04-5209 (SFD)Ti4f 4 4 Q"
O ox'15�04�!
E' 9
¢. 78-4�95�CALLE,TAMPICO
,,,,.LA QUTNTA, `CAi IFORNIA 92253
BUILDING PERMIT
Application Number . . . . .
Property Address
APN:
Application description . . .
Property Zoning . . . . . . .
Application valuation . . . .
Owner
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE. AZ 85258
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
z�0-4=0-0-0:05_249—' Date 6/29/..04
8-1285 GOLDEN BARREL WY
764-270-999-85 -300233-
DWELLING - SINGLE FAMILY DETACHED
MEDIUM HIGH DENSITY RES
146209
Contractor
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA CA 92253
(760) 777-6005
Qty Unit Charge Per. Extension
WCC: NTL'UNION
INS
WC: 7165833
08/01/04
CSLB: 672285
06/30/05
CCC: B
--------------------------
Structure Information -------------------------
Construction Type . ...
. . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
Flood Zone
NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC.
FIRE SPRINKLERS
NO
GARAGE SQ FTG
488.00
PATIO S.Q`FTG
177.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
1662.00
----------------------------------------------------------------------------
Permit . . . .BUILDING
PERMIT
Additional desc
Permit Fee
804.00 Plan Check Fee
522.60
Issue Date . . . .
Valuation . . .
. 146209
Qty Unit Charge
Per
Extension
BASE FEE
639.50
47.00 3.5000
THOU BLDG 100,001-500,000
164.50
--------------------------------------------
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 1504ICE VOICE (760) 777-7012
75-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING cit SAFETY DEPARTMENT JI
Application Number:
Applicant:
0 y- 5a0
Applicant's Mailing Address:
VP
Date:
chir)T1P@i70,h
ArchitecttorrEnngineer's Address: 'r(
,4—tic. No.: tC7 2IPya'
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm and�Q enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and.my Lice bati in full force and effect.
icenseClafs(s I/ � n'--�ic-e�n(se(.L/
No. /Oy
Dat �`� Contractor
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.
I ave d II maintain orkers compensation i sure as regwrmd by Section 3900 of the Labor Code, for the performance of the work for which this permit is
ssue . workers' mpensation ins ce cam 1VnVare�•
�arierN icy Number �+
_ I certify that, in the performance of the work for which 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
fNxo with comply with thosep ovisions.
�e � V pplica 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 perforned 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.
1 certify that I have read this application and state that the above information is correct. I gree to comply with all city and county ordinances and state laws relating t building
constructi , and ereby authorize representatives of this coun r upon a ntioned properly for inspection purposes.
Dat ` O ignature (Applicant or Agen
Page 2
Application Number .. . . . . 04-00005209 Date 6/29/04
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
82.93
Plan Check Fee
20.73
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
1662.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
58.17
488.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
9.76
----------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc . .
Permit Fee
. . . .
128.25
Plan Check Fee
32.06
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extsension
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 - LOT
85, PLAN 4520A,
1662 S.F
9
N
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
1094.18
Page
3
Application Number . . . .
'
. 04-00005209 Date
6/29/04
----------------------------------------------------------------------------
Special Notes and Comments
.00
PERMIT DOES NOT INCLUDE BLOCK WALLS,
POOL, SPA OR DRIVEWAY APPRO
e
ACH
----------------------------------------------------------------------------
Other Fees . . . . . . . .
. ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00.
ENERGY REVIEW FEE
52.26
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
14.62
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
1094.18
.00
591.39
.00
2471.88
.00
4157.45
.00
Credited. Due
.00
1094.18
.00.,
591.39
.00
2471.88
.00
4157.45
01/18/2005 ';08:35 17603401819
INSULATION CERTIFICATE
This is to certily 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
81-285 GOLDEN BARREL -WAY, LOT 3085, PHASE 7B, LA QUINTA CA
CEILIP,
TYPE: 3LOW MANUFACTURER: Certainteed THICKNESS: R-38
WALL,;
TYPE: SLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENET: AL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
PARAc: SON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: G!� TITLE: ACCOUNT REPRESENTIVE DATE: �U
INSULATION CERTIFICATE
This is 1.:be4jify that insulation has been installed in conformance with the current ever
regulatii: n, Ca rnia Administrative Code, Title 24, State of California, in the bui oca
CEILINi: S:
TYPE: I; _OW MAUNFAC ER: Ce eed THICKNESS.: R-38
WALLS.-
TYPE:
ALLS:TYPE: BATTE; M FACTURER: Certaint THICKNESS: R-13
GENERAL CO ACTOR: LICENSE #
BY:� ;/ TITLE:
PARAi: SON SCHMID BUILDING PRODUCTS A MASCO Company LICE E # 221517
13Y: TITLE: ACCOUNT REPRESENTIVE D<�TE:
PAGE 09/37
i
Installation Certificate: Residential CF -6R
Site Address
81-285 Golden Barrel Way,
1- BUILDER INFORMATION
Shea Homes - Trilogy - LaQuinta
81260 Ave. 62
La Quinta, CA 92253
INSTALLING CONTRACTOR:
2. PROJECT INFORMATION
DISTRIBUTION_
TYPE
Flexible Ductwork
in Attic and
Between Floors
DUCT ORt PIPING R-
YALUE
Flexible Ductwork
Will have a R -Value
of 4.2 or Better
PERMIT #
SUBDIVISION: Trilogy (� La Quinta
CITY: La Quinta
COUNTY: Riverside
WEST P_,- C AIR CONDITIONING
1, 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 rcquirements of the Appliance Efficiency Standards. In.
