07-1291 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING &.SAFETY.DEPARTMENT
BUILDING PERMIT
Application Number: 07- Q 01291.
Property Address: �50'TULARE LN
APN: 764-280-999-117 -300237-
Application description: DWELLING SINGLE FAMILY DETACHED
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 239845
Applicant:
rchitect or ineerc�`'U
L
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258 t
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: 4/26/07
e a
MAY 0 9 2007
CITY OF LA QUIWA
- LICENSED CONTRACTOR'S DECLARATION
It
'I,
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licen'6d rtderprovisions of Chapter.9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 70 OLo Division 3 of th - us'ness and Professionals Code, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
.
'Li ' e s:• License No.: 6.722,85 .; -
- � �
_
forby Section 3700 of the Labor Code;, for the performance of the work for. which this permit is .
a,f have':andmamtam•workers compensation insurance, as required by Section 3700�of-the Labor
T
•
-
.,
o vlorkers compensation'
yb, Cde for `the.performance of the work for'J•rhich thispermitis issued 14':-
'. �, OWNER-BUILDER'DECLARATION •, �_
_ '..ti msurance;carner and<pohcya umber are:
'Carrier
I hereby affirm•under!penalty of perjury that'I.am exempt from, the Contractor's•State License Law foethe
AMERI@AN HOME . _ Policy Number 1247619
following reason (Sec: 7031:5, Business and:Professions Code: Any city or -county -that requires.aJpermit to,
-I certify, that; m the performaoce,of the work for.which this,
his pIermit•is issued shall not employ any '•.. ' '
construct;'alter,,improve, demolish, or repair anystructure, prior to its issuance; also requires: the applicant,for the
S .•person in any titanner so'as to become subject to the.workers�compensahonaaws of California,
'Permit to file a'signed statement that -he or`she.-is.licensed pursuant to.the provisions of the Contracto `s,:State
'License Law.(Chapter 9 (commencing with Section 7000) of Division.3 of,,the.Business and Pro4e sions'Codel or
.
that he or she is exempt therefrom and the basis for the allegedtexemption. Any violation of Section 7031:5 by
�:.
a workers compensatioh provisions of Section. .
. and'agree;that,•ib' ho d become: subjec4c.1
3700pf _tFie L o ' I srtolffh1vhwi_th with those provisions.
_ , "p � \
-
.� Oil/
\�
any applicant.for a.permit subjects the applicant to a civil.penalty of not more than five hundred dollars 1$500).:
Plica , It -
-
1 1 I as owner of the property, or my employees with wages as their,sole compensation will do the work, and
the structure is not intended or offered for sale (Sec.-7044,.Business and Professions,Code: The
.Contractors' State License Law does not apply to an owner of property who,buifds or improves thereon,
Wand who does the work himself or. herself through. his,onher. own, employees; provided that the
'improvements are not intended or offered•for'sale.Plf, however, the buiIding'or'improvgment is sold within
one.year of.completion, the owner-builde?will have "thebuiden of proving*that:he orshe did not build or'
improve for the purpose of sale.). .
1 _ 1 I; as owner of the property, am exclusively contracting ,with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an ownerof
-
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:
LQPERn1IT
.WARNING: FAURE TO SECURE WORK ERS',COMPENSATIDN COVERAGE IS UNLAWFUL, AND'SHALL
SUBJECT AN EMPLOYER TO•CRIMINAL PENALTIES AND CIVIL -FINES UP,TO, ONE HUNDRED THOUSAND?
` DOLLARS ($100,000). 1N ADDITION :TO. THE COST, OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 370 BO
6 Of THE LAR CODE, INTEREST;.-AN'D' ATTORNEY'SFEES.
APPLICANT;ACKNO W LEDGEMENT
IMPORTANT Application is hereby made to thevDiriictcir'ofBuilding and Safety for a permit subject to the
' conditions and restrictions set forth on this application:
1.- Each person upon whose behalf,tnisRap`plication is made, each personat,whose request and for, .,
'whose benefit work is performed undei'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 'ofthis 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 1 have read this application and state that the above information is correct. I agree to comply with all
city i d etr ty ordinances a d state laws relating to on ctjan:,and he y authorize representatives
of count to ter up the above-mentioned p pe i speY�\t\Rio urpose
D •i,n.ttire.(Applicant or AgeX7
Application Number . . . . . 07-00001291
Structure Information SFD PLAN 6420B W/CASITA, MBR&NOOKBOX BAY -----
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . .
. . . DWELLG/LODGING/LONG <=10
Other struct info . .
CODE EDITION 2001
# BEDROOMS
3.00
FIRE SPRINKLERS NO
GARAGE SQ.FTG
615.00
PATIO SQ FTG
323.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2781.00
Permit . . . . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . .
1129.50 Plan Check Fee
734.18
Issue Date . . . .
Valuation . . . .
239845
Expiration Date
10/23/07
Qty Unit Charge
Per
Extension
BASE FEE639.50
140.00 3.5000
-------------------------------------
0
THOU BLDG 10,001-500,000
--------------------------------------
490.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
83.50 Plan Check Fee
20.88
Issue,Date
Valuation
0
Expiration Date
10/23/07
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/i00K BTU
18.00
4.00 6.5000
EA MECH VENT FAN
26.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
124.64 Plan Check Fee
31.16
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/23/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2781.00 .0350
ELEC NEW.RES - 1 OR 2 FAMILY
97.34
615.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
12.30
LQPERMIT
Application Number . . . 07-00001291
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 177.00 Plan Check Fee 44.25
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/23/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
18.00 6.0000
EA PLB FIXTURE
108.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
6.00 .7500
EA PLB GAS•PIPE >=5
4.50
1.00 15.0000
----------------------------------------------------------------------------
EA PLB GAS METER
15.00
Permit . . .
GRADING PERMIT
Additional desc . .
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation
0
Expiration Date
10/23/01
Qty Unit Charge
Per
Extension.
BASE FEE
15.00
Special Notes and Comments
"
SFD - Plan 6420C Lot
117 w/casita ;(255...
sgft) >,•-,Box Bayo MBR. (26
sgft) .& Bay. Q.
Nook(23.sgft)`, 2781`S.F.
Permit does not
include block -•wall, pool or driveway
approach`2001 .CBC, CMC,
CPC, 2004 CEC,
2005 ENERGY CODES
----------------------------------------------------------------------------
Other Fees . .
ART IN PUBLIC PLACES -RES
99.61
DIF COMMUNITY CENTERS -RES
74.`00
DIF -<CIVIC CENTER - RES
995.00
ENERGY.REVIEW FEE- -@_73.42
DIF FIRE PROTECTIN-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
23.98
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
LQPERMIT
Application Number . . . . . 07-00001291
Fee summary Charged Paid Credited Due
Permit Fee Total 1529.64 .00 .00 1529.64
Plan Check Total 830:47 .00 .00 830.47
Other Fee Total 4672.01 .00 .00 4672.01
Grand Total 7032.12 .00 .00 7032.12
LQPERN11T
-Ira��ll.N 11'A1.
AIR CONDITIONING INC.
Installation Certificate : Residential CF -6R
Site Address
/61- 0 TULARE LANE_,Bldg: -U n i I
-
1. BUILDER INFORMATION
Shea Trilogy La Quinta
60 -800 Trilogy Parkway
LA QUINTA, CA 92253
INSTALLING CONTRACTOR:
2. PROJECT INFORMATION
PERMIT #
SUBDIVISION: Trilogy La Qunita
CITY: LA QUINTA
COUNTY: RIVERSIDE
WESTPAC AIR CONDITIONING
DISTRIBUTION TYPE DUCT OR PIPING R -VALUE
Flexible Ductwork in Flexible Ductwork Will have
Attic and Between Floors a R -Value of 6.00 or Better
I, the undersigned, verify that the equipment listed in the category above my signature is the equipment installed and that the equipment
meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or
more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate complience with the Energy
Efficiency Standards for residential buildings.
3. HEATING INFORMATION
HEATING
EOUIP.
Furnace-FAU 1
Furnace-FAU 2
Furnace-CASITA
MANUFACT
HEATING UNIT
ACTUAL EFF.
