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SFD (06-2646)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 06-00002646 81545 MONARCH CT 764-280-999-5 -300237- DWELLING - SINGLE FAMILY MEDIUM-HIGH DENSITY RES 218593 Ti . ht 4 4Q*rw BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 rchitect or Engineer: �-- h, Corte rLcE_ _Le -40 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00q) of Division 3 of the as' s and Profes�inaL�Is Codeand my License is in full force and effect. �Ial- 672285 ntractor: cax 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 ($500).: 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within 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—) 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: pip LQPERNIIT Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: i 7/12/06 AUG o 21006 CITY OF LAA QUINTA 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 man so as to become subjeotao workers' compensation laws of California, and agree that, ' eco a subject to the rkers' compensation provisions of Section 3700 oft L or de I shat for with co ' h those provisions. Date: ' Applic 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 Ouinta, 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 th t I h ve read this application and state othee informatt s correct. I a ee to comply with all city and c unty r ' n sand state laws relating cood eby au representatives of t tj t e e o he above-mentioned p tionoses Date: Signature (Applicant or Agent Application Number . . . . . 06-00002646 ------ Structure Information SFD PLAN 6420C W/MBR BAY ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/LONG <=10 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 615.00 PATIO SQ FTG 323.00 NUMBER OF UNITS 1.00 ------------------------------ .1ST FLOOR SQUARE FOOTAGE --------------------------------------------- 2503.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1056.00 Plan Check Fee 686.40 Issue Date . . . . Valuation . . . . 218593 Expiration Date 1/08/07 Qty Unit Charge Per Extension BASE FEE 639.50 119.00 3.5000 ------------------------------- THOU BLDG 100,001-500,000 -------------------------------------------- 416.50 .Permit . . . MECHANICAL Additional desc . 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 . ELEC-NEW RESIDENTIAL 114.91 Plan Check Fee . . 28.73 Valuation . . . . 0 1/08/07 Qty Unit Charge Per Extension BASE FEE 15.00 2503.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 87.61 615.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.30 LQPERAIIT 0 Application Number . . . . . 06-00002646 ---------------=---------------------------2----------------=------------•--- Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . PLUMBING 153.00 Plan Check Fee . . 38.25' Valuation . . . . 0 1/08/07 Qty Unit Charge Per Extension Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 1.00 15.0000 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 "7ETER 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee 15.00 Issue Date . . . . Expiration Date . . - 1/08/07 Plan Check Fee . Valuation . . . 00 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - Lot 5 Plan 6420C (2503 sqft) w/MBR Box Bay (26 sqft). 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 46.48 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 68.64 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 21.85 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due LQPERMIT Application Number . . . 06-00002646 -- - - - - - - - - - - - - - --- Permit Fee Total --- - - - - -- 1422.41• ---- - - - - - - .00 Plan Check Total 774.26 .00 Other Fee Total 3832.97 .00 Grand Total 6029.64 .00 LQPERMIT .00 .00 .00 .00 1422.41 774.26 3832.97 6029.64 JCM Inspections - 139725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 11115106 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 # 7005 Slab on Grade 8-15-06 Concrete 273-760 Guest Suite Required psi: 4000 4457 7 3470 4458 28 4940 4459 28 4980 • Page 1 of 1 CERTIFIED: st 54f 6 Ino N 0 JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 w_ 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: Z IBC 60-800 Triolgy Parkway La Quinta, CA F—] 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): Supplier: Superior Weather: Time Sampled: b n Mix Design: D83625P Time in Mixer (min.): Specified Strength (PSI): 4000 Unresolved Items: Water Added @ Jobsite (gals.): 0.1R— Addmixture: POZZ 322N Concrete Temperature (F): c 3 Truck #: —3 Ticket #: 1309 ® None Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders ❑ See Below Location of Sample: SI rNz. On L? t n'Je — U ., rz+ ❑ No Samples Taken Dau&rmotion of Work Inspected: Phase Lot# Product Ian �( L,� QC, J t� CEJ rn0,1c�f�\1 iOt r FN -\y -n(D 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 Itv 1r% � � j 5 d'5 Q, W 1h P 0 W 0— Also, 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. F - Is - h(o 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx l O 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. R- \6- o(.c> 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx Verified correct mix design. i I certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved pecifications applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICC Certification.rN 216-80 Contracta'r's Representative: // Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 60-800 Triolgy Parkway City: La Quinta, CA Client: Sub -Contractor: Shea La Quinta, LLC Sun Coast Tensioning General Contractor: Architect: Shea Homes for Active Adults Bassenian Lagoni Structural Engineer: Borm & Associates, Inc./ Suncoast Post Tensi Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Related Tendons Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips S ticx> psi to 33.04 kips/33,000 lbs Calibration Date: Machine # Wa In _ 1-7 _oto Phase \(D N Lot# —1ppkr ; Product Plan LI_ioC. cJ Sym nnn s ( ❑✓ IBC ❑ Title 24 Other: Unresolved Items: Q'None ❑ See Below Description of Work Inspected: SpecifiedN Lot # Location Tendons Elongation (in) �,C.+.� ���• w\� , Actual Elongation (in) t + �' �0 . /e` 11 C C_ R a_ \n' r _7L"3 (� V a; o .i 3 ✓ 1b �C C1, ft . -t -- � : Icertify 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 pl ecifications _applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICC Certificatton`�No: 0842216-89 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page l of I Nov 07 2006 3:43PM HP LASERJET FAX p.5 t /:':: I'i%y/J:.//./•..(1,:.%l/✓.':ri//,✓/fJ:fl✓% /!:'/w. FJu✓.::1,.::1t YI%/YIiS///:ll.'I/l/A'%%itAj/SnN•!.!I/I/'//I/.G/l.Cl.•w..i%//'✓/O/ 1%J/i.4/•IIYIJI.//.✓%%l:r/�'LYJ%I/J/ r.:/JJ.•!///r/IlI/w,.•%•!.'I///!./I••l. ll/: r/.yli/:%..r ✓:.` INSULATION CERTIFICATE This is to certify that insulation in conformance with the current energy regulation, Catlfomia AdminlstrState of California, In the building located at: &b- 81-545 Monarch ose 16A, Trilogy Project, La Quinta, California s CEILINGS: r, TYPE: SLOW MANUFACTURER: CERTAINTEED Thickness: R-38 n WALLS: TYPE: BLOW MANUFACTURER: CERTAINTEED Thickness: R-13 ; j GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: f PARAGON SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE # 632072 s BY: TITLE: OFFICE MANAGER DATE: 11/7/2006 / f •:v.: ../v: .:.✓r.-:, r.:•r.-:n/;r.•.r•xU.n::n/t'✓.:o'.,:t:✓..r/a....:.:'1. ../...:.•::.. s. .'. r.,. .r vr: r• f • 9 NO.' 14,2006 12:04 BCI*TESTING,ri1 • E 000-000-00000 1-1 CERTIF ERIEI_CATION & DIAGNOSTIC TESTING (Page 1 of B Cf -4R dress Builder Name 1545 Monarch Court - La Uinta CA 92253 Shea Homes, Inc. Bui er mommoo0IOW Telephone Plan Number HERS Rater Telephon O mple Group Number- t # (lf applicable) William Henson 760-772-29 °459n7 /7ons Certifying Signature Firm: BCI Testing Street Address: 77-760 Country Club Drive Ste I L3, 2006 CC3-1798386489 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 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 dlagnostic tested compliance requirements as chocked 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 building. 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. The 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 adheslve duct tape Is Installed, mastic and drawbands are used in combination with doth backed rubber adhesive dud tape to seal leaks at dud connections. INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main 5 stem NEW CONSTRUCTION Duct Pressurization Test Results (CFM ® 25 Pa) Measured Values 1 Enter Tested Leakage How in CFM: 62 1400 2 Measured - +� Fan Flow: Calculated (Nominal (,'..Cooling i..) Heating) or Measured Enter Total Fan Flow in CFM; 3 Pass if Leakage Percentage < 6% [ 100 x ( Line 1 / Line 2 )): y 4.43% Q Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow In CFM from CF -6R: Pre -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 Dud System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 5] - (Only If Applicable) 7 F.ntar TestsA Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass If Leakage Percentage : 6% [ 100 x ( Line 5 / Line 2 )): (� 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% [ 100 x ( Line 5 / Line 2 )j: ❑ Pass ❑ Fall 10 Pass if Leakage to Outside Percentage <= 10% [ 10T. (Line 7 /Line 2 )); ❑ Pass n Fail 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 Leaks and Verification by Smoke Test and Visual Inspection ❑Pass ElFail Pass if One of Llnes fig through R1T pass IR Pass FJFail Page 2 . NOV 14,2006 12:05 BCI*TESTING,ri1 000-000-00000 • 0 CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address Builder Name 81545 Monarch Court - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number 6420 STD HERS Rater Telephone SampleGroup NumberI Lot # (if applicable) Compliance Method (Prescriptive) i �nCGmate Zone'l3 Certifying Signature,) t (Y Date Certificate Number %'_ •4/-� November 13, 2006 CC3-1798386489 Firm: BW 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 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 -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 Cerlifiwte). Now 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. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New System NEW CONSTRUCTION Duct Pressurization Test Results (CFM 0 25 Pa) Measured Values I Enter Tested Leakage Flow In CFM: 49 2 Fan Flow: Calculated (Nominal',"" Cooling'... Heating) or'_ Measured Enter Total Fan Flow in CFM: 1200 3 Pass d Leakage Percentage < 6% ( 100 x ( Line 1 / Line 2 )]: 4,0a to Q past ❑Fay 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 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Chahge-Out. 6 7 Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 5]- (Only if Applicable) Enter Tested Leakage Flow in CFM to Oulsidr, (Only If Applic>ble) ++ S Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line S / 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 <.= 1S% [ 100 x ( Line 5 / Line 2 )]:❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage - - 10% [ 100 x ( Line 7 / Line 2 )J: `., nf Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 601/n [ 100 x ( Line 6 / Line 4 )1 and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail ❑ Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection Pass if One of Lines #9 through #12 pass❑pass ❑Fail Page 3 NOV 14,2006 12:05 BCI*TESTING,ril 000-000-00000 Page 4 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 6) CF -4_ R •Project Address �tludder Name 81345 Monarch Court - La Quints, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number 6420 STD HERS Rater Telephone Sac»ple WR6up Nilmber / Int # (if applicable) William Henson 760-172-2954 N59d7= 460.5;_ (Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature �� _/ Date Certificate Number November 13 2006 CC3-1798386489 Firm: BCI Testing: HERS Provider;CalCERTS Street Address: 77-760 Country Club Drive Ste I City/State/Zip:Pdlm Desert/ CA/ 92211 CODles to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was (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 installer has provided a copy of the CF -6R (Installation Certificate). HERMOSTATIC EXPANSION VALVE TXV : Main 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. Main System HVAC System TXVI M Pass LI Fail • • NO�7 14,2006 12:05 BCI*TESTING,ri1 000-000-00000 Page 5 CERTIFICATE OF FIELD VERIFICATION R DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R Project Address Builder Name 91545 Monarch Court - La Quinta, CA 9.2253 Shea Homes, Inc. Builder Contact Telephone Plan Number 6420 STD HERS Rater Tolephone Sa mple.Group Number/ Lot dt (if applicable) William Henson „^ 760-772-2954 45.907}i.�7005;�,' �^ Com lianee Method Prescri tive CFinat`e Zone 15 Certifying Signature Date Certificate Number November 13 2006 CC3-1798386489 Firm: M BCI Testing HERS Provider:CalCEMTS _ Street Address: 77-760 Country Club Drive ste i City/State/Zip:Palm Desert / CA/ 922117 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. le The installer has provided a copy of the CF -6R (Installation Certificate). MrHERMOSTATIC 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 TXV Pass n Fail 0 HOv 14,2006 12:05 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TIESTING (Page 5 of 8) CF -4R •Project Addm = Builder Name 91545_ Monarch Court - La Quints, CA 92253_ Shea Homes Inc. Builder Contact Telephone Plan Number 6420 STD _ HERS Rater Telephone Sample-GmupWufnberI Lot S (if applicable) William Henson 760-772-2954 45907,x 1' 005' ,' Compliance Method Prescri ti Climate Zone 15 Certifying Signature if i� z'�X OyA-__j Date Certificate Number November 13, 2006 CC3-1798386489 Firm: BCI Testing HERS Provider:CaICERTS Street Address: 77-760 Country Club Drive ste I City/State/Zip: Palm Desert / CA 192211 • • Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was RTested ❑ 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 installer has provided a copy of the CF -611 (Installation Certificate). L, -NIGH EER AIR CONDITIONER: Main System Procedures for verification ars avallable In RACM, Appendix RI. Yes {J No I EER values of installed systems match the CF -1R Yes ❑ No For split systems, indoor coil is matched to outdoor coil Yes ❑ No Time Delay Relay Verified (If Required) Yes to I. and 2; and 3 (If Required) is a EER AIR CONDITIONER: New System procedures for verification are available in RACM, Appendix RI. 1 IR Yes I._I No EER values of installed systems match the CF -1R 1z 0 Yes El No For split systems, indoor coil is matched to outdoor coil 3 ❑ Yes I_..1 No Time Delay Relay Verged (If Required) Y . _Y M Yes to 1 and 2; and 3 (If Required) is a pa pass 1.J Fail Page 6