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05-5531 (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: 05-00005531 81840 GOLDEN STAR WY 764-280-999-109 -30023E DWELLING - SINGLE FAMII MEDIUM HIGH DENSITY RE; 126075 Architect or tC f- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section�00of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License l3 icense No.: 672285 • tractor. 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 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 (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT 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 350 SCOTTSDALE, AZ 85258 Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 ------------------ 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 1 certify that, in the performance of the wo k for which this permit is issued, I shall not employ any person in any manner so as to become biect to the workers' compensation laws of California, and agree that, if I ul come su c rkers' compensation provisions of Section 0 of the Labor C s all fo comply with t o isions. Date. plicant: ' 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 tAtabove4ispon ation is correct. I agree to comply with all city and c unt ordinances and state laws relating on, and hereby authorize representatives of tau ty n r upo above-mentioned purposes. nature (Applicant or Agent Application Number . . . . . 05-00005531 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 734.00 Plan Check Fee 477.10 Issue Date Valuation . . . . 126075 Expiration Date_ 6/19/06 Qty Unit Charge Per Extension BASE FEE 639.50 27.00 - ----=--7-------------------------------------------------------------------- 3.5000 THOU BLDG.100,001-500,000 94.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 65.50 Plan Check Fee 16.38 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/19/06 r Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 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 . . . . 72.82 Plan Check Fee 18.21 Issue Date . . . Valuation . . . . 0 Expiration Date 6/19/06 Qty, Unit Charge Per Extension BASE FEE 15.00 1381.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 48.34 474.00 ------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL --------------------- 9.48 Permit . . . PLUMBING Additional desc . Permit Fee 122.25 Plan Check Fee 25.88 Issue Date Valuation 0 Expiration Date 6/19/06 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 0 LQrERMrr Application Number . . . . 05-00005531 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 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 5.00 .7500 EA PLB GAS PIPE >=5 3.75 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 109, Plan 4210C, 1381 SF. w/Box bay (26sf) & Ext Patio (177sf).-Permit does not include block wall, pool 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 47.71 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 12.60 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited ------------•--------------------------------------------- Due Permit Fee Total 1009.57 .00 .00 1009.57 Plan Check Total 537.57 .00 .00 537.57 'Other Fee Total 3776.31 .00 .00 3776.31 Grand Total 5323.45 .00 .00 5323.45 LQPERMIT JUN 27,2,06 20:20 BCI*TESTING,ri1 000-000-00000 CERT LD VERIF=ICATION & DIAGNOSTIC TESTING (Page 1 of 8) C] • 81840 Golden Star Wa Builder CurrfarI rerephone Builder Name Shea Homes, Inc. Plan Number CF -4R 4210 STD HERS Rater Telephone Sample Group Number/ Lot fI (if applicable) William Henson 602-625-1994 26263/ 109 Compliance Method (Prescriptive)i Certifying ! Signature ��1 p��� ��-✓ Date Certificate Number %1(.: ) June 27, 2006 CC3-1798366845 Firm: 5C1 Testing HERS Provider:CaICERTS Street Address: 77-760 Country Club Drive ste T City/State/Zip:Palm Desert / CA / 92211 CopieS to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was!V. 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 fo,rn rompheu with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution tyrterri it fully ducted and correct tape is used before a CFAR may be released on every tested building. The HERS rater must not release the CF -411 until a properly completed and signed CF -6R has been received for the sample and tested buildings, ;% The installer has provided a copy of the CF -6R (Installation Certificate). 1;0 New Distribution system is fully dueled (i.r,.., does not use building cavities as plenums or platform returns in lieu of ducts). tnmr• where rinth harked, ruhher .dhesive duct tape Is Installed, mastic and drawbands are used In romhlnation with doth 7 Newsy! backed rubber adhesive dud tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main system NEW CONSTRUCTION Duct Pressurization Test Results (CFM @2S Pa) Measured value. 1 F.nter 'Tinted I r..ak4gr. Flow ire CFM: 91 2 Fan Flow: Calculated (Nominal Cooling Heating) or ' Measured Enter Total Fan Flow in CFM: 16U0 3Pas. if Leakage Percentage <:= 6°/n (100 x (Line 1 /Line 2 )]: S. 61)0% ;t! Pass Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage rlow in CFM from Cr -6R; Pre -Teat of Existinq Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakdrta for Alterad Duct Sytlem [Linc 4 - Linc 5] - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage -= 6% ( 100 x ( Line 5 / Line 2 )J: i Pass ( rail 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% [ 100 x ( Line 5 / Line 2 )): Pass Fail 10 Pau% if I r.:rkdgr. to Outside. Prrc:Bntage <-= 10"M (.100 x ( Line 7 / Line 2 )j; 1 Pass i . Fail 11 Pass If Leakage Reduction Percentage..