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05-4955 (SFD)l P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA;,CALIFORNIA 92253 Application Number: 05-00004955 Property Address: 61235—RUBY—CT APN: 764-270-999.-57 -300234- Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 170639 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/07/05 LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License.Class: B License No.: 672285 ate:IAL�� ontractor. 49 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).: (_) 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 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. , 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 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 become subject to the workers' compensation laws of California, .. and agree that, if I should becom subject to the workers' compensation provisions of Section �/ —700 of LaI'hall hwith comply with those Provisions. ate: I IIL lican 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 Quina, its officers, agents and employees for any act or omission related to the work being . performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit; or cessation of work for 180 days will subject permit to cancellation. ' I certify that I have read this application and state that the above informa n is correct. I agree to comply with all, Da�"city and county ordinances and state laws relating to b ildin constructs ,and hereby authorize representatives oft ountyfto enter upon above-mentioned prop o inspectio n s`. 1 [(4`D ,gnature (Applicant or Agent) . "� - Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258. NOV 1- 6 2005 Contractor: IT( OF LA QUINTA SHEA HOMES, INC. FINANCE DEPT - 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License.Class: B License No.: 672285 ate:IAL�� ontractor. 49 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).: (_) 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 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. , 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 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 become subject to the workers' compensation laws of California, .. and agree that, if I should becom subject to the workers' compensation provisions of Section �/ —700 of LaI'hall hwith comply with those Provisions. ate: I IIL lican 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 Quina, its officers, agents and employees for any act or omission related to the work being . performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit; or cessation of work for 180 days will subject permit to cancellation. ' I certify that I have read this application and state that the above informa n is correct. I agree to comply with all, Da�"city and county ordinances and state laws relating to b ildin constructs ,and hereby authorize representatives oft ountyfto enter upon above-mentioned prop o inspectio n s`. 1 [(4`D ,gnature (Applicant or Agent) . "� - LQPERMIT 'Application Number 05-00004955 ' 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, 576.00 PATIO SQ FTG 177.00 NUMBER OF UNITS 1.00 IRT FT.nnR RQUARF FonTArF 1 94 ;i . nn Permit BUILDING PERMIT Additional desc . Permit Fee 888.00 Plan Check Fee 577.20 'Issue Date Valuation -170639 Expiration Date 5/06/06 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 5/06/06 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 1 6.5000 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 5/06/06 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 " ;. Application Number 05-00004955 Permit . . PLUMBING Additional desc . Permit Fee 152.25 Plan Check Fee 35.81 Issue Date Valuation . . . . 