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SFD (06-2645)
4 P.O. BOX 1504 �W 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00002645 Owner: Property Address: 81535 MONARCH CT SHEA LA QUINTA APN: 764-280-999-4 -300237- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER .350 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 Application valuation: 237751 Contractor: Applicant: rchitect or Engineer: SHEA HOMES, INC. SPi Cdr . 81260 AVENUE 62 LA QUINTA, ' CA 92253 (760)777-6005 Lic. No.: 672285 be ------------------ 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 Professions Code, and my License is in full force and effect. Li se lass: L e No.: 672285 Dat , ntractor: \ 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 (5500).: 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.). (_ I 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.). ( 1 I am exempt under Sec. , BAP.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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/12/06 tAUG oz loos AF LA ----------------------------------------------- WORKER'S COMPENSATION DECLARATION 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 manner so as to became subject to the orkers' compensation laws of California, and agree that, if comeEit the wor ompensation provisions of Section th La r Co e, s all fomply se rovisions. Da/ te: t� {' pplican 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 0100,000). 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 f such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I h ve read this application and state th ve info ation is correct�lfee to comply with all city my rdinances a state laws relatin o b it nstruon, d herebyze representatives of y t e t u the above-mentione prop y fo spect n pur s s. Date: Signature (Applicant or s Application Number . . . . . 06-00002645 Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 755.00 PATIO SQ FTG 488.00 NUMBER OF UNITS 1.00 - ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2679.00 Permit BUILDING PERMIT Additional desc . Permit Fee 1122.50 Plan Check Fee 729.63 Issue Date . . . . "aluation . . . . 237751 Expiration Date 1/08/07' Qty Unit Charge Per Extension BASE FEE' 639.50 138.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 483.00 Permit . . . MECHANICAL Additional desc . Permit Fee -,. . . 99.50 Plan Check Fee 24.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/08/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 123.87 Plan Check Fee 30.97 Issue Date . . . . Valuation 0 Expiration Date 1/08/07 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT Application Number . . 06-00002645 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 2679.00 .0350 ELEC NEW RES.- 1 OR 2 FAMILY 93.77 755.00 :0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 15.10. 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 15.0000 EA ?LB 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 desc . . 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 - LOT 4, PLAN 6505C, 2,679 SF.INCLUDES 255 SF CASITA, 26 SF BOX BAY Q MBR. PERMIT DOES NOT INCLUDE BLOCK WALL,POOL, SPA OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES -------------7-------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 94.37 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 145.92 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 LQPERMIT Application Number . . . . . 06-00002645 ------------------------------------------------7--------------------------- Other Fees . . . . . . . . . DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 23.77 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 •Fee summary Charged Paid Credited Due ----------------- Permit Fee Total' ---------- 1537.87 ------------------- .00 ---------- .00 1537.87 Plan Check Total 829.73 .00 .00 829.73 Other Fee Total 3960.06 .00 .00 3960.06 Grand Total 6327.66 .00 .00 6327.66 LQPERn41T JCM Inspections JM. 39725 Garand Lane Suite F Palm Desert, CA 92211 n 11L I_ INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS Adft 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 Date Cast Cylinder ID (days) (psi) Set A Phase 16A - Lot # 7004 Slab on Grade 8-11-06 Concrete 273-757 Great Room Required psi: 4000 4441 7 3080 4442 28 4390 4443 28 4420 CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 • 8/ 535 moN��'' :7 Page 1 of 1 `JCM Inspections. L Elk 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: 60-800 Triolgy Parkway La Quinta, CA ❑✓ IBC E] Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Slump (inches): l) , n") Supplier: Superior Time Sampled: ' 0,', h ry Mix Design: D83625P Time in Mixer (min.): ', Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): t o— Addmixture: POZZ 322N Concrete Temperature (F): $'� Truck #: S l� Ticket #: 3-) 1 t Ambient Air Temperature (F): ^ Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: I rNone ❑ See Below Location of Sample: S, a\ n , C�- l Q . -- C� r g\ ❑ No Samples Taken Emu De tion of Work Inspected: P se Lot# Product Plan 81 .�3a �t1tz c cJ� Ce) . -Io-oma 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 -i, 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. tl- `\ —OILD 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab 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. `LA - nte3 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx (o Verified correct mix design. IAhcertify 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 pqwpecifications _applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICC Certification,No: 0842216-80 Contract6 s Representative: /'A Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page , of 1 JCM Inspections' 39725 Garand Lane Suite F MMM% Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: c)(0 Project Name: 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: S�)rx--) psi to 33.04 kips/33,000 lbs Unresolved Items: Calibration Date: Machine # /�?,,�� p Q•None Phase,(p k Lot# —7()C)kAProduct Plan (, G �3� < r \ �,�t • ❑ See Below Description of Work Inspected:` Specified Lot # Location Tendons Elongation (in) Actual Elongation (in) 343-t ✓ t,.S c A- 3�,Lrk y I A- I A-a- . 4 -A_ k TA- AII I Jft 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 01Wpecifications _applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-89 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page l of `\ - 'xi-Minspectidinsi, 39725 Garand Lane Suite F FL— Palm Desert, CA 92211 INSPECTIONS 760-345-5554 - Fax: 760-772-3895 1_ __ I. INSPECTIONS EPDXY INSPECTION REPORT Date: 9- k_a( Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: 60-800 Triolgy Parkway La Quinta, CA IBC nTitle 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Architect: Structural Engineer: Shea Homes for Acti Basseni'Wn_iBorm & Associates, Inc./ Suncoast Post Tensi L V1% Ak A M!M I Weather: fo ir"AnclIrBolts E] Rebar CN t inn Epoxy ' Type: F__� �n ca- rT, M \ UnresolvedijAms: Epoxy Shelf Life: 'I (&A* None 3 See Below Hole Cleaning Method(s):"91 C t g. "a -- ) Description of Work Inspected: 4r R J cc -.4- ftm IU 1 km ltesl,,\,)O4An, az� S/1111 -V J)� "l -TI -I-) Work complies with written approval from Structural Engineer and ICBO Evaluation Report # S s I:Z 7,2— Wcertify 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 specifications -applicable building laws. Final report issued at project completion. Inspector: Jack C Millin ICC CertiMation!No: 0842216-49Contractor's Represdikative': 4, �mingCopy 1 JCM Inspections Copy 2 Project Superintendent j;��3 Gov Agency t) Page ofk !'Rif+�`'"`F'q"\•5�a!,"`y�{,!�:�Y��;y4 . -- JCM Inspections 39725 Garand,Lane Suite F ,I I Palm Desert'CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date -9-270( Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: 60-800 Triolgy Parkway La Quinta, CA R✓ IBC Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi © Anchor Bolts Rebar Epoxy Type: „F �� �-^ra r, r`. 1 e_ 1Q o�-�1i. Epoxy Shelf Life:ann% Hole Cleaning Method(s):9Q`-t'-'..l„-' C\o r t �`� /RC, \ Weather:�•+ Unresolved Items: ® None EJ see Below Description of Work Inspected: \\.�TorPrrc� Wc'�� wDoc-r„ n, cQv��.�1,. �ece�up• rr,... S t• e uc > n -Cor \ `! to 1 ''11—tClCco (� J , �leCc n�e�Y� r �rT1-o 4P- \ t%y\(t 4rD\11r C � Cv. t, c.\� '. ..,n r...�1 r, ,r _ I J © \, &&C -t-.>1 1, 1.�n�• lS(' `OXL\r' a- C�ii .��(��jQI 1 r, 0 (It -z— \ 1 t P. �n Mt3 C�(`�1 {(�] ` 1 D'u` n a S�c c, KJu z 9\Tn eeicmsc, 0 r7 ,t 1.A OFA ”, � InC Oa.. AJ fflF T4 { M` [+.in'.' , Mr'CKDr VnCre-S t.lVIV�AA.1 l A_ liCtP!�� `•fes\ (��\R\�c•� l 1� ✓ t' r G\C / -TV70 / �.� ` ",\� 1 `\ �`' r'rLo �.� .r � .. vi h:c � L� •�c e � �\ .2. �6� 4,�'. r• +jai �F 4 ,���� _ Work complies with written approval from Structural Engineer and ICBO Evaluation Report # I 0certify 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 plans, specifications _applicable building laws. Final report issued at project completion. Inspector: JackkC. Millin ICC Certification No: 0842216-49 Contractor'ss.Representative: �} Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Goveming Agency Page of JCM Inspections `� 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date:�(��-t� Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: 1 City: 60-800 Triolgy Parkway La Quinta, CA Q✓ IBC Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi ® Anchor Bolts Rebar ``__ Epoxy Type:. ,rt n Epoxy Shelf Life: �J* , .n4R % Hole Cleaning Method(s): �� n. J,� lrt Q � n t 't CkLa ? {c• i.�r ; , Weather: Oak' rC Unresolved Items: Q'•None See Below Description of Work Inspected: �x, �„ -, -5 - 4 -F'-r 'a X o!" 1c �j �. !�% �� /` .. � .+r?r -��� �. i t r.� . e� t> \ n'� 11� �C �...r•a _l t r f �, . r r 1 Iv"iC.IP j• .1M C' . N w , Rr .•.+e �' YK ri\�L. f' n . , �� \ 1\i c� ti -r n V� a 1v (.'1�.� 4� l( I �' ('� C � r`� � Yr��. ^^'�� � W � .. ir'.•...� (Br�a� a .1 n �%)f �f . � � � �\..mac,, M � ►� C��,s.t.�; � �1�.,r �aG \'N (N w i '\A',,, A,,,% �n -A 1 V1 l "'C C' •� .� r \ �. ..o'�, V t � ,\ l .- _ (.l It � 1 f1 S. 5 r• . 1 �.i \ 1 � n ••n -'N'. R ' t �P C •• --1q 2 jN Work complies with written approval from Structural Engineer and ICBO Evaluation Report # !S -)Ll Ci I 0certify 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 plans, specifications _applicable building laws. Final report issued at project completion. Inspector: Jack n ICC Certification, No: 0842216-49 G.UA Contractor's Representative: j Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of 1 Nov 07 2006 3:43PM HP LASERJET FAX p.4 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: S -535 Monarch Court, 1-644770&,2hase 16A, Trilogy Project, La Quinta, California CEILINGS: TYPE: BLOW MANUFACTURER: CEIRTAINTEED Thickness* R-38 WALLS: TYPE: BLOW MANUFACTURER: CEIRTAINTEED Thickness: R=13 GENERAI r.ONTRACTOR: SHEA HOMES LICENSE BY:. TITLE: PARAGON SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE 4 632072 BY: TITLE: OFFICE MANAGER DATE: 1117/2006 0 6 NOV 16,2006 20:03 BCI*TESTING,ri1 000-000-00000 Page 9 CERTIFICATE OF FIELD VERIFICATION 8: DIAGNOSTIC TESTING (Paye 1 of 8) CF -4R Project Address Builder Name 81:535114ona _ Cc urtn.,!�Qumta�CA-92253_1111111ha.Shea Homes Inc., _ Builder Contact Telephone Plan Number 6505 Casita HERS Rater Telephone Sample Group Number/ I.Dt (if applicable) William Henson _ 760-772-2954 45906,7004 Compliance Merhod (Prescriptive) , _ _ Climate-Zone315 Certifying Signature ;, ', k/ Date Certificate -Numbed November 16, 2006 CC3-1798386488 Firm: BQ Testing HERS Provider:CaICERTS, Inc. 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 R 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 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 -4R until a properly completed and signed Cf -611 lids been received for the sample and tested buildings. BThe installer has provided a copy of the CF -611 (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 REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System El NEW CONSTRUCTION Duct Pressurization Test Results (CFM 025 Pa) MeasuredValues 1 Enter Tested Leakage Flow in CFM: 61 2 Fan How: Calculated (Nominal':.'..' Cooling;. ) Heating) or, . Measured 1400 Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage < 6% [ 100 x ( Line 1 / Line 2 )J: 4.36% r�1 �{ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pine -Test of Existing Duct 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. 6 Enter Reduction in Leakage for Altered Duct System ftine 4 - Line 51 - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 6 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )J; ❑ Pass ❑ Fail 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: 9 Pass if Leakage Percentage .- 15% 1100 x ( Line 5 / Line 2 )J: ❑ Pass Fail 10 Pas: if Leakage to Outside Percentage <- 10% [ 100 x ( Line 7 / Line 2 )J: I❑ -1 ❑ Pass l.. 1 Fail 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )) Pass Fail and Verification by Smoke Test and Visual Inspection 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 pass ❑ Pass ❑ Fail El NOV 16,2006 20:03 BCI*TESTING,ri1 000-000-00000 Page 10 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of 8) CF -4R Project Address Builder Name SIS35 Monarch Court - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number 6505 Casita HERS Rater Telephone Sample Group Number / Lot # (if applictrbls) William Henson 760-772-2954 45906/ 7004 Compliance Method (Prescriptive.) Climate Zone 15 Certifying Signature ,—T / Date Certificate Number November 16, 2006 CC3-1798386488 �- Firm: 8C1 Testing HERS Provider:Ca10ERTS, Inc. Street Address: 77-760 Country Club Drive ste I City/State/Zip:Palm Desert / CA / 92211 Conies to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The douse 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 Identlfled on this form complies with the diagnostic tested compliance requirements as checked on this form. The VIERS rater must check and verify that the new distribution system is fully ducted and Correct tape is used before a CF -411 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. - INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New System W NEW CONSTRUCTION Dud Pressurization Test Results (CFM 0 25 Pa) Measured Values 1 Elite, Tested Leakage Row in CFM: 49 7 Fan Flow; Calculated (Nominal '•- ' Cooling '..'-'Heating) or-.-' Measured 1400 Enter Total Fan Row in CFM; Pass if Leakage Percentage -1 6% [ IDD x ( Line 1 / Line 2 )): 3.50% 3 0 Pass l...l Fail ALTERATIONS. Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Dud System Prior to Dud System Alteration and/or Fquipment Change -Out. 5 Enter Tested Leakage Flow In C.fM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 6 Fitter Reduction in Leakage for Altered Duct System [Line 4 • Line 5) - (Only if Applicable) 7 Enter Tested Leakage Now In CFM to Outside (Only if Applicable) .L _ I Pass ❑ Fail 0 Entire New Duct System - Pass if Leakage Percentage •. 6% 1 100 x ( Line 5 / Line 2 )); 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: 9 Pass if Leakage Percentage <= I'S% 1 100 x ( Line 5 / Line 2 )): ❑ pass ❑ Fail 10 Pass If Leakage to Outside Percentage .— 10% 1 100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )) ❑ Pass ❑ Fall and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fall Pass if One of Lines 99 through 7112 pass ❑ Pass ❑ Fail is NOV 16,2006 20:03 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION 8F DIAGNOSTIC TESTING (Page i of 8) CF -4R ....w Prood Address Builder Name 81535 Monarch Court - La Quinta, CA 92253 Shea Homes, Inc. Builder ContactTelephonePlan Number` 6505 Casita HERS Rater Telephone Sample Group Number/ Lot # (if applicable) William Menson 760-772-2954 45906/ 7004 Compliance Method (Prescriptive) _ Climate Zone 13 Certifying Signature y. /., r/ Date Certiflcate Number November 16. 2006 CC3-1798386488 Firm: BCI Testing " `` HERS Provider:Ca10ERTS, Inc. 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 W Tested I'] 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 -411 may be released on every tested bulldihq. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. r� The installer has provided a copy of the CF -6R (Installation Certificate). n 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 4s&4 In combination with doth backed, rubber adhesive dud tape to seal leaks at duct connections_ L%ImzNxMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New System NEW CONSTRUCTION Duct Pressurization Test Results (CFM (d 25 Pa) �M4 Measured Values 23 1 Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal'.:..' Cooling "'..'Heating) or'...' Measured Enter Total Fan Flow in CFM: 800 3 Pass it Leakage Percentage -= 6% ( 100 x ( Line 1 / Line 2 )): 2.88% R pass []Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R; Pre -Teri of Existing Dud System Prior to Duct System Alteration and/or Equipment Change -Out. 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 6 Enter Reduction in Leakage for Altered Dud System [Lino 4 - Line 5] - (Only if Applicable) 7 Enter 'femled 6e4k49e Flow in GFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 }]; 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: ❑ Pass ❑ Fail ❑ Pass ElFail 9 Pass if Leakage Percentage e.. 15% ( 100 x ( Line 5 / Line 2 )i: 10 Pass if Leakage to Outside Percentage <= 10% [ 100 re ( Linc 7 / Line 2 )]: n.I Pass ❑ Fall 11 Pass if Leakage Reduction Percentage >= 60% ( 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection ❑Pass ❑ Fail 12 Pass if Sealing of all Accessible I eaks and Verification by Smoke Test and Visual Inspection Int Pass ❑ Fail I I Pass �� Fail Pass It one of lines #9 through #12 parr • Page 11 NOV 16,2006 20:04 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 3) CF -4R Project Address Builder Name 81535 Monarch Court - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number 6505 Casita ll[RS Rater _ Telephone Sample Group Number/ Lot # (if applicable) William Henson 760-172-2954 45906 / 7004 Comp)iartce Method (Prescriptive) Climate Zone 15 Certifying Signature r / r Date Certificate Number November 16, 20.06 CC3-1798386486 Firm: BCI Testing% rT. ' l HERS Provider:CaICERTS, Inc. Street Address: 77-760 Country Club Drive ste I City/State/LIp:Palm Desert / CA / 92211 Copies to; BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was a 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. The installer has provided a copy of the Ch' -61? (Installation Certificate). MITHERMOSTATIC EXPANSION VALVE (TXv), Maln System Forn( cess is provided for inspection, The procedure shall consist of visual verification that the TXV is installed the system and installation of the specific eauioment shall be verified. Main System HVAC System fXV M pass U Fail • is Page 12 NOV 16,2006 20:04 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R Projed Address Builder Name 81535 Monarch Court - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number 6505 Casita HORS Rater Telephone Sample Group Number/ Lot # (if apphriblR) William Henson 760-772-2934 43906/ 7004 Compliance Method (Presciiptive) Climate zone 15 Certifying Signature �'.� j' Date Certificate Number _ ,f�/ November 16, 2006 CC3-1798386488 Firm: DCI Testing ' HERS Provider:CaICERTS, Inc. Street Address: 77-760 Country Club Drive ste I _ City/State/Zrp:Palm Desert / CA / 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was R Tested El 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 an this form, R The installer has provided a copy of the CF -6R (Installation Certificate). lvrrHERMOSTATIC 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. New System I NAC System TXv © pas; ❑ Fail is Page 13 NOV 16,2006 20:04 BCI*TESTING,ril 000-000-00000 Page 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -411 Prvjoct Address Builder Name 81535 Monarch Court - La Quinta, CA 92253 - Shea Homes_, Inc. Builder Contact Telephone Plan Number 6505 Casita HERS Rater Telephone Sample Group Number i at r (if applicable) William Henson 760-772-2954 45906 /7004 Compliance Method E2pAai tiye) 0. Climate zone 15 Certifying Signature �: ; Date Certiftare Number �',•! •�. - J November 162006 CC3-1798386488 Firm: BCl Testing HERS Provider:Ca10ERTS, Inc. Street Address: 77-760 Country Club Drive ste I City/State/Zip:Palm Desert / CA / 92211 Conies to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was R 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 requiremcnts as checked on this form. R The installer has provided a copy of the CF -611 (Installation Certificate). IVITHERMOSTATIC 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. New System HVAC System TXVF Q pass ❑ Fail NOV 16,2006 20:04 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION B. DIAGNOSTIC TESTING (Page 5 of 8) CF -4R Project Address Builder Name 81535 Monarch Court - La Quinta, CA 92253 Shea Homes, Inc. W� Builder Contact Telephone Plan Number 6505 Caslita HERS Rater Telephone Sample Croup Number/ Lot P (if applicable) William Henson 760-772-2954 45906/7004 Compliance Method (Prescrf Uve Climate Zone 15 Certifying SignatureDate Certificate Number /'/ �4, �,�� November 16 2005 CC3-1798386488 Firm: SCI Testing — HERS Provider:CaICERTS, Inc. Street Address: 77.760 Country Club Drive ste I City/State/Zip:Palm Desert / CA j 92211 Conies to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was W 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. 1W The installer has provided a copy of the CF -6R (Installation Certificate). IGH EER AIR CONDITIONER: Main System Procedures for venrrcauon are ayaflaole in KALM Appenalx Kl. I Eyes [:]No EER values of installed systems match the CF -IR 2 R Yes l i No For split systems, indoor coil is matched to outdoor coil 3 []Yes ❑ No ITirn. Delay Relay Verified (If Required) II Yes to 1 and 2; and 3 (If Required) Is a pass) Uv Pass LJ Fail II EER AIR CONDITIONER: New Svstem in RACM. Aoaendix Rl. 1 r� Yes I I No EER values of installed systems match the CF -111 is2 Yas I❑ No For split systems, indoor eel is matched to outdoor coil 3 ❑ Yes i.-1 No Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Ri IGH EER AIR CONDITIONER: New System �- Promdures for veriftratlon are avallable in RACM. Aeaendix Rl. is a PW4 Ir) Pass LJ Fall 1 2 Yes ❑ No EER values of Installed systems match the CF -IR 2 MY,, ❑_ No For split systems, Indoor coil is matched to outdoor coil 3 I l Yes I -1 I No Time Delay Relay Verified (If Required) Yes to i and 2; and 3 (If Required) is a passi Pass Fall Page 15