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04-5221 (SFD)I e • La� `4/ 0 IBUILDING & SAFETY DEPARTMENT P.10! BOK 1_ OF 78-495 y (760).777-7012 c�M9 U 78-495 CALLE.TAMPico FAX (760) 777-7011 I:A, QUIN,TA--.CALIFORNIA 92253 INSPECTION REQUESTS 760 777-7153 BUILDING PERMIT Application Number ,.-0;4so-n0-522-1== Date 6/29/04 Property4Address-i. �. . . . 81326 GOLDEN BARREL WY APN: 764-270-999-105 -300233- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation 187396 -- Owner Contractor_.' ------------------------ ,._ .--'--------.----------- SHEA LA QUINTA SHEA HOMES, INC. C/O JEFF MCQUEEN 81260 AVENUE 62 8800 N GAINEY CENTER 350 LA QUINTA CA 92253 SCOTTSDALE. AZ 85258 (760) 777-6005 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/CONG <=10 Flood Zone . . . . . . . NON -AO FLOOD ZONE Other struct info . . CODE EDITION .2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 478.00 A PATIO, SQ,FTG .178.00 NUMBERIOF'UNITS 1.00 FIRST FLOOR SQ FTG .2174.00 ------------------------------------------------`-------------------_-------- Permit BUILDING PERMIT �. i Additional desc Permit Fee . . . . 926.50 Plan Check Fee 150.56 Issue Date . . Valuation . . . . 181091 Qty Unit Charge Per . Extension BASE FEE 639.50 82.00 3.5000 THOU BLDG 100,001-500,000 i 287.00 ----------------------------------------------------------------------------- Permit . . MECHANICAL Additional desc Permit Fee . . . . 86.50 Plan Check Fee 5.41 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension ' r P.O. Box 1504�� VOICE (760) 777-7012 T-Vf 78-495 CALLS TAMPICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: D e: Applicant: Archit nn er: Applicant's Mailing Address: Architect orEngineer's Address: Lic. No.: C��y BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affi r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals C andmy ce is in full force and effect. rcense Class s icense No. .i6ate� ��4- ll�tractor OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 1, 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 1 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. 1e and it aintain wo rs' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Ie and y orkers' com ensation i nce ca" a d olic �rier olicy Number �L 10 _ 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�rould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall ` forthwith comply with those provisos. r-- Date 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 1 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 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 i not commenced within 180 days from date of issuance of such permit or cessation of work for 180 days will subject permit tocancellation. I certify that I have read this application and state that the abov 'nformation is correct. I e to comply with all city and county ordinances and state laws relating to building const tion, Lndhereby authorize representatives of this cou upon the abov ntioned property for inspection purposes. ate Signature (Applicant or Age Application Number . . . . 04-00005221. Page 2 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 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 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 . . . . 100.65 Plan Check Fee 3.77 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2174.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 76.09 478.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.56 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 138.00 Plan Check Fee 8.63 Issue Date . . . . Valuation . . . . 0 Qty Unit' Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 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 BASE FEE 15.00 -=-------------------------------------------------------------------------- Special Notes and Comments SFD LOT 105 PLAN 5515B, 2174 SF WITH BOX J Page 3 Application Number . . . . . 