07-1194 (SFD)T-ityl
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760)'777-7011
INSPECTIONS (760) 777-7153
Owner:
STANDARD PACIFIC COACHELLA VLY
'15326 ALTON PKWY
DETACHED IRVINE,,CA 92618
(949),789-1600
Contractor: j I
Date: 4/19/07
Applicant: Architect or Engineer:
STANDARD PACIFIC" RP t L
15326 ALTON PKWY 200'.
MAY 07
IRVINE, CA 92618�a
L
$SeVl avL- flwL omdy_kea
(949) 789-1600 OF: QuINTA
Lic. No.: -64166 CI
P.O. BOX 1504
��—
• ' 78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253,
.Application Number:
07=000011947••`)
Property Address:
457715 ROSEWOOD CT
APN:.
762-240-011-8 -32279 -
Application description:
DWELLING - SINGLE FAMILY
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
221901
T-ityl
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760)'777-7011
INSPECTIONS (760) 777-7153
Owner:
STANDARD PACIFIC COACHELLA VLY
'15326 ALTON PKWY
DETACHED IRVINE,,CA 92618
(949),789-1600
Contractor: j I
Date: 4/19/07
Applicant: Architect or Engineer:
STANDARD PACIFIC" RP t L
15326 ALTON PKWY 200'.
MAY 07
IRVINE, CA 92618�a
L
$SeVl avL- flwL omdy_kea
(949) 789-1600 OF: QuINTA
Lic. No.: -64166 CI
��—
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Busin an I essi a Code, and my License is in full force and effect._
I have and will maintain acertificate of consent to self -insure for workers' compensation, as provided
License Class: B c o.: 641665 • '
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
-
issued.
ontractor:
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 -
0 N -BU ER CLARATION - -
insurance carrier and policy number are: -
I hereby affirm under penalty of perjury that I am exempt from t e Contractor's State License Law for the
Carrier SEA BRIGHT INS Policy Number BB1070237
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct; alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner sM a subject the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if Ishojey workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the it o those provisions.
- 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.:
te: plicant:
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 . I
WARNING: FAILURE TO SECURE WORKERS' COMP OVERAGE IS UNLAWFUL, AND SHALL
' Contractors' State License Law does not apply to an owner of property who builds br improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
- and who does the work himself or herself through his or her own employees, provided that the -'
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
• improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
' (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application. .
property who builds or improves thereon, and who contracts, for_ theprojects with acontractor(s) licensed.
1. Each person upon whose behalf this application is made, each person at -whose -request and for
pursuant to the Contractors' State License Law.). -
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
- I—) I am exempt under Sec. , B.&P.C. for this reason
'
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City .
f O' f' I f I d h kb
M
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
o La umta, its o facers, agents and emp ogees or any act or omissiion re ate to t e wor Bng
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 abyy mation is correct. I agree to comply with all
city an bunty ordinances and state laws relating to buil 'Qg•ra uc 'on, an ereby authorize representatives
oft county enter upon eabove-mentioned prop y 'nspecti n p
ate: S ature (Applicant or Agent):
�. Application Number .
. . . 0.7-00001194
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1066.50
Plan Check Fee
173.31
Issue Date . . . .
Valuation . . .
221901
Expiration Date
10/16/07
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
.122.00 3.5000
----------------------------------------------------------------------------
THOU BLDG
100,001-500,000
427.00
Permit . . .
MECHANICAL
T
Additional desc ...
Permit Fee
103.00
Plan'Check Fee
6.44
Issue Date ..
Valuation
0
Expiration Date
10/16/07
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
7.00 6.5000
EA MECH
VENT FAN
45.50
1.00 6.5000
-------------------------------------------
EA MECH
EXHAUST HOOD
---------------------------------
6,50
Permit .. . .
ELEC-NEW-RESIDENTIAL
Additional desc .
Permit Fee . . . .
151.30
Plan Check Fee
9.46
Issue Date.
Valuation . . . .
