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05-2267 (SFD)A`� -. P.O. BOX 1504. 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253. Application Number: C-5 Property Address: 81256 VICTORIA LN APN: 764-270-999-136 -300234- Application description: DWELLING - SINGLE FAMILY D Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 192099 4 BUILDING & SAFETY DEPARTMENT BUILDI^1S-WRMIT . Owner: SHEA LA QUINTA C/O"JEFF MCQUEEN.. 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Applicant: �rchitect r Engineer: _ - t: r" L LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that -I am licensed under provisions of Chapter 9 (commencing with, ' Section 7000) of Division 3 of the BusinessandProfessionals Code, and my License is in full force and effect. ' - License Class: B �,.LicceennsseNo.: 672285 /Date: A�ontraclor: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that Iam 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 $500).:1 _ 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 a 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 _ 1 I, as owner of the property; am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coder 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.). ' (_) I am exempt under Sec. , B.&P.C.: for this reason Date:' Owner: ' CONSTRUCTION LENDING AGENCY Thereby 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: P tA- LQPERMTf Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760) 7.77-6005 Lic.'No.: 672285 VOICE (760) 777-7012 ', FAX (760) 777-7011 INSPECTIONS (760) 777-7153 WORKER'S COMPENSATION DECLARATION Ihereby 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 workerscompensation insurance carrier and policy number are:, Carrier NTL UNION INS Policy Number 6436568 _ 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 tote workers' compensation provisions of Section 00 of the Labor Code, I tall forthwith m y with those provisions. Date: &M63jrA2pplicant: WAR ING: FAILURE TO SECURE Vtr6R MP$ SATION 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 y 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 that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and her, y authorize representatives of this cou ty t enter u/on the above-mentioned property for ' pection purpo s. Date: g8r nature (Applicant or Agent) Application Number 05-00002267 Permit . . BUILDING PERMIT Additional desc'. Permit Fee 965.00 Plan Check'Fee 627.25 Issue'Date Valuation '192099 Expiration Date 12/07/05. Qty Unit Charge Per Extension BASE FEE 639.50 93.00 3.5000'THOU BLDG 100,001-500,.000. 325.50 Permit . . . MECHANICAL Additional desc . - Permit Fee 65.50 Plan Check Fee 16.38 Issue Date . . . . Valuation 0 Expiration Date 12/07/05. 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 104.16 Plan -Check Fee 26.04 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/07/05 Qty Unit Charge Per Extension BASE FEE 15.00 2189.00 .0350 ELEC NEW RES -,1 OR 2 FAMILY 76.62 627.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.54 Permit PLUMBING Additional desc . Permit Fee, 147.00 Plan Check Fee• 36.75 Issue Date . . . Valuation .0 Expiration Date 12/07/05 Qty Unit Charge Per Extension BASE FEE 15.00 13:00 6.0000 EA PLB FIXTURE 78.00 •1.00 15.0000•EA PLB BUILDING SEWER 15.00 _ LQPERMIT Application Number 05-00002267 Permit . . PLUMBING r 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 1.0.0.. 9.000.0 EA PLB LAWN SPRINKLER SYSTEM 9.00- 6.00 .7500 EA PLB GAS PIPE >=5 4.50 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 12/07/05 Qty Unit 'Charge Per Extension BASE' FEE 15.00 --------------------------------------------------------- Special Notes and Comments SFD - Plan 5210C Lot 136 w/MBR Box Bay (26 sgft)` & Garage Ext: (109 sgft). Permit does not include block wall, pool or driveway approach. -------------------------------------------------------------------- Other Fees . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES _ 366.00 ENERGY REVIEW FEE 62.73 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF,PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 19.20 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION -ARES 1098.00 r Fee summary Charged Paid Credited ------- ---------- Due _ ---------- Perm t Fee Total 1296.66 .00 00 1296.66 . Plan Check, Total 706:42" .00 .00 706.42 Other. Fee Total 2506.93 .00 .00 2506:93 Grand Total 4510.01 .00 .00 4510.01 LQPERMIT 10/11/2005 10:51 FAX PARAGONPSCHIMID 1@ 006/019, .y 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=256 VICTORIALANE,107,4'16&PHASEv'11C, LA QUINTA CA CEILINGS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38 WALLS: r TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE# BY: TITLE: .PARAGO CHMID BUILDI G PRODUCTS A MASCO Company LICENSE # 221517 BY: BGG TITLE: ACCOUNT REPRESENTIVE DATE: �� 0 Y JCM Inspections - . 39725 Garand Cane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-7.72-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Dates: Noted Below Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City:. 81-260 Avenue 62 La Quinta, CA ❑✓ IBC [-]Title 24 Other: Client: - Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Architect: Structural Engineer: Shea Homes Bassenian Lagoni Borm & Assoc,Inc/Suncoast Post Tension LP Slump (inches):S Supplier: Superior Time Sampled: tO ; O Q w�' Mix Design: D83625P Time in Mixer (min.): st7 Specified Strength (PSI): 4000 , Water Added @ Jobsite (gals.): 10 Addmixture: POZZ 322N Concrete Temperature (F): �""� Truck #:a(, Ticket #:`� #:-1 LI� Ambient Air Temperature (F): 4 Field ID Marking: Set A - 4 cylinders rW�eather:-1-11{_0 Unresolved Items: ❑ None ❑ See Below Location of Sample: , o�, ,,,� C_Cnr� , ' nf"ayc. ❑ No Samples Taken Description of Work Inspected: Phase C Lot# LJ+3 Product ,-,I Plante L QS_G1 V 1 CA n r iia (' Q el QL 11 o 1) Received mill certifications fdr 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/SD-1), 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),, Footings and additional �Pad rebar placed as per these details and as noted on S 9 — S 9.a SL4--G i ,n c a '+ N r� ''1 1CT• 1.3 n r c+ Q.x\+on"ooel a' baja �AYN.•r+akow (r- CSC &�CorOcA i Also, typical details 2, 3/SD-1 and Notes on SNA 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. -1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx . 1 (0 , ter. A mechanical vibrator was used to consolidate the concrete. Approved #4 rebar slab dowels were placed @ 18" o.c. Y 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 he by 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 report issued at project completion. Inspector: Jack C. Millin ICC Certifca io No: 0842216-80 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of i JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: City: 81-260 Avenue 62 La Quinta, CA 0 IBC Title 24 Other: Client: Sub-Contractor: Shea La Quinta, LLC Sun Coast Tensioning General Contractor: Architect: Shea Homes Bassenian Lagoni Structural Engineer: Borm & Assoc,lnc/Suncoast Post Tension LP 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 Sy pp psi to 33.04 kips/33,000 lbs Calibration Date: Machine # '� � e'%$., O-.- Phase' ` c„Lot# Products:. Plan (' C, �jl .-�.,, V 1(�o( 1 C_ Weather: it k- S A �� Unresolved®Items: JR' None E] See Below Description of Work Inspected: Specified Lot # Location Tendons Elongation (in) Actual Elongation (in) Complies within 7% +/- of specified elongation. Reference 11 h/SN2. Yes No p Uro'❑ 'Mocn�n .�rrl�eo: t:-ncoso. cx�• 4 3 Cryo' ❑ y �p r e�/w � �� c��! auJ --s'r� �{' � �! 1 � LTJ ❑ 3A eg. L4 AS\r� Dn r �.Q�Q . �� ❑ Er 1:1 ❑ ❑ ❑ ❑ I h y 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 report issued at project completion. Inspector: Jack C. Millin ICC Centification,No: 0842216-89 Contractor's Representative: Copy 1 JCM Innsppec ons Copy 2 Project Superintendent Copy 3 Governing Agency Page of 1 COMPRESSION STRENGTH TEST,RESULTS Client: Shea La Quinta, LLC � Dater 9125105 JCM Inspections 39725 Garand Lane Suite F Project No: . 02-1109 Palm Desert, CA 92211 INSPECTION'S' Phone- 760-345-5554, - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST,RESULTS Client: Shea La Quinta, LLC � Dater 9125105 ,. 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 11 C - Lot # 4136 Slab on Grade 7-15-05 Concrete 273-554 Nook - Required psi: 4000 639 7• - 3450 .640 28 5050 641 •28 '. 5110 CERTIFIED: JCM Inspectioni supplies the service of compression strength test results only. Per ASTMC39 Page 1 of 1 .