0401-044 (SFD)C14 U)
W
' O w LO
C:)
Z
CID �'
I— C.0
J W fl
—
z W
I— a
Z
M
LIDN
ON
U °)
a_a
Lo
.Q Q
OJT
mUU
D
d rn F
1-t Z_
co Z)
J
I LICENSED CONTRACTOR DECLARATION
I here4affirm lfnder penalty of perjury that I am licensed under provisions of
-Cuter. 9(c6mmencing with Section 7000) of Division 3 -of the Business and
Professionals Code, and my License is in full force and effect.
License # t Lic. Class Exp. Date
672185 13 W0/05
S
Date 1 Signature of Contracto�i! t -�
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
Section 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 NAT10)4A1, U1+£0N Policy No. 1$a
(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 i
workers' compensation laws of California, and agree that if I should become
subject �to`the workers' compensation(provisions,•dffSection 3700 of the Labor
Code, I shall fort with comply with those•provisionsl
Date: r'' Q 4Applicant ✓ `�-
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, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes. l'
i
Signature (Owner/Agent) �/�"- Date('
BUILDING PERMIT PERMIT#
0401 •044
DATE VALUATION LOT
A TRACT
$13$ Z0 45 30023
JOB SITE
ADDRESS 31-6'Ii.� MUM WOAL OW DRIVEf�-�i�%Q�-i
APN
OWNER
CONTRACTOR / DESIGNER / ENGINEER
8101A, L.P. QUIN'3'A.UX
MA LA QU123'"A'A LLC
81260PX1" "T= 62
81260 AVEME 62
LAQUINTA. CA $225a
i�AQUINTA CA 92253
Q60i777-67005 rL.9 7BID
USE OF PERMIT
tam -NATi.y Dwu.T No
I
SID T LOT 45, PLANI 4210A. P3rR141°T DOFZ 2400 1NC1,,tJ13E B.LoCr
w.AL6% POOL, 9P.A. OR L7Ete -MAYAPPR<JACH
�
CWTOM CONSTRUCTION 1,614.00 3F
PO+I4f HIPATIO 31 RA* 5"17
0ARACOCARPORT 474.00 SF
CO'1 'ST3 ucrioN FSE 101.000.418.000 M6100
PLAN C;tiW-1c .'MIE 101 -OW -433-318 $639.74
M1C HANICALFE:E 101.000-421,0070 $09.50
E=TPLI€ALFEE 101-000.420-000 $99.33
ftiilvlbrgo FEE, 101-000-419,;000 $140.75
STRONG 1V OT1014 FZE - RfMSID 101-000-2414000 $13.89
GRADMI13 FEE 1 Ola?00.423-f}(}(9 $13.00
L3%:"t►'XWPER. IMPACT FFZ $2,445.OQ
'"Y1rP4�L,!COl!iWl`?2 UCTIJO 1 AND PLAN CHEM
89.21
r _
LL703 PRE -PAM TMS
$0,00
i
rTOTAL P IOMT �` ►ES 7tJ�I.7E 1�t0'NY
,.-r•.� R I �t -4
VVV
RECEIPT
I
DATEBY
TE INALE
IN E R
�%- < c/
A�Ll
Q
If
INSPECTION RECORD
,OPERATION
r•
BUILDING
DATE INSPECTOR
APPROVALS
OPERATION DATE INSPECTOR
MECHANICAL APPROVALS
Set Backs
;,.Forms & Footings
Underground Ducts
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
_ �L
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing 11141fq,
16V
Compressor
Insulation
a
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wali Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Z�l
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
• v 5
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
1
•
...;.....:%:-�•:.•:•....-.:,„r..•.x•..r."•�•r.r.r.r..r..isi..r.•;:..�.-•N�:"�i•;..•.,•.<...,..•�.�v:•"...r•�:••rr,yi•i..-.>•i•..y.,•r,:nv.,�•.• ri,••r•.i:•"•�•r•rr•;:".....�r.:•:.r.,•.,•....•; :....-•..