0
Expiration Date
10/16/07
Qty .Unit Charge
Per
Extension
BASE
FEE '•
15..00
3544.00 .0350
ELEC
NEW.RES-- 1 OR 2 FAMILY
124.04
613.00 .0200
------------------ -----------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
12.26
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
202.50
'Plan Check Fee
12.66
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/16/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
22.00 6.0000
EA PLB FIXTURE
132.00
1.00..15.0000
EA PLB BUILDING SEWER
15:00
LQPERMIT ..
_ .
41 Application Number . . . . 07-00001194
Permit . . . PLUMBING
Qty Unit Charge Per
Extension
.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
8.00 .7500 EA PLB GAS PIPE >=5
6.00
1.00 15.0000 EA PLB GAS METER
15.00
Permit . . . GRADING PERMIT
Additional desc .
Permit Fee15.00 Plan Check Fee
.00
Issue Date . . . . Valuation
0
Expiration Date •10/16/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
Special Notes and Comments
SFD - LOT 8, PLAN 2SC�_'}, 3544 SF,.
PERMIT DOES NOT INCLUDE POOL, SPA,
BLOCK WALLS OR DRIVEWAY APPROACH. 75%
REDUCTION TO PLAN CHECK FEES DUE TO
MULTIPLE ISSUANCE OF SAME PLAN TYPE,
2001
CBC, CMC, CPC, 2004 CEC, 2005 ENERGY
CODES
Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES
54.75
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
17.33
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
35.5.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
REPLACEMENT INSP CARD
15.00
STRONG MOTION (SMI) - RES
22.19
- DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
N'ee summary Charged Paid Credited
Due `
Permit Fee Total 1538.30 .00 00
1538.30
Plan Check Total 201.87 .00 .00
201.87
Other Fee Total 4584.27 .00 .00
4584".27
LQPERMIT - -
,
LQPERMIT
ENGINEERING; INC: >
structural consulting and design f
July 17, 2007
Standard Pacific of Coachella Valley
PMB #303
1717 E Vista Chino Rd, Ste A7
Palm Springs, CA 92262
ATTN: Troy Hefner
RE: Palo Verde
Structural Observation . _
°Lot 8, 2SC , '57=715 Rosewood Court
Dear Mr. Hefner, .
In accordance with your request our office performed-a, site observation of the Palo Verde project-in order
to observe the framing to date of the above.mentioned lots and have found them in general conformance
with the plans. The site visit consisted of a walk through observation of the construction that was visible.
No dismantling of construction or testing was performed to verify construction that was not readily
visible. The observation does not relieve the contractor and builder from making sure that the
construction conforms to the city approved construction documents. If you should have. any questions,
please contact this office.
Sincerely,`
Richard I eitas, P.E.
President
`w PD , F AS
CO
o. C049072 N rvi
M
c Exp, o 0-08
11P
471 W. Lambert Road, Suite 105
Brea,'California 92821
phone (714)256.2722 fax (714)256.9182
SOUTHWEST INSPECTION AND TESTING INC.
441 COMMERCIAL WAY
LA HABRA, CA 90631-6168
562-941-2990 714-526-8441 Fax -562-946-0026
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
FIELD DATA ON TEST SPECIMENS
--- ASTM C31, C138, C143, C172, C173, C231, 01064 ---
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES:. GUNITE:
ADDRESS: 57-715 ROSEWOOD CT. LA QUINTA JOB #: 60280 DATE: 6/29/2007
JOB NAME: PALO VERDE/TR#32279/PH#1 PERMIT #: 071194 ISSUED BY: LA QUINTA
ARCHITECT: BASSENIAN & LAGONI ENGINEER: RGF ENGINEERING
CONTRACTOR: STANDARD PACIFICI HOMES SUB CONTRACTOR: DIAZ CONST.
--------------------------------------------------------------------------------
LOCATION IN STRUCTURE: LOT#8/ SLAB
--------------------------------------------------------------------------------
CONCRETE SUPPLIER: SUPERIOR PLANT: 74 MIX #: D83625P
TYPE OF CEMENT : V ADMIXTURE: TICKET #: 19157
SLUMP : 5" WATER ADDED: 5 GAL. AIR TEMP: 88 F
CONCRETE TEMP: 81 F MIXING TIME: 30 MIN. TIME CAST: 8:40
--------------------------------------------------------------------------------
DATE CAST: 5/21/2007 RECEIVED AT LAB: 5/22/2007
-------------------------------------------------------------------------------
SPECIMENS MADE BY: PHILIP A. PETTEREZ SPECIFIED PSI: 4000
-------------------------------------------------------------------------------
FIELD IDENTIFICATIONI A I B I C I D I E
-------------------------------------------------------------------------------
LAB IDENTIFICATION : 705696 : 705696 : 705696 : 705696
-------------------------------------------------------------------------------
AGE DAYS 7 28 28 H .0 L D
DATE TEST 5/28/2007 6/18/2007 6/18/2007
SIZE -IN. 4 X 8 6.000X12 6.000X12
AREA-SQ.IN. 12.56 28.27 28.27
CRUSH LOAD -LBS 47760 126920 128130
COMP-STR.-PSI. 3800 4490 4530
I H/D
CORR FACTOR
CORR.STR.-PSI
TIME TESTED
BREAK TYPE
C.T.M. USED FORNEY FORNEY FORNEY
REMARKS:
ASTM C39, C174, C192, C470, C617, C42
COMPLIES: X DOES NOT COMPLY:
------------------------------------------------------------------------------
THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL WITHOUT THE APROVAL OF SITI
-------------------------------------------------------------------------------
RESPECTFULLY SUBMITTED
SOUTHWE T INSPEC ION AND TESTING
SAMPLES CAST BY OTHERS:
_
/OOORENAN R.
LAB. MAN GER
ASTM C39 BREAKS A= cone B= conee and split C= cone D=shear E=columnar
Southwest Inspection and Testing, Inc.
441 Commercial Way, La Habra, CA 90631
(562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026
REGISTERED INSPECTORS'S DAILY REPORT-Z(--�
SWIT Job No.
Date
TYPE OFReinforced
INSPECTION
REQUIRED
Concrete
❑ Post Tensioned Concrete
❑ Reinforced Masonry
11Strcictural Steel Assembly 0]QU ity Control
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❑ Asphalt ` G
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INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED NUMBER, TYPE 8c IDENT. NO'S OF
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CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED
WORK U LESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,
SPE IC TI AN AP (CABLE
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SIGNATURE OF IlEfRSTEfln INSPECTOR
SPECIALTY NO. AGENCY
CONTINUED ON NEXT PAGE [:] PAGE OF
TIME IN TIME OUT REG. HOUR O.T. HOURS CYLINDERS
All inspections based on a minimum of I hours and over 4 hours - 8 hour
minimum.
Approved by
Superintendent
WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY
A
Southwest Inspection and Testing, .Inc..
441 Commercial Way, La Habra, CA 90631'
(562) 941-2990 • (714) 526-8441 Fax (562) 946-0026
SWIT Job No. Date
REGISTERFI� 1NCt7Fi(_Tit1RC'C 1'1All V RFDI(1RT i _x .-, � r/. r-_•��
TYPE OF
INSPECTION
REQUIRED
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❑ Post Tensioned Concrete ❑ Fire Proofing Other
[:] Reinforced Masonry ❑ Asphalt 4ZGI�zG
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INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE& (DENT. NO'S OF
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CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED
WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,
SPE9 IC TAS, AIMAPPUGABLE SECTIONS OF .
SIGNATURE F REGISTEF E�INgECTOR
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SPECIALTY NO. AGENCY
CONTINUED ON NEXT PAGE ❑ PAGE �_ OF
TIME IN TIME OUT REG. HOURS O.T. HOURS CYLINDERS
%�3v %• •tea, �� �'
All inspections based on a minimum of 4 hours and over 4 hours - 8 hour
minimum.
Approved by
Superintendent
WHITE - OFFICE COPY, CANARY - .ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY
Southwest Inspection and Testing, Inc.
441 Commercial Way, La Habra, CA 90631 ..
(562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026
REGISTERED INSPECTORS'S DAILY REPORT
SWIT Job No.
Date
TYPE OF Reinforced Concrete ❑ Strcictural Steel Assembly ❑ Quality Control
INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing Other
REQUIRED ❑ Reinforced Masonry ❑ Asphalt _
Job Address 57-715
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I HEREBY CERTIFY THAT I HAVE OBSERVED TOTHE BESTOF MY KNOWLEDGE ALL OFTHE ABOVE REPORTED TIME IN I TIME OUT REG. HOURS I O.T. HOURS I CYLINDERS
WORK VJWSS OTHERWISE NOTED. I HAVE FOUND THIS WORK T/ptJ O�M,PLY WITH THE APPROVED PLANS
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SIGNATURE OF REGISTEAEBJtISPEBfOR&,�60 _ , j
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SPECIALTY NO. AGENCY
All inspections based on a minimum of 4 hours and over 4 hours - 8 hour
minimum.
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WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY
Southwest. Inspection and Testing, Inc.
441 Commercial Way, La Habra, CA 9063.1
(562) 941-2990 4 (714) 526=8441 • Fax (562) 946-0026
REGISTERED INSPECTORS:S DAILY REPORT -
SWIT Job No.
'ZZ
Date
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TYPE OF
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REQUIRED
7WReinforced Concrete ❑ Streictural Steel Assembly ❑ Quality Control
❑ ost Tensioned Concrete ❑ Fire Proofing ❑ Other
❑ Reinforced Masonry ❑ Asphalt
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CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFYTHAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED
WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,
SPECI TIO Z
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SPECIALTY NO. AGENCY
CONTINUED ON NEXT PAGE PACE OF
TIME IN I TIME OUT I REG. HOUR O.T. HOURS CYLINDERS
101341 / • ;94,j $ of
All inspections based on a minimum of 3 hours and over 4 hours- 8 hour
minimum.
Approved by
WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD- - 10B SITE COPY
Southwest Inspection aril Testing . Inc. .
441 Commercial Way, La Habra', CA 906311. , .
(562) 941-2990 • (714) 526-8441 9Fax (562) 946-0026,
REGISTERED INSPECTORS'S DAILY REPORT . .. -
SWIT Job No.
Date
- %
TYPE OF
INSPECTION
REQUIRED
Reinforced Concrete ❑ Streictural Steel Assembly, ❑ Quality Control
❑ ost Tensioned Concrete ❑ Fire Proofing ❑ Other
❑ Reinforced Masonry ❑ Asphalt
Job Address / _
U o 4 / a City t #4•� / '
/ r T Colo
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Job Name � b
J �
Permit No.�L 9
Issued By
Type of Structure
,
Architect dS Gv /L49Ol,1/
Material Description (type, grade, source) S
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Engineer N � /VC,
Contractor J, _ ^ AI C-
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Inspector(s) Name
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Subcontractor
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TESTS PERFORMED
TYPE OF SAMPLE-`;
'SLUMP QUANTITY IN SET ....ADDITIONAL ARCS ON SAMPLES
INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS,'PROGRESS, REMARKS, ETC.
INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF
TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC.
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CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED
WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,
SPEC T S, AND APP ICABLE CTIONS OF S.
SIGNATURE OF R GISTE D INSP TOR
w o 6,✓ � 4-1 - Y, l GC.
SPECIALTY NO. AGENCY
CONTINUED ON NEXT PAGE ❑ PAC E Z OF _—z_
TIME IN I TIME OUT 1. REG. HOURS I O.T. HOURS I CYLINDERS
*f2fl 1 ' L/V A
All inspections based on a minimum of 4 hours and over 4 hours - 8 hour
minimum.
Approved by
Superintendent
WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROC - JOB SITE COPY
i
Southwest. Inspection and. -Testing, Inc.
441 Commercial Way, La Habra, CA 90631
(562) 941-2990 • (714) 526-8441 • fax (562) 946-0026
REGISTERED INSPECTORS'S DAILY REPORT
SWITJob No.
