05-1441 (BLCK)P.O. BOX 1504 • '�C���
VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:�r JLW I Date: 5.18-05
Applicant: Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S 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
Cade, and my License i full force and effect. -72 G
icense Class cense No. (a 29
/Date Contractor J)(A &%es
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): .
U 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 or 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.).
U 1, 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.).
U I am exempt under Sec. . BA P.C. for this reason
Date Owner.
WORKERS' 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.
1 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
ed. M workers] compensation insurance carrier a p n pec
/farrier
;O#
L(h )bn �y C . �v Number
_ I certify that, in the perform—ance efthe 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 the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall
forthwith comply with those provisions.. I f
�te s/ % 1 h /D_q /d, r�� r </ 0/. Uhk"12 C
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.
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
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 Ouinta, 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 the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize repre ntatives of this county to en u on the above -menti a operty for inspe 'on purposes.
D S bs
gnature (Applicant or Agent):
Conditioned Floor Area: 2100 Square Feet
Conditioned Volume: 0 Cubic Feet
Front Orientation:: '� N/A
N b f St 1
Surface
Area
Pro osed
CaICERTS Certified
Rating
November, 3 2005
This Compliance rating is for
`
the home located at:
81201 Victoria Lane
0
sted Duct in Conditioned Space-
La Quinta CA, 92253
Certificate Number:
CC3-1798351726
'
Date Inspected:
November, 2 2005 t
CalCERTS Rater:
William Henson
CC2004076
HERS Analyst:.
N/A
Builder/ Developer:
Shea Homes, Inc.
r Project:
Trilogy @ La Quinta
;
Phase:
-Phase 11C
Plan Name:
5505 . �
z
Lot Number:
7
'
Specifics about this home:
General Information
Building Envelope
'
Conditioned Floor Area: 2100 Square Feet
Conditioned Volume: 0 Cubic Feet
Front Orientation:: '� N/A
N b f St 1
Surface
Area
Pro osed
Actual
R
Value
U
I Factor
R
Value
U
Factor
um er o or TM
Hearing and Cooling Systems Windows.
Heating Equipment: Furnace: 0.8
Cooling Equipment: AC: 12
HVAC Air Distribution _
IWuct Location: Attic a
uct Leakage Target: 6.0 y
Duct Insulation R -Value: 6
Air Infiltration
Blower Door Target: 120.0
r + �X TESTED (PAGE 1 OF 2) "
Water Heating System Pro osed =APPROVED AS PART OF SAMPLE GROUP
TY Size Fuel EF Distribution
FIRM: BCI TESTING
Water Heating S Stem Actual ADDRES 77-760 COUNTRY CLUB DRIVE, SUITE I
TY Size Fuel I EF -Distribution
PALM DESEERT, CA. 92211 i
PHONE: 760-772-2954
Testing Results • '
Main System HVAC System.
Pro osed
Actual
Orientation
Area
SHGC
U
Value
SHGC
U
Value
HVAC Air Distribution _
IWuct Location: Attic a
uct Leakage Target: 6.0 y
Duct Insulation R -Value: 6
Air Infiltration
Blower Door Target: 120.0
r + �X TESTED (PAGE 1 OF 2) "
Water Heating System Pro osed =APPROVED AS PART OF SAMPLE GROUP
TY Size Fuel EF Distribution
FIRM: BCI TESTING
Water Heating S Stem Actual ADDRES 77-760 COUNTRY CLUB DRIVE, SUITE I
TY Size Fuel I EF -Distribution
PALM DESEERT, CA. 92211 i
PHONE: 760-772-2954
Testing Results • '
Main System HVAC System.
Tested Duct Leakage:
es - Passed
Tested Leakage Flow in CFM: 96
OOcfm/ton x number of tons: 1600
Leakage Percentage 100 x Test Leakage/Fan Flow 6.0
Tested TXV:
Yes - Passed
Thermostatic Expansion Valve is installed and Access is
provided for inspection.
ested Duct Design Compliance:,
N/A
sted Duct in Conditioned Space-
N/A
ested Reduced Duct Surface Area:
N/A
ested Infiltration Reduction Credit:
N/A
.' CaICERTS Certified Rating November, 3 2005
This Compliance rating is for the home located at: 81201 Victoria Lane
0.
La Quinta CA, 92253
Certificate Number: CC3-1798351727 _
Date Inspected: November, 2 2005
CaICERTS Rater: William Henson"' `
CC2004076 •
HERS Analyst: N/A E't-
,Builder/Developer: Shea Homes, Inc. .
