05-4874 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
05-0000_4874_
61240 RUBY CT l
764-270-999-60 -300234-
DWELLING'- SINGLE FAMILY
MEDIUM HIGH DENSITY RES
•149689
Tuy/ 4 4 "
BUILDING & SAFETY DEPARTMENT
Architect or Engineer:
FG� Ccs
BUILDING PERMIT
--------------------------------------7-----------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License CI s • 13 License No.: 672285
3tractor:
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, 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
( 1 I am exempt under Sec. ,'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
Owner:
SHEA LA QUINTA,
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258-
Contractor:
5258
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: 11/02/05
-----------------------------------------------
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
I certify that in the*performance of the work fo which this permit i i 1 h
_ Y p pe t s issued, shall not employ any
person in any manner so as become sub' t to the workers' compensation laws of California,
and gree that, if I Shot I ome subje the workers' compensation provisions of Section
470 of too Cod ';AS, II fo th omply with those,erovisions.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 0100,0001 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 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 'JEka v info'mat' is correct. I agree to comply with all
city and.cou ty ordi nces and state laws relating to buihhll g c structio and hereby authorize representatives
of this c unt t nt� upon he bove-mentioned pro i pection urposes..�
ate: ` v ure (Applicant or Agent):
'Application Number
05-00004874
Permit .
BUILDING PERMIT
Additional desc..
Permit Fee . .
814.50
Plan CheckFee•.
132.36
Issue Date . . .
Valuation . .. .
149.689 .
Expiration Date
•5/01/06
Qty Unit Charge
Per.
Extension
BASE
FEE-
639.50
50.00 3.5000'THOU
BLDG
100,001-500,060
175.00
Permit
MECHANICAL'..
Additional desc'.
Permit Fee ;-.
90..00
Plan Check Fee
-5.63
Issue,Date
Valuation
0
Expiration Date
5/01/06
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
5.00 6.5000
EA MECH
VENT FAN
32.50
1.00 •6.5000•EA
' MECH
EXHAUST HOOD -
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
83.40
Plan Check Fee
5.21
. Issue Date . . . .
Valuation
0
Expiration,Date
5/01/06
Qty Unit Charge
Per.
Extension
BASE
FEE
15.00
1636.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
57.26
557.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
•11.14
Permit • . . .
PLUMBING
Additional"desc .
Permit Fee `.
:146,.25
Plan Check Fee
9.14
. Issue Date . . .
Valuation
0
Expiration Date
5/01/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
13.00 6.0000
EA. PLB•FIXTURE
78.00
1.00 15.0000
EA-PLB'BUILDING SEWER
15.00
•
L`
Application Number b5700004874' -
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
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
.0.0
Issue Date Valuation,
0
Expiration Date 5/01/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
---------------------------------------------------------
Special Notes and Comments
--------------
SFD - Plan 4210A Lot-60,.1636,S.F..
w/Casita (255sf), MBR Box Bay. (26sf),
Ext Garage (83sf) & Ext Patio (177sf)*.
Permit does not include block wall,
pool or driveway approach. 75%
reduction to plan check fee due' to
multiple issuance of same plan type
Other Fees . . . ART IN PUBLIC PLACES -RES
" 20.00
DIF. COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
13.24
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
14.96
_ DIF STREET MAINT`FAC-RES
67.00
" DIF TRANSPORTATION— RES
1666.00
Fee summary .' Charged Paid Credited
Due ..
