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SFD (06-2612)P_.76. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht °F 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00002612 Owner: Property Address: 81550 MONARCH CT - SHEA LA QUINTA APN: 764-280-999-1 -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: 170639 D Contractor: Applicant: /Arhitect or En ineer:-SHEA HOMES, INC: 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 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 7 00) of Division 3 of the Bus'ness and Professionals Code, and my License is in full force and effect. Liceq ss: icense No.: 672285 Date:ontracto . 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 1, 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 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 1 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/07/06 AUG 0 2 2006 tl1oil CITY OF LA QUINTA ----------------------------------------------- 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 1 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner as to become subject t the workers' compensation laws of California, and agree thaA�Cshal eco a bject to th orkers' compensation provisions of Section 0 of the Lort ith omp with those provisions. Da�Applica 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 f such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have ead this application and state tha th above inf me ion is correct. agree to comply with all city an ou ord antes a state laws relati o ildi cons r trio and here thorize representatives oft , c o e a the above-mentio d pro r insp ion p rposes. Date: / g cure (Applicant or Application Number . . . . . 06-00002612 Structure Information Construction Type . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 576.00 PATIO SQ FTG 177.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1943.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 888.00 Plan Check Fee 577.20 Issue Date . . . . Valuation . . . . 170639 Expiration Date 1/03/07 Qty Unit Charge Per Extension BASE FEE 639.50 71.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 248.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . 70.50 Plan Check Fee 17.63 Issue Date Valuation . . . . 0 Expiration Date 1/03/07 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 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 --------------7------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee 94.53 Plan Check Fee 23.63 Issue Date . . . . Valuation 0 Expiration Date 1/03/07 Qty Unit Charge Per Extension BASE FEE 15.00 1943.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 68.01 576.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 LQPERMIT Application Number . . . . . 06-00002612 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 152.25 Plan Check Fee 35.81 Issue Date Valuation . . . . 0 Expiration Date 1/03/07 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00. 1.00 15.0000 EA PLB BUILDING SEWER 15.00 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 5.00 .7500 EA PLB GAS PIPE >=5 3.75 1.00 15.0000 ---------------------------------------------------------------------------- :]A PLB GAS METER 1 .00 Permit GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee -, .00 Issue Date . . . Valuation . . . . 0 Expiration Date 1/03/07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 1, PLAN 4520B, 1943 SF/ 255 SF CASITA,BOX BAY Q MBR. -26 SF 4- GARAGE EXT - 88 SF.PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . ... ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 57.72 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 17.06 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 LQPERr4IT •� •: . Application Number Fee summary Charged Permit Fee Total 1220.28 Plan Check Total 654.27 Other Fee Total 3770.78 Grand Total 5645.33 LQPERA4IT 06-00002612 Paid .00 .00 .00 .00 Credited .00 .00 .00 .00 Due 1220.28 654.27 3770.78 5645.33 JCM Inspections 39725 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 # 7001 Slab on Grade 8-9-06 Concrete 273-755 Bedroom 2 • Page 1 of 1 Required psi: 4000 4417 7 4150 4418 28 5550 4419 28 5490 JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 JCM Inspections ' I 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTION S 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 F-] 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): e:Z Supplier: Superior Time Sampled: 9, Mix Design: D83625P Time in Mixer (min.): Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): Addmixture: POZZ 322N Concrete Temperature (F): LS Truck #: k --) G Ticket #: / Ambient Air Temperature (F): C Field ID Marking: Set A - 4 cylinders v Weather: Unresolved Items: FL_ ¢None ❑ See Below \ Location of Sample: ❑ No Samples Taken Opsrrintion of Work Inspecte Phase(p Lot# pn Product PI)n L4 S C) Q1 O n -, r- r Q- 9, 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 Holldownss (6,7,8/SD-1), Pad Footings and additional rebar placed as per these details and as noted on T '� + 3 I n A r 1 0! LA t\T• l3 0 t n 0,0 irx 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 securelytiedand supported off the earth. Accepted for concrete placement. 