04-00005221 Date 6/29/04 ---------------------------------------------------------------------------- Special Notes and Comments BAYS @ MBR & NOOK (26 SF EACH) PERMIT DOES NOT INCLUDE BLOCK WALL, POOL,.SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ------------------------------------- Other Fees . . . . . . . . . --------------------------------------- ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER-- RES 366.00 ENERGY REVIEW FEE 15.06 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 18.73 DIF STREET MAINT FAC -RES .15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid, Credited Due "Permit Fee Total ---------- 1266.65 ------------------------------ .00 .00 1.266.65 .Plan Check Total 168.37 .00 .00 168.37 Other Fee Total 2438.79 .00 .00 2438.79 Grand Total 3873.81 .00 .00 3873.81 J 01/18/2005 08:35 17603401819 INSULATION CERTIFICATE This i! to certify that insulation has been installed in conformance with the current energy regula ion, California Administrative Code, Title 24, State of California, in the building at 81-3,26 GOLDEN BARREL WAY, 'LOT1106, PHASE 713, LA QUINTA CA r. CEILII,IGS. TYPE BLOW MANUFACTURER: Certainteed THICKNESS: R-38 WALL::;: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13 GEWALCONTRACTOR: SHEA HOMES LICENSE# BY:—,.* TITLE: PAGE 02/37 PARA1:'ON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517. BY* i TITLE: ACCOUNT REPRESENTIVE: DATE: lrldc�.Z6,rr1 INSULATION CERTIFICATE 5- This is 1:1, ce'rti 4ha4tinsulation has been installed in conformance with the carr n-e-r—g y regulatii in, Califor dministrative Code, Title 24, State of 1 euilding located s \ "a California,1c -00 CEILIN,::,iS: 3T THICKNESS, T TYPE: 1: LOW MAUNFACTURER: ainteed THICKNESS: R-38 WALLS TYPE: BATTS GENERAL-CMITRACTOR FACTURER: Certainteed LICENSE # CKNESS: R-13 TITLE: PARR ION SCHMID BUILDING PRODUCTS A MASCO Company LICENSE# 221 BY., TITLE: ACCOUNT REPRESENTIVE DATE; e Installation Certificate: Residential CF -6R Site Address + z81 -326 --Golden 8atrel Wa` 1. BUILDER INFORMATION Shea Homes - Trilogy - LaQuinta 81260 Ave. 62 La Quinta, CA 92253 INSTALLING CONTRACTOR: 2. PROJECT INFORMATION PERMIT # SUBDIVISION: Trilogy @, La Quinta CITY: La Quints COUNTY: Riverside WEST PAC AIR CQNDITIONING DISTRIBUTION DUCT OR PIPING K - TYPE VALUE Flexible Ductwork Flexible Ductwork in Attic and Will have a R -Value Between Floors of 4.2 or Better 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 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 dernonstrate compliance with the Energy Efficiency Standards for tesidential buildings. 3. BEATING INFORMATION hIEAT1NG MANIJFAC T HEATING UNIT ACTUAL EFF. HEATING EQUIP HEATING EQUIP. MAKE MODEL # AFUE CAPACITY LOAD Furnace Lennox 80UHG4/5X-100 80% 100000 80% - "— 4. COOLING INFORMATION COOLING MANUF.A,CT 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 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 (TJX; Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for. inspection. Yes L] No �_ J N/A 6. SUBMITTER BY DATE: Signature Installing 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 Project: Trilogy @ La Quinta - Shea Homes 81-260 Avenue 62 La Quinta, CA 92274 Date: 11/14/04 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 # 3105 Slab on Grade 9-29-04 Concrete 273-361 Bedmom/Bath 2 Required psi: 4000 7803 7 3720 p P 2— IC G ©1— b� �✓ t`- QIJ Y 7804 28 5510 7805 28 5510 CERTIFIED: Page 1 of 1 JCIVI Inspections supplies the service of compression strength test results only. Per ASTMC39 Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Pagel of JCM Inspections 39725 Garand Lane Suite F �_Lm Palm Desert, CA 92211 N P i' cc: T Tj U) N Is Phone: 760-345-5554 - Fax: 760-772-3895 PRESTRESSED CONCRETE INSPECTION REPORT Date: Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: rp t IBC 81-260 Avenue 62 La Quinta, CA Title 24 Client: Sub -Contractor: Shea La Quinta, LLC Sun Coast Tensioning Other: General Contractor: Architect: Structural Engineer: Shea Homes Bassenian Lagoni Borm & Assoc, I nc/Suncoast Post Tension LP Weather: 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 Unresolved Items: E: None psi to 33.04 kips/33,000 lbs See Below Calibration Date: Machine# Phase" �'. Lot# �,r, r _ Product`,= Description of Work Inspected: Specified Lot # Location Tendons Elongation (in) Actual Elongation (in) - e Ili" I ryry 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 Contractpes Reprs�;entative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Pagel of .•:,. .4� .>� I K JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA_ 92211 I N S P' w C T I'O N s Phone. 