— 600/i ( 100 x ( Line 6 / Una. 4 )) and Verification by Smoke Test and Visual Inspection Pass Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection �. , paar, Pass if One of Lines #9 through #12 pass Pass Fail Page 24 JUN 27,2 06 20:20 BCI*TESTING,ri1 000-000-00000 Page 25 CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING (Page 3-4 of S) CF -4R •Project Address 6uildcr Name 81640 Golden Star Way Shea Homes, Inc. Builder Contact Telephone Plan Number 4210 STD HERS Rater Telephone Sample Group Number/ Lot & (if applicable) William Henson 602-625-1994 26263 /109 Com lianCe Method PresCri tive Climate Zone 15 Certifying Signature. X, Date Certificate Number June 27, 20.06 CC3-1798366845 Film: BCI Testing HERS Provider:CaICERTS _ Street Address: 77.760 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 1V 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 hou ,, identificd on this form complies with the dia nostic tested compliance requirements as checked on this form. E� The installer has provided a copy of the CF 611 (Installation Certificate). ...THERMOSTATIC EXPANSION VALVE TXV o Main System Access is provided for, inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. Main Syste,n HVAC System TXV r� pass Fail C] 0 JUN 27,2906 20:20 BCI*TESTING,ri1 000-000-00000 w CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -4R •Project Address Builder Name 81840 Golden Star Wa-y _ _ Shea Homes, Inc. Ruirder Cuntet.t Telephone Plan Number 4210 STD MFRS Rater Telephone Sample Croup Numher/ lot # (if applicvble) William Henson 602-625-1994 26263 / 109 Compliance Method (Prescriptive) Climate Zone Is Certifying Signature -'e „ % Date Certificate Number Ju Firm: 8C1 I esting Street Address: 77-760 Country Club Drive steI 27, 2006 CC3-1798366845 HERS Provider:Ca10ERTS_ City/State/Zip:Palm Desert/ CA/ 92211 Coolies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was .!r 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 did mantic: tested compliance requirements as checked on this form. The installer has provided a (.OPV cif the CF -6R (Installation certificate), -HIGH EER AIR CONDITIONER: Main System Procedures Por verification are available in RACK Appendix Rl 1 'J Pass 'Fail EER values of installed systems match the CF -111 2 pas; i .. Fall For split systems, indoor coil is matched to outdoor coil 3 r Pass r� Fail Time Delay Relay Verified (If Required) Yes to i and 21 and 3 (If Required) is a pass !-,-7; PASS ! Fail • 9 Page 26 a 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 81-840 GOLDEN STAR WAY, LOT, 51'09 PHASE 14A, LA QUINTA, CA4 CEILINGS: TYPE: BLOW MANUFACTURER: Cocoon THICKNESS: R-38 WALLS: TYPE: BATTS MANUFACTURER: Borate THICKNESS: W-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: • 90/90 39dd 6T8T0bE09LT EV:TZ Z00Z/b0/10 JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 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 Triolgy Parkway La Quinta, CA ❑✓ 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): S S Supplier: Superior Time Sampled: 9 Q Mix Design: D83625P Time in Mixer (min.): O Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): b 0 Addmixture: POZZ 322N Concrete Temperature (F): Truck #: 11"7 Ticket #:--7$/oO Ambient Air Temperature (F): ��� Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: ©None ❑ See Below Location of Sample: q,(7 o r� �( Q k1_ —IV\ 0 y o ( QA C a o M ❑ No Samples Taken D tion of Work Inspected: Phase Lot#�+' Product Plan O� t -6LAD C_3 -AA r� ac 719 3- I —0 Co 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/SDA), 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 -T 14 -wA v 0, Pokt0 n_LN 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. 3 --r�t o - O(_'-, 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. 3—�;ka— OCs 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx 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. Inspecto: Jack C. Millin ICC Certification No: 0842216-80 4_ 1_ C' r V Contr�act is Represen tive:..., l nt-//I? t� ' 4 / > ll% / t f Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page sof .1CM Inspections 39725tarand Lane Suite F Palm Desert, CA 92211 T P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: �(D6 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 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 i 1 pp psi to 33.04 kips/33,000 lbs Calibration Date: Machine #,3 is S coZ- [� o(o (^ Phasety ' \ Lot#S I C)j Product„ . Plan 0t ' �' gj y 0 bpn J�a C W cj)\ Weather: , m 0 n os ` �.� Unresolved Items: None ❑ See Below Description of Work Inspected: Actual ongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference I Ih/SN2. Yes No Ga(aC L. 1-� ®' ❑ coot-\) �- 3 ®' ❑ c j� �� ❑ Ll ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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: Jac C. Millin ICC Certification No: 0842216-89 'k- (�w I �&k q- - Contractoes(Representative: (' � '4 r_ / /h - r Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ' of JCM Inspections 2 139725 Garand Lane Suite F Palm Desert, CA 92211 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 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 # 5109 Slab on Grade -3-20-06 Concrete 273.687 Master Bedroom Required psi: 4000 3102 7 3220 3103 28 4420 3104 28 4470 CERTIFIED:�,C, JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 • Page 1 of 1