-----------.---------
' Permit Fee Total 1149.15 .00 .00
1149:15
%- Plan Check'Total ;•152.34 .00 00
152.34
.Other Fee Total 3744.20 .00 00
3744.20
Grand Total 5045.69 .00 .00
5045.69
LQPERMIT ..:
APR 11,2006 14:26 BCI*TESTING,ril 000-000-00000
CERTIFICATE OF FiELD VERiFICATiON & DIAGNOSTIC TESTING (Page 1 of 8)
I'miec(Address TRILOGY A'1' LA QUINTA- PHASE 13B
11i ilder Nome
61240 RUby Cowl. La Cluinia CA
ISH'L 1 i-iOMES
Houlder Contact 'I'c1coltnilc
Plan Nunlllur
Armando Ulloa 760-578-6819
4210
iiI•:8S Rater TV-1cphoau
Sample (;roup Nmnlx:
William Henson, CCN# CC2004076 760-772.2954
N/A
0Im hillice Moh(xl (Prc.,unytivu)
Climutt: Zone 15
C rti(ving Sipnuutre Daw
Sample. I louse 0,W) Ni_Imbff
/
!;iter Futul Pun Plow ill CPM:
/ [Y�� 417/200 i
60
Fluff
HERS Provider
BCI TESTING
CALCERTS
Slreel Address
Gitl' Slateiz,
77-760 Country Club Drive, Suite I
Palm Desert, CA 92211
Cu ics ox BUILDER Ill•:RS PROVIDE R kND BUILDING MhUY1 MEN'1'
HERS RATER COMPLIANCE STATEMLNT
The house was: ®'Tested V Apprrlved as part orsamplc tcmin(t. l/ul was itot lcalcl
As tilt HERS rtcr pr11riding diagnoslic tenting and field verification, I certify that the house identilicd on this lorm complies with
the diaAnu:"tic 10,tud Lulmplimlcc 1cg1mL: lcatN as clik—A l ✓ un Illix linm. llic HERS miur mi Nt chmk and verify Ihut Lie new
distribution system is fully ducted and correct tape is used Wore a CZAR may be released on cvery tested budding.. 7 -Iv FiF.RS
rater must not relc:ix Iltc CT -ti? aritll a pecl1wrl) completed and Nigned t:l:•6R has lymi received lbr the l;;lmple. and Le --ted buildings.
16 The irtNIA10' Itis pT'nudad a egil of('1:441 (Inranllalinn Cortilicatf,)
® Ncw Distribulion :vstem is fill. dILLlul (i.c., docs 11111 IINL• In11I/hTlh caviheN :,s plenum. or plallimn rclums in lieu (11'ducls).
fel Nclr sv stems where cloth lmel.ad. 1 Albei adhesive duct tape is iustulled_ mustic and draw bands nre used in
combinulion kith cloth backed, rubhcr ndhesive duct tape to seal Icaks nt duct wan"tiowi.
® MUNIMUNI REQUIRE; MENTS FOR DU(7F LEAKACE REDUC11O\ COMPLIANCE CREDIT
Praecylures./br /irrhl ,arrr/ir:ulrnn u,nl thr,i;)-avlic lemillg r f air (1i.v1rihrdiarr .i.iW rn.v my (mailable in K.• CA f, : I ppemiiy til' 1.3.
Duct Dim-nustic i,cakaive Testing Results
NEW CONS't UM"HON:
. Accss is provided t6v igsl,eoifm. Thr. pnoaxlure shall convist of Visual ✓ ✓
l-wium
W
0 Yes
Svtacm I
Duct Viunsmizatiou'I'est Results (CFM (q)25 Pa)
.
villiles
the speclliC ecimpuumit shall Lie Acrilied.
I
Eider Tested leakage flow in U M:
66
2
Van IHmv: Calculated (Nummal: 13 Uxvhng ✓O llcatin.) or ✓❑Measured
!;iter Futul Pun Plow ill CPM:
1600
✓ ✓
1
Pass if Leakage Percentage 5 090 1 100 .1 (Linc Ili) / (i.ine N2')j}
4.13%
1 EII'asa ❑Fai!
kLasurexl
Sv:At:m 2
Duel I'ressuritution Test kcsuhs (CPM (u; 25 11a)
v„ lues
I
l inter I esled Lo:ikagc Flow in UPM:
Y:111 Him- Calculaicl (Nilminal: ✓13 UcmlinF ✓❑ heating) or ✓❑ Measurod
2
I{alcl Tulal Fun hlovv in i_':PM:
✓ ✓
a
Pass it I .cakay..c Porcclltl�e n6% 1100 x I (Line it I) / (Linc 42 )1 1
❑Pans ❑fail
0 1711{I(�IU.SI A pIl' l':XANSIUS VALVE (TW)
i'rar�'claan�c lirr lirJrl ,•e�r/icnlunr n/ rLec�nucmacc..rnoucina volutes nr✓ rrvrTiln6lr in R.I!'.t.! :lnnnu.4— 611
EY 111(.:111?ItR:UkclvNDrr[o�r:R
Prucethwes fur ve o ificaliull atv civarihible• h, k-0C'.l1 : I mmmla.v It/
1 0 Yes ❑ No 1:.1•:R vaulcs ul•uslalkc0 sy ivm,, match the Cr -1R
2 E1 Yes ❑ No Fors lit sNstem. indlulr cod is ntnichcd to tmtdo t coil ✓ ✓
3 ❑ Yes 0 Na Time I)clav Ilrl:ry Vcitfied (11•Reyuired) Iz ❑
lees l0 1 rural 2, and 3 01,Rcfuirvd) in a puss Puss Pail
r(crlueltnul (.umpl a ve /vuvls Amll 00.i
Page 3
. Accss is provided t6v igsl,eoifm. Thr. pnoaxlure shall convist of Visual ✓ ✓
Yac is a pasty
0 Yes
❑ No verilicalion that the TXV is installul on the systcnl mid ilimallatiun of 0 17
the speclliC ecimpuumit shall Lie Acrilied.
EY 111(.:111?ItR:UkclvNDrr[o�r:R
Prucethwes fur ve o ificaliull atv civarihible• h, k-0C'.l1 : I mmmla.v It/
1 0 Yes ❑ No 1:.1•:R vaulcs ul•uslalkc0 sy ivm,, match the Cr -1R
2 E1 Yes ❑ No Fors lit sNstem. indlulr cod is ntnichcd to tmtdo t coil ✓ ✓
3 ❑ Yes 0 Na Time I)clav Ilrl:ry Vcitfied (11•Reyuired) Iz ❑
lees l0 1 rural 2, and 3 01,Rcfuirvd) in a puss Puss Pail
r(crlueltnul (.umpl a ve /vuvls Amll 00.i
Page 3
APR 11,2006 14:26 BCI*TESTING,ri1 000-000-00000 Page 4
C'h:RTIFIC:A'I E OF FIKIA) VENIFICA'HON & UTACNOSTICTESTiNC. (Page I of 8) CFAR
I'roiect Address TRILOGY AT LA QUiNTA- PHASE 13B
Builder Name
61240 Ruby Courl, • Ld Quinia, CA
SHEA HOMES
Builder Contuet 'Telephone
Ilan Nnmlxi
Armando Ulloa 760-578-6619
4210 Casit<
Illil(S Rater •fcicphorlc
sample (TI -1011) Nrlrnlx,:
William Henson, CCN# CC2004076 760 772.2954
N/A
Compliance Method (Frescriptice)
Climate Zone 15
(:cltilyillr. Sieuutnrt: Dale
Sample Ilrlus(c 0.111) NO MIXT
;` cY�✓ /2006
4/7
60 Casita
hinu
HERS 1'mvidi;r
BCI TESTING
CALCERTS
Sheet Addles
City S1a1c,Z. 1p
77-760 Country Club Drive, Suite i
I Palm Desert, CA 512211
Cl, i., t11: BUTIMP11 i1FRS PRovibm %ND III n(.ltl \C DUARTMENT
HERS RATER COMPLIANCE STATF.MFNT
'111V Ill mm: ,.:1.: Ef ✓❑ Approved as p11rl nl sample testing. but was not tcstcd
As ilia IllsRS rater 1woviding dia4 nustt0 testi nt and liuhl vclrtivatm,l, thal the house identified on this 61mi comptics eith
the diagtln.etic IcAed compliance requirements a:; cliecked ✓ on this forni. The I II RS rater Dula check and cuilj• Ilial I'1c ltuvt
disirihution s,N•siem Is fully ducfcd Alld atrrt•.c1 r;tlle Is used imlilre it CI,' -4R may be. released on every tcstcd huildinR. 'I'lo 11 FIRS
tater must nut release the CF4R until a prolxlrh• completed and si);necl (:F-1111 has hceu iecew(al Ii1r the namplu and tcAed building;.
21 the installer has provided a cops• of (:I (1R (Installation Ccrtirmitr.)