EQUIP
MAKE
MODE
I AFUE
[HEATING
CAPACITY
4. COOLING INFORMATION
(.iM580"/U413X
80%
Amana GMS80453AX
80%
Allstyle AHK24-5ZOT+D+VP
80%
(Allstyle)
SEER
COOLING
MANUFACT
COMPRESSOR
ACTUAL EFF.
EQUIP.
MAKE
MODEL #
SEER
A/C-FAU 1
Amana
GSC130421A
Coil-FAU 1
Aspen
CP48A3B
A/C-FAU 2
Amana
GSC130361A
Coil-FAU 2
Aspen
CP36A2B
13
EER
13
EER
H/P-CASITA Amana GSH 130241 A 13
HEATING
LOAD
COOLING EQUIP
COOLING
CAPACITY
LOAD
The building design heat loss and design heat gain rate have been determined using a method specified in Section
150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection.
\\Claire\Crystal Reports\Purchasing\CF6R_Report.rpt
Job#: 6693 Lot: 7117 Bldg: - Unit: -
5. THERMOSTATIC EXPANSION VALVE (TXV):
Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection.
6. SUBMITTED BY:
YES Q NOF7 N/A Q
WESTPAC AIR. CONDITIONING 6/28/2007
Signature Installing HVAC Contractor Date
\\Claire\Crystal Reports\Purchas ing\C F6 R_Report.ipt
Job#: 6693 Lot: 7117 Bldg: - Unit: -
Sep 13 2007 16:27 HIP LASERJET FAX p.3
INSULATION CERTIFICATE
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 located at:
61550 Tulare Lane, Lot 7117, Phase 1713-1, Trilogy Project, La Quinta, California
CEILINGS:
TYPE: SLOW 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 # 221517
BY: TITLE: OFFICE MANAGER DATE: 911312007
SEP 20,2007 17:51 BCI*TESTING,ril 000-000-00000
CERTIFICATE OF FIELD VERIFICATIONS DIAGNOSTIC TESTING: (Page 1 of 8) CF -AR
■u■ waw - -- ---
Project Address Builder Name
61550 Tulare Lane - La quints, CA 92253 _
Builder Contact
. Shea Homes, Inc.
Telephone Plan Number
6420 Casita
HERS Rater Telephone Sample Group Number/ Gat ar (if applicable)
William Irvine 760-772-2754 76299 / 7117
Compliance Method (Prescriptive) Climate Zone 15
Certifying SignatureT T Date, Cert/fi..age Number
, .1 1. ) A n„.- _; - Soptumber 11, 2007 CC3-1798416881
Firm: SQ Testl "t HERS Providt?r:CaICERTS, Inc,
Street Address: 41800 Washington St. w City/State/Zipf13ermuda Dunes / CA / 92203
Cooies to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was 2 Tested ❑ Approved as part of sample testing, but was Associated.
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 verity that the new distribution
system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must ltot
release tho CF -414 until a properly completed and signed CF -6R has been received for the sample and tested buildings.
qThe installer has provided a copy of the CFAR (Installation Certificate).
I .I New Distribution system is fully ducted (i,e., does not use building cavities as plenums or platform returns in lieu of ducts).
L 1 New systems where cloth backed, rubber adhesive duet 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 DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System
NEW CONSTRUCTION
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Valves
1
Enter Tested Leakage Flow in CFM:
57
2
Fan Flow: Calculated (Nominal `."Cooling 5. Heating) or'f_.' Measured
Enter Total Fan Flow in CFM:
1400
3
1 Pass if Leakage Percentage < 69/6 f 100 x ( Line 1 / Line 2 )l:
4.79%
0 Pass ❑ Fail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
4
Enter Tested Leakage Row in CFM from CF -6R: Pre -Test of Existing Duct System Prior to
Duct System Alteration and/or Equipment Change -Out.
5
Enter Ter -ted 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 - Line 51 - (Only if Applicable)
7
Enter Tested Leakage Row in CFM to Outside (Only if Applicable)
8
Entire New Duct System - Pass if Leakage Percentage < 691° [ 100 x ( Line S / Line 2 )J,
❑ Pass ❑ Fail
TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC
Equipment Change -Out, use one of the following four Test or Verification
Standards for compliance:
9
Pass if Leakage Percentage <— 15% ( 100 x ( Line 5 / Una 2 )J:
❑ Pass 1 Fail
10
Pass if Leakage to Outside Percentage <- 10% [ 100 x ( Line 7 / Line 2 )J:
❑ Pass ❑ Fail
11
Pass if Leakage Reduction Percentage >- 60% [ 100 x ( Line,6 / Line 4 ))
and Verification by Smoke Test and Visual Inspection
n Pass n Fail
12
Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
❑ Pass ❑ Fail
Pass if One of Lines #9 through #12 pass
El Pass ❑ Fail
Page 11
SEP 20,2007 17:51 BCI*TESTING,ril 000-000-00000
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of 8) CF -4R
Protect Address Builder Name
61550 Tulare Lane - La Quinta, CA 92253 Shed HoMe6, Inc.
Builder Contact Telephone Plan Number
6420 Casita
HERS Rater Telephone Sample Group Number/ Lot a (il applicable)
William Irvine 760-772-2754 762991 7117
Compliance Method (Prescriptive) Climate Zone 15
Certifying Signature Date Certificate Number
1' September 11, 2007 CC3-1798416881
Firm: BCI Te Ing HERS Provider:CMCERTS, Inc.
Street Address: 41800 Washington St. City/State/Zip:Bprmuda Ounes / CA / 92203
CODies to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was 0 Tested ❑ Approved as part of sample testing, but was Associated.
As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form compiles with the
diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution
system is fully ducted and correct tape is used before a CF -4R may .be released on every tested building. The HERS rater must not
release the CF -41t 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 lieu of ducts).
!-I New systems where cloth backed, rubber adhesive duct tape Is Installed, ma.stle and 1lrawbands are used in combination with cloth
backed rubber adhesive duct tape to seal leaks at duct connections.
MINIMUM REOUIRFMFNTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Now SvstBm
NEW CONSTRUCTION
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
1
Enter Tested Leakage Flow in CFM:
61
2
Fan Flow: Calculated (Nominal'.•"' Cooling t •' heating) of .. Measured
Enter Total Fan Flow in CFM:
1200
3
Pass if Leakage Percentage •= 51% [ 100 x ( Line 1 / Line 2 )]:
5,08°
Pass n Fail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
4
Cater Tested Leakage Flow in CFM from CF -61k: Pre -Test of Existing Duct System Prior to
Duct System Alteration and/or Equipment Change -Out.
5
Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System
for Duct System Alteration and/or Equipment Change -Out.
6
Enter Reduction in Leakage for Altered Duct System
[Line 4 - Line 51 - (Only if Applicable)
7
Enter Tested Leakage How in CFM to Outside (Only if Applicable)
8
Entire New Duct System • Pass if Leakage Percentage <: 6% [ 100 x ( Line 5 / Line 2 )]:
n Pass n Fail
TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC
Equipment Change -Out, use one of the following four Test or Verification
Standards for compliance:
9
Pass If Leakage Percentage <= 15% f 100 x ( Line 5 / Line 2 )j:
0 Pass L1 Fail
10
Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]:
❑ Pass ❑ Fail
11
Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )]
and Verification by Smoke Test and Visual Inspection
❑ Pass El Fall
12
Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
❑ Pass ❑ Fail
Pass if One of Lines 49 through 412 Pass
❑ Pass ❑ Fail
Page 12
SEP 20,2007 17:51 BCI*TESTING,ril 000-000-00000
CERTIFICATE OF FIELD VERIFICATION R DIAGNOSTIC TESTING (Page 1 of 8) CF -4R
Project Address Builder Name
61550 Tulare WneTLa �uinW�CA 92253 Shea Homes, Inc. _
Builder Conldcl Telephone Plan Number
6420 Casita
HERS Rater Telephone Sample Group Number/ Lot d (if applicable)
William Irvine 760-712-2754 76299 / 7117
Com liance Method (Prescriptive) Climate Zone 15
�e � Certificate Number - Certifying Signature ��) Date
September 11, 2007 CC3-1798416881
Firm: EiCI Testing HERS Provider:CalCENTS, 101C.
StreetAddress: 41800 Washington St. City/State/Zip: Bermuda Dunes / CA / 92203
Cooles to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was 9 Tested ❑ Approved as part of sample testing, but was Associated.
As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on thin form complies with the
diagnostic tested compliance requirements as checked on thls 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 -4111 until a property completed and signed CF -6R has been received for the sample and tested buildings.
AThe installer has provided a copy of the CF -6R (Installation Certificate).
New Distribution system is fully ducted (i.e., does not use building cavities ac plenums or platform returns in lieu of ducts),
New systems where cloth backed, rubber adhesive duct tape Ir 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
NEW CONSTRUCTION
Duct PressunZxtlon Test Results (CFM 40 2S Pa)
Measured
Values
1
Enter Tested Leakage Flow in CFM:
33
2
Fan Flow: Calculated (Nominal `•'• Cooling `...' Heating) or -_ Measured
Enter Total Fan Flow in CFM:
aoo
3
Pass if Leakage Percentage < 6% [ 100 x (Line i /Line 2 )]:
4:131b
Pass ❑ Fail
ALTERATIONS: Duct System Ind/or HVAC Equipment Change -Out
4
Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to
Duct System Alteration and/or Equipment Change -Out.
5
Enter Tested Leakage Flow in CFM: Final Test of New Duct Syttern or Altered Duct System
for Duct System Alteration and/or Equipment Change -Out,
6
tinter Reduction in Leakage for Altered Dud System
(Line 4 - Line 5] - (Only if Applicable)
7
Enter Tested Leakage How In CFM to Outside (Only if Applicable)
8
Entire New Dud System - Pass if Leakage Percentage < 6% ( 100 x ( Line 3 / Line 2 )];
❑ Pass ❑ Fail
TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC
Equipment Change -Out, use one of the following four Test or Verification
Standards for compliance:
9
Pass if Leakage Percentage <- 15% [ 100 x (line S / Line 2)1:
ff 11
17 Pas; LJ Fall
10
Pass If Leakage to Outside Percentage c • 10% [ 100 x (Line 7 /Line 2 )]:
n Pass ❑ Fail
11
Pass if Ledkage Reduction Percentage' -j- 60% ( 100 x ( Line 6 /Line 4 )]
and Verification by Smoke Test and Visual Inspection
[ ]Passn Fail
17
Pass If Snaling of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
❑ Pass ❑ Fail
Pass it One of Lines 49 through 1112 pass
n Pass ❑ Fail
Page 13
SEP 20,2007 17:51 BCI*TESTING,ril 000-000-00000 Page 14
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page.3=4 of 8) CF -4R
Project Address Builder Name
61530 Tulare lane - La Quinta, CA 92253 Shea Homes, Inc.
Bulldercon tact Telephone Plan'Number
6420 CaMta
HERS Racer Telephone Sampk.Group Number/ Lot (if applicahle)
William Irvine 760-772-2754 76299 / 71-17,
Compliance Method Prescri tiv Climate Zone 15
Cortifying Signature f ) Data Certificate Number
September il; 2007 CC3-1798416881
Firm: BCI Testing HERS Provider:CaICERTS, Int..
Street Address: 41800 Washington St. City/State/7.ip:Bermuda Dunes / CA / 92203
Copies to; BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was R Tested n Approved as part of sample testing, but was Associated.
As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the
dia nostic tested compliance requirements as checked on this form.
�� The installer has provided a copy of the CF -6R (Installation Certificate).
w"ERMOSTATIC EXPANSION VALVE (TXV): Main System
Access is provided for inspection. The procedure shall consist of visual verification that the TXV is
installed on the system and installation of the specific equipment shall be verified.
Main System HVAC System TXV R Pass n Fait
SEP 20,2007 17:51 BCI*TESTING,ril 000-000-00000 Page 15
CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING (Paaa 3-4 of 81 CF -4R
•.■r��■a��w■na�wn���■.+■.�r�■��n
Project Address
i • i� ,moi
Builder Name
61550 Tulare Lane - La Quinta, CA 92253
_ Shea Homes, Inc.
