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SFD (06-2644)- lrblo.. 4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Dater 7/12/06 Application Number: 06-00002644 Owner: Property Address: 81530 MONARCH CT SHEA LA QUINTA APN: 764-280-999-3 -300237- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350 D 0 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 /�A\ Application valuation: 239845 AUGContractor: G 0 2 2006 Applicant: rchitect or Engineer: SHEA HOMES, INC. 81260 AVENUE 62 CITY OF LA L/ LA QUINTA, CA 42253 FINANCE DQE PT A Q_C (760) 777-6005 l Lic. No.: 672285 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 Busi ass and Profession Code, and my License is in full force and effect. Li a ass: B LcenseNo.: 672285 Date 1` tractor: OWNER -BUILDER 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 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 ($5001: (_ 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 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 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 1 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: Q Lender's Address: • LQPERN11T 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 AMERICAN HOME Policy Number 1247619 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manne so as to become subject to the workers' compensation laws of California, and agree that, if I s uld bec me su ject to the workeri compensation provisions of Section /Ir/�Y�� I 3700 f the Labor ha forth"ply ply wit provisions. at'D e.. V plica : 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. 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 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. 1 agree to comply with all city and oA�n and state laws relating�uildinons uctionp, here uthorize representatives of c the above-mentione insp tion oses. Date ure (Applicant or A Application Number . . . . . 06-00002644 ------ Structure Information SFD PLAN 6420B W/CASITA, MBR&.NOOKBOX BAY ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/LONG <=10 Other struct info CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 615.00 PATIO SQ FTG 323.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2781.00 Permit BUILDING PERMIT Additional desc . . Permit Fee 1129.50 Plan Check Fee 734.18 Issue Date . . . . Valuation . . . . 239845 - Expiration Date 1/08/07 Qty Unit Charge Per Extension BASE FEE 639.50 140.00 3.5000 ------------------------------------------------------------- THOU BLDG 100,001-500,000 490.00 ---------------- Permit MECHANICAL Additional des.c . Permit Fee . . . . 83.50 Plan Check Fee 20.88 Issue Date . . . Valuation . . . . 0 Expiration Date 1/08/07 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 Additional desc . Permit Fee . . . . Issue Date . . . . Expiration Date . . Qty Unit Charge 2781.00 .0350 615.00 .0200 LQPERMIT ELEC-NEW RESIDENTIAL 124.64 Plan Check Fee . Valuation . . . . 1/08/07 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY ELEC GARAGE OR NON-RESIDENTIAL 31.16 0 Extension 15.00 97.34 12.30 Application Number . . . . . 06-00002644 Permit . . . PLUMBING Additional desc . . Permit Fee . . . 177.00 Plan Check Fee 44.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/08/07 Qty Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00 1.00 15.0.000 EA PLB BUILDING SEWER 15.00 1.00 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 15.00 ------------- Permit . . . GRADING PERMIT Additional des,c . Permit Fee . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date . . 1/08/07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - Plan 6420C Lot 3 w/casita (255 sqft), Box Bay@ MBR (26 sqft) & Bay @ Nook(23 sqft), 2781 S.F. Permit does not include block wall, pool.or driveway approach.2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 99.61 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER- RES 480.00 ENERGY REVIEW FEE 73.42 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF'PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 23.98 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 LQPERIIIT Application Number . . . . . 