760-345-5554 -Fax: 760-772-3895 L _ INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT. Date: Project Name: t ; . Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: City: 81-260 Avenue 62 La Quinta, CA []Title 24 File # App# AWS ]✓ UBC Other: D 1.1 0 D 1.4 Other Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Architect: Structural Engineer: Shea Homes Bassenian Lagoni Borm & Assoc, I nc/S uncoast Post Tension LP Slump (Inches): Supplier: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): ` " " Addmixture: ,' °" "" ' a Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: ' Weather: Unresolved I ems: 5?. None ' ] See Below Location of Sample: Ca nc cl,_ c 01�e C5�'.at i n n �nt : e yr, s c v \ OA E]No Samples Taken Description of Work Inspecte&QC1aQQa • � n � n n o a o �t C- o . .. Ti..-• ex r a. "7 h '� i n' -• � n• ti� �� ' (� r .� D h v c ; �. �� �, .�� c I a . �. � � c � r. r, ii.. l•�.•, n'� � 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: ck C. Millin IC Cert'fication No: 0842216-80 n �.�NA —IL Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page __L of .' • . ` :,��, _,., r. � JCM Inspections c 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTION -8 Phone: 760-345-5554 - Fax: 760.772-3895 INSPECTIONS v REINFORCED 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 OTltle 24 AWS Q✓ UBC Other: File # D 1.1 App# D 1.4 E] Other Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Architect: Structural Engineer: Shea Homes ''Bassenian Lagoni Bor-n & Assoc,lnc/Suncoast Post Tension LP Slump (Inches): Supplier: �� fit• 'a< Time Sampled: , o 0 q h Mix Design: �Q R! Time in Mixer (min.): Specified Strength (PSI): U noD, ! Water Added @ Jobsite (gals.): p� C_ , Addmixture Ria-L-L.,� Concrete Temperature (F): g' Truck #: (D� Ticket #� a(o <A(� Ambient Air Temperature (F): $� Field ID Marking: S A -- 4 Weather: S u n\ Unresolved None [_J See Below Location of Sample: ' OL Dr-% Q, X V�Af vchI� 19DAV E] No Samples Taken Description of Work Inspected: et l A* 31 d 9, CA �Ot1r{^ Q.�Or- \GCRh1t` O`\C� Q�� �lt C(1OC� �YfCn�Y'����1r17 ri.rl% Cii�>{�i� CXG\o,� % n^ �. S\�� n� G(c, A ic c� o C'6 (r �\ �� �Q0C%101" \�c+c\`aCo-...���a �✓ 4n 0. Gil -1. S . r, c C` QI M)( �a r D�- 1r►cG n�i,�ct a cn,IS�� G Lc Cnn11eCo,� {r\vJnSl(t\,e 5t) y C�` Urs �c 1,c`C ` ti, �' �c.c.cYjE' $r �.C., to ala c��e. f,�,�� a� a.aar \., e,, \ (� l0\Ia`l nbr' UniCO �,)t�ent SXbe- �r Q \off 5�t��91`RS rC V3(t�, e,l Gat� c o r� Q i o �Te _, \' c •e nt\G cls 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: Jai C, Millin ICC C rtific i8 '-No: 0842216-80 Contra r' epr s ntative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 4 of a JCM Inspections 1 39725 Garand Lane Suite F • Palm Desert, CA 92211 4 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772.3895 INSPECTION'S REINFORCED 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 []Title 24 AWS QUBC Other: File # F_� D 1.1 App# D 1.4 Other Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: , Architect: Structural Engineer: Shea Homes Bassenian Lagoni Borm & Assoc, I nc/Suncoast Post Tension LP Slump (Inches): Supplier: Time Sampled: Mix Design: Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F): Field ID Marking: Weather: Unresolved s: None See Below Location of Sample: No Samples Taken IRDescription of Work Inspected': Rsc� 31 r a� �a rt n 1 Y eCc o;VWQelvM CO : ;c O'rAt_Q!;+L , I -,� �C aV E' C � t� c� i� t R' k G'. E^ A rn �f�� � `• W � \ 41 � �.i ��C r^ -e \-v i 1 r� <-\ �..T c* f Q � ..a� t.� •!. t Y ^1� C t t� � 'S i C+� DC U ri1S. � t� � \ ��r` � C% �i �� ••t•.) 4 .?o \]� .-, <r n � 1 C �<f A h i ±�� �) Sk J 1-�"i t1 f \'l n R- n, '�}h' T '..i �1 f �• S �'' t Q CA �♦ %OYtC �Q�n \r 4�.tQ CN �i C,^ � C %.C. �t�<'!1I � 4 M r . 1 �n � rn. .-+kTii � K •�'� \.. CA. ^�\Y1 f�.tl�i• ��'1 l`C\ T�Q.. \`7n '� C. r0 rN ni, c, lV 0r)�6.. y el \1 JC,II'�i.�.rf:� rl c�A^ is t��7:7n 1.�(�• (1f' �i,1 Cli \ 1 l C,'\Cr`CTn•-<l.�nrl0_ y>r'.rC2 �aC-er P,� Cn\ICS nr%6 .r. El ^-.�\�'ro-_. `i�Q�arll �t f+rA/yn (� Y 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: J ck C. Millin ICC Certificatio :0842216-80 t Contra or' epres ative: Copy 1 JCM Inspections Copy 2 Project Superintendent CopyN3ov ning Agency Page f 1