addition, Ihave verified that the equipment is equivalent to or more efficient than the equipment specified or the
Certificate of Comphance submitted to demonstrate compliance with the Energy Efficiency Standards for
residential buildings.
3. IIEATING INFORMATION
HEATING
MANUFA.CT
HEATING UNIT
ACTUAL EFF,
HEATING EQUIP
HEATING
EQUIP.
MAKE
MODEL #
AFUE
CAPACITY
LOAD
Furnace
Lennox
(340 1440-090X
80%
88000
4. COOLING
INFORMATION
COOLING
MANUFACT
COMPRESSOR
ACTUAL EFF.
COOLING EQUIP
COOLING
EQUIP.
MAKE
MODEL #
SEER
CAPACITY
LOAD
A/C
.Lennox
13ACC-048
12
The building design heat .loss and design heat gain rate have been determined using a method specified in Section
1.5001) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection.
6.THERMOSTATIC EXPANSION VALVE (TXV):
Thermostatic Expansion Valve (or Cornmision approved equivalent) is installed and access is provided for inspection.
Yes[, No N/A l.___j
6. SUBMITTED BY
'4 DATE:
Signature Installing HVAC Contractor
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211 L=8A
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
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 7B - Lot # 3085 Slab on Grade
9-13-04
Concrete
273,949
Kitchen
Required psi: 4000
7647
7
3010
8 I 6N 64 M-
7648
28
4350
- r
7649
28
430
CERTIFIED:
Page 1 of 1
ICU Inspections supplies the service
of compression strength test results only.
Per ASTMC39
I-. :..i Ku'
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
PRESTRESSED CONCRETE INSPECTION REPORT
Date:
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 Sun Coast Tensioning
General Contractor: Architect: Structural Engineer:
Shea Homes Bassenian Lagoni 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
S14mpsi to 33.04 kips/33,000 lbs
Calibration Date: Machine # So Ci - 23 -cat)
Phase .2, Lot# Product 1 Plan ag5
Weather:
S�,n�,
Unresolved Ite s:
N None
See Below
Description of Work Inspected: Specified
Lot # Location Tendons Elongation (in) Actual Elongation (in)
1
C. h rr 1 i �.S W A\ 1 r%_7
(�
, t 0rr(" t"'.Qq
al+an c, i
i ( (, I j oar
-�-
8—Sty\
\'RA<\V-C '�QAf
G c r ccr, (Z C)O
XL
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 Corti is tion oi�0842216-89
Contr cto epresentative:
V
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _J of _�___
L==�Lm
INSPECTIONS
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT Date: 9_19_0q
Project Name:
Trilogy @ La Quinta - Shea Homes
Project No:
02-1109
Project Address:
81-260 Avenue 62
City:
La Quinta, CA
Title 24
File #
App#
AWS [✓ UBC ,Other:
❑ D 1.1
❑ D 1.4
❑ Other
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
General Contractor:
Shea Homes
Architect:
Bassenian Lagoni
Structural Engineer:
Borm & Assoc, Inc/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 #:
Field ID Marking:
Ticket #:
Weather:
Unresolve ms:
LAP None
See Below
Location ofSample:g0 «c
r rk
1u�c.�n +r'
t _AJ``
, 1' n a a. .� c.. ..r t
A, r
No Samples Taken
Description of Work Inspected: n •� ,;"'3oR
r n
1-
C_ A !.�_ \ h�!'atr r n
lh b. w _ 1!`. c' w A. _ \
rl`h� ' i
.
