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05-5522 (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: c&ht 4 4a Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 05-0000.5522 81805 GOLDEN STAR WY 764-280-999-80 -300235- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 202829 chitect or Engineer: V, Cans ----------------- LICENSED CONTRACTOR'S DECLARATION VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/21/05 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER '56.QTTSDALE, AZ 85258 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 7 00) of Division 3 of th usiness and Professionals Code, and my License is in full force and effect. Licen CI s . B License No.: 672285 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).: (_ I 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 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 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 contractors) licensed pursuant to the Contractors' State License Law.). ( ) 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 rIN OMES, INC. AVENUE 62 TA, CA 92253 )777-6005 No.: 672285 350 ------------------ 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 Y issued. S 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 mariner so'as to becomblect to the workers' compensation laws of California, and agree that, if I should ecome su e t to the the compensation provisions of Section 700 of the Labor Cafiklrlall ith comply with those provisions. i DA cant> WARNING: FAIlf16RF 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 state that thea ve information is rect. I agree to comply with all city and oun ordinances and sta laws relating to buildin uctio an ereby authorize representatives oft c t e ter upon tri ove•mentioned grope o sp coon r ses. b4. D ,ature (Applicant or Agent): Application Number . . . . 05-00005522 LQPERMIT 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 PATIO SQ FTG 178.00 NUMBER OF UNITS 1.00 -------------------------------------7-------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2365.00 Permit BUILDING PERMIT Additional desc . Permit Fee. 1000.00 Plan Check Fee 650.00 Issue Date . . Valuation . . . . 202829 Expiration Date.. 6/19/06 Qty Unit Charge Per Extension BASE FEE 639.50 103.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 360.50 Permit MECHANICAL Additional desc . Permit Fee . . . . 68.00 Plan Check Fee 17.00 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 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 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 . . . . .107.34 Plan Check Fee 26.84 Issue Date . . . . Valuation . . . . 0 Expiration Date.. 6/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 2365.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 82.78 478.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9'.56 LQPERMIT Application Number . . . . . 05-00005522 Permit PLUMBING . Additional•desc . Permit Fee . . . . 141.00 Plan Check Fee 35.25 Issue Date Valuation . . . . 0 Expiration Date 6/19/06 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 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 . . . GRADIN_G 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 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD.- LOT 80,.PLAN 5515C/191 SF. EXERCISE ROOM/ 26 SF BOX BAYS @ BOTH MBR & NOOK, 2365 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES' 480.00 ENERGY REVIEW FEE 65.00 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 DIF STREET MAINT FAC -RES 67:00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due LQPERMIT LQPERMIT Application Number . .. . . 05-00005522 --------------------------- Permit Fee Total 1331.34 -'------------------- .00 .00 ---------- 1331.34 Plan Check Total 729.09 .00 .00 729.09 . Other Fee _Total' 3781.00 .00 .00 3781.00 Grand Total 5841.43 .00 .00 5841.43, LQPERMIT JCM Inspections 39725 Garand Lane Suite F - IE' Palm Desert, CA 92211 IM—PE C TIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Dates: Noted Below Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: 60-800 Trilogy Parkway La Quinta, CA Q IBC 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): �plier: Superior Time Sampled: l n ; In A •M '&ADesign: D83625P Time in Mixer (min.): /1 n Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): n M Addmixture: POZZ 322N Concrete Temperature (F):Truck #: Off- Ticket #: Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: ®-None See Below Location of Sample: a E] No Samples Taken DI n of Work Inspected: Phase Lot# Product Plan 5�r" � w 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 and additional rebar placed as per these details and as noted on - _ . /Footings ' d� /"ln�, c @ n�C\•�! -Kn�.. G 1�: Qr1 r nn �I n . �r 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) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx 01-7Z' 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. A 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx Verified correct mix design. • ter- _ 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: Jack C. Millin ICC Certilfica '•o No: 0842216-80 A'k,Q1. NM Contractor' Represents v e, - -~ Copy 1 JCM Inspections Copy 2 Project Superintendent t Copy 3 V — kGoverning Agency Page—/A of '=�= MA P 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 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 60-800 Trilogy 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 y ao psi to 33.04 kips/33,000 lbs Calibration Date: Machine # y Phase `1 �, Lot# SO$� . Product Plans SJ S !v '�Qj G.®��� r` Q r W Weather: _ f1t1 Unresolved Items. 0 None ❑ 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. C)$Q Yes No rl_R r r. r a l 31 ' 1 I g «r i ❑ S(r�m ��� � 6�•���� � �� Ire ❑ El'©] y ln ' h t/a S L' - ❑ J C-C a, ,, n n a� i O P.11 ❑ \c Q1.1 4P r El \*V, (\I nVJ - i1.. , ' 1 R'_ Elf pi E`yn (• Q,c a n em 1°� c r ' rS tom. - T ..�y_�-. 91 � ❑ ('1 �] F!©]_ ❑ r=." V r r I. K5 \ \ /1, /Y1 � � / l l� � � I � U El ❑ ❑ ❑ ❑ ❑ ❑ 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: Jack C. Millin ICC Ce 'ficatiofi�No:0842216-89 Contractors Represen ti X� Kx7 I Copy 1 JCM Inspections Copy 2 Project Superintendent i Copy 3 Governing Agency / Page/ 1 of l� JCM Inspections ti 139725 Garand Lane Suite F Palm Desert, CA 92211 E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 5130106 Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 6.0-800 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 14A - Lot # 5080 Slab on Grade 3-1-06 Concrete 273-675 Kitchen Required psi: 4000 2872 7 3930 2873 28 5320 2874 28 5340 CERTIFIED: • Page 1 of 1 JC-Wlnspections supplies the service of compression strength test results only. Per ASTMC39 r 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 81.805 GOLDEN STAR WAY, LOT 51L80,_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: PARAG N SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY. TITLE: ACCOUNT REPRESENTIVE DATE: • • L0 39Vd QIWHOS N09NVd Zb8ZLPE09Lti 9V:80 900Z/0E/90 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 L, f ., f- ao� . �— ProjectNumber: / J _ Date of Observation: ?L C 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. ,i vv�.�� At the time of our visit, work had progressed tote point o -- — ase Address: 81755 60L D 6XW% Fill=8 � � 0S to C9 LD1V-41-z.- Bldg. / Lot Number:. ® Gv Bldg. / Plan Type & Elevation: Foundation Trenched t3� [3� Phone: 714-513-7500 ❑ 0 .Foundation Poured � �/ PLEASANTON, CALIFORNIA ❑ ❑ Roof Sheathing.Covered LAS VEGAS, NEVADA Phone: 702-740-5427 ❑ ❑ ❑ Roofing Material Stacked and Loaded �' 0 ❑ 0 Exterior Walls Covered 0 0 0 ❑ 0 Interior Wall Covered. ❑ 0 ❑ 0.. ❑ . Insulation Installed ❑ ❑ 0 ❑ 0 Electrical, Mechanical,Plumbing Complete ❑ ❑ .0 0 0 Final Framing Pick-ups Completed ❑ ❑ 0 0 0 Building Complete ❑ 0 .0 ❑ 0 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. It 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: / /'�S /i/ -/L � /., 62�v Please note: Ourfindings and 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 orobservation of, among other items: S., 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 ne her�a�guarantee nor a warrantee expressed or implied. Field Superintendent third co / I j r P ( copy) � ,fi? i �..,E � � ! � ' % i� Date: "� ✓ t .,,� . 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: 916=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