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0401-039 (SFD)U (V J� w O �� w o Z r CDD 0. H� W w F- d U) Z C0 LO N O� UQ �t 0_ Z cc -F --O 0 J J m< O aLH Z_ ob 5 � CJ J r. LICENSED CONTRACTOR DECLARATION ` I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # - Lic. Class ti; Exprt Date Date.•Sjgnature of Contra • �rctor, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section , B&P.C. for this reason Date Signature. of Owner 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 setction 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier NA,i,iCaI3,fi>iL UNION Policy No. 71615337 (This. section need not be completed if the permit valuation is for $100.00 or less). ( ) 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 should become subject to tF�e workers' compensatiol yprovisions DIM,, oection 3700 of the Labor Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 the above information is correct. I agree to comply with all City, andiSNate laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned/,property`.forr inspecti. on purposes. Signature (Owner/Argent)• "" "° Date BUILDING PERMIT PERMIT# DATE VALUATION LOT 0401-00 TRACT i/ - a JOB SITE APN ADDRESS 81-W IMSEF,, r WILLOW DRM 764-27"17 OWNER CONTRACTOR / DESIGNER / ENGINEER RL• ALA QU INTAS�-C 9MA LA QT3LN'TA MC 811 S0 ,�3.�4'T,2ME 62 R 126+'0 <<aM; - 62 LA QTBI ('A C;.A, 92253 :C...A Qi1•INTAh/� SGA y�92�252 C160)777.600✓ vd71SD USE OF PERMIT 3Ag13L1t*, FAIdU F 1)'�IMfl :,IWC? . LOT 50, 'PLAN 3320B. iPCIZIMIT T34'3}'S NOT INCLUDE BLOCK WAZ.L% P00,14 SPA OR DRWEWAY .APPROAC14. CUSTOM C`0 46TRUCTION 2,056.00 e,F PORCIVPATIO P15.00 SF 0 ARAOUCARPOPT 494,00 S? 'ESTMATED COST aF CrCBM1'NUCT101T I'A.-6201.30 F.CRX1 )_k'J'4 P SUNI1 aY CONSTRUCTMA FEE 101.01W.-418-000 SM50 PL.AN CHFICK. FEE 101.000-439-318 1723.41 MP,:I'T1MICAL FEE 101-000.421-000 506, HI 1. L&CTIUC;AA,F7L 101 -6300.42C? -£100 $113.44 P1.0MBINQ TV? 101.000-419-000 $142,00 STRONG MOTION FEE • R151L) 101-000-241-000 $1133 C1Ii_.;.IaliaO iIM10 101-000.423.000 MSA DEVLELOPER IMPACT 'FM �v7,40A00 P�pN'9`1,RU(_" f109.A1-JD PL.AX C:1.7,C'K LIM FIRR-PAM MS $4,383,17 MOD OD 1104 `rr `! 1AF..1'.M.f1/1T.0 FEES ]YUM NOW $4;MA7 Cl t : 077: I,[1 S?!tI-7A RECEIPT DATE / BY fJ� f f DAT je FIAL ED INSPFfdTfdbl �(�/fes J r OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Stab Grade Return Air Steel _ Roof Deck Z Combustion Air Exhaust Fans 0. K. to Wrap F.A.U. Framing a Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - IM. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection a 5 Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring A lel Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: F Installation Certificate: Residential Site Address 81-586 Desert Willow D 've 1. BUILDER INFORMATION Shea Homes - Trilogy - LaQuinta 60311 Trilogy Pkwy La Quinta, CA 92253-7642 INSTALLING CONTRACTOR: 2. PROJECT INFORMATION DISTRIBUTION TYPE Flexible Ductwork in Attic and Between Floors DUCT OR PIPING R - VALUE Flexible Ductwork Will have a R -Value of 4.2 or Better CF -6R PERMIT # SUBDIVISION: Trilogy (u7 La Quinta CITY: La Quinta COUNTY: Riverside WEST PAC AIR CONDITIONING I, 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 demonstrate compliance with the Energy Efficiency Standards for residential buildings. • 3. HEATING INFORMATION HEATING MANUFACT 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 MANUFACT 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. &THERMOSTATIC -EXPANSION VALVE (TXV): Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection. Yes ❑ No ❑ N/A ❑ 6. SUBMITTED BY p� GS o 3 C[ SCC,-- ��, G"I DATE: 3 ' 29— e3 Signature Installing HVAC Contractor INSULATION CERTIFICATE - � F0 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 -536 DESERT WILLOW DRIVE LOT 1,0 _5 LA QUINTA CA CEILINGS: TYPE, BLOW MAUNFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: SLOW MANUFACTURER: Certainteed THICKNESS: R-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: 911 '44,4-- TITLE: ACCOUNT REPRESENTIVE DATE:' L/ ..: ..... .. r /:/war.r.r'.�:r.v:..:�.r;vrlr:r:•r.�:<.ae..�n �arro-w,ver.;�r.;.y�,.:.d:.r:+w.�.r....r."••9•,�:wrr^,•is�ra'.�,.n+,r:-/aa�:•..r.../.wr>i,,r:,irr �r:'.:w:r:r�rrr.'i.v. r:y/r.�.•r •: .Ia+:':� INSULATION CERTIFICATE This is to certify th@t insulation has been installed in conformance with the current energy. regulation, Californ Administrative Code, Title 24, State of California, in the building located at Administrative 5 CEILINGS: �S.:R TYPE: BLOW MAU CTURER: Certainteed THI - 3 8 TH -311 WALLS: TYPE: BLOW MAUNF R Certainteed THICKNESS: R-13 GENERAL CONTRA SHEA HOMES LICENSE # \ BY: TITLE: PARAGON SC M -D B.U.ILDING PRODUCTS A MASC ompany LICENSE #-221-517 BY: TITLE: ACCOUNT REPRESENTiVE DATE: 1] COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 4/18/04 Project: Trilogy @ La Quinta - Shea Homes 81-260 Avenue 62 La Quinta, CA 92274 Project No: 02-1109 Set ID Structure Age of Test Compression Strength JCM ID Location Date Cast Cylinder ID (days) (psi) Set A Phase 5A - Lot # 1050,`:: ` Slab on Grade 2-24-04 Concrete 273202 Nook Required psi: 4000 6080 7 2900 6081 28 4680 6082 28 4630 v PERtIFIED: Ei Inspections supplies the service of compression strength test results only. Per ASTMC39 0 Page 1 of 1 -- 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 Date: 4/18/04 Project: Trilogy @ La Quinta - Shea Homes 81-260 Avenue 62 La Quinta, CA 92274 Project No: 02-1109 Set ID Structure Age of Test Compression Strength JCM ID Location Date Cast Cylinder ID (days) (psi) Set A Phase 5A - Lot # 1050,`:: ` Slab on Grade 2-24-04 Concrete 273202 Nook Required psi: 4000 6080 7 2900 6081 28 4680 6082 28 4630 v PERtIFIED: Ei Inspections supplies the service of compression strength test results only. Per ASTMC39 0 Page 1 of 1 INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 ah Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: _,Qq Project Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 81-260 Avenue 62 City: La Quinta, CA Title 24 AWS UBC Other: File # F� D 1.1 App# Ej D 1.4 ❑ Other Client: Shea La Quinta, LLC Sub -Contractor: Sun Coast Tensioning General Contractor: Shea Homes Architect: Structural Engineer: Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP � (� Size and Type ofTendons� A;0V--,0} T- �sQvo� 1Cnv1� C0CS te�taJ-'QZ+V,J0 A& ^ Jack Machine CalibrationL c c Q� %1%A s\, p n ` Su �� Dr p �Sr� f ¢ i n ai �� J L 33. )q T , Ps a I Calibration Date: ��gc�1'rn� 4 Weather: Sung Lk Unresolv„g�ms: ©.None See Below Description of Work Inspected: Lot # Location Specified Tendons Elongation (in) Actual Elongation (in) - a5n Gla. rz �W a �► a a a r o -> f-7 ca- AIA—C Q, R r n r,\ 3 n C tl '�R Y 3 �•-- 3�•L- A GV I v y 4-�s 4% 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. Inspe or: Jacek C. Millin ICB rtification No: 0842216-89 c. e�! G , Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 4 of