0 Expiration Date 5/06/06 • Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6,0000 Ra BTR RTYTTTRF s4 . nn 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 9.000V EA PLB LAWN SPRINKLER SYSTEM 9.00 5.00 7500 EA PLB GAS PIPE •>=5 3.75 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 5/06/06 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------------------ --------------- Special Notes and Comments . SFD - LOT 57, PLAN 4520C, 1943 SF/ 255 SF CASITA,BOX BAY Q MBR -26 SF 4- GARAGE EXT - 83 SF.PERMIT DOES NOT INCLUDE BLOCK WALLS,POOL, SPA OR DRIVEWAY APPROACH ------------------------------------- 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 Fee summary Charged Paid Credited Due LQPERMIT .. _ Application Number 05-00004955 Permit.Fee Total -- 1220.28 -------------------- 00. .00 ---------- 1220.28 Plan Check Total 654.27 .00 .00 654.27 - Other Fee Total 3770.78 .00 .00 .37.70..78 Grand Total 5645.33 .00 .00 5645.33. APR 11,2006 14:27 BCI*TESTING,ril 000-000-00000 Page 9 CERTIFICATE OF FIELD VERIFICATION & DJACNOSTIC: TESTING (Page 1 of 8) Cl'' -41t Project Address TRILOGY AT LA QI)INTA- PHASE 13B - builder Name 61235 Ruby Court, La Oumia, CA JI ILM MVIViCJ 11161c!cr Clrntacl 'I'cicphonc • flan Numbo Armando Ulloa 760.578-6819 4520 11FRN Rulur I CIf:pholle Stunple Gr(tlll7 Numt-mr William Henson, CCN# (,(:>004016 760-772-2954 N/A Compliance Method trrescriptive) (")Illlate zone 15 Ccttilkiug Sigualurc / Dale Sant((1c I louse (Lol) Number Pun Plow: Calculated Minimal- F1(:r.iliog ✓❑ healing) or 4/9/2006 57 Pirru HERS Prmidor BCI TESTING CALCERTS Strcvt Addtcss (.ip'Stute-'Lip 77-760 Country Club Drive, Suite I Palm Desert, CA 92211 c'„ -ts u.: Ilt ar.ur:R nh:Rs p12o�Znr•:r2 .�\'n r:Tnr,nrni I T)F.IyAR'1'NI I:N'1' HERS RATER COMPLIANCE STATEMENT The house was O •Fcac(l ✓(7 Appmwd lis part ol'stlmple lusting. but was not tested /Ls the HERS rater providing diagnostic tc-, Ing and field vtilliCalirnl. I ecrlil) lhili the hnIISC. identified on this form co nplics w(tlt the dmemvo tic tested complituice requirements us chucked ✓ on Otis timn. 'l'hc HERS alta nu nt check and ccrily that :he nein disi6hulion systcm is folly ductiA acd km r :vt tope is used brlisre. it CF -4R may he released on ce(ay teazel I,,utldiu):t. 1w HERS 1'atCl lnOst not tu)<wv a the CF-aR until u properlp completed and ,ignerl CF -61? has lk:cr) icct:i(cd tar the uuupl(: and tested building%. © lF)le installer tuts provided a aopv of (:F-rrl! (Ins(,llialiorl Ccrlitic.(tcl F/1 New Utsttilruttuu scatum is fulh ducted (i.e., duxes not use huildinµ eaeilics :c, ph:orlrns olli f pla,tm rclurts in lieu of duck). El Ncw systems where cloLll hacked. ruhhcr adhesive duct rnpr. r.: iostallcd. mustic and draw bands aro u,al in combination with elolh. hackvd. rr(hln:r adlivnive duct lape to seal leaks at duct eonneclums. PI MIN INI1TM REOVIRENIt NTS VOR allyl. LEAKA(:h. REDUC-F1UN COMPLI.AIICF CRFDIT l'muedure.s,/br f ehl veri/icalivu and dime:mis1 ,: lcatrn.(j of (1(r (AvIrr/ndrnn .yt:clunrs ury mailahle ill 9,I(%.%/..1 pprndi': HC 1. i. Duct Dimmostic Leakatse Testing Rc.ult. �LV1' ('UNS'l'Rl!(.'Il0l1c d Yc:: ❑ No Aeess is provided ror inspcoliotl. 1 he pl'ncedure %hall Consla of lvi.Nwll cel iliculion that. lhe'f'X V is installed on flit system told installation of the spcotllc equipailm shall lx: verified. ✓ ✓ S •stein I • DUCI I'MINUliculion Test Results (CFM tri) 25 11a) ;caunct 1 Enter Tested Luukago (clow in CFM• 652 Pun Plow: Calculated Minimal- F1(:r.iliog ✓❑ healing) or ✓❑ Mcnsutcd Enler'fnlal Fan Flnw in CFM' 1600 ✓ ✓ 1 Pass it.' I.cakarc I'ciccl1t •r. 5 (i% 1 IOU x 1 (I.inc::l ); (Linc x:2)11 4.06% 1AP3ss [ll -ail M rasured SYslcnl 2 Duct Pressurization Tca Rcsnits ((:FM (ih 25 )'it) valut:s 1 I:nlcr'I'cslcd Leakage Flr,w in CFM Pim F10t\: Culculuted (Nominal: ✓❑ Optilirw ✓❑ llclding) (r ✓❑ Mcacnrcai 2 F.rllur Trull Pan Flow in CFM: / ✓ i 1':a, it I .cakagc I'crouua�c = b"/rI 100 x (Linc P I) ! (Linc 42)11 ❑Pas, Of -ail m THVINION'I'ATICF:XAMNIONVALVE (JAV) Pracedure.e Mr felt/ nl Yes is a Irks d Yc:: ❑ No Aeess is provided ror inspcoliotl. 