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05-5523 (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: 05-00005523`- 81825-GOLDENiSTAR WY 764-280-999-82 -300 DWELLING - SINGLE FA MEDIUM HIGH DENSITY 20282'9 (�chitec IJ� - - - C fLCC2loq,4O Ta�/ 4 4 " BUILDING & SAFETY DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 1 of Division 3 of the B ess and Professionals Code, and my License is in full force and effect. Lice las License No.: 672285 Da ntractor: 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 ISec. 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, 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 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 ISec. 3097, Civ. C.I. Lender's Name: Lender's Address: LQPERMIT ERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 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. 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 manner o as to become bject to the workers' compensation laws of California, and agree that, if I sh Id come sub' to the workers' compensation provisions of Section //� 37 0 of the Labor s all forth comply with those provisions. at0 e:Z pplicant. 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. ' 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 t e ab a info4--ei-­a, creI agree to comply with all city and cou ty ordinances and state laws relating to bu ' c nstru eby uthorize representatives of t cunt a nt r upon the above-mentioned pro i specs D �" ISig re (Applicant or Agent . Application Number . . . . . 05-00005523 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 478.00 PATIO SQ FTG. 178.00 NUMBER OF UNITS 1.00 ------------------------------------------------------------ 1ST FLOOR SQUARE FOOTAGE ---------------- 2365.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 1000.00 Plan Check Fee 162.50 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 4.25 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 6.71 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 . . . . . 05-00005523 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 141.00 Plan Check Fee 8.81 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 . . . 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 .15.00 -----------------------------.----------------------------------------------- Special Notes and Comments SFD - LOT 82,.PLAN 5515B/191 SF. EXERCISE ROOM/ 26 SF BOX BAYS Q BOTH MBR & NOOK, 2365 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE.ISSUANCE OF SAME PLAN TYPE -----------------------7----------------------------=----------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY -CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 16.25 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 LQPERMIT Application Number . . . . Fee summary . Charged Permit Fee Total 1331.34 Plan Check Total 182.27 Other Fee Total 3732.25 Grand Total 5245.86 T,.QPF.RMIT 05-00005523 Paid. Credited Due .00 .00 1331.34 .00 .00 182.27 .00 .00 3732.25 .00 .00 5245.86 i,rHi- 1212006 16:37 •BCI*TESTING,ril 000-000-00000 2==:: CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of S) CF -4R Project Addre..,6' Sulldcr Name - 81825-Golden-Star_Way Shea Homes, Inc. t3ullr/rr Contact Telephunr, Plan Number _ 5515 STD TR RS Rafcr Telephone Sampic Gn1L4p_N&mbertJ.ut Ajit applicable) William Henson 602-625-1994 26226' 082 i:t Com /lance o(Prescriptive) Prescri tive ' - � .. P ) Climate Zone 151"'° Certifying Signature Date Certificate Number lune 1. 2, 2006 CC3-1798366808 Firm: BCI Testing - HERS Provider:CaICERTS Street Address: 77-760 Country Club Drive ste I City/State/Lip: Palm Desert / CA/ 9221.1 — Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was:'! Tested Approved as part of sample testing, but was not tested, As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the diagnostic tested Compliance requirements as cherked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. Thr. HERS rater must not rela.fse the CF AR until a properly completed and signed CF -6R has been received for the sample and tested buildings. _J The installer has provided a copy of the CF 6R (Installatinn Certificate). New Distribution system is fully ducted (i.e,; does not use building cavities as plenums or platform returns in lieu of ducts). .7 New systems where cloth backed, rubbef adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive dud tape to seal leaky, at duct connections. WNINIMUM REOUIREMENTS FOR DUCT LEAKAGE RFDt1C"OM rOMDt 7ANrC rtaenrr- main <„cfn t • NEW CONSTRUCTION Duct Pressurization Test Results (CrM @ 25 Pa) Measured Values 1 Enter Tar.ted I eakage Flow in CFM: 100 2 Fan Flow; Calculated (Nominal .. Cooling'. Heating) or Measured Enter Total Fan Flow in CFM: 2000 3 Pass it Leakage Percentage. • = F>% ( 100 x ( Line I / Line, 2 )]: 5.00% 1W pass ! Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Fater Tested Leakage Flow in CFM from CF' -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Changc-Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Lquipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [Line 4 - line 5) - (Only if Applicable) 7 Enter rested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage <= 6'/o [ 100 x ( Line 5 / Line 2 )]: i : Pass ;..� Fail TEST OR VERIFICATION STANDARDS. For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance. 9 Pass if Leakage Percentage <= 15'%) 1 100 x ( Line 5 / Line 2 )): Pa ss Fail 10 Pass if Leakage to Outside Percentage <= 10% ( 100 x ( Line 7 / Line 2 )J: t Pass r . Fail 11 Pasr. If Leakage Reduction Percentage >= 60'/0 ( 100 x ( Line 6 / Line 4 }J and Verification by Smoke Test and Visual Inspection Pass ^ Fad F Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection : Pass i . Fail Pass if One of Lines A9 through 412 ass 9 P i-- ' pass, fail Page 14 ,TDI 12. 