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05-2265 (SFD)1\ 1 44QP.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING &.SAFETY DEPARTMENT ' BUILDING PERMIT Application Number: X0500002265---=- Property Address: 81244 VICTORIA LN �. APN: 764-270-999-137--300234- Application description: DWELLING - SINGLE FAMILY DETA Property Zoning: _MEDIUM HIGH DENSITY' RES 1 Application valuation: 182699 Applicant: 'Architect or or Engineer: NVA Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 t SCOTTSDALE, AZ 85258 Contractor: SHEA HOMES, INC. ��(®�c�®��• 81260 -AVENUE 62 LA QUINTA, CA 92253 (760) 777-60'05 :. Lic. No.: 672285 VOICE (760) 777-7012 FAX (760).777-1011 INSPECTIONS (760) 777-7153 Date: 6/10/05 --------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: • Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have andwill maintain a certificate of consent to self -insure for workers' compensation, as provided License C ss: License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is !! ., 0� !-' — Beate: ontractor: �--�./ issued. K 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 . OWNER -BUILDER DECLARATION insurance carrier and policy number are: . I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NTL UNION INS. . Policy Number 6436568 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the _ person in any manner so as to become subject to the workers' compensation laws of California, ' permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to thew rkers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the Labor Code, I all forthwith co f� ith those provisions. that he or she is exempt therefrom and the basis for the alleged. exemption. Any violation of Section 7031.5 by3, any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: Date: —� scant:' 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 WARNING: FAILURE TO SECURE W COMPE ATION COVERAGE IS UNLAWFUL, AND SHALL . Contractors' State License Law does not apply to an owner of property who builds or improves thereon, : SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN • improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). - APPLICANT ACKNOWLEDGEMENT 1 _ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not'apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon; and who contracts for the projects with a contractorls) licensed 1 . Each person upon whose behalf this application is made; each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason 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. . - Date: Owner:. " 2. Any permit issued as a result olI 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 _ CONSTRUCTION LENDING AGENCY permit to cancellation. - - I hereby affirm undeupenalty of perjury that there'is a construction lending agency for the performance of the - I certify than) have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ: C.).-- - -. city and county ordinances and state laws relating to building construction, and her uthorize representatives • - Lender's Name: IA4y • nth of this co my to enter upo a above-mentioned grope fo , spectionpurpo -' 3�✓ _ ... Lender's Address: Date ig6 nature (Applicant or Agentl: LQPERAIIT Application Number . . . ... 05-00002265` Permit . . . . . BUILDING PERMIT Additional desc . Permit. Fee 930.00 Plan Check Fee 604.50 Issue. Date Valuation,. 182699. Expiration Date 12/07/05 Qty Unit Charge Per Extension BASE FEE 639.'50 - ' 83.00 3.5000 THOU BLDG'100,001-500,000 290..50 Permit . . . MECHANICAL _ Additional desc . Permit-Fee 83.50Plan Check Fee'. 20.88 Issue. Date . . . . Valuation . . . 0 -, Expiration Date .' 12/07/05 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00' 2.00 9.0000 EA MECH B/C <=3HP/100K BTU .18.00 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 . . . . 99.07 Plan Check Fee 24.77 Issue Date Valuation . . . . 0 Expiration Date 12/07/05 Qty Unit.. Charge Per Extension BASE FEE 15.00 2094.00 .0350 ELEC NEW RES - 1.OR 2 FAMILY 73.29 539.00 .0200 ELEC.GARAGE OR NON-RESIDENTIAL 10.78 Permit PLUMBING , Additional desc . ' Permit Fee 153.00 Plan Check'Fee 38.25 Issue Date Valuation 0 Expiration Date 12/07/05 Qty Unit Charge Per Extension ' BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 1.00 15.0000 EA PLB.BUILDING SEWER 15.00 LQPERMIT ' . . ;Application Number . . . . 05-00002265 Permit . . . . PLUMBING - Qty Unit Charge Per Extension 100: 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00" 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00- 9:0000 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 -----------i------------------------------------------------------------- ------------------------------------------------ ----------------------------- 15.00 Permit 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 SED - Plan 5505A, Lot 137 w/Casita (247' ' sgft), MBR Box Bay (26 sqft) & Garage Ext. (83.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 60.45. DIF FIRE PROTECTION -RES. 97.00 GRADI"NG 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 18.26 • DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due ---------• ---------- -.---- Permit Fee Total 1280.57 .00 .00 ----- 1280.57 Plan Check Total 688.40 .00 .00 - 688.40 • Other Fee.Total 2503.71 .00 .00 2503.71 • Grand Total 4472.68 .00 .00 4472.68 .. LQPERMIT - . . 10/11/2005 10:51 FAX PARAGONPSCHIMID IaOO5/019 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 8 2 ICTORIA LANE OT413' 7, NASE-14C '.,LA QUINTA CA - CEILINGS: ' TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: BLOW MANUFACTURER-- Certainteed THICKNESS: R-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: PARAGOLCHMID BUILDING PRODUCTS A,MASCO Company LICENSE # 221517 BY: LE: ACCOUNT REPRESENTIVE , DATE: .Od 6 2 JCM Inspections � 39725. Garand Liane Suite F Palm Desert, .CA 92211.,; I N S P E C T I ONS Phone: 766-345-5554 - Fax: 760=772-3895 'INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Dates: Noted Below _ Protect Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: ❑✓ IBC 81-260 Avenue 62 J La Quinta, CA ❑Title 24 Client: Sub -Contractor: Shea La Quinta, LLC DCCCC Other: General Contractor: Architect: Structural Engineer: Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP i Slump (inches): 7, q;,0 r.$upplier: Superior �Weat r: a��� . Time Sampled: Q', a O 0 ,`n Mix Design: D83625P 0v�-7�1L Time in Mixer (min.): "7Dr.'Specified Strength (PSI): 4000 Unresolved Items: , Water Added @ Jobsite (gals.): -;1D Addmixture: POZZ 322N Concrete Temperature (F): Qy3 Truck #: �2>9S Ticket #."1 y 2a $00— E] None Ambient Air Temperature (F): $q Field ID Marking: Set A - 4 cylinders ❑ See Below 1 Location of Sample: `Gb ON G C Q ©&J ❑ No Samples Taken Description of Work Inspected: Phase 1 C Lot# 1 3`7 Product ;Z_, Plan Ln . 7. `7 � 14 -0-szl 1) Received mill certifications for 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), Pad Footings and additional rebar placed as per these details and�ass noted on % f'1 c �n� G o -C,) -- --aC>(r\ nr a C>(r\ Also, typical details 2, 3/SD-1 and Notes on SN -1 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. ozs- 1) The�placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx fa e 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. a 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 report issued at project completion. ,; r Inspector: Ja k C. Millin ICC Ce ifi a�46:216,80 Contractors Representative: Copy 1 JCM Inspections ' 4 Copy 2 Project Superintendent Copy 3 -Governing Agency Page of ."7. ,• -. - M JCM Inspections I 39725 Garand Lane Suite F Palm Desert,, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: -7 a"�r••-- P ect Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: �✓ 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, I nc/Suncoast Post Tension LP Weather: 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 Unresolved Items:` S N0] psi to 33.04 kips/33,000 lbs ®. None E]See Below Calibration Date: Machine #�, �c"� Phase' I C Lot# 11 1 3 Products Plan�- Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. Yes No ,..art �� ❑ EEr ❑ .ra Q� Trg x.00 l ita t T I tj u ❑ Ll 2.1 El Ca' ❑ 3 3 Ea ❑ p Dn� 3� �f)f 7 LJ ❑ ❑ ❑ ❑ ❑ 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 p pecifications applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICC Cer£ificstion 'No: 0842216-89 Wk Contractor's Representative: - 141 Copy 1 JCM Innspe�ctiions Copy 2 Project Superintendent Copy 3 Governing Agency Page _I of