1 he pl'ncedure %hall Consla of lvi.Nwll cel iliculion that. lhe'f'X V is installed on flit system told installation of the spcotllc equipailm shall lx: verified. ✓ ✓ ❑ ) , . NJ 111011 I•:F:R AIR CONDITIONER /'rrx:c•r/rn•E•.r%nrrr,�Hcnrinn rrra nvbdnG/r• ;,r tl•11'.11 •Inn..,,/;rut I ® E1 Yes ❑ No 1T.R vaules rd'iuslalled %vs,cills match the CF•I gR 2 Yus ❑ No For split sR) yslem. indoor coil is matched outduin coil ✓ ✓ 3 ❑ Yes PI No Titttc Iholay Relay Verilicd (If Rc uirud) Id ❑ Yes to I and 2', mu13 (1l'R(:quirc(1) is.l pn',t Pass Fail n�arur.,u ui, I "mi'mmut• /'nrn78 April 205 I APR 11,2006 14:28 BCI*TESTING,ril 000-000-00000 Page 10 CERTIFICATE OF FIELD VERiFICATION & DiAGNOSTiC TESTING (Page l of 8) CF -4R Project Address TRILOGY AT LA QUINTA- PHASE 138 Iluilder Namc 01235 Ruby Court, La Quinta, CA SHEA HOMES Builder 011mael Tcicphone Phil Nlnnlnli Armando Ulloa 780-1W"619 4520 Casita IIERSRalui 'telephone Sauriplcl'6unpNrnalm William I•lenson, CCN# CC2004016 760.772-2954 N/A Compliance Mcduxi(Prescri fire) Chillute%,oue 15 Ccrlilyiug Signature / I )etc ti:onldi: l lonsc (I Ail) %%miller 4/9/2006 57 Casita Vin» iIERS Provider BCI TESTING CALCERTS Shed Address (:itv'Staic:Rip 77-760 Countfy Club Drive, Suite I Palm Desert, CA 92211 co>,L•s Irv: B1:113UR, Illats I'lim'11WR •1ND IWILDlNC DJX.AR*fMEN'1' HERS RATER COMPLIANCE STATEMENT l'hc lunisc oras: E 'I'csled ✓❑ Approved as part nl sample tcstinq, hill \vas riot tcsicd As the IMB rater providing diagimstie te>ain+t and licld oetificatiou. i ccrlil.l that the house idemitied on this Rarni complies with t11C,. diaMi(xitic lasted unuplianc•e requirements as eileekcd ✓ on this ti)rnt.'t'he HF.itS calci niust chccl, and rarity 111111 :hu now disuihulion system is lillly ducted and cntnel lul+r i:: used Wive it CF—IR may he rebased on every lestal huildinx. 'r)lc HERS lulei must not release [lie CF—[R until a praiper y complcled And stpied CP -6R Mils hcCil icceivcdl IVr the sample and imted hlilldnlxti. 0 'rhe installer has provided atop} ol'CF-GR (Ios1,r1L•ilion Cerlilicule) r 0 New Distribution systcm is litilN• dueled (i.e., dttes nut uxe huililirtl, cambcs aa: picnums nr plallimn retllns in lieu of ducts). 0 New systems Wicrc cloth hacked. rUbbU ildhcsirr. duct lupe is installed, mustic and draw hands :Ere uswl m comhinalion %vith cloth hacked. rubher adhesive duct tato; tri seal le.•1ks :d duet euuuccliuu�. i9 MINIhIOM RF:OVIREMENTS FOR 1)[471' LF:.1kAGE KEDCC"11ON COMPLi. NCE CREDIT Prucethiresfrrrfrrld vert h.-uliuu and diva rruskr. hfAing afuir diairihruian sass/ems nM enwi/ahle in X I('S/, . Ippendfr R(' 1 Duct Dint*noslie Leaknive Tcslinir Re%ulls ;NEW CON91'11tlU11ON: 0 Yes ❑ Nu Aecss it, pre %ided our iuspection. 'rhe procedure shall consist uf: mwil verification that thc'I'XV is installed nil the system and instullatian of llic Np cilic cyuipntmu shall Ix: veriliui. ✓ ✓ M ❑ , , , MCnsincc SYslem I Duel Pressurirylion Tesl Rcsnits (('FM W! 7..5 laza) - I Enter Temed Leaka u Flint ill ChM: 29 2 Rut Flniv: Calculated (Nominal: ® t:rwling ✓O Hcalitt.) of ✓❑ Measured Enter 1'olul Pun Flow in CFM: 8011 ✓ ✓ 3 1'ass 11 Leakage percentage S 0% 1 100 C I (IJ IIe is 1).; (Lille i,2)11 3.63% 01 -ass ❑Fail Ncaiured tiYsthll 2 Duct Pressuriaatiuu 'fest Results (CFM !u; 25 Pa) Values I Fuler'';sled Leakage blow in (:FM: Fun Flt 1W. Calcul:dcd (Ntnninail: ✓❑ Cooling ✓❑ Healing) or ✓❑ Men';ured 2 1•:11w 1'111td Fall FIuH in (,'I'M: ✓ ✓ t laass d'I.caklgc Pcicculagc !' 6% ( 100 s j (line .':I) i _ tl.Inc. 12)jj ❑I'aa r)hall' 8 'll[F.KAu►S'I?�'I'IC' F:\/11MSiUV �':1LVE (T\V) Pmeeclums fur /irr/rj t•rrdiculrun ufdarrmavinlic ernurrsmir vah:or Erre mudahle in / -it 'A1 .1 ........./i� I7/ Yes is 1 bass 0 Yes ❑ Nu Aecss it, pre %ided our iuspection. 'rhe procedure shall consist uf: mwil verification that thc'I'XV is installed nil the system and instullatian of llic Np cilic cyuipntmu shall Ix: veriliui. ✓ ✓ M ❑ , , , 1'ruerdurrcr /ilr trrrilirrrliun ung ua•ui/uhGt ser lLa('A•1 auru.nd;v !t/ l 0 Yes ❑ No fflR o udcs of iuslulled systums match the CF -I It 2 0 Yes ❑ No For s tht sysleul. indcana cull is matched to outdoor caul ✓ ✓ 3 ❑ yes B No Time Iklac• Rchly Verilird (11'Re4uired) 0 ❑ Yes lu 1 and 2; nail 3 (lf Required) is n pass Pais Fail /(P3ulvilf ll( c.unrp(lemec, /ornis April 'UOS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 1 0=1=E" INSPECTIONS Phone: 760-345-5554 - Faz: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 3/13/06 Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 81-260 Avenue 62 La Quinta, CA 92274 Set ID Structure Age -of Test Compression Strength JCM ID Location Date Cast Cylinder ID (clays) (psi) Set A Phase 13B - Lot # 4057 Slab on Grade 1-6-06 Concrete 273.652, Great Room Required psi: 4000 2331 7 2540 .2332 -28 4490 2333 28 4430 CERTIFIED:. JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 Copy 1 JCIVI Inspections Copy 2 Project Superintendent c— Copy 3"o �Governing Agency Page 4 Of JCM lnspections'. 