BPOL2015-0180 (BPOL)78-495 CALLE TAMPICO '
LA QUINTA, CALIFORNIA 92253
Application Number: BPOL2015-0180
Property Address: 60286 ALOE CIR CIR
APN: 764410048
Application Description: HUBER RESIDENCE POOL
Property Zoning:
Application Valuation: $18,000.00
Applicant:
VACATION POOLS INC
P 0 BOX 10940
INDIO, CA 92202
J
Twyl D VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/20/2015
Owner:
DON HUBER
3221 OREGON AVE
COSTA MESA, CA 92253
Contractor:
a VACATION POOLS INC
L/per\ P 0 BOX 10940
INDIO, CA 92202
AUG 2 4 2015
(760)775-0468
CCtYOFIAQUWTp Llc. No.: 856835
COMA4UNIT(DEVEIAPMENT DEMMMENt
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 1000) of Division 3 of t si ess and Professions Code,
and my License is in full force and effect.
License Class: C53 License No.: 856835
ate: Contra or:
OWN - ILDER DECLARATION
I hereby affirm under penalty of perjury that I am 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 Divisio
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
permit subjects the applicant to a civil penalty of not more than five hundred dollar
($500).:
(_) 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 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.).
(_J I, 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.).
(_) I am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
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:
III II
64
IIII I I I VIII III E
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 and policy number are:
Carrier: _ Policy Number:
I certify that in the performance of the ork for which this permit is issued, I
shall not employ any person in any manner so a o become subject to the workers'
compensation laws of California, and agree th , if I should become subject to the
workers' compensation provisions of Sectio 00 of the r Code, I shall forthwith
ompl h those rovis?.
ate: / (/ Applic
WARNING: FAILURE TO SECURE OR RS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPL 1 0 CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DO RS ($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
IMPORTANT: Application is hereby made to the Building Official 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 1p rmation is correct.
I agree to comply with all city and county ordinances and stat w relating to building
construction, and hereby authorize representatives of this c' Lnterponthe above-
mentioned property for inspection purposes.
Date: _ Signature (Applicant or Age ):
T r
FINANCIAL •• {•
DESCRIPTIONACCOUNT .' QTY AMOUNT PAID PAID DATE
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$0.00
PAID BY- `
METHOD RECEIPT #
CHECK # CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
PAID BY
METHOD
RECEIPT#
CHECK #
CLTD BY
DESCRIPTION -
ACCOUNT
QTY .
' _ AMOUNT ; ;
PAID
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forP00L / SPA: $279.91 $0.00
TOTALS::0 •00
Description: HUBER RESIDENCE POOL
Type: POOL Subtype:
Status: APPROVED
Applied: 8/18/2015 PJU
Approved: 8/19/2015 KKI
Parcel No: 764410048 Site Address: 60286 ALOE CIR CIR LA QUINTA,CA 92253
Subdivision: TR 30023-3 Block:
Lot: 176
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $18,000.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
GAVE TO KK PUT ON HIS DESK
Details: POOL WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION.
2013 CALIFORNIA BUILDING CODE
8/18/2015
PER APPROVED PLANS KK.
8/18/2015
Printed: Thursday, August 20, 2015 10:21:50 AM 1 of 2 Cj �srsreMs
CHRONOLOGY
CHRONOLOGY TYPE
.STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
PLAN CHECK SUBMITTAL
GAVE TO KK PUT ON HIS DESK
PHILIP JUAREZ
8/18/2015
8/18/2015
RECEIVED
sent back to philip 8/19/15
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY STATE
ZIP
PHONE FAX EMAIL
APPLICANT
VACATION POOLS INC
P 0 BOX 10940
INDIO CA
92202
CONTRACTOR
VACATION POOLS INC
P 0 BOX 10940
INDIO CA
92202
OWNER
DON HUBER
3221 OREGON AVE
COSTA MESA CA
92253
Printed: Thursday, August 20, 2015 10:21:50 AM 1 of 2 Cj �srsreMs
-
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY ,.
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
SWIMMING POOL/SPA
101-0000-42404
0
1 $181.29
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$0.00
PC
Total Paid for POOL/ SPA: $279.91 $0.00
TOTALS::0 00
INSPECTIONS
SEQID ` ''INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED. '..RESULT, REMARKS .. NOTES
DATE DATE
FINAL"* BLD
ATTACHMENTS
Printed: Thursday, August 20, 2015 10:21:50 AM 2 of 2 CMsrSTEMs
Bin #
City of La Quinta
Building 8£ Safety Division
1
_ I'1 \� P.O. Box 1504, 78-495 Calle Tampico
V La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Zb�
Project Address:
Owner's Name:
i
A. P. Number:
�I
Address: 5 O(f C/Ille V
Legal Description:
City, ST, Zip: L leh,i,LA
Contractc or: s
w�
Telephone: (/
Address: �(' C 7/
Project Description:
City, ST, Zip: /aS-
Telephone: Q 7� tel.
Xi
State Lic. # : C J p�'��g�
City Lie. #.C"
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
....................................
Ctru aneY
�onscttYPe• OccuP
State Lic. #:
Project a circle one): New Add'n Alter Repair Demo
J h'P ( ) P
Name of Contact Person: %l//Uj�j
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: G -10
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING J
PERMIT FEES
Plan Sets
Plan Check submitted
I
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Clieck Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2*' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Reyiew, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P..
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Certificate Number 20130410-SA33998
Report Reference SA33998-20130407
Issue Date 2013 -APRIL -10
Issued to: AQUASTAR POOL PRODUCTS INC
#224,1666 GARNET AVE
SAN DIEGO, CA 92109
US
This is to certify that SUCTION FITTINGS FOR SWIMMING POOLS, WADING
representative samples of POOLS, SPAS AND HOT TUBS
USL/CNL: In -ground Swimming Pool Drain, Model Eclipse
501003.
Have been investigated by UL in accordance with the
Standard(s) indicated on this Certificate.
Standard(s) for Safety: ANSI/APSP-16 - Suction Fittings for Use in Swimming
Pools, wading Pools, Spas, and Hot Tubs
CAN/CSA B125.1-05 - Plumbing Fittings
CAN/CSA C22.2 No. 218.2-93 - Hydromassage Bathtub
Appliances
Additional.lnformation: See the UL Online Certifications Directory at
www.ul.com/database for additional information
Only those products bearing the UL Listing Mark for the US and Canada should be considered as
being covered by UL's Listing and Follow -Up Service meeting the appropriate requirements for US
and Canada.
The UL Listing Mark for the US and Canada generally includes: the UL in a circle symbol with "C" and
"US" identifiers: caul the word "LISTED', a control number (may be alphanumeric) assigned by UL;
and the product category name (product identifier) as indicated in the appropriate UL Directory.
Look for the UL Listing Mark on the product.
William R. Camey, Director, North American Certification Programs ■ i
UL LLC
Any Information and documentation involving UL Mark services are provided on behalf of UL LLC (UL) or any authorized licensee of UL. For questions, please
contact a local UL Customer Service Representative at W ul.comlcontaetus
Page 1 of 1
SQUARE'
Mfg byAQUASTAR'"`'
P—IP-1-1, e— �
SUBMERGED, SINGLE OR MULTIPLE UNBLOCKABLE SUCTION OUTLET
IMPORTANT SAFETY INSTRUCTIONS FOR
Model # 501003 - ECLIPSE DRAIN
1 MEETS OR EXCEEDS ANSI/APSP 16-2011
ANTI-ENTRAPMENT/ANTI-VORTEX*J
READ AND FOLLOW• ,
• WARNING!
IMPROPER INSTALLATION OR USE OF THIS PRODUCT MAY PRESENT A RISK OF HAIR OR BODY ENTRAPMENT AND
DROWNING. Install this equipment in accordance with the instructions provided. Use only with the components and
mounting hardware provided. FAILURE TO FOLLOW THESE INSTRUCTIONS AND/OR USE WITH COMPONENTS NOT
PROVIDED BY AQUASTAR POOL PRODUCTS AND INTENDED TO BE USED WITH THIS PRODUCT MAY RESULT IN IMPROPER
POSITIONING OR FUNCTIONING OF SUCTION OUTLET AND MAY CAUSE SEVERE PERSONAL INJURY OR DEATH.
SAVE THESE INSTRUCTIONS FOR FUTURE REFERENCE
• If in doubt about the satingg and/or head loss curve of your
system consulta qualifiedpool or spa professional and/or your SPECIAL NOTES:
respective equlppmeet manufacturer(s). Also, double check
with ,yyour local budding/health authorities regarding single vs. Pool finish should never exceed top of sump.
multiple dram 'installa ions> etc. Taper pool finish down and away from top (or lower) of sump.
• A minimum 2" diameter of connectingplpe is required
pending velocity and GPM calculations. The larger, the 6tterl Top of grate should never be Installed lower than the pool
DO NOT exceed maximum flow rate(s) of cover or pipe(s) flow finish.
rate(s), whichever is less.
• Replace cover and screws within 5 years.
ALL MODELS LISTED BELOW = ANTI-ENTRAPMENT/ANTI-VORTEX AND FOR SINGLE OR MULTIPLE USE
IOAX • • •
I Model I 501003 I
—_ (min 2" pipe size)
Floor 157 GPM @ 1.0 fps
;^Wall 1 NA _--1I
f
IMPORTANT
Head Loss for 20" ECLIPSE Drain 501003
9
3 3 i
s 2
o
o so 300 Iso 200
FLOW IOPMI
PLASTE
Single or Multiple drain use. SN I EL
NATER S
• Model: 501003
NOTE: Disposable plaster shield and
center plaster cap included to prevent
debris from entering sump and to retain =
shape during pool finish, MUST BE
REMOVED and replaced with mfr. supplied
center logo cap with markings and screws
installed before startup. (Pierce with a =
sharp object and pull out to remove)
Rev 040213
2O- ..ILL CRRLTB / ECLPW •R•.V NUTALL.ATIDi
IM7TH OPTIONAL HYDROSTATIC VALVO
IITOROSTATtC yALYI
RIOR POOL rCDC LECTI ON T%
SN ILOIE ST POINT Of POC
00
a
2' DRAIN LI
SNOT: -RET
GUY
P 800-277-4150 F 888-282-6955 info@bluesquaremfg.com www.bluesquaremfg.com
fINCREASING PUMP SIZE WILL INCREASE FLOW. Wheri in doubt; consult your pool and spa
professional. NEVER use a pool or spa that has a missing or broken suction outlet cover.
USING A POOL OR SPA WITH A MISSING OR BROKEN SUCTION OUTLET COVER CAN RESULT
IN HAIR OR BODY ENTRAPMENTWHICH CAN CAUSE SEVERE BODILY INJURY OR DEATH. THE
VACUUM IN SUCTION OUTLETS AND/OR SUCTION OUTLET COVERS WHICH ARE DAMAGED,
I BROKEN, CRACKED, MISSING OR UNSECURED CAN CAUSE SEVERE INJURY AND/OR DEATH
' DUE TO THE FOLLOWING ENTRAPMENT HAZARDS: HAIR ENTRAPMENT Hair -can become.
entangled in suctiowbutlet cover. LIMB ENTRAPMENT—.A'Ilmbliriserted into ap openIng of
j a suction outletsumpp or suction outletcover that isdamagged; broken,;cracked, mssingg;or'
notsecurely-' ached can5result in a mechanical bind orswellinq ofthelimb BODYS'UCTION.;
I ENTRAPMENT A negative pressure applied to a large portion of the body or limbs can result
rn an entrapment EVISCERATION/DISEMBOWELMENT ENTRAPMENT, A negati�re pressu.'re:
applieddirectlytothertestinesthrqughanunprote`ctedsuctionoutletsurnporauctionoutlet
coV.er whichIs,-d_ a' ed,,bro,ken, cracked, m asmg,,or unsecuredC:can result In evisceration
disembow,elrnentcntrapment MECHANICAL ENTRAPMENT There is a potentia) for�ewelry,,
swimsuit,'`hair :decorations;, finger;, 0e ,or knuckle,to.'be caught,.in an,openi'n,g;.of,,,a suction
j outLet cover resulting in mechanical entrapment.
iiWARNING! TO REDUCE TME RISIIrG�— TRAPMERI MAZAARI
Suction fittings shall not be located on seating areas or^'on the backrest for such
seating areas. The maximum system flow rate shall not exceed the flow rating of any
I listed (per ANSI/APSP 1672011) suction outlet cover installed. Never use pool or spa if
t any suction outlet component is damaged, broken, cracked, missing or not securely
attached.•Replace damaged, broken, cracked, missing or not securely attached suction
outlet components immediately.
