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05-5513 (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: 05-00005513 81755 GOLDEN STAR WY 764-280-999-75 -300235-- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES. 220450 rchitect or ks 7 PLC- t, + Tit!t 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 --------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B License No.: 672285 `Datei ntraG! V' -ft- J' OWNER -BUILDER DECLARATION I 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 _ 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 contractor(s) licensed pursuant to the Contractors' State License Law.). 1 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: ,1 Lender's Address: N 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: 12/21/05 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. Yl1 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 manner so as to bec a subject to the workers' compensation laws of California, and agree that, if I should become bject to the workers' compensation provisions of Section 700 of the Labor de shall f h, comply with those provisions. at plica 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 ($100,0001. 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 actor 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 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to bu' in constru ion, and hereby authorize representatives of this coLinty o enter upon the above-mentioned prop o'inspa:5fon purposes. ature (Applicant or Agent)' Application Number . . . . . 05-00005513 ------ Structure Information SFD.PLAN 6420B W/MBR & NOOK BOX BAY ----- Construction Type . . . . . TYPE V - NON RATED Occupancy.Type . . . DWELLG/LODGING/LONG <=10 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 615.00 PATIO.SQ FTG 323.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2526.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1063.00 Plan Check Fee 690.95 Issue Date . . . . Valuation . . . . 220450 Expiration Date 6/19/06 Qty Unit Charge Per Extension BASE FEE 639.50 121.00 3.5000 ----------------------------------- THOU BLDG 100,001-500,000 ----------------------------------------- 423.50 Permit MECHANICAL Additional desc . Permit Fee . . . 83.50 Plan Check Fee 20.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/19/06 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 . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 115.71 Plan Check Fee 28.93 Issue Date . . . . Valuation 0 Expiration Date 6/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 2526.00 0350 ELEC NEW RES - 1 OR 2 FAMILY 88.41 615.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.30 LQPERMIT Application Number '. . . . . 05-00005513 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 153.00 Plan,Check Fee 38.25 Issue Date Valuation . . . . 0 Expiration Date 6/19/06 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, 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 Expiration Date 6/19/06 Qty Unit Charge Per Extension' BASE FEE 15.b0 ---------------------------- Special Notes ------------------------------------------------ and Comments SFD - Plan 6420A w/ MBR (26 sqft) & Nook (23 sqft) box bay, 2526 SF.. Permit does not include block wall, pool -or driveway approach. Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES 51.12 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 69.10 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 �• DIF LIBRARIES - RES 355.00. DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 22.04 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due LQPERMIT LQPERMIT Application Number . . . . 05-00005513 ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total ---------- ---------- 1430.21 .00 779.01 .00 3838.26 .00 6047.48 .00 .00 .00 .00 .00 1430.21 779.01 3838.26 6047.48 05/30/2006 15:44 17603471841 PARGON SCHMID PAGE 02 4 • INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building at 81-755 GOLDEN STAR WAY; L� OTS075',_PHASE 14A, LA QUINTA, CA CEILINGS: TYPE: BLOW MANUFACTURER: Cocoon THICKNESS: R-38 WALLS: TYPE- BATTS MANUFACTURER: Borate THICKNESS: W-13 GENERAL CONTRACTOR:.SHEA HOMES LICENSE # BY:. TITLE: PARAWN SCHMIDPJ�ILDING PRODUCTS A MASCO Company LICENSE # 221517 BY�i�% LGA TITLE: ACCOUNT REPRESENTIVE DATE: 1-5- � t -�24,2006 13:19 BCI*TESTING,ri1 000-000-00000 ;4 V CERTIFICATE OF FIELD VERIFICATION 8t DIAGNOSTIC TESTING This CF -411 Issued by Ca10ERTSQ is for the home located,at: Certificate Number: Date Inspected: CalCERTS Rater: HERS Analyst: Builder/ Developer: Project: Phase: Plan Name: Lot Number: CC3.1798366801 May, 22 2006 William Henson CC2004076 Chinh Nguyen Shea 1­10rties, Inc. Trilogy 2005 Standards 14A Specifics about this home: General Information I Fuel Conditioned Floor Area: 2503 Square Feet Conditioned Volume: 25030 Cubic Feet Front Orientation: Cardinal Number of Stories: 1 Heating and Cooling Systems Heating Equipment: Cooling Equipment: Heating Equipment: Cooling Equipment: HVAC Air Distribution Duct Location: Duct Leakage Target: Duct Insulation R -Value: Air Infiltration Blower Door Target: Water Heatin4 System Proposed TY I Size I Fuel I EF 1 50 Gas 1 0.62 Water' H ating System Actual TY Size Fuel EF 1 50 Gas 0.62 Furnace: 0.8 ACSplit: 13.0 rurnace: 0.8 A/C: 13 AFBs 0 6.0 Distribution Standard Page 2 u.4n: Jet ft'A,)r CF -4R Ma°,`- 2006 •817.55 Golden Star Way La Ouinta CA, 92153 Testino bt Verification Results Main System HVAC System Duct Sealing Passed Installation IXV of Thermostatic I Expansion Valve passed High Energy FfficienC Ratio EER Passed New System HVAC System Duct Sealing Passed Installation TXV of Tliermostatic I Expdrision Valve passed High Energy Efficiency Ratio EER Passed EZI Tested Q Approved Air Part Of S mple Group BCY Testing 77.760 Couatry Club DitIft Baits I Palm Nsert. CA. 92211 760-772-2954 Certifying Signature' Date The energy efficiency rating of this home is determined using California Home Enorpy Hating System (C•1IERS) rules. The rating considers heating, cooling and water heating and assumes average weather, thermostat settings, and quantities; of hot water for a typical household, Actual energy use will vary according to occupant behavior. This Rating Cnmpletinn Summary is provided only after the features listed hava been verified and approved by the CaICERTS Certified Rater shown above. If you have a concerti of corriplaint regarding this report of the services used in obtaining it, you may contact: CalCERTS - Customer .ciorvlce 11 Natornd SL Suite 140, Folsom, CA 95630. • STRUCTURAL JOB SITE OBSERVATION Project Name: Observer: A visit to the project site was made on the above date to: ❑ Address specific elements of the work. BORM STRUCTURAL ENGINEERS Project Number: Date of Observation: i Assist the field personnel with complying with the intent of the construction documents. /❑ ` Assist the field personnel with complying with the findings from a previous structural job site observation. 13 Phone: 714-513-7500 Fax: 714;513-7555 ROSEVILLE, CALIFORNIA Phone: 916-774-7597 .. Fax: 9115.:=774-7599 At the time of our visit, work had progressed to the point of : 7 6o 4- 0 &741 � � � _ � � Address: 81.755 10L Q ��i'� Fax: 702-740-5431 PHOENIX, ARIZONA 8 � �j Ocr .t0LOG�`t� Bldg. Lot Number: ��. ® "- ® Gv Bldg. / Plan Type & Elevation: 6,9 G �f rM3 -G 3 � 75,'c Foundation Trenched [ f3' ❑ 0 Foundation Poured / 0 0 Roof Sheathing.CoveredC� 0 ❑ 0 Roofing Material Stacked and Loaded O/� e� 0 ❑ 0 Exterior Walls Covered ❑ 0 0 0 0 Interior Wall Covered 0 0 ❑ 0 0 Insulation Installed 0 0 ❑ 0 0 Electrical, Mechanical, Plumbing Complete 0 0 .0 0 ❑ Final Framing Pick-ups Completed 0 0 0 0 0 Building Complete 0 0 0 0 p Based upon our visit: ❑ Refer to the attached field notes to be addressed by the construction personnel. ❑ Additional information will be sent from our office which will need to be addressed by the construction personnel. XXIt is our opinion that this building is being constructed.in general conformance with the intent of the construction documents prepared by our office: ❑ Site Observation ceased, framing was not at a stage of completion in which site observation could be performed. ❑ Concerns brought to the attention of field personnel based on previous site observation made on have yet to be addressed. Comments: / /l •/'//S Please note: Our findings Arid recommendations may have other than structural ramifications which we have not addressed. Be advised that changes to the construction documents need approval of the building official. Our firm is not authorized. to act as the Owner's agent. Our findings shall not be construed as authorizing the expenditure of additional funds. Site Observation was made only to determine general conformance with the intent of the construction documents. Observation was made of those portions of the work which would best represent the intent of the construction documents, not each and every element of the work. Site observation did not include review, approval or observation of, among other items: 1. The contractors safety precautions, procedures, designs, methods or techniques. 2: Any shoring, scaffolding, underpinning, temporary retaining of excavations, or any other erection methods or temporary bracing. 3. Any soils at the site, their adequacy to support the building, expansiveness, or any other soil related conditions. 4. Any drainage courses or devises of a temporary nature or as a permanent part of the structure, including roof and floor slopes, drains and pipes. The findings of this observation are understood to be an expression of professional opinion by the engineer based on his or her best knowledge, information and belief. As such, it consists of neitheFaa guarantee no; a warrantee expressed or implied. Field Superintendent (third copy) ! �'? i ' :� -1, ! t r ? i` Date: ! ✓ ` Client (second copy via mail) Field Engineer (first copy) -. = % Date: If you have any questions please contact our office. COSTA MESA, CALIFORNIA Phone: 714-513-7500 Fax: 714;513-7555 ROSEVILLE, CALIFORNIA Phone: 916-774-7597 .. Fax: 9115.:=774-7599 PLEASANTON, CALIFORNIA Phone: 925474-1180 Fax: 925•-467-1780 LAS VEGAS, NEVADA Phone: 702-740-5427 Fax: 702-740-5431 PHOENIX, ARIZONA Phone: 623-869-0607 Fax: 623-869-0609 JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 I" E C T I O NS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Project: Trilogy @ La Quinta - Shea Homes - 60-800 Triolgy Parkway La Quinta, CA 92253 Date: 5/30/06 Project No: 02-1109 Set ID Structure Age of Test Compression Strength JCM ID Location Date Cast Cylinder ID (days) (psi) Set A Phase 14A - Lot # 5075 Slab on Grade 2-22-06 Concrete 273-673 Den Required psi: 4000 2824 7 4430 2825 28 5750 2826 28 5690 • • 10 Page 1 of 1 CERTIFIED: SO_% C„�V , XM'Inspections supplies the service of compression strength test results only. Per ASTMC39 ' E C T I O N S JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTION S PRESTRESSED CONCRETE INSPECTION REPORT Date: _$_Q(p Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 60-800 Triolgy Parkway City: La Quinta, CA Q✓ IBC Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC Sun Coast Tensioning General Contractor: Shea Homes for Active Adults Architect: Structural Engineer: Bassenian Lagoni 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 S y oo psi to 33.04 kips/33,000 lbs Calibration Date: Machine # /aal L 1 p-'00- O Phase NLot# r" O 7SProduct3 Plan aQ� g� jm� Weather: Unresolved Items: �9 None E] See Below Description of Work Inspected: Lot # Location Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Tendons Elongation (in) Reference 11 h/SN2. -SO"] S-'- Yes No Go c ct CS, a E° ❑ Er ❑ R111c CA Ah ET ❑ E El 1-Yy 0' ❑ ®- ❑ {• „ " ��, �� ©' ❑ ©— ❑ 0-- ❑ ❑ ❑ I 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 Certification No: 0842216-89 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency /Page of �_ - - JCM Inspections 39725 Garand Lane Suite F Im Desert, CA 92211 _ - ; T E C TIONS Phon 0-345-5554 - Fax: 760-772-3895 INSPECTIONS EINFOR ,CONCRETE INSPECTIO EPORT Dates: Noted Below Project Name:Project No: Trilogy @ La Quinta - Sh Ho €s 02-1109 lie 07V6 Project Address: City: 60-800 Triolgy Parkway La Quinta, CA ❑✓ IBC E] Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Slump (inches): —7 !;7 Supplier: Superior Time Sampled: 9: LA —C- Mix Design: D83625P Time in Mixer (min.): 1 O Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): r) Addmixture: POZZ 322N Concrete Temperature (F): cl Truck M q33 Ticket #: ' 61 1 L� Ambient Air Temperature (F): �1 , Field ID Marking: Set A - 4 Cylinders Weather: Unresolved Items: 'None ❑ See Below Location of Sample: S` ab n n s n r6 No Samples Taken ption of Work Inspected: P !e,:q Lot# Product Plan 3` s \3` 1) Received mill certifications for rebar and tendons p aced. 2) Typical exterior Footings including Garage Footings/Door (11,12,13/SDA), 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 n `� u ?�1 n �` �n X aaa W�� t� A �� e. U a �' ��•� – 1��� n e^fA'l `r C. !u V� A r*1 �'\ f1\nl � \ V Cl h 1�� •~ Also, typical details 2, 3% D-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) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx 0sz� 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 I c-- verified correct mix design. I y 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 k C. Millin ICC CertificQuon No- 0842216-80 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page J_ of