1_r) 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. '?,- )IN -0(' 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx y _ Verified correct mix design. 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 Certification No: 0842216-80 CContractt8es Representative: r Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of W JC M 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: 'F, _a3_ oda 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 00 psi to 33.04 kips/33,000 lbs Calibration Date: Machine # J�-�` D 00-1-1 , cin Phase Lot# Product Plan , lv�; 1 O� 1 ..1. �-i S-�n t� 4L1 � 3 n � n 1" (, I (� , 0✓ IBC Title 24 Other: Unresolved Items: Q�None � See Below Description of Work Inspected: Specified Lot# Location Tendons Elongation (in) Actual Elongation (in) y -1 1 _I �..r.rt'�f '� L� p�n��On �n � � ✓ �i �c��c - �.ca 3� ✓ v3 3y1 . YL4 ✓ Sk4-3 1 . 43 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 PIWpecifications _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 � of Nov 117 2006 3:41PM HIP LASERJET FAX p.2 A INSULATION CERTIFICATE • r This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Tide 24, State of California, in the building located at: 1-550 Monarch Court, 1 ":7 -j.001,,fihase 16A, Trilogy Project, La Quinta, California CEILINGS: TYPE: BLOW MANUFACTURER: CERTAINTEED Thickness, R-38 WALLS: TYPE: BLOW MANUFACTURER: CERTAINTEED Thickness: R-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE 4632072 TITLE: OFFICE MANAGER DATE: 11!7/2006 0 6 eNOV V,2006 12:52 BCI*TESTING,ri1 000-000-00000 Page 2 1040 + v 1 is 11 TESTING (Paae i of 8 CF -4R fiUye—ct Address Builder Name 81550 Monarch Court - La u_ intaCA 92253 Shea Homes, Inc. 8vild Fanta -_ - - --- _ Telephone Plan Number 4520 Casita - _ NIERS Rater Telephone Samp. ` up u / Lot # (if applicable) William Henson 760-772-2954 456;&/ 7001 Com lianee Method Prescri tive Cllmat _ Certifying Signature /� ,' Date Certificate Number NoveMber 7, 2006 CC3-1798386211 Firm: BCI Testing HERS Provider:CaICERTS Streot Address: 77-760 Country Club Prive 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 rl Approved as part of sample testing, but was not tested. As the HERS rater provldinq dlagnostit 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 building. The HERS rater must not release the CF -4R until a properly completed 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 Ileo 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 dud connections. MINIMUM RE UIREMENTS FOR R DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System r I NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: 95 2 Fan Flow: Calculated (Nominal ;.,."Cooling '..."Heating) or'•_•' Measured 1600 Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage - 6% ( 100 x ( Line 1 / Line 2 )j: 5,949/6 Pass n 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 Duct Systcm Alteration and/or Equipment Change -Out. y 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 (Line 4 - Lino 51 - (Only if Applicable) Entrr Tested Lcaka9e Flow In I -FM to Outside (Only if Applicable) 7 ^ 8 Entire New Duct System - Pass if Leakage Percentage : 6% ( 100 x ( Linc 5 / Line 2 )): ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Dud System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 __ Pass If Leakage Percentage c= IS% f 100 x ( Line 5 / Line 2 )J: Pass Fall 10 Pass if Leakage to Outside Percentage .- 10% 1 100 x ( Line 7 / Line 2 )1-.l.- I❑ -1 r❑ f Pass+ -1 l .1 I -ad 11 Pass if Leakage Reduction Percentage >= 60% ( 100 x ( Line 6 / Line 4 )J ❑Pass El 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 ❑ Fall Pass if One of Lincs 49 through 912 pass ❑ Pass ❑ Fail ,,NOV x;3,2006 12:52 BCI*TESTING,ri1 000-000-00000 Page 3 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8 CF -4R Project Address guilder Name 81550 Monarch Court - La Quinta, CA 92253 _ Shea Homes, Inc. Builder Contact Telephone Plan Number M 4520_ Caa Sit HERS Rater Telephone Sample Group Number Lot t (if applicable) William Henson 760-772-2954 45629/ 7001 Com liance Method (Prescriptive) Climate Zone 15 Certifying Signature - Date Certificate Number November 7, 2006 CC3-1798386211 Firm: BCI 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 © 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 now 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 Ch -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 -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 dud tape to seal leaks at dud connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New System CJ NEW CONSTRUCTION Duct Pressurization Test Results (CFM 0 25 Pa) Measured Values 27 600 1 Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal'•:• Coollnq'•.-•r Heating) or'•..'Measured Enter Total Fan flow in CFM;,^..+ 3 Pass if Leakage Percentage <: 6% r 100 x ( Line 1 / Lim:2 )}; 3.381/a WI Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out_ — 4 Chter 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 CEM; Final Test of New Dud System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 5) - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ~ 6 1 Fntve New Duct System - Pass if Leakage Percentage c 6% [ 100 x ( Line 5 / Line 2 )J: w ❑ pass ❑ fail TEST Equipment Standards 9 OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Change -Out, use one of the following four Test or Verification for Compliance: Pass If Leakage Percentage •== 15% ( 100 x ( Line 5 / Line 2 )J: ❑ Pass ❑ Fail ❑ Pass ❑ Fall 10 Pass if Leakage to Outside Percentage <:= 10% r loo x ( Line 7 / Line 2 )): I1 Pass if Leakage Reduction Percentage : - 60% [ 100 x ( Line 6 / Line 4 )J 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 10 Pass ❑Fail Pass if One of Lines #9 through # 12 paw ❑ Pass ❑ Fall CJ ,NOV 1.3,2006 12:52 BCI*TESTING,ri1 000-000-00000 Page 4 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING.(Page 3-4 of 8) CF -4R Project Address Builder Name 31550 Monarch Court - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telepherle Plan Number _ 4520 Casita IIM; Rater Telephone Sample Group Number / Lot # (if applicable) William Henson 760-772-2954 45629 / 7001 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature / / � Date Certificate Number November 7, 2006 CC3-1798386211 Firm: RC1 Testing`,' -f' HERS Provider:Ca10ERTS 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 R 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. aThe installer has provided a copy of the CF -611 (Installation Certificate). MOTHERMOSTATIC EXPANSION VALVE (T)(V): 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. I Main System HVAC System TXVJ 0 Pass ❑ Fail • 0 ,NOV 13,2006 12:52 BCI*TESTING,ri1 000-000-00000 Page 5 CERTIFICATE OF FIELD VERIFICATION 8, DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R Project Addre= Budder Name 81550 Monarch Court - La Quinta, CA 92253 Shea Homes, Inc. fRullder contact _ 'telephone plan Number 4520 Casita HERS Rater Telephone Sample Group Number/ Lot # (if applicable) William Henson 760-772-2954 45629 7001 Com liarim Method Prescri rive Climate Zone 15 Certifying Signature j; ;� Date Certificate Number November 7 2006 CC3-1798386211 Firm: BCI Testing -Country I IERS Provider;CalCERTS Street Address: 77 -760 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 © Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, t certify that the house identified on this,form complies with the diagnostic tested compliance requirements as checked on this form. a The installer has provided a copy of the CF -6R (Installation Certificate). Lv-IrHERMOSTATIC EXPANSION VALVE TXV : New System _ Forort ccess is provided for inspection. The procedure shall consist of visual verification that the TXV Is Installed) the system and installation of the specific equipment shall be verified. I New System MVAC System TXV I R Pass P Fail • 9 ,,4NQY-,3,2006 12:52 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION 8: DIAGNOSTIC TESTING (Page 5 of 8) CF -4R •Project Address Builder Name 81550 Monarch Court - LA Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number 4520 Casita HERS Rater telephone Sample Group Number/ Lot # (if applicable) William Henson 760-772-2954 45� 7001 Compliance Method pnescri tive Climate Zone 15 Certifying Signdture /i l "� Date Certificate Number `/'L.'•' � � ' f -f November 7, 2006 CC3-17983862.11 Firm: BCI Testin ...... . •,:.�... ... .. . _...,._ .. , ._ .:.. .... MFRS Provi4er: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 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, W The installer has provided a copy of the CF -6R (Installation Certificate), IGH EER AIR CONDITIONER: Main System Procedures for verification are available in RACM, Appendix R1. _ I © Yes n❑ No EER values of installed systems match the Cr: -1R ^ •� 2 W Yes 1..1 No I For split systems, indoor coil is matched to outdoor coil 3 ❑ Yes U No Time Delay Relay Verified (If Required) Yes to 1 and 24 and 3 (If Required) is a pas Pass ... Fail IGH EER AIR CONDITIONER: New System C] go 'rocedures for verification are available in RACM, Appendix RI. 1 RIYes ❑ No EER values of installed systems match the CF 1R 2 © Yea+ ❑ No For split systems, Indoor coil Is matched to outdoor toll 31F . I Yes ❑ No Time Delay Relay Verified (If Required) Yes -t.1 and 2; and 3 (If Required) is a pas4 M Pass ElFdll Page 6