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0401-052 (SFD)U) �. (V w' CYLr) W� Z0. t` CO HCDCD LU F- a. Z co ul N ON U rn CL Q � aoc 0 0 J J mUU D 11 U'),H Z ob 5 �O Q D 1 ' LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of r-hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Lich ;se # Lic. Class Exp. Date 67228.5 B 010-1 L Date.� l- I �ISignature of Cont rctor� �` OWNER-BUILDERk'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 1IATIO�j�`,L U141()N Policy No. 7165833 (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 tolthe workers' compensation pro isiois of Section 3700 of the Labor Code,- shtall fortwith comply with those pr`ovisions-- �Date: gin App licant�_� -- 2 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 complyeith all City, and Slate laws relating to the building construction, and hereby authbrize representatives of this City to enter upon the above-mention/ed property for in speG1!9R'purposes. 1 Signature (Owns /Agent)' Dat BUILDING PERMIT PERMIT# 0401-052 10 DATE VALUATION LOT TRACT e1�'19,� 72.70 41 30023 j J JOB SITE APN ADDRESS 81",..(32t.i �.E{.0 VVILLO'!+►! DR�E ad� a JU �i3 7 OWNER CONTRACTOR/DESIGNER/EN (NEER 8 V E A1.A C<?UIN'I'A 1j-iC MRA LA QUINA A LLC 81 x60 AVENUE 62 812.60 AV.G'1;ME 62 LA,QrMTA. CA 92253 LAQU•DT.rA CA 92253 (760)777.6005 CBL41 MID USE OF PERMIT S3 IGLE FAI2ILY UKRI.T,IRG SND - LOT 41• ,PT ANN M20C. PE1`:MIT I)O G NOT 1NC.LUD2 S1,OCK. 'WALIA POOL, SPA OR DR1VE%1AY.04'PROAC H CUSTOM C6YI`TRUCTION- 3,733.00 ASF PORCHIPA.TIC.1 323.00 Sig OARA.0EIC2A13I OXI' 645,00 SF EMMAT .I:f. COY." Ole 72.9,1M;i3� . gl3mAiLaiY CONSTRUCTION ME 101-000-41&0 00 $1,094.50 PUA24 CHECK FILE 101-000-439-318 $885.L<I1 MEC1.1MQCAL-nE 101-000.421.-000 $99:50 EJAC TICAL FXR 101-000-420-000 $141.42 I'1ILIM31140 ITEC 101%000-419-000 SIla:00 STRC 1140 .f4D3' 014 FES . RE810 101-000-2A.1-000 U192 010JUliblo ITY 101-000.:23,000 9B.60 DLVZWPER i!'dWAC'T FEIa $A405.00 AR's 04 P'UBIAC 11I&CEI1- RES11 270-000-:445-000 SWI �'.SUB�'.%C1L 'I�AY Fla , "`�dV2tip'.[ll`fl./.Cd.ld'ILLV d rYd..bL._K $4,909,07 LMM PPX--PAID PrEE S $0.00 i! 04 2-S! c� v�� xrafKE Yn CITY OF LA QUIsN T PI;f!liNCE 1D!:-Pr7, / v RECEIPT DAT✓E�BY / DATE F N6LED INSPECTO INSPECTION RECORD ' OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS . " Set Backs_WDucts Underground Ducts Forms & Footings i� Slab Grade Return Air Steel Combustion Air _ _ Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing Z Compressor Insulation % �/� Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall _ Exterior Lath Drywall - Int. Lath IV Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVAL 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 Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: 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) • Installation Certificate: Residential CF -611 Site Address 81-675 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 # SUBDIVISION: Trilogy Pu, 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 G40UH36A-070X 80% 4. COOLING INFORMATION COOLING MANUFACT COMPRESSOR ACTUAL EFF. COOLING EQUIP COOLING EQUIP. MAKE MODEL # SEER CAPACITY LOAD A/C Lennox 13ACC-036 12 13ACC-036 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. 1 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 f �— aSmarr �,�=LT DATE: ure SignatInstalling HVAC Contractor a ve V.f.- 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 located at 81-675 DESERT WILLOW DRIVE LOT 1041, LA QUINTA CA CEILINGS: TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: BLOW MAUNFACTURER- Certainteed THICKNESS- R-13 GENERAL CONTRACTOR; SHEA HOMES LICENSE S BY: TITLE -- PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE# 221517 BY, TITLE: ACCOUNT REPRESENTIVE DATE: //' 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 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 5 1:—ot-#'11041 Sal Won Grade 3-9-04 Concrete 273.219 Mas erg ath + Required psi: 4000 6212 7 3740 6213 28 5700 6214 28 5650 6/(975 D �s &--O-T • • Page 1 of 1 1)e -CERTIFIED: C, J IMnspections supplies the service of compression strength test results only. Per ASTMC39 L1_ ERA JCM Inspections 16 M V-�. 39725 Garand.,Lane Suite F2 ER Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS - PRESTRESSED CONCRETE INSPECTION REPORT Date: Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: Title 24 AWS R UBC Other: 81-260 Avenue 62 La Quinta, CA File # F-] D 1.1 APP# F� D 1.4 Client: Sub -Contractor: Shea La Quinta, LLC Sun Coast Tensioning E] Other General Contractor: Architect: Structural Engineer: Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP ` `` -- `` ' n Size and Type of Tendon (�.p�c�c� SCie„ STtor((�� l SesS-fe-1�eve �encl�nn� Weather: 6 OCI Ufa Jack Machine Calibration d S\ 'e e' —Clp R c,, l { c ss a rc. stn ece.vQ. \ae. �fn�+.\r� ��a� �. Unresolved Items: 1 © None Calibration Datec\�p.�Q See Below 9\c.%5 Lo�-4-log, Rr, 1&. C. Description of Work Inspected: Specified Lot # Location Tendons Elongation (in) Actual Elongation (in) owl Cz'®�C' X -C -A 1 :�_ 116. CO \ FI- r,tC�1 �C``fev..Ga� CGS aC0^ oZ'1 t �M' 3 Grf� o< Q//Q Yl r oC o� � �✓ F� . C�i �� Ff �X s=ue --L'4. 5>4 Q�' -M., In 161,r l r,, L �' O �. C e / o J r"Ian, Q\ o a. a y a -y ar- o i , 111100 e— e..a a r A n Q-_ Nh���- CLeQ \ is G��A ✓tL4 I . . O'U 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 IC C ifcat on No. 0842216-89 Contract<r's Represe rtat' e: Copy 1 `d,cm. spections Copy 2 Project Superintendent Copy 3 Governing Agency Page of _