INSULATION CERTIFICATE
• This is to certify that insulation has been installed in conformance with the current energy
.J
regulation, California Administrative Code, Title 24, State of California, in the building at
81-603 DESERT WILLOW DRIVE LOT 1048, M QUINTA CA
CEILINGS:
TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE 4
BY: TITLE:
r
PARAGO SCHMID BUILPING PRODUCTS A MASCO Company LICENSE 4 221517
BY: TITLE: ACCOUNT REPRLSENTIVE DATE:
. .......�.••r.•r;r;-:.r••:.•r.��ir•..�.r.:r.i.vx.;.;...:�•::r...�.,.•:•r�iiir:ii..•r..•,n�.,fvr.::n•:iirri•: .. •:rr:.. r...�:..�:i.:�•i .-,r.. -..... .. _
Installation Certificate: Residential CF -6R
Site Address
C!t1--b03 Desert Willow Drive"
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
PERMIT #
/00
SUBDIVISION: Trilogy P, 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 G40UH48B-090X 80% 88000
80%
4. COOLING INFORMATION
COOLING
EQUIP.
A/C
MANUFACT COMPRESSOR ACTUAL EFF. COOLING EQUIP COOLING
MAKE MODEL # SEER CAPACITY LOAD
Lennox 13ACC-048 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.
6.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
�= 6macc<cn DATE: Cl y
Signature Installing HVAC Contractor
BORl1�`.SSOCIATES; INC
St*tural'•Engineers
STRUCTURAL. JOB SITE OBSERVATION .
Project Name: 1 .C/ C �j e- 7`r 101 �'� Project Number:
Observer: 1 } ` 1'' 4 Date of Observation: 1-M�e
A visit to the project site was. made on.the above date to.'
❑ Address specific elements of the work.. v ��
❑ Assist the -field, personnel with complying with the intent of the construction,documents.
❑ Assist the field personnel complying with the findings:from a -previous structural job`sife"observation.
ACL C ' F1 n/k G
At the time of our visit; work had progressed to the point of.: Phase:
Address:
_ Bldg. / Lot Number:
"
4_
Bldg. /Plan Type' Elevation:
} [1. c ?
S S s
62 "C
Foundation Trenched
rC`
1e -
Foundation Poured
0'
Roof Sheathing Covered
Roofing Material Stacked and -Loaded
U •..
0•
Exterior Walls Covered •
0 '" °C
0'.
=
0
Interior Wall Covered
0 ' `" Y ' :C.
C
"; C
0
Insulation Installed
0 0
,.
0
0
Electrical, Mechanical, Plumbing Complete
0 x�, z�" 0, .•' ..
_
G
0
Final Framing;Pick-.ups Completed
=
0
Building Complete
Based upon.our visit:
r
Refer to the attached n
field obetes to addressed by. e,constnictioil'peisonnel�
❑ Additional information'will.be senrfroimour office which -will need to be addressed l y tt econstruction personnel.
❑ It is our opinion that this building is being constructed iio:general confbftancerwith`the intent of the construction documents prepared by
our office.
❑ Site Obseivation:.ceased, framing was not at a stage:ofcomple,'tign:;in which site observation could be.performed.
❑ Concerns broug}t:to ti
rAMMPnty
Please note:- "
Our findings `and: recommendations maj� haveother'
-' constrtidhor3'�documents need:;approvalof the`,buildin
construed as authorizing the-expenditure'of additional
Site Observation was made .only to determine gene;a.
portions of the work which would -best represent tt ek
did not include review, approval or observation of am
1. The contractors safety precautions;,procedui
2. Anyshoring, scaffolding, underpinning tem
Y
Any soils at the site,,their adequacy to suppc
4. Any drainage courses or devises of a tempo
addressed.
A"1 I
m ,�k wu
to structural ramifications which we have not'addressed. Be advised that changes to the
>ffic>al: Qur :firm is :not authorized to act as -the Owner's agent. Our findings shall not be
nds.
�fiforra cie with"the-intent-of,;the construction documents 'Ot servation:.Was made of those
nt of:the construction documents, not etch and every, element of the work. Site obseryation
g oilier Uems; �
des gins, methods or techniques.
nary retaimngofexcavations, or any other erection methods or temporary bracing.
1 "V
the building; ,p1.assiveness, orany other soil. related. conditions.
t;.
y natuFe 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=ezpressionoffprofessional opinion by the engineer based on his or her best knowledge,
information and belief. As such,:it.consists of neither aguarantee nor a;warrantee expres�e�or �plie�vv
Field Superintendent (third copy). i4 .rC �4 { C Date:
Client (second°copy via mail)
FieldEngin"per(frst copy) Date:
r
If you have any -questions please contact our of ice.
COSTA MESA, CALIFORNIA Phone: 714-513-7500 Fax: 714-513-7555
ROSEVILLE, CALIFORNIA Phone.:.916-774-7597 Fax!.918t.7;74-7599 -'
SAN RAMON, CALIFORNIA Phone: 925-242-2577 Fax: 925-242-2961
LAS VEGAS, NEVADA Phone: 702-740=5427' Fax: 702-740-5431
• i
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: 4/18104
Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1109
81-260 Avenue 62
La Quinta, CA 92274
Set ID Structure Age of Test Compression Strength
JCM ID Location Date Cast Cylinder ID (days) (psi)
Set A Phase 5A -Lot?#-1045 Slab on Grade 3-3-04 Concrete
273 209Great Room, tComer Required psi: 4000
6139 7 3030
6140 28 5250
6141 28 5210
6�/ �'� Cs'�2% /G.GOw2.
4 0� � 'CERTIFIED: C,
CM Inspections supplies the service
of compression strength test results only.
Per ASTMC39
•
•
Page 1 of 1
y JCM InspeRtions 4A. -IT I.
T.pm.. ,. ' 39725 Garand Lane Suite F
• k 4F�, " ' Pilm Desert; A 92211 ITM�
INSPECTIONS
Phone: ,.760-345-5554 - Fax: 760-772-3895 INSPECTIONS
PREST,,RESSED CONCRETE INSPECTION REPORT Date:,—
Project Name:
Project No:
Trilogy @ La Quinta - Shea Homes
02-1109
Project Address:City:
`
(,La_Quinta,
[:]Title 24 AWS Q UBC Other:
81-260 Avenue 62
y CA
File # ❑ D 1.1
App# ❑ D 1.4
Client:
Sub -Contractor:
Shea La Cluinta, LLC
Sun Coast Tensioning
❑ Other
General Contractor:
Architect: Structural Engineer:
Shea Homes
Bassenian Lagoni Borm & Assoc, Inc/Suncoast Post Tension LP
Size and Type of Tendons
S Q,! � r\ C n.n \! S�f �_ r,,�cQ ur, 0 + N , ' -, �
Bather:
Jack Machine Calibration,��,���Ver� ���a ���.., r+� aQ1'ekCt.rn I- 0 1 V,
Unresolve ems:
lo IQ nK�cl�. Sri � P ,1 �e 33, o� K � 1 � �^ 1
C
None
Calibration Date: ' `
i-3�-
A'
-_,at ,_�_ t j
� t
❑See Below
Description of Work Inspected:
Specified
Lot # Location
Tendons Elongation (in) Actual Elongation (in)
0
A
3
L4
C y t
of-vo f pM r-
9L� A sr";
D1
I 1--
1-1- —�-
A_ �(.—
c
L4
y
3'' 3 3
�
1+
c>s s'. r�o
3
26,
--�>s
r�
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.
Inspector: Jack C. Millin (CBO Certification No: 0842216-89
Contractors Representa iv
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 4- of 4—