Project:. `. Trilogy @ La Quinta
Phase: Phase 11C
Plan Name: Casita�
Lot Number:127,µ 4 ,
Specifics about this home:
General information uilding Envelope c
Conditioned Floor. Area: 400 Square Feet
Conditioned Volume: 0 Cubic Feet
Front Orientation: N/A'
' N • b f St "
Surface
Area
Proposed
Actual
R
Value
U
Factor
R
Value
U
Factor
well er o ones. 1
Windows
Heating and Cooling Systems
Heating Equipment: Furnace: 0.8
Cooling Equipment: AC: 12
HVAC Air Distribution
�uct Location: Attic
uct Leakage Target: 6.0
Duct Insulation R -Value: 6 '
4 '
'.Air Infiltration
Blower Door Target: 48.0
*i TESTED (PAGE 1. OF 2) �. •~ ,
Water Heating, S stem Pro OSedAPPROVED AS PART OF SAMPLE GROUP
TY Size I fuel I EF I Distribution
FIRM: BCI TESTING
Water Heating S Stem ActualADORES 77-760 COUNTRY CLUB DRIVE, SUITE I
TY Size I Fuel EF Distribution ,
PALM DESEERT, CA. 92211
Testing Results PHONE: 760-772-2954
Main System HVAC S stem
Pro osed jActual
- Passed
Orientation
Area
Yes - Passed
U
ested Duct Design Compliance:
U
sted Duct -in Conditioned Space:
ested Reduced Duct Surface Area:
N/A
N/A
SHGC
Value
SHGC
Value
HVAC Air Distribution
�uct Location: Attic
uct Leakage Target: 6.0
Duct Insulation R -Value: 6 '
4 '
'.Air Infiltration
Blower Door Target: 48.0
*i TESTED (PAGE 1. OF 2) �. •~ ,
Water Heating, S stem Pro OSedAPPROVED AS PART OF SAMPLE GROUP
TY Size I fuel I EF I Distribution
FIRM: BCI TESTING
Water Heating S Stem ActualADORES 77-760 COUNTRY CLUB DRIVE, SUITE I
TY Size I Fuel EF Distribution ,
PALM DESEERT, CA. 92211
Testing Results PHONE: 760-772-2954
Main System HVAC S stem
Tested Duct Leakage: tYes
- Passed
Tested Leakage Flow in CFM: 36
00cfm/ton x number of. tons: 800
Leakage Percentage 100 x Test Leakage/Fan Flow 4.5
Tested TXV:
Yes - Passed
Thermostatic Expansion Valve is installed and Access is
provided for inspection.
ested Duct Design Compliance:
N/A
sted Duct -in Conditioned Space:
ested Reduced Duct Surface Area:
N/A
N/A
ested Infiltration Reduction Credit:
N/A
N
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 76.0T772-3895
REINFORCED CONCRETE INSPECTION REPORT. Dates:.Noted Belo'
Rr me: Project No:
Trilogy @ La Quihta -Shea Homes 02-1109
Project Address: City:
IBC
81-260 Avenue 62 La Quinta, CA
Title 24
Client: Sub -Contractor:.
.Shea La Quilnta, LLC DCCCC
Other
General Contractor: Architect, Structural Engineer:
Shea Homes Bassenian Lagoni Borm &Assoc, I nc/Suncoast.Post Tension LP
Slump (inches): Supplier: Superior
-7
Weather:
Time Sampled: C� ..gL Mix Design: D83625P
Time in Mixer (min.): Specified Strength (PSI):. 4000
Unresolved Items:,
Water Added @ Jobsite (gals.): A rt Addmixture: POZZ 322N -
Concrete temperature (F): Truck #: L4 C—Z, -Ticket 0: ao
F] None
Ambient Air Temperature (F): Field ID Marking. Set A - 4 cylinders
E] see Below
Location of Sample: A VA; k_:kr-
❑ No Samples Taken
Description of Work Inspected: Phase C- -Lot# Product Plan
-I 1;-P I a
1) Received mill certifications for rebar and tendons placed.
2) Typical exterior Footings including, Garage Footings/Door (1.1,12,13/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/Sb-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 S'l A C)/LA'�N C-M(QCZ?_,
co 0 A Si r,i
c VY)o
Also, typical details 2, 3/SD-1 and Notes on SNA apply. Checked rebar for grade, size, placement, coverage and splices. Rebarand 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 andSlab 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 Verified correct mix design.
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
Aft,pecifications -applicable building laws. Final report issued at project completion.
Inspector: Jack C. Millin 1CC Certification No: 0842216-80
Contractor's Representative:
Copy 1 JCIVI Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page: of
a
- JCM 'Inspections
39725 Garand: Lane Suite F
Palm Desert, CA 92211
. I N S P E C T:I O N S, Phone: 760-345-5554 _ Fax: 760-772-3895
I N. S P E C T I O N S
PRESTRESSED CONCRETE INSPECTION REPORT Date:
Rro�ect Name:
Project No:
Trilogy @ La QOinta -:Shea: Homes .
02=1.109
Project 'Address: City:
0. IBC'
81-260 Avenue 62 La Quinta, CA
Title 24
Client: Sub -Contractor:.
Shea La Quinta, LLC Sun Coast Tensioning
Other:
General Contractor:. Architect:
Structural Engineer: .
Shea Homes Bassenian Lagoni
Borm & Assoc,lnc/Suncoast Post Tension LP.
.
Size and Type of .Tendons: 112" Diameter Seven. Strand Stress -Relieved Tendons.
We they:
�o'�\
Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure,in psi to Machine Load in kips
Unresolved mems:`
`t7t4 M psi to 33.04 kips/33,000 lbs
None
See Below
Calibration Date: , Machine #3&;
Phaselk C. 'Lot# ,3 Product,-,,? PlaS�S�(Z,
Description of Work Inspected:
Actual Elongation (in)
Specified
Complies within 7% +/- of specified elongation.
Lot # Location Tendons Elongation (in)
r Reference 11 h/SN2.
Yes. No .
At
El
�'
_
C>
31
a
31
r
El
El- El
❑ ❑
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
pecifications applicable building laws. Final reportissued �t project completion:
Inspector: Jack C. Millin ICC'Certifi tion0842216-89 .
Contractor's Representative:-.
Copy 1 JCM Inspection Copy 2 Project Superintendent Copy 3 .Governing Agency Page of ' ( .