c� fl v� 13
M d n V -)D
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 Q. Millin ICC Certificatio `No40842
tor"s �i
Cont p
s216-80 ative:
u
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of
JCM Inspections Effi
39725 Garand Lane Suite F
ttK mDesert, CA 922,11
^hdn"e:
INSPECTIONS PLL
756:0-34'5-5554 -. Fax: 760-772-3895 INSPECTIONS
.
ti
REINFORCED CON CRETEs4WSPECTION REPORT Date:
Project Name: " Project No:
Trilogy @ La Quinta - Shea Ho ,- ; 02-1109
Project Address: City: �•
❑Title 24 AWS ❑✓ UBC Other:
81-260 Avenue 62 La Quinta, CA
File # ❑ D 1.1
App# ❑ D 1.4
Client: Sub -Contractor: ;
Shea La Quinta, LLC DCCCC 0
❑Other
General Contractor: Architect: r°Y Structural Engineer:
Shea Homes Bassenian Lagoni .#f Borm & Assoc, Inc/Suncoast Post Tension LP
4 �• 1
Slump (inches): tSupplier:�j
Weather:
Time Sampled: �'.-ZDawl 'Mix Design:
.�e
Time in Mixer (min.): 1,�` L Specified Strength (PSI): 14Unresolve
terns:
Water Added @ Jobsite (gals.): �r " Addmixture: M=,3aa
`rr
Concrete Temperature F : Truck #: Ticket #:
p () � 'i / y, _17at0_%1D
None
Ambient Air _Temperature (F): e:;�g Field ID Marking:S4 N _ 4 \,
❑ See Below
Location of Sample,
'w-5+ ❑ No Samples Taken
Description Work Inspected:
of
GcP -1c -A-& nr A Ce��e n G - GX _ f1e`^ CNA La.r afns CA,.'e, t1"' Om'`�
/'�`Q�
` t
0--nr.+ F i(5C"�n c t r n�� `. 1 a b o l�- c% rf �lC.o n (v�Y C Q�iA 1
_re ' $►"�
GA . t� �7 Quo P li. r . Cc no tt uV VS\a ( t:., nc .. t1' t inc."1:
bPe�mc 3i. C�t1o�- tiRt,�ca-z e5. 0C^ re�r�1 \��r. �eQ�l % ar r+
O�sC CC.� sae r -0�
r
be•e0�v
CID ns cnTc al,x F..,-, teSStc�,� e < <
���
oan d c one1A i r) r% 0 %A ce
r
Y
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 c6 ply with the approved
plans, specifications applicable building laws. Final report issued at project completion. \,
Inspector: Jack C. Mill ICC Ce if`ilca i n� oo: 0;842216-80
Conte e esentative: .
C
*.✓
Copy 1 JCM Inspections
Copy 2 Project Superintendent v
W
Copy 3 Governing Agency
Page of
Copy 1 JCM Inspections Copy 2 Project Superintendent 61 Copy 3 Governing Agency
Page __j of
►S
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS
Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT
Date: o -O
Project Name:
Project No:
Trilogy @ La Quinta - Shea Homes
02-1109
Project Address:
I
81-260 Avenue 62
City:
La Quinta, CA
ZIBC
Title 24
Client: Sub -Contractor:
Shea La Quinta, LLC
DCCCC
Other:
General Contractor:
Architect: Structural Engineer:
Shea Homes
Bassenian Lagoni Borm & Assoc, I nc/Suncoast Post Tension LP
Slump (inches):
Supplier:
Weather:
Time Sampled:
Time in Mixer (min.):
Mix Design:
Specified Strength (PSI):
Sun
Unresolved Item
Water Added @ Jobsite (gals.):
Concrete Temperature (F):
Addmixture:
Truck #: Ticket #:
® None
Ambient Air Temperature (F):
Field ID Marking:
See Below
Location of Sample:
No Samples Taken
Description of Work Inspected:
o-4 30 W� 1Q
!?l1��1
► txk AA1*Q0 VZAVJi t,ti lQ to Y -
, i l
a1 �Ne Q� C t : ., cw
G`
ts. n ea' � � v g''. 1 ' 3ll 'c A' \] n
3 _ All
09 A.�. Bp,,,s
A ell
'
C vi"Ll C" /J.7 ;C1_% A A !T f-
a) C�ihc_\e_n�
V
.•c•neko OCQrw c,nJPrce-ctm— S o fcex , izo at- N Ten M111'
��e Q � C.t.t �, f•. c.�
�`(S Le. � C. dll � b.�. 'QQ C \
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 Ce 'fic 4ii No:`0842216-80
Cont ctoe Be resen t1ve:
Ct•.. �
� J r
Copy 1 JCM Inspections Copy 2 Project Superintendent 61 Copy 3 Governing Agency
Page __j of
►S