2006 16:37 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION St DIAGNOSTIC TESTING (Page 3-4 of 8) CF -411 Project Address builder Name 81825 Golden Stat Way Shea Homes, Inc. — Rullder Contact Telephone Plah Number 5515 STD NIERS Rater _ Telephone Simple Group Number Lot Af (if applicable) William Henson 602-625-1994 26226 / 082 Compliamv Method (P(escriptive) Climate Zone 15 Certifying :Mn•vture Date Certificate Number _ June 12, 2006 CC3-1798366808 T� Firm: BCI Testing _ HERS Provider; C_a10ERTS Street Address: 77-760 Country Club Drive ste I . City/State/Zip:Palm Desert / CA / 92211 • Copies to: BUILDER, NIERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was J Tested i :Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements a Checked on this form. jJ the installer has provided a copy of the CF -611 (filt3allation Certificate). "THERMOSTATIC EXPANSION VALVE (TXV): Main System kccesS is provided for inspection. The procedure shall consist of visual verification that the TXV is nstalled on the system and installation of the specific equipment shall be verified. Main System HVAC System TXV Pass i Fail .b& � d,,2 Page 15 MI -12)2006 16:37 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION 6 DIAGNOSTIC TESTING (Page 5 of 8) CF -4R •project Address ~ BuilderName 81825 G*laca Star Way Shea Homes, Inc. Buckler Contact Trlephonr Plan Number 5515 STO HERS Rater Tcicphonc Sample Group Number / Lo( it (/t nalfcatble) William Henson _ _6_02-625-1994 26226/ 082 Compliance Method (Prescriptive) Climate [one 15 Certifying Signature Date Certificate Number June 12, 2006 CC3-1798366808 Firm: BCI TeSUn9T HERS Provider:CaICERTS Street Address: //-/60 Country Club Drive ste I City/State/Zip: Palm Desert / CA/ 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT the house was '� Tested ; . Approved as part of sample testing, but was not tested. A.- the HERS rater pruvidiny diagnostic testing and field verification, 1 certify that the house identified on this form complies with tho'. dia anastic tested commnt: pliance requireeas checked on this form. i The installer has provided.4 cnpy of thr (F -6R WAallation Certificate). 'HIGH EER AIR CONDITIONER: Main System Procedurec fnr veritiration are available in RACK Arloendrx R1. • b 4_ o;.� 3�3 0 Page 16 1 lv! Pass 1 : Fail EER valuos of in;:talled systems match the CF -1R 2 Pas:, Fail For ,pht systems, indoor coil is matched to outdoor coil 3 ;_.,i Pa°s fail lime Delay Relay Verified (If Required) Yes to 1 and 2, and 3 (If Required) is a pas L Pass 1...• Fall • b 4_ o;.� 3�3 0 Page 16 . 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 81-825 GOLDEN STAR WAY, LOT 805 2 -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: PARAGO SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: • • 60. 3E)Vd GIWHOS N09dVd Tb8ZLV609LT 90:80 900Z/06/90 It JCM Inspections 39725 Garand Lane Suite F —EM Palm Desert, CA 92211 TIONS Phone: 760-345-5554 - Fax: 760-772-3895 JL 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 O IBC F-] 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): Supplier: Superior 5.1 Time Sampled: 9 e, 'A sz cr Mix Design: D83625P Time in Mixer (min.): ��4;Z- Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): ^ n Addmixture: POZZ 322N Concrete Temperature (F): �� Truck #: 4-2.1-0Ticket #: q t �� Ambient Air Temperature (F): (SCI Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: LJx .None ❑ See Below Location of Sample: ❑ No Samples Taken D tion of Work Inspected: Phase Lot# s-0 , Product Plan \ 9,173- C-,- A ,r 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 Footings and additional rebar placed as per these details and as noted on " � 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 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 Verified correct mix design. S,' 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. r Inspector: Ja C. Millin ICC CertificatioHNNo 0842216-80 Contractor's Representative:J Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency age of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 T" INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: City: 60-800 Trilogy Parkway La Quinta, CA Z✓ IBC Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC Sun Coast Tensioning General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults 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 Std n,-, psi to 33.04 kips/33,000 lbs Calibration Date: Machine #3%.S _ S.- 06 Phase' L-� Lot# 9700 ,;;_ Product PlanS'S`I Weather: unn� Unresolved Items: [] None ❑ See Below Description of Work Inspected: Actual Eongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. ' -'41 Yes No r_ . elm, Ina_ 3-� � � 1 � � ❑ '_ El Rcl Q— El 19 El r 0 .� y 9- ❑ `�. `ry l c t n �• C ��/�A n..W �r�41 -Jl lt� 1 ©— ❑ L c 4110 c \V- � � r�� ❑�`' El �4 19— El ❑ ❑ ❑ ❑ ❑ ❑ I certiy 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 Certificc / io, o: 0842216-89 Contractor'' Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing AgencyPa a ___�_ 0 f 1 • JCM Inspections 39725 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: 5/30/06 Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 60-800 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 # 5082 Slab on Grade 3-6-06 Concrete 273-685 Kitchen Required psi: 4000 2914 7 3100 2915 28 4510 2916 28 4560 CERTIFIED: • • Page 1 of 1 JCM Inspections supplies the service of compression strength test results only. Per ASTMC39