39725 Garand Lane Suite F 11E Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: Project Name:. Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: IBC 81-260 Avenue 62. La Quinta, CA Title 24 Client: Sub-Contractor:. Shea La Quinta, LLC Sun Coast Tensioning Other: General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Weather: Size and Type of Tendons: 1/2" Diameter Seven Strand Stress-Relieved Tendons Unresolved Jack Machine Calibration: Received Sheet from Sun Coast-Gage Pressure in psi to Machine Load in kips None i; LI e)c-) psi to 33.04 kips/33,000 lbs F❑I See Below Calibration Date: Machine # le,13) q. Phase g Lot# 14,1r_� Plan 14 ProductnC tel 1.1 q_t1X0-U 6017� Description of Work Inspected: Act.:,jai Elongation (in) Spec ' ified Complies within37% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference I I hiS N2. L6k a2C-.7 % Yes No. C * '4j] L4 G 4- EK 0 R, 11 e- 5K El Q-O\-- q_nP5VV-% I A: I UL El TA CA% LA 4- 1��Lj K"Lll 'AAA 4D flr-% rl C_k 11 MI_ El Q-- El El El El El El El El El El 11 I hereby 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 camply with the approved plans, specifications -applicable building laws. Final report issued at project completion. Inspector: 3 ck C Millin ICC Certi lbalpCon No: 0842216-89 Contractor's Representative: Copy 1 JCIVI Inspections Copy 2 Project Superintendent c— Copy 3"o �Governing Agency Page 4 Of k' . ,.. rs JCM Inspections J39725 Garand Lane Suite F i 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: 81-260 Avenue 62 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): S Supplier: Superior Time Sampled: 9'.':q'0 q, -k Mix Design: D83625P Time in Mixer (min.): Ll Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): ��Addmixture: POZZ 322N ,aq Concrete Temperature (F): -� � Truck #: ALL Ticket #: e—!37 Ambient Air Temperature (F): ��� Field ID Marking: Set A'- 4 cylinders Weather: Unresolved Items: QNone ❑ See Below Location of Sample: ❑ No Samples Taken Description of Work Inspected: Phase 3.D Lot#Ll 0 s Product Plan 4C,- ap C, ce.) 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 Footngs/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 _ d 3 r ri .�i �' ,� r 1 1ta L4 n r c. �x.`�nnc�n,t � glad. \'J 1.. W1�,.•Q�,.� c'- ���\nr ��lc�nv�,� J Also, typical details 2, 3/SD-1 and Notes on SNA 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. 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yares placed: approx 9 . 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. •- -O(o 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx 3 . Verified correct mix design. I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have this work to conply with the approved plans, specifications applicable building laws. Final report issued at project completion. Inspector: Jac . C. Millin ICC Certifi`cation�kp: 0842216-80 � n . 1(a C.... V� �:..� _. _� Contractor's"Represen tive: 7' Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of 03/.24/2006 10:44 FAX PARAGONPSCHIMID R 004/013 INSULATION CERTIFICATE This IS to certify that insulation has beeminstalled In conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building at 61-235 RUBY COURT, LOT 4057, PHASE 13B, LA QUINTA, CA CEILINGS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: BATTS MANUFACTURER:'BORATE THICKNESS: W-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS • A MASCO Company LICENSE # 221517 BY: GC�IC:Gc. 'fir-- . ` ,d>r TITLE: ACCOUNT REPRESENTIVE DATE: