04-5245 (SFD)BUILDING & SAFETY DEPARTMENT
P.O. Box 15-Q4. (760).777-7012
78495'CALLE T'AMPICo FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
..q
G
BUILDING PERMIT
. Application Num6er04-000.05,24.51
Date 6/29'/04
Property, -Address
81297 GOLDEN, BARREL WY
APN:
764-270-999-86 -300233-
Application description
DWELLING.- SINGLE FAMILY
DETACHED
Property Zoning
MEDIUM HIGH DENSITY RES
Application valuation
141190*
Owner
Contractor
SHEA LA QUINTA
SHEA HOMES, INC..'
:.0/O JEFF MCQiJEEN
81260 AVENUE. 6.2.
.880:0..N. GAI.NEY CENTER
.350 LA QUINTA
CA .92253'
SCOTTSDALE
AZ, 85258 (760) . 777-6805:
wCC ; NTL' UNION INS
.: WC: 716583.3
.08/01/04
CSLB`: 672285
06/30/05
-- Structure Information
PLAN 4510A
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
479.00
PATIO SQ FTG
457-.00
NUMBER OF UNITS.`
1.00
FIRST FLOOR SQ FTG'.
1556.00
Permit
BUILDING PERMIT
.Additional d.esc
Permit' Fee
786.50 Plan Check Feb
511.23
Issue Date
Valuation .
. . 141190
Qty Unit Charge
Per
Extension
BASE FEE
639.50
42.00 3.5000
THOU BLDG 100,001-500,000
.147.00
Permit
MECHANICAL
Additional desc
Permit Fee
.77.00 Plan Check Fee
19.25
:.Issue Date
Valuation
0
Qty Unit Charge
Per
Extension
P.O. Box 1504 VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: ' . Dat : -1
Applicant: kArchiteor Pga<' leerf
Applicant's Mailing Address:
or Entaineer's Address:
lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under ps� perjury that I am licensed under pro
�A of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and; Professionals.
end my ucense me and effect
License No.
retractor •�—+ u�
OWNER -BUILDER DECLARATION
1 hereby affirm under penally 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 (conumenc:ing 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 thework, 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.).
(, 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 contractor(s) licensed pursuant to
the Contractors' State License Law.).
.(J I am exempt under Sec. , BA P.C. for this reason
Date Owner.
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penally 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,performanoe
of the work for which this permit is issued.
i Clave a(md yAll,maintainxrorkerV compensation in !!rran9e, as required by Section 3700 of the labor Code. for the performance of the work for which this perrmit is
_ 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 Califomla,and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
fort/h�with comply with those p 'slims:
B l iipnt
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, indemnify and hold harmless the City of La Quinta, its
officers, agents and employees for any act or omission related to up 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 state that the above information is correct l ree to comply with all city and county ordinances and state taws retating to budding
construction, nd hereby authorize. representatives of this county t upon the !aboVwfioned property for inspection purposes.
l� v
ignature (Applicant or Agent).:
Page
2
Application
Number .
. .
. . 04-00005245 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
3.00
6.5000
EA
MECH VENT FAN
19.50
1.00
6.5000
EA
MECH EXHAUST HOOD
.6.50
---------------
Permit .
----------------------------------------------------------------
. . . . .
ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
. . . .
79.04 Plan Check Fee
19.76
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1556.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
54.46
479.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
9.58
---------------------------------------=------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
123.00
Plan Check Fee
30.75
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
6..00
.7500
EA
PLB GAS PIPE >=5
4.50
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
:__1
BASE FEE
15.00
---------------------------
Notes
and Comments
SFD - Plan
4510A w/Box
Bay
MBR (26sf) &
Page 3
Application Number
04-00005245 Date
6/29/04
----------------------------------------------------------------------------
Special Notes and
Comments
Extended Patio (120sf)
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
51.12
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
14.11
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION -_RES
1098.00
Fee summary.