EI Nc%N Disuibution system is fully ducted (i.e.. docs not use huildinu c1,Vities as plemilr)s rlr philimn rcttmN- in lieu ol•ducts).
New s,:stems where elnth hacked, nlhlxr adlimlvc duct tatx. is iuslldled. nulstic. and dru,vlwnds are used in
cnrnblM iliuu ,with cloth backed. rubinr adhesive duct tape to sea) Ieahs at duct connu:honY,
EJ MINIMUM REOUIRE-NIVNTS FOR i)t (a' LEAKAGE REDI:(TION COMPLUME CREDIT
llroa dire-erfm-frrld veriflctiliul/ tME1 dig};url.rlic lu.Tliag til'uirdislethuhun s.k•.vhanv rrrlr ul•uilublc in I(;IC1l..Ippcutli.alf('•l.�.
Duct Diaenestic Lealcaie •i'estinv Results
NL•WCONSfRUC ION:
EY Yes
❑ No
At:usx iti pTltndul Inr In9pcc11t111 'I'11C hril(.ctiUlC ihllll GU11u15t UL slsaal
vel iliudioll that the i XV is installed on the sv:stem and iwaallnIsan nt'
111c specific egnlplimil ;hall 1:1c Vuilied.
✓ ✓
•
-
M.asuiu
System I
Duel T'ressurir lints 1'esl' Results ((:FM lot 25 ]'a)
lrc
I
Entcr- Tcslcd I .cak;a e l h�/� In t.E'M:
32
2
F'111 1141W (:tdculated (Nominal: 0 Cooling ✓❑ llcmingj of
✓O MeasuTtd
1:111er l uttd lull flow in (. FM: '
800
✓ ✓
l'uss it Leakage I'ercenta .e < 6% 1 IM x I (Lille 1:1)
0 Ille °i2)
AtIV-1/10
9113m 01•3It
ivf:a.urcd
SN -mem 2
1)urt fest Results (CFM (c6 25 Pa)
values
i
F.r1ler Tc.11:111 cilbllgc Flrn, in (.:I'M:
Fan Flow: Calculated (Nomillul. ✓❑ Ctmlillij ✓Cl Ile.aling) nT
✓O Measured
I:ntcr Trltal Fan now nt Ct:M.
✓ ✓
1
Pass if I,crlkage Percentage <_ 6% 1 100,x I (Line .,1):'
(Line .:,:2)11
❑I'aat ❑Fail
0 'i'I11',R\1<)ti'1':1'I'I('ItiX.\NSI()\' \r:11.\'li('1:\\`•)
Prur•.•i Lrr.rc lrlr 1wid lwrilw"lis.u../'Ib..w.1...•r.d..•...•......eL......d.,...•........... :/..R/..:.. RJ!'A f J.. o...li.• ur
Yes is a Pass
EY Yes
❑ No
At:usx iti pTltndul Inr In9pcc11t111 'I'11C hril(.ctiUlC ihllll GU11u15t UL slsaal
vel iliudioll that the i XV is installed on the sv:stem and iwaallnIsan nt'
111c specific egnlplimil ;hall 1:1c Vuilied.
✓ ✓
e
,.. , Fail
hI lrr(ai IeFR AIR (AI,Ni ITIU.NI:R
I'rnrrrfru•as or vvrfcarivn are awdluble in /C1f.',l•1, _1 pp.ndir /tl
I 0 Ye, ❑ No IiI;R Vaules of installed Kvstents malch Iliv CF -I R
2 hJ Yeti ❑ No For split system. indrxlr coil is matched in outdrk)r Coil ✓ ✓
1 0 YO 0 Nu Time ))clay Relay Verified (If Required) El ❑
Yes to I and 2; and .l (If hctplired) i. a ta.S Vass Fall
itr..sifien/iul ( ompliance forms Apt -it 2005
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: 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
(dbys)
(psi)
Set A .
Phase 13B - Lot # 4060 Slab on Grade
12-22-05
, Concrete
273.649
Master Bedroom •
Required psi: 4000
2149
7
3610
2150
28
5010
2151
28
5080
Page 1 of 1
CERTIFIED:
JCM Inspections supplies the service
of compression strength test results only.
Per ASTMC39
LL
INSPECTIONS
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
Phone: 760-345-5554 -. Fax: 760-772-3895
11L_ L_
INSPECTIONS
PRESTRESSED CONCRETE INSPECTION REPORT
Date:
Project Name:
Trilogy @ La Quinta - Shea Homes
Project No:
02-1109
Project Address:
81-260 Avenue 62
City:
La Quinta, CA
F✓ IBC
Title 24
Other:
Client: Sub -Contractor:
Shea La Quinta, LLC Sun Coast Tensioning
General Contractor:
Shea Homes for Active Adults
Architect: Structural EnGoneer:
Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi
Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons
Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips
�Unn psi to 33.04 kips/33,000 lbs
Calibration Date: Machine # JA9 I Q ),_ 1, _ CYz-
Phase Lot# LA O 6+) Product Plan ,;1.Inkb-, 1-2 L4 n R Lw C -p u
Weather:
Su nn
Unresolved Ite s: .
Q None
❑ See Below
Description of Work Inspected:
Lot # Location
J Actual Elongation (in)
Specified Complies within 7% +/-'of specified elongation.
'Tendons Elongation (in) Reference 11 h/SN2.
1
L15fLJ ® li p
Yes
No
P11
❑
EJ-
El
Cowl}pT,77
� y�g
Ellam-
C C cr:. _ dn,^n — e e►
f �3%
Iu7.
L+P
❑
.II K Rfnr,,Otx%Qq d-,N\,4StA
��/ ,
�B
❑ -
��,\\a
' ) A
o-
❑
castTca _ ( N
19
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
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 comply with the approved
plans, specifications applicable building laws. Final report issued at project complefion.
Inspector: Jack C. Millin ICC Certificatio
Nb: 0842216-89
Contractor's Represen6-t6ivee::
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of-
�'E_
JCM Inspections
39,725 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:
81-260 Avenue 62 La Quinta, CA
❑✓ IBC
❑ Title 24
Other:
Client: Sub -Contractor:
Shea Ca Quinta, LLC DCCCC
General Contractor: Architect: Structural Engineer:
Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi
Slump (inches): S ,sem Supplier: Superior
Time Sampled: n n rA Mix Design: D83625P
Time in Mixer (min.): 3o Specified Strength (PSI): 4000
Water Added @ Jobsite (gals.): Addmixture: POZZ 322N
Temperature (F): Truck M .33-7 Ticket #: � �'ZI
Ambient Air Temperature (F): �(o Field ID Marking: Set A - 4 cylinders
Weather:
Unresolved Items:
None
�Concrete
❑ See Below
Location of Sample: S` a\1m n Gr n J a r- �1n �.\� r licAl r nrin "1
❑ No Samples Taken
Description of Work Inspected: Phase Lot# (J ( Product Plan
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 Foo•ings/Rib including step (15,18/SD-1),
Seven Strand Tendons (4,10,12,13,16/SD-1), Simpson Strong Walls (24/SD-1), AnchorBolts andel Hloldowns (6,7,8/S�-1), Pad Footings and additional
rebar placed as per these details and as noted on T— �. iii, �, , !. „ 1. 1 '.�, `1}Y10 �o s. t` c: y +r l� - A f 6 Q=.
�. \e�nC.in+ .•:l'i ►_p.�c:n.7 �. n1 \tier., .. C� 111Gf1.r.� ewe"l'd1r'�.M
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.
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.
-;A - 0_.
1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx 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 found this work to comply with the approved
plans, specifications _applicable building laws. Final report issued at project completion.
0
Inspector: Jack C. Millin( ICC Certification�N�o: 0842216-80
C... Z:�..__� -
Contractor's6Repr�esseentative:
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Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency. Page I of t
03124/2006 10:44 FAX PARAGONPSCHIMID 14003/013
INSULATION CERTIFICATE
s This is to certify that insulation has been installed in conformance with the current energy.
regulation,, California Administrative Code, Title 24, State of California, in the building at
62-240 RUBY COURT, LOT 4060, .PHASE 1313, 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
TITLE: ACCOUNT REPRESENTIVE DATE: ;
i