Builder Contact
Telephone Plan Number
6420 Casita
H RS Rater
Telephone Sample Group Number/ Lot f (if applicable)
William Irvine_
760-772-2754 76299/7117
_
Compliance Method Prescrl dve
Climate Zone 15
Certifying Signature
Date Certificate Number
September 11, 2007 CC3-1798416881
Firm: BCI Testing
HERS Provider,CaICERTS, Inc.
Street Address: 41800 Washington St.
City/State/Zip: Bermuda Dunes / CA / 92203
Cooiesto: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was 0 Tested ❑ Approved as part of sample testing, but was Associated.
As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the
dia nostic tested compliance requirements as checked an this form.
I The installer has provided a copy of the CF -6R (Installation Certificate).
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 veelfled.
New System HVAC System TXV1 2 Pass ❑ Fail
SEP 20,2007 17:52 BCI*TESTING,ril 000-0.00-00000 Page 16
CERTIFICATE OF FIELD 'VERIFICATION & DIAGNOSTIC TESTING (Page:3-4:of.8) CF -411
Pro)ccl Addfv=
BuildO Name
61550 Tulare Lane- La Quinta, CA 92253
Shea ,Homes, Inc.
Builder Contact
Telephone elen.Number',
.6420. Casits,
HERS Rater
Telohono" Samplc'Group:Number / Lot # (if applicable)
William Irvine
760=772=2754 76299;/. 7117
Compliance Method Prescriptive y - �.
Ciimate`.Zoni645
Certifying Signature1� )
Oats ;t ertifrcaM Number
September" 11, 2007 ,CC3-1798416881
Firm: BCI Testing
HERS Peovider:Ca10ERTS;.Inc.
Street Address: 4.1800 Washington St.
City/State/Zip_Bei`muda Dunes / CA / 9ZZ03
to: BUILbER, HERS PROVIDER AND BUILDING
NER5 RATER CQMPLIANCE'5TATEMENT
The house was M. Tested n Approved as:part of sample testing,.butwas Associated.
As the HERS rater providing diagnostic testing and Held verification, I certify that the houieidentified on this form complies with the
dianostic tested compliance requirements as.checked on this form.
1 j The installer has provided a copy of the CF -6R (Installation Certificate).
!"fTHEMOSTATIC EXPANSIONVALVE TXV : New System
•.
Access is provided for inspection. The procedure shall, consistmss`of'visual'-verification that the TXV is
installed on the system and installation of the specific equipment;''s alt?be vehfied.
New System HVAC System TXV'Pass n Fail
SEP 20,2007 17:52 BCI*TESTING,ril 000=000-00000 Page 17
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) . - CF -4R
Project Address
guilder Name
61550 Tulare Lane - La Quint*, CA 92253
Shea Homes,'ine.
Builder Contact
Telephone Plan Number
6420 Casltil
NERS RArer -
Telephone Sample'Group Number Lot t (if applicable)
William Irvine
760-772-2754 .76299 /.7117
Com /lance MethodPrestxi ti
Climate Zohe 15
Certifying SignatureI
DateCertll ate Number
Sepmt�
teer 11, 2007;CC3-17984.16881
Flrm: BCI TestingR _ _
HERS Provlda�:CalCIERTS, Inc.
� :
Street Address: 41800 Washington St.
C{ty/State/ZIp:Bermuda Dunes / CA / 92203
Copies to: BUILDER, HERS PROVIDER AND BUILDING.DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was R Tested ❑ Approved as part of sample testingi but was Associated.
As the HERS rater providing diagnostic testing and field verification, I certify that the housi identified on this form complies with the
dl a nostic te:tcd compliance requirements as checked on this form.
'rhe Installer has provlded a copy of the CF -64 (Installation Cenificate).•
1`!IHIGH EER AIR CONDITIONER: Main System
Prorpdurps fur verification hm aVaillblm.in RACM. Abbendix RL
I��II Yes R( No EER valucs of inalolled sy-,tcm> mAtcll the CF -1R
Z I9r1 Yes FIN. For split systems, indoor coil is matched to outdoor coil
3 LJ Yes ❑ No Time Delay Relay Verified (If Required) ;• .
Yee to 1 and 2; and,3 (If*Reguired) is a p _ M Pass LJ Fail
MHIGH EER AIR CONDITIONER: New System
Procedures for verification are available in RACM. ADoendix RI.