06-00002644 Fee summary Charged Paid Credited Due Permit Fee Total 1529.64 .00 .00 1529.64 Plan Check Total 830.47 .00 .00 830.47 Other Fee Total 3893.01 .00 .00 3893.01 Grand Total 6253.12 .00 .00 6253.12 s LQPEP.AIIT PREPARED 3/16/11, 10:22:15 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L - 0/00/00 THRU 0/00/00 CITY OF LA QUINTA -------------------------------------------------- APPLICATION PROPERTY ADDRESS -------------------------------------------------------------------------------- APN Alternate ID STRUCTR --------------------------------------- PERMIT ----------------------------'---------------------------.--------------------------------=------ INSPECTION RESULT DATE/STATUS INSPECTOR 06 00002644 81530 MONARCH CT 764-280-999-3. -300237- 000 000 B001 00 BUILDING PERMIT 120 0001 FOOTINGS 8/10/06 APPROVED - GH 000 000 B001 00 BUILDING PERMIT 125 0001 SLAB 8/10/06 APPROVED GH 000 000 B001 00 BUILDING PERMIT 135 0001 ROOF NAIL 9/08/06 APPROVED .SW 000 000 B001 00 BUILDING PERMIT 140 0001 OKAY TO WRAP 9/18/06 APPROVED SW 000 000 B001 00 BUILDING PERMIT 145 0001 FRAMING 9/21/06 APPROVED SW 000 000 B001 00 BUILDING PERMIT 150 0001 INSULATION 9/22/06 APPROVED SW - 000 000 B001 00 BUILDING PERMIT 155 0001 LATH 9/27/06 APPROVED SW 000 000 B001 00 BUILDING PERMIT 160 0001 -DRYWALL NAIL 9/27/06 APPROVED SW 000 000 B001 00 BUILDING PERMIT_ 199 0001 FINAL 11/15/06.APPROVED KK 000 000 E01 00 ELEC-NEW RESIDENTIAL 310 0001 ROUGH ELECTRICAL 9/21/06 APPROVED SW 000 000 E01 00 ELEC-NEW RESIDENTIAL 315 0001 TEMP USE OF PERMANENT POW 10/27./06 APPROVED SW 000 000 E01 00 ELEC'-NEW RESIDENTIAL 399 0001 ELECTRICAL FINAL 11/15/06'APPROVED .KK 000.000 GP 00 GRADING PERMIT 197 0001 GRADING FINAL 11/15/06 APPROVED KK 000 000 M01 00 MECHANICAL 405 0001 ROUGH MECHANICAL 9/21/06 APPROVED SW ' 000 000 M01 00 MECHANICAL 499 0001 MECHANICAL FINAL .. 11/15/06 APPROVED KK 000 000 P01 00 PLUMBING - 210 0001 SEWER CONNECTION 8/03/06 APPROVED GH 000 000 P01 00 PLUMBING 200 0001 UNDERGROUND PLUMBING 8/03/06 APPROVED GH. 000 000 ,PO1 00 PLUMBING 230 6001 ROUGH PLUMBING 9/21/06 APPROVED SW 000 000 P01 00 PLUMBING 245 0001 SHOWER PAN 9/21/06 APPROVED SW 000 000 P01 00 PLUMBING 235 0001 GAS LINE / GAS TEST 10/17/06 APPROVED SW 000 000 P01 00 PLUMBING 299 0001 PLUMBING FINAL 11/15/06 APPROVED KK JCM Inspections 39725 Garand Lane Suite F a Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 11/15/06 Project: Trilogy @ La Quinta - Shea Homes- Project No: 02-1109 60-800 Triolgy Parkway La Quinta, CA 92253 Set ID Structure Age of Test Compression Strength JCM ID Location I Date Cast Cylinder ID (days) (psi) Set A Phase 16A - Lot # 7003 Slab on Grade 8-11-06 Concrete 273-764 Den Required psi: 4,000 4437 7 3370 4438 28 4740 4439 28 4680 (3115:54D m o C7 Page 1 of 1 CERTIFIED: JCM Inspections supplies the service of compression strength test results/V only. A*1* JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Dates: Noted Below Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: ❑✓ IBC 60-800 Triolgy Parkway La Quinta, CA E] Title 24 Client: Sub -Contractor: Shea La Quinta, LLC DCCCC Other: General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Slump (inches): �'j �- s Supplier: Superior Weather: Time Sampled: $ : ) y Mix Design: D83625P Time in Mixer (min.): S (� Specified Strength (PSI): 4000 Unresolved Items: Water Added @ Jobsite (gals.): Addmixture: POZZ 322N p r' Concrete Temperature (F): $I� Truck #: b `1 a Ticket #: ' a ®None Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders ❑ See Below Location of Sampler ct�) m n `T ( ^ c�! c - — .]JC V1 ❑ No Samples Taken Descrintion of Work Inspected: Phase Loth -7()'13 Prodluct Plan (DL�o C 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 as noted on — E -� N -1 Cv1 Lk; b N.AA \V) \ \ J 'i P1 e rl K.. 1 U S U ."1 G l \ I C`1 1. • (" CQ '.\ C1 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 ttied and supported off the earth. Accepted for concrete placement. �- \, - nk.0 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx I cD& , 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. 9' \L` - n(D 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx S Verified correct mix design. 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 "y specifications -applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICC Certificat on"No: 0842216-80 I '\'a Contractile Representative: C' . �� ,l Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page kof JCM Inspections fi 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: $ 06 Project Name: Project Project No: 02-1109 Trilogy @ La Quinta - Shea Homes Project Address: City: 60-800 Triolgy Parkway La Quinta, CA Client: Sub-Contractor: Shea La Quinta, LLC Sun Coast Tensioning General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Size and Type of Tendons: 1/2" Diameter Seven Strand Stress-Related Tendons ❑✓ IBC ❑ Title 24 Jack Machine Calibration: Received Sheet from Sun Coast-Gage Pressure in psi to Machine Load in kips Other: _t:;u Qa psi to 33.04 kips/33,000 lbs Unresolved Items: Calibration Date: Machine # 10 c1_ 1-1 -.06 RT.None Phase (p Lot# co-:� Product 3 Plan(9 L[90C, R) 530 VINO,nn'A' ❑ See Below Description of Work Inspected: Specified CC. 0'\tom" Lot # Location Tendons Elongation (in) Actual Elongation (in) i /003 5ir�s� get. ah •Qcl'iC •fit nn� C+ltch\ I� Ia�n•nc� K \ elnn\ +� �V/ D s�- LA �X_t�_S�A�, s� _ cros� ycertify 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 Certifi6aiti6h No: 0842216-89 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page OR Nov 13 2006 6:15PM HP LASERJET FAX p.2 �•::i%/A.•J.i/:✓:Y/1.�•J//.'l.'J✓/:.•✓.'/'is/%•Ii✓F///C:Y/.n✓/✓•:.r/f..'v4'.rN/l,//.I.t./I:!f/iYIN•✓:4Y✓'A'/.'✓.5//:.%:YJ.':.r,•//[,/.iP/I%./Y:/i:.•.•/%l.l.'J//.:: / O 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: 111-530 Monarch C!!!S 0, 7003'Pe 16A Trilogy Project, La Quinta, California S CEILINGS: TYPE: BLOW MANUFACTURER: CERTAINTEED Thickness: R-38 WALLS: TYPE: BLOW MANUFACTURER: CERTAINTEED Thickness: R-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: 0 0 PARAGON SCHMID BUILDING PRODUCTS, A MASCO, COMPANY O LICENSE # 632072 V. TITLE: OFFICE MANAGER DATE 11/13/2006 NOV 13 11 12:53 BCI*TESTING,ri1 CER - - Y C'AThON;& DI Project Address 81530 Monarch Court - La Ouinta. CA 92253 A 9 1 JER6 Rater WNitam Henson _ Compliance Method (Prescriptive) Certifying Signature Firm: BCI Testing Street Address: 77-760 Country Club Drive ste I 000-000-00000 Page 10 Anat C TESTING (Page i of 8) CF -4R Builder Name Shea Homes, Inc. Telephone Plan Number 6420 Cast W Telephone Sampl up Numb" Lot # (if applicable) 760-772-2954 456 1 / 7003 Cli Date Certi er November 7, 2006 CC3-1798386213 HERS Provider:CaICERTS City/State/Zip: Palm Desert / CA / 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 0 Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form, The HERS rater must check and verity that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released On every t43sA building. Tho HERS rater must not release the CF -41K until a properly complcted and signed CF -611 has been received for the sample and tested buildings, The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e.. does not use building cavities as plenums or platform returns in lieu of ducts). New systems 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, INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT; Main System NEW CONSTRUCTION Duct Pressurization Test Results (CFM LN 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal'. ' Cooling ' •.•` Heating) or `•....' Measured Enter Total Fan Flow in CFM: 47 2 1200 3 Pass if Leakage Percentage •., 6% L 100 x ( Line 1 / Line 2 )J: 3.920/a 2 Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow In CFM from CP -6R: Pre -Test of Existing Duct System Prior to Duct system Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Row in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System Lune 4 Line 5] • (Only if Applicable) 7 Enter Tested Leakage Row in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Vass If Leakage Percentage < 69'0 [ 100 x ( Line 5 / line Z )J. TEST OR VERIFICATION STANDARDS; For Altered Duct System and/or HVAC r Equipment Change -Out, use one of the following four Test or Verification Standards for compliance - 9 Pass if Leakage Percentage <:= IS% 1100 x ( bine 5 / Line 2 )l; ❑ pass ❑ Fail ❑Vass ❑ Fail ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <- 10% [ 100 x ( Line 7 / Line 2 )]: 11 Pass If Leakage Reduction Percentage ''>= 60% [ 100 x ( Linc 6 / Line 4 )] and Verlfltatlon by Smoke Test and Visual Inspection ❑ Pas, ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One. of Lines #9 through #12 Paas ❑ pass ❑ Fail NOV 13,2006 12:53 BCI*TESTING,ri1 000-000-00000 Page 11 • 0 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was r�Tested n Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building, The HERS rater must not release the CF -411 until a properly completed and signed CF -6R has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts), New systems 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. IVIMINIMUM RE UIREM_ENT_S FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New System NEW CONSTRUCTION ^ y CERTIFICATE OF FIELD VERIFICATION 11 DIAGNOSTIC TESTING (Page 1 of 8) CF -4111 Duct Pressurization Test Results (CFM Cl 25 Pa) Enter Tested Leakage Row in CFM: Project Address Builder Name 1 81530 Monarch Court - La Quinta, CA 92253 Shea Homes, Inc. 2 Builder Contact Telephone Plan Number 3 6420 Casita 5.21% IICRS Rater Telephone Sample Croup Number/ Cot_ ,R (if applicable)' 4 William Henson 760-7722954 45631/ 7003 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature Date Certificate Number Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 51 - (Only if Appllcdble) November 7, 2006 CC3-1798386213 lEntef tested Leakage Flow in CFM to Outside (Only if Applicable) Firm: BCI Testing HERS Provider:Ca10ERTS r— I Pass ❑ Fail Street Address: 77-760 Country Club Drive ste t City/State/Zip-Palm Desert / CA / 92211 • 0 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was r�Tested n Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building, The HERS rater must not release the CF -411 until a properly completed and signed CF -6R has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts), New systems 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. IVIMINIMUM RE UIREM_ENT_S FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New System NEW CONSTRUCTION ^ y Duct Pressurization Test Results (CFM Cl 25 Pa) Enter Tested Leakage Row in CFM: Measured Values 1 73 2 Fan Flow: Calculated (Nominal'.'—`Cooling '••.•Heating) or'... ..'Measured Enter Total Fan Flow in CFM: 1400 3 Pass if Leakage Percentage <: 611/0 [ 100 x ( Line 1 / Line 2 )J: 5.21% f;.?] Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Row in CFM from CF -6R: Pre -Test of Existing Dud System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 5 7 Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 51 - (Only if Appllcdble) lEntef tested Leakage Flow in CFM to Outside (Only if Applicable) B Entire New Duct System • Pass if Leakage Percentage <: 61/a [ 100 x ( Lina 5 / Line 2 )J: TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: r— I Pass ❑ Fail 9 Pass it Leakage Percentage ,- 15% [ 100 x ( Line 5 / Line 2 )J: I I--1 I Pass ❑ Fail 10 Pass if Leakage to Outside Percentage c- 10% [ 100 x ( Line 7 / Line 2 )J: ❑ Pass ❑ Fail I1 Pass if Leakage Reduction Percentage >= 60% j 100 k ( Line 6 / Line 4 )J and Verification by Smoke Test and Visual Inspection r]1 Pass i_-1 Fail IPass ❑ Fail 12 Pass if Scaling of all Accessible Leaks and Verification by Smoke Test and Visual Inspection Pass if One of Linns 99 through # 12 pass It--,�I I Pass ❑ Fail NOV 13,2006 12:53 BCI*TESTING,ri1 000-000-00000 Page 12 • is CE_RTIFICATI< OF FIELD VERIIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R PrycCt Address Builder Name 81530 Monarch Court - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number 6420 Casita HERS Rater yy ' ^ T Telephone Sample Group Number/ Lot ff (if applicable) William Henson 760-772-2954 45631 / 7003 _ Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature �•'' /� ; Date Certificdte Number _ _„ November 7, 2006 CC3-1798386213 Finn [3CI Testing HERS Provider:CaICERTS Street Address: 77-760 Country Club Drive ste I City/State/Zip: Palm Desert / CA / 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 2 Tested ❑ Approved as part of sample testing, but was not testpd. As the HERS rater providing diagnostic testing and field verification, 1 certify that the house identified on this farm complies with the diagnostic tested compliance requirements as checked an this form. The HERS rater must check and verify that the new distribution systom is fully ducted and correct tape is used before a CF -4R may be released an every tested building. The HERS rater must not raledac the CF -4R until a properly completed and signed CF -69 has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). Now systems 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. IVIMINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New System NEW CONSTRUCTION Duct Pressurization Test Results (CFM m 25 Pa) Measured Values 1 2 Enter Tested Leakage Row in CFM; _ Fan Row: Calculated (Nominal', '.: Cooling'. ' Heating) or `...' Measured v - Enter Total Fan Flow in CR4: 35 Boo 3 Pass if Leakage Percentage < 6% [ 100 x ( Line 1 / Line 2 )J: 4.381/6 Pass Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Row in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. S 6 Enter lasted Leakage Flow in CI -M; Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out, F.nter Reduction in I.eakage for Altered Duct System [Line 4 - Line 5] - (Only if Applicable) 7 Enter Tested Leakage Row in CFM to Outside (Only if Applicable) B Entire New Duct System - Pass If Leakage Percentage e 6% [ 100 x ( Linc 5 / Line 2 )]: _ TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following bur Test or Verification Standards for compliance: ❑past Fail 9 Pass if Leakage Percentage •: •� 15% [ 100 x ( Line 5 / Line 2 )j; I—I I I Pass n Fail ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <:= 10% ( 100 x ( Line/ / Lane 2 )1: ^ . - _ _ 11 Pass if Leakage Reduction Percentage >- 60% L 100 x ( Line 6 / Line 4 )J and Verification by Smoke Test and Visual Inspection I..1 Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection Pass ❑ Fail Pass if One of Lines 1$9 through #12 pass I❑I I.. ] Pass n Fail NOV 13,2006,12:54 BCI*TESTING,ri1 000-000-00000 Page 13 CERTIFICATE OF FIELD VERIFICATION 8: DIAGNOSTIC TESTING (Page 3-4 of 8) CF -411 Project Address Builder Name 81530 Monarch Court - La 04inta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number 6420 Casita 1iCR5 !tater Telephone Sample Group Number/ Lot & (if applicable) William Henson 760-772-2954 45631/ 7003 Com fiance Method_ Prescri clue Climate Zone 15 Certifying Signature / Date Certificate Number November 7, 2006 CC3-1798386213 Firm: BCI Testing HERS Provider:Ca10ERTS Street /Address: 77-760 Country Club Drive ste I City/State/2ip:Palm Desert / CA 192211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 0 Teste4 D Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. R The installer has provided a copy of the CF -611 (Installation Certificate). =HERMOSTATIC EXPANSION VALVE (TXV): Maim System Access is provided for inspection, The procedure shall consist of visual verification that the TXV Is installed on the system and installation of the specific equipment shall be _verified. ^ n Main System HVAC System TXV� R pass ❑ Faii W �" • r . 0 NOV 13,2006 12:54 BCI*TESTING,ri1 000-000-00000 Page 14 is • 6 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Pane 8-4 of 8) CF -4R Project Address Builder Name 81530 Monarch Court - La Quinta, CA 92253 Shea Homes, Inc. Builder Con tact Telephoge play Number 6420 Casita _ HERS Rater Telephone Somple Group Number/ Lot (ifapplicabfe) William Henson 760-772-2954 45631 7003 Compliance Method (Prescriptive) : , Climate Zone 15 Certifying Signature Date Certificate Number November 7, 2006 CC3-1798386213 Firm: BCI Testing HERS Provider:CalCE_RTS Street Address: 77-760 Country Club Drive ste I City/State/Zip:Palm Desert / CA / 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 2 Tested U Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. C� The installer has provided a copy of the CF -611 (Installation Cenificate). Yn-HERMOSTATIC EXPANSION VALVE (TXV): New SysLem Access Is provided for Inspection. The procedure shall consist of visual verification. that the TXV is installed on the system and installation of the specific equipment shall be verified._ _ New System HVAC System TXVR pass ❑ Fail NOV 13,2006 12:54 BCI*TESTING,ri1 000-000-00000 Page 15 CERTIFICATE OF FIELD VERIFICATION 8, DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R Project Address Builder Name 81530 Monarch Court..-, La Uinta, CA 92253 Shea Homes, Inc. BuilderCentaet Telephone plan Number _ 6420 Casita HERS Rater — Telephone Sample Group Number / Lvt B (!!applicable) William Henson 760-772-2954 45631 7003 Com /lanae Method Prescri dve / Climate Zone 15 Certifying Signature Date Certificate Number .._. �'%�:' � • November 7, 2_008 CC3-1798386213 Firm: BCI Testing HERS Provider:Ca10ERTS Street Address: 77.760 Country Club Drive Ste I City/State/lip;Halm Desert / CA / 9011 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was R Tested DApproved as part of Sample testing, but was not tested. As the Hi Rs rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The installer has provided a copy of the CF -6R (Installation Certificate). IvIrMERMOSTATIC EXPANSION VALVE (TXV): New System Access Is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. r� New System HVAC System TXV Pass (J�•�1 Fad • 6 NOV 13,2006 12:54 BCI*TESTING,ri1 000-000-00000 Page 16 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (page 5 of 8) CF -4R Project Addm= Builder Name 81530 Monarch C_ourt - La Quinta,�CA 92253 _ Shea Homes, Inc. Builder Contact + _ W.,.. — T ..._� Telephone Plan Number 6420 Casita IICRS Rater Telephone Sample Group Number/ Lot # (if applicable) William Henson _ 760-772-2954 45631 /7003 Compliance Method (Prescript/vie) Climate zone 15 Certifying Signature /,: , , r' Date Certificate Number �• :%fes/�.�/'`.�'-'� �X'� ! November 7, 2006 CC3-1798386213 _ Firm: FiGI Testing HERS Provider. CalCERTS Street Address: 77.760 Country Club Drive ste I City/State/Zip: Palm Desert / CA / 92211 T Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 0 Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, 1 certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. EThe installer has provided a copy of the CF -6R (Installation Certificate). _ IVINIGH EER AIR CONDITIONER: Main System , Procedures for verification are available in RACM, ADDendix Rf, • 9 Procedures for verification are available in RACM, Appendix RI. 1 tQ77�� Yes ❑ No Yes I• No I 0 Yes El No EER values of installed systems match the CF -1R For split systems, indoor coil is mAlched to outdoor coil Time Delay Relay Verified (If Required) 2 Q Yes ❑ No For split systems, indoor coil is matched to outdoor coil M Yes to i and 2; and 3 (If Required) is a P --sl M Pass L Fail 3 n Yes n No Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a pas Pass Fail IGH EER AIR CONDITIONER: New System • 9 Procedures for verification are available in RACM, Appendix RI. 1 tQ77�� Yes ❑ No Yes I• No EER values of installed systems match the CF -1R For split systems, indoor coil is mAlched to outdoor coil Time Delay Relay Verified (If Required) 3 ❑ Ycs ❑ No Yes to i and 2; and 3 (If Required) is a P --sl M Pass L Fail HIGH EER AIR CONDITIONER: New Svstem Procedures for verification aro available in RACM, Appendix RI. I R Yes ❑ No EER values of installed systems match the CF -1R 2 IR Yes ❑ No I For split systems, indoor coil is matched to outdoor coil Yes IJ NoITime Delay Relay Verified (If Required) Yes to I and 2; and 3 (If Required) is a pass[ Pass