Date
I. S-
TYPE
TYPE OF Reinforced Concrete ❑ Strcictural Steel Assembly ❑ Quality Control
INSPECTION ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other
REQUIRED ❑ Reinforced Masonry ❑ Asphalt
Job Address S _ is- vS�. u �� City LA
Job Name ,4 Lo D
Pit No. C S� 6 &
JGG
Issued ByG • -
Type of Structure D
Architect
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Material Description (type, grade. source)`� n
Engineer
I N
S
Contractor ND � n ��� • G G
Inspector(s) Name i - ^� Subcontractor '•A
' )
G 1 Z ( 0
TESTS PERFORMED
TYPE OF SAMPLE
SLUMP
QUANTITY IN SET- ADDITIONAL RE NS ON SAMPLES
INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC.
INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,.TVUMBER, TYPE & IDENT. NO'S OF
TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC.
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CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFYTHAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED
WORK NLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,
SPE FI ATIA, ANnPPLICABLE SECTIONS OF THE G
SIGNATURE OF GISTERED INei jpR-
.�✓F2c.�0 ��✓� sZ791'1i-Y9 -1. LG
SPECIALTY NO. AGENCY
CONTINUED ON NEXT PAGE E] PAGE' OF
TIME IN I TIME OUT I REG. HOURS I O.T. HOURS I CYLINDERS
• f c.
All inspections based on a minimum of 4 hours and over 4 hours - 8 hour
minimum.
Approved by
Proj�Sprint.ndent
WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - JOB SITE COPY
2007/10/02 07:15:29 1-9S1-739-9509 1-951-739-9501 Powered by LightniagFAX Page:2/2
1-951-739-9501
System
itUST181AC
1610 Maple St.
Certification
corona, CA 92880
AIFLCONPI710iWMG
INC.
S.C.L. #585972
Job# 6150
Lot# 8
Customer# 615022069
Job Name Palo Verde Phase 1
_
r�res5 57=715' ROSEWO `
P
pate 10/2/2007
Builder Standard Pacific of the
City LA QUINTA
Dispatch# 185857
Your Westpac Heating and Air Conditioning system is complete and ready for operation. In -he event the system
does not operate when turned on at the thermostat, the following items must be checked.
1 Is the-fumace-plugged-in?._ .__._......__ ......... _ _..__.. __ ....__.. _ ...__......._........_...----__......_ .
2. Is the breaker turned on?
3. Is the disconnect in the on position? ,
If the system still does not operate after confirming these items, please con ct our service department at
(951) 739-9501.
In order to provide our customers with timely and professional service, it is very important &,at the above items are
checked prior to making a service request. A $120.00 service fee may be r uired if service is related to these items.
a
"Working as a Team to be the Best in our
ndustry"
INSTALLA
Site Addreffs
CERTIFICATE (Pare 3.
! p A 4--1 C -
DUCT LEAKAGE .AND DESIGN DIAGNOSTICS
DUCT LEAKAGE REDUCTION
of 13) CF -6R
Permit Mutnbe,7
Pftsurizadon Test Results (CFM @ 25 PA)
Fen Flow Test' Leakage (CFM)
If Fen Flow is Calculated as 400 cfinhon x number of tons, or as 21.7 x Heating Capacity
In 11ousands.ofBtulk, enter calculated value hem 1qOO
If fan flow Is measured, enter measured value hem
Leakage Fraction = Test Leakagel(Mansured or calculated pan Flow) I
Pass if leakage fraction!9 0.06
13 fror AzRosolu TYFF, SEALANTS ONLY - The following dbgoodk testing was comp
Duct Fan PrOSSUTiZiltion at rough -in measured leakage (CFM)
CHECK AFM FINISHING WALL:
1.1yes - 0 No 13 Pressure pan test or House pressurization test
0 yes 13, No , 13 Visual Inspection of Duct Connections
11 0
Pass Fail
IJ21WMUBTATICZMANNON VALVE (TRV)
ONo 'Thermostatic Expansion Valve Is installed and Access is
Yes provided for Inspection
Q
Yes is a pass P s , Fail
O DUCT DFMGIq
13 yes 0 No ACCA Manuel D Design calculations have been
completed, Duct Design Is on the pins and duct Inswilation
matches plans.
2. E3 Yes .13 No TXV is Installed or Pan flow has been verified.
If no TXV,
verified fen flow matches design from CF -IR.
Measured Fan Flow
13 13
Yes for both I and 2 is a Pass Pass • Fail
&MI, the undersigned, ver* that the above diagnostic test results and the work I performed . associated with the tests) is in
unce With the4equkemmb for con pliance credit. (The builder shall Provide the HERS provitlera copy-ofthe CF -611
signed by the builder employees Or sub -contractors cer*ing that diagnostic testing and Installation Mee- the feTilrements
for compliance credit]
Tests
Pe I i brined Signature,
re, Date —T— Installing Suboonftctor'(Co`."M—me) OR
COPY TO: Building Department General Contractor (Co. Name)
HERS Provider (if applicable)
Building Ovifier at Occupancy
Compliande Forms August 2001 A-25
INSTALLATION CERTIFICATE (Page 3 of 13)
CF-6R
Dot ycifr
�}.
Site Address Permit Number,
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
0 DUCT LEAKAGE REDUCTION
Prean imnon Test Results (CFM @ is PA)
Test Leakage (CFM)s
Fan Flow
If Fan Flow is Calculated as 400 c$nRon x number of tons, or as 21.7 x Heating Capacity
in Thousands.of Btu/hr, enter calculated value here
If fen flow is measured, enter measured value here
Leakage Fraction = Test Leakaget(Meestved or Calculated Fen Flow)
Pass if leakage Radion S 0.06
❑ #or AEROSOL TYPE SEALANTS ONLY. The follewhig dbWodk testing was completed
Pass Fail
Duct Fan Pressurization at rough-in measured leakage (CFM)
CHECK AFTER FINISHING WALL:
,
❑ Yes ❑ No ❑ Pressure pan test or House pressurization test
® Yes No ® Visual Inspection of Duct Connections
❑
Pass Fail
TEM MOSTATIC EXPANSION VALVE
Yes 13 No Thermostatic Expansion Valve is installed and Access is
provided for hnspection
❑
Yes is a pan
Pest Fail
DUCT DESIGN
l ❑ Yes ❑ No ACCA Manual D Design calculations have been
completed, Duct Design is on the plans and dud installation
matches plans.
2. ® Yes ® No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -IR.
Measured Fan Flow =
_ ❑ ❑
Yes for both l and 2 is a Pass Pass Fail
I, the jmdersigned, vM* that the above dispostic test results and the work i performed
associated- with the test(s) is in
with the regnitemmb for compihmce credit. [The builder shall provide the HERS providers copy of the CF -6R
si ed by the builder employees or sub -contractors cxrtifjring that diagnostic testing and Installation meet the regttirentents
for cxjmtpliaece credit] —
�
Tests 3ignadtte, Date Installing Subcontractor (Co. Name) OR
Performed General Contractor (Co. Name)
COPY TO: Building Dgwtrwd
HERS Provider (if applicable)
Building Owner at Occupancy
Compliance Fomtu . August 2001 A-25
��
�a, �cw
of Occupancy
o�Certificate
WCV
tjJW_0jFZATEQ
�- �,
i
0 Building .& Safety Department
V
This Certificate is issued- pursuant to the requirements of Section. 109 of the California Building
Code, certifying . that, at the time of issuance'this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 57- 715 ROSEWOOD COURT
Use classification: SFD. Building Permit No.: 07-1194
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
a.
Owner of Building: STANDARD PACIFIC HOMES Address: 1717,.E. VISTA CHINO RD, STS A7
Nj
City, ST, ZIP: PALM SPRINGS, CA.
Sr
By: KIRKKIRKLAND
Date: NOVEMBER 2, 2007
Building Official
J;
POST IN A CONSPICUOUS PLACE
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