Use gray medium set glue when,attaching PVC pipe to our PVC based sumps. Do not
ever use blue glue or related hot glues, clearglues_or any fast setting cementer _
I WARNING"IFailure to remove pr..essure test plugs and/or plugs used in. winterization
of the poo`I/spa'from the suction outkets can result in an increased potential for suction
entrapment as describedlabove
�,WARNINGi Failure to. keepauction outlet components clear of debris, such as leaves,
tlirt,hair, paperF and :ether ;material, can re`suat in an increased. potential for suction
I WARNING!' Suction outlet:comp'onen.ts hav:e afinite life,thecenter cap with markin s
should .be ins,pecte8" before each use�of .facilit- and, replaced at least every five (5)
yearsYor iffound to be dama ed, broken, cracked .missing,'not.securely.attached or ,
gg �#
missingfscrews DO NOT use fatl1ity untilLcorrectQi -
As the manufacturer, AquaStar Pool Products, Inc, hereby certifies that°the�r,:suction
outlet and drain covers meet- or exceed she r-i"q ementsfof the Virgins Graeme"
Baker Pool & S,pa Safety Act, VG,B 2008 and'ANSIIAPSP , 2011 standar s aril safety.
regulation -s as set forth by, the Consumer Products Safetyy Comm„isslon .:A copy of this;
certificate;of`compaiance is,avai-lable on Aqu.aStar Pool'P,rod.ucts lnc.'s website under;
news & iIhformation: www:aquas-tarpoolproductsrcom
4
't SQUARE'
• r
AQUASTAFt s
P 800-277-4150 F888-282-6955 info@bluesquaremfg.com www.bluesquaremfg.com
Rev 040213 1
Trilogy at La Quinta
60-750 Trilogy Pkwy
La Quinta, CA 92253
Ph: 760-777-6059
Fax: 760-777-1620
August 18, 2015
Don Huber / Deborah E Huber
60286 Aloe Cir
La Quinta CA 92253
RE: Design Review Modification Conditionally Approved
60286 Aloe Cir / Customer ID #: TRLAQ-0013-01
Dear Don Huber / Deborah E Huber :
Trilogy
Trilogy' at La QWipEa \ta➢Clcuapt� Assbciauon
We are pleased to inform you that your plans for installationof a pool and concrete decking received on July 27,
2015, have been approved by the Design Review Committee with the following conditions: #6, #10, #11, and
#22 (see attached copy).
Please note: Any damages caused by contractors due to construction must be repaired; all irrigation and
landscape shall be restored to the original condition.
This approval does not constitute consent by the Association for the applicant to encroach, trespass, or build on
any property other than that of the applicant. This approval is related solely to the items reserved for approval
by the CC&R's in accordance with the Design Review Guidelines. The approval does not extend to the quality of
work done by your architect, or contractor, or to any structural engineering, soils engineering, or site grading
and drainage design. You are urged to obtain the services of a state licensed professional for consultation as
needed.
The Design Review Committee is composed of volunteers. As such, it does not review applications to ensure
compliance with building codes, or other local or state laws. Please be advised that this approval does not relieve
you from obtaining any necessary building permits from the governmental agencies involved to ensure
compliance with these codes. Any violations of these ordinances will be your responsibility to correct. Thank you
for your patience in this matter and for complying with the Association's policies and standards.
Sincerely,
For the Design Review Committee,
Sierra Fasano
Coordinator Communications
Enclosures
cc: Board of Directors
Design Review Committee
+24" RBB with 30" �0
Sheer Descent
PA
New +12", 10' x 16' Spool
with Quartzite Gap, Stucco
Exterior Veneer, Tanning
5he1f and Bench
-I I New standard Grey
Concrete Decking
061 sq,. ft.)
+6"
Existir
and C
PA:y
.u'
❑ New spool Equipment
PA
Existing Gas and Electric
this side
PA
82'-3"
to ft
PA
i
T-
;1vered Patio
-etc, Decking
to remain
i
HUGER
RE 51 DENC,E
i
A/G
PA = Planting Area /
Landscape Area
CITY OF J QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 1Zlls/BYZC_---
VACATION POOLS, INC.
P.O. Box 10940
a Indio, CA 92202
Ph. (760) 775-0468, Fax(760) 775-0469
License # C-53-856835
NOTE:
Landscape elements (Trees,
5hrub5, Vines and Lawn) and Patio
Furniture.shown for illustration only.
Unless by separate bid.
GENERAL SPECIFICATION
r2f� SIZE
A O' 6'
SPOOL AREA - 155 50. FT.
PERI - 45 LN. FT.
RBB.
---
+24'H X 9'-O"L
SPOOL CAPACITY
5544 SALLON5
CONCRETE DECKING
1&150. FT.
DECK TYPE
5TANDARD &RAY CONCRETE
JETS -6
BACK - 5
LES - I
L16NT - I
DUAL LEVEL 5EAT5
YE5
NEN! SPILLWAY SIZE
NO
NEW 5PILLWAY
_
NONE
CONTRACTOR cannot assume responsibility
for damage to curbs, sidewalks, driveways,
cement slabs, sewers, lawns, trees, fences,
retaining walls, sprinklers, wires, valves,
telephone or shrubs.
When access is made through a neighbor's
property it is understood that you, the
owner, have that neighbor's permission and
assume full responsibility.
DATE 51&NM-uRE
a
Scale: I/8"= "
HUBER RE51 DENGE
60-286 ALOE GIRGLE
LA QUI NTA, GA 12253
DATE: 122.15 REVI5ED:
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (P*4ge-a of 7) CF -4R
TRILOGY @ LA QUINTA- PH- 9A (Partial) 6-15-05
PrniectTitle Date
Project Address
Joe Minor 760=535-2192
BuildeL� optact Telephone
W=Ai Henson (CCN #CC2004076) 760-250-7022
HERS Rater
Ceffffying Signature -'L-
Firm: BCI Testing
Telephone
6-15-05
Date
SHE HOMES
Builder Name
Plan 6430
Plan Number
HERS Provider:
173
Group Number
CALCERTS
Street Address: PO Box 50575 City/State/Zip: Phoenix, AZ 85076
Copies to: Builder, HERS Provider
HERS RATER COMPLIANCE STATEMENT
The house was: Tested ❑ Approved as part of sarnple testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply
with the diagnostic tested compliance requirements as checked oh this form.
The installer has provided a copy of CF -6R (Installation Certificate.
Distribution system is fully ducted (i.e., does not use buildr ing cavities as plenums or platform returns in lieu of ducts)
pWbtf Where cloth backed, rubber adhesive duct tape is installed; mastic and drawbands are used in combination with cloth
backed, rubber adhesive duct tape to seal leaks at duct connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage)
Duct Pressurization Test Results (CFM @ 25 Pa)
Test Leakage Flow in CFM
If fan flow is calculated as 400cfin/ton x number of tons enter calculated
value here
If fan flow is measured enter measured value here
Leakage Percentage (100 x Test Leakage/Fan Flow) =
Check Box for Pass or Fail (Pass=6% or less)
THERMOSTATIC EXPANSION VALVE (TXV)
Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection
Yes is a pass
Measured
values
❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT
1 ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has
verified that actual installation matches values in CF -1R and
design on plan.
2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -1R.
Measured Fan Flow =
Compliance Forms
I II�IIII VIII III VIII IIII 65 t
IE '
__J
Yes for both 1 and 2 is a Pass
August 2001
�' ❑
Pass Fail
6 ❑
Pass Fail
❑ ❑
Pass Fail '
A-16
t ty
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211 �.
P�Cl N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
111111111111F COMPRESSION STRENGTH TEST RESULTS
Client: Shea La Quinta; LLC Date: 5/10/05
Project: Trilogy @ La Quinta - Shea Homes
I IIIIII I I I III VIII
IIII 66
Project No: 02-1109
IE
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 9A - Lot # 3173 Slab on Grade / 3-9-05
Concrete
273-457
Bedroom 2
Required psi: 4000
r
C)'3 0 Lo C� G__. f2
9258
7
2940
'J
9259
28
4230
9260
28
4300
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INSULATION CERTIFICATE s;
This is, to certify that insulation has been installe
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A&Lmance withthe current energy
regulation, California Administrative Code, Tj Z ate lifornia, in the building located at
60-301 ALOE CIR E, LOOT 3173, PH SE 9A, LA QUINTA, CA,
CEILINGS: °.
TYPE: BLOW MAUNFACTURER: Ce THICKNESS: R-38
WALLS:
TYPE: BLOW MAUNFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY
TITLE:
PARAGO SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: �y-- TITLE: ACCOUNT REPRESENTIVE DATE:
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