Charged
Paid Credited
Due
Permit Fee Total
1080.54
.00 .00
1080.54
Plan Check Total
580.99'
.00 .00
580.99
Other Fee.Total
2470.23
.00 .00
2470.23
Grand Total
4131.76
..00 .00
4131.76
1.
01/18/ q'05 08:35 17603401819
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulat :)n, California Administrative Code, Title 24, State of California, in the building at
81-297 GOLDEN BARREL WAY; LOT 3086, PHASE 7B, LA QUI14TA CA
GS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS-- P-38
TYPE: SLOW MANUFACTURER: Certainteed THICKNESS: R-13
GEN El:,IAL CONTRACTOR: SHEA HOMES LICENSE#
TITLE:
PARX iON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221,517
BY:
z
TITLE: ACCOUNT REPRESENTIVE DATE:
INSULATION CERTIFICATE
This is i IQ�rtify that -insulation has been installed in conformance with the current energy
reg u latii.- P. mia Administrative Code, Title 24, State of California, in the buildinaJecM
CEILIN '.S,
TYPE: VLOW MALINFACT R: Certai THICKNESS: IR -38
• WALLS:
TYPE: 13ATTS MALINF TURER: Certaintee THICKNESS: R-13
GENERil.LCONTRAC R: LICENSE #
TITLE:-.
PAR ; 10"N SCHMID BUILDING PRODUCTS A MASCO Company LICEN31t* 21517
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
PAGE 08/37
e
Installation Certificate: Residential CF -611
Site Address PERMIT #
81-291 Golden Barrel Way;
1. BUILDER INFORMATION
Shea Homes - Trilogy - LaQuinta
81260 Ave. 62
La Quints, CA 92253
INSTALLING CONTRACTOR:
2. PROJECT INFORMATION
DISTRIBUTION
TYPE
Flexible Ductwork
in Attic and
Between Floors
DUCT OR PIPING R -
VALUE
Flexible Ductwork
Will have a R -Value
of 4.2 or Better
SUBDIVISION: Trilogy ns., La Quints.
CITY: La Quinta
COUNTY: Riverside
WEST PAC AIR CONAIT�ONING
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, ihave 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. HEATING INFORMATION
HEATING MAN JFACT HEATING UNIT ACTUAL EFF. BEATING EQUIP HEATING
EQUIP. MAKE MODEL # AFUE CAPACITY LOAD
Furnace Lennox CT40UH4813-09OX 80% 88000
80%
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
150(h) 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 Con mision approved equivalent) is installed and access is provided for inspection.
Yes ❑ No N/A�
6. SUBWTTED BY
z Z4
DATE: ! v cV5
Signature ITN Iling HVAC Contractor
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
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 Locedon Date Cast Cylinder ID (days) (psi)
Set A Phase 7B - Lot # 3086 Slab on Grade
2733,50 Bath 2
Page 1 of 1
9-13-04
g, 7651 7
2 � rA pJerL J-1Ay 7652 28
N
7653 28
Concrete
Required psi: 4000
3660
5020
CERTIFIED: �C , NW -L
JCM Inspections supplies the service
of compression strength test results only.
Per ASTMC39
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895
I N S P E C T I O N S
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
,Sgea psi to 33.04 kips/33,000 lbs
Calibration Date: Machine # SU r`j, 0�
Phase"' L Lot# 3CI66 Product J Plan Li Sip �R ( a,1 ') 6O A ^ 11
Weather:
Unresolved Iteirk
[g None
See Below
Description of Work Inspected: Specified
Lot # Location Tendons Elongation (in) Actual Elongation (in)
^^� } (`
Ci
4 C a
n, *c- cAronrr,
J-
7,
Y
,•, 1'1� � ✓nom ♦ Cc. rHJ �t
�
7J
t",
�
`N u . --�
3
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 S. Millin ICC Qertific, 'o o: 0842216-89
Contra esese tive:
l
Copy 1 JCM Inspections
Copy 2 Project Superintendent f✓/
Copy 3 Governing Agency
Page 1 of
IN S P E C I Cs N S
JCM Inspections
39725 Garand Lane Suite FT.
r w�;;. Palm Desert, CA.92211
Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT Date:
� 1
Project Name:
Trilogy @ La Quinta - Shea Homes
Project No:
02-1109
Project Address:
81-260 Avenue 62
City:
La Quinta, CA
Title 24 AWS [✓ UBC Other:
File # F-] D 1.1
App# 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:
Unresolv ms:
None
❑ See Below
Location of Sample: Ch,mr r c
� s►►
-'n. Pfd i n i� tA�a�C r� . t� .? r,.
n � l?.� Yr`A �+
rI -1 _04 S� ` C a� Q
.� u S,, R^_ ,
� No Samples Taken
n
Description of Work Inspecte
a
D �_ r
n
1:9 oc ,
r C e Y CV
S
Girt, qZ
r n[
n 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:%Jack C. Millin ICC Ce
' i ion No: 0842216-80Con
ctor'
resent 've:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency
Page of I_
1
39JCM Inspections
25 Grand Lane Spite F
Palm Desert, CA 921211'9,._«
I w S P E C T 1 t) VS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
R ,RCED CONCRETE INSPECTION REPORT Date: Q
Project Name:
Trilogy @ La Quinta - Shea Homes
Project No:
02-1109
Project Address: City:
81-260 Avenue 62 La Quinta, CA
E] Title 24 -AWS ❑� UBC Other:
File # F -I D 1.1
App# D 1.4
Other
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
General Contractor: Architect:
Shea Homes Bassenian Lagoni
Structural Engineer:
Borm & Assoc,lnc/Suncoast Post Tension LP
Slump (inches): Supplier:
Time Sampled: ;'S a Mix Design:
Time in Mixer (min.): u o Specified Strength (PSI):
Water Added @ Jobsite (gals.): n Addmixture:
Concrete Temperature (F): Q Truck #:q
Ambient Air Temperature (F): Field ID Marking:
;
Ticket #.
Ll❑
Weather:
Unresolved It s:
54_lone
See Below
Location of Sample: .J, C&I n , �c nA' Q �� � r4_
❑ No Samples Taken
Description of Work Inspected: c %
r
1 \ \J \�Y�S•l� � { `� W ��l Cr
Ke 0 C&CQr
�a\ n,..
,, T r ,
Hyl
Q 1
1 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 . Millin ICC Certifica io 842216-80
Co actor's Representative:
v
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of
'�-
R.:
INSPECTIONS
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
Phone: 760-345-5554 - Fax: 760-772-3895
-
_
INSPECTION 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
�✓ IBC
Title 24
Other:
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
General Contractor:
Shea Homes
Architect: Structural Engineer:
Bassenian Lagoni 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 #: Ticket #:
Field ID Marking:
Weather:
«nom
Unresolved Ite s:
® None
See Below
Location of Sample:
,® No Samples Taken
Description of Work Inspected. �1Q C
�eGC'\VCIS) AI C"N'
n' co,) 4J r-�\la&e.o
,aYT c°, n r- ..r 04-
`
o .,J; �; Wi�t� w 1 s ' n *R a
p t e , c De+c l i v A t,
_
��,�. S M Y,cor.• t S�t�
L-�
t / r
f
. - r')"R a
Opi�
j� ,
R.`}�, o•� G- r7*CQ t7rl -1 1na. \4u 0�
M (+�
,r Re o S L Sc
c ; e s. no o
C\nc`�ccrf
E n o A v c, Se -c -u r n
c3� Ct S Dn i rO rtC ' /
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: ck C. Millin ICC Ce7c,on
) No: 0842216-80
Contra c oi's es tive:
I&W NJ
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of