I R11 Yes I. No EER values of instilled systems match the Cf -1R
z tr� Yes n No For split systems, indoor coil is matched to outdoor -coil
3 U Yes L_J No Time Delay Relay Verified (If Required)'
Yes to 1 and 2; and'3 (,If Requir04) is a piano ''M pass 0Fail
MHIGH EER AIR CONDITIONER: New'System
Procedures for verification are"available in RACM. Aonendix RI.
I Ry. �❑I No EER values of installed systems match the Cf -1R
Z Yes t _J No For split systems, indoor coil is matched to outdooncoil
3 ❑ Yes ❑ N. Time Delay Relay Verified (If Required) `
Yes to 1 and 2i and 3:IIf;Reiqurea)is =PasPass LJFait
= v JCM Inspections '
39725 Garand'Lane Suite'F -
Palm Desert, CA 92211
INSPECTIONS'• Phone: 7.60-345-5554 =" Faz: °760-772-3895 I N S P E C T I o N s
REINFORCED CONCRETE INSPECTION, REPORT Dates: Noted Below
Project:Name: Project No:
°Trilogy @ La Quinta -Shea Homes a, - -02=1109
Project Address: City.
60-800 Triolgy Parkway La Quinia, CA
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): Supplier: Superior
Time Sampled:' Mix Design: D83625PTitle
Time in Mixer (min:): Specified Strength (PSI): 4000
Water Added @ Jobsite (gals.): "' , l Addmixture: PCIZZ 322N
Concrete .Temperature (F): Truck #: of Ticket #: �.
Ambient Air Temperature (F): Q Field ID Marking: Set A- 4 cylinders „ ,
IBC
24
Other:
Unresolved Items:
None:
a, See Below _.
Location of Sample coo") ;
No Samples Taken
Description of Work Inspected: ' . Phase . _ Lot# Product 3 Plan (O '
1) Received mill certifications for rebar and tendons placed.
2) Typicalexterior'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 (4,10J2,13,16/SD-1), Simpson Strong Walls (24/SD-1.), Anchor Bolts and Holdowns (6,7,8/SD71), Pad Footings and additional
rebar placed as per these details.and as noted on d
\�V\ t -S C �At4_
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 sdoported,'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 yatds 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.-
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, uriless 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.
Inspector: Jack C. Millin ' ICC Certi . atio No: 0842216-49
Contractor's Representative:
. Copy"1 JCM Inspections Copy 2' Project Superintendent
Copy 3 Govemirig Agency Page of
f. 1.�1�rilp �. ,y:•ji,�`ti alvq,K'rj;S ":
I_
'JCM Inspections
39725 Garand Lane Suite F
Palm Desehj�CA 92211
I --z
INSPECTIONS
Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTION s
PRESTRESSED CONCRETE INSPECTION REPORT Date: (x_13-0-1
ProjecfrName:
Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address:
City:
60-800 Triolgy Parkway
La Quinta, CA
Client:
Sub -Contractor:
Shea La Quinta, LLC
Sun Coast Tensioning,
General Contractor:
Architect: Structural Engineer:
Shea Homes for Active Adults
Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Terisi
Size and Type of Tendons:
1/2" Diameter Seven Strand Stress -Relieved Tendons
DBC
❑ Title 24 .
Jack Machine Calibration:
Received Sheet from Sun Coast -Gage Pressure in.psi to Machine Load in kips
Other:
!�L4Q') psi to 33.04 kips/33,000 lbs
Unresolved Items:
Calibration bate:
Machine
`�—
❑' None
Phase Lot#
Product • Plan
❑ See Below .
Description of Work Inspected:
Actual Elongation
(in)
Specified Complies within 7% +/- of specified elongation:
Lot # Location
Tendons Elongation (in) Reference 11 h/SN2.
Yes No
❑
QF
-1
irk
❑
A-4
ZI
o' ,. ❑
Nr a lei,
2'El
Rr o
1 ❑
3Z,}
❑'
`
❑ '
rU
.. �� „
••
�. -
l.1GJ ❑
El
J,
9-1.1, ❑
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.
Inspector- Jