002403 61037 FIRE BARREL DR 764-280-999-66 -300235- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 186889 Tity/ 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTE SCOTTSDALE, AZ 8525 Architect or Engineer: C L 7 zi6oq6I -------------------------7------------------------ LICENSED CONTRACTOR'S DECLARATION I here y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ecti 7000 of Division 3 of th siness and Prof sionals Code, and my License is in full force and effect. c B License No.: 672285 ate: Contracto OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: (_ 1 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 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.). (_ 1 1, 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 contractors) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: LQPERMIT Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/15/06 o In JUN 2g 2606 L ------------------ WORKER'S 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. P I have and 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 issued. My workers' compensation insurance carrier and policy number are: Carrier AMERICAN HOME Policy Number 1247619 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any man so as to becomes ectto the workers' compensation laws of California, I and agree that, if I uld b�ome subje the workers' compensation provisions of Section I _A700 of the e, I II o hw' ly with those provisions. 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. 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 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 work 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 statalbal the ab a inform ion is correct. I agree to comply with all cit an unty rdinances nd state laws rel ng t ilding ns cti and hereby authorize representatives of dOpyp t e ter n the above -me oned rop y fo spec , r oses. Date: G/���(, Signature (Applicant or entl: Application Number . . . . . 06-00002403 ------ Structure Information SFD PLAN 5505 W/CASITA MBR.GAR & PAT EXT ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/LONG <=10 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 539.00 PATIO SQ FTG 536.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------= 1ST FLOOR SQUARE FOOTAGE 2094.00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 944.00 Plan Check Fee 613.60 Issw- Date . . . . Valuation_ 186889 Expiration Date 12/12/06 Qty 'Unit Charge Per Extension BASE FEE 639.50 " 81.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 304.50 Permit . . . MECHANICAL Additional desc . Permit Fee 83.50 Plan Check Fee 20.88 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/12/06 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 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 --------------------------------------------------- EA MECH EXHAUST HOOD ------------------------ 6.50 Permit . . . Additional desc . . Permit Fee- . . . . Issue.Date . . . . Expiration Date . . Qty Unit Charge 2094.00 .0350 539.00 .0200 LQPERMIT ELEC-NEW RESIDENTIAL 99.07 Plan Check Fee 24.77 Valuation 0 12/12/06 Per Extension BASE FEE 15.00 ELEC NEW RES - 1 OR 2 FAMILY 73.29' ELEC GARAGE OR NON-RESIDENTIAL 10.78 Application Number . . . . . 06-00002403 Permit . . . Additional desc . . Permit Fee . . . . Issue Date . .. . Expiration Date .. . PLUMBING 133.50 4 Plan Check Fee . . 33.38 Valuation . . . . 0 12/12/06 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 ---------------------------------------------------7------------------------ 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 Permit GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - Plan 5505B Lot 66 w/casita (247 sqft), MBR box bay (26 sqft), ext garage (83 sqft), ext patio (315 sqft), 2094 SF. Permit does not include block wall, pool or driveway approach 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 61.36 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARRS/REC - RES 892.00 STRONG MOTION (SMI) - RES 18.68 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION -.RES 1666.00• Fee summary Charged Paid Credited Due LQPERAIIT LQPERMIT 1275.07 692.63 3776.04 5743.74 JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Jl— E INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS ` Client: Shea La Quinta, LLC Date: 11/27/06 Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 60-800 Triolgy Parkway La Quinta, CA 92253 Set ID Structure Age of Test Compression Strength JCM ID Location Date Cast Cylinder ID (days) (psi) Set A Phase 15D - Lot # 5066 Slab on Grade 273-804 Kitchen Page 1 of 1 7-19-06 Concrete Required psi: 4000 4249 7 3300 4250 28 4740 4251 28 4810 A CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 JCM Inspections 39725 Garand Lane Suite F i Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 REINFORCED CONCRETE INSPECTION REPORT Dates: Noted Below Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: f✓;Isc 60-800 Triolgy Parkway La Quinta, CA _ F Title 24 Client: Sub -Contractor: Shea La Quinta, LLC DCCCC Other: General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Slum (inches): a - Supplier: Superior Weather: Time Sampled: % Mix Design: D83625P Time in Mixer (min.): Specified Strength (PSI): 4000 Unresolved Items: Water Added @ Jobsite (gals.):'- ' Addmixture: POZZ 322N Concrete Temperature (F): Truck #. _,)",_-, Ticket #: ' `' 0 None Ambient Air Temperature (F): !\ Field ID Marking: Set A - 4 cylinders ❑ See Below Location of Sample: ❑ No Samples Taken Description of Work Inspected: PhaseLot# Product, Plan 1) Received mill certifications for rebar and tendons placed. 2) Typical exterior Footings including Garage Footings/Door (11,12,13/SD-1), Tie Beams (20/SD-1), Typical Interior Footings/Rib including step (15,18/SD-1), Seven Strand Tendons (4,10,12,13,16/SD-1), Simpson Strong Walls (24/SD-1), Anchor Bolts and Holdowns (6,7,8/SD-1), Pad Footings and additional rebar placed as per these details and as noted on �$J��� � �� -' '� �-�� `�'2 -. .';, -�r-fin ^�� �_ .� �.' 1; • -. " Also, typical details 2, 3/SD-1 and Notes on SN -1 apply. Checked rebar for grade, size, placement, coverage and splices. Rebar and tendons were securely tied and supported off the earth. Accepted for concrete placement. \1 7 ,a 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx A mechanical vibrator was used to consolidate the concrete. Approved #4 rebar slab dowels were placed @ 18" o.c. 2) Molded 4 cylinders for compression tests with breaks at 7 days (1), 28 days (2) and one for holding purposes. 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx Verified correct mix design. 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 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of - =JCM' In§pections' 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 �== LM INSPECTION s PRESTRESSED CONCRETE INSPECTION REPORT Date: -7-., o � Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 60-800 Triolgy Parkway City: La Quinta, CA Client: Shea La Quinta, LLC Sub -Contractor: Sun Coast Tensioning General Contractor: Architect: Shea Homes for Active Adults Bassenian Lagoni Structural Engineer: Borm & Associates, Inc./ Suncoast Post Tensi 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 O® psi to 33.04 kips/33,000 lbs Calibration Date: Machine # Phase s>Lot#�� Product Plan J� ���'�� e �� ❑✓ IBC ❑ Title 24 Other: Unresolved Items: None ❑See Below Description of Work Inspected: Specified Lot # Location Tendons Elongation (in) Actual Elongation (in) Complies within 7% +/- of specified elongation. Reference 11 h/SN2. -�� Yes No 4�T El �V) E ❑ ,, o s"' ". ?� --� HS ( Lw' ❑ ❑ I ❑ V El _P_ ❑ El ❑ ❑ ❑ ❑ ❑ ❑ 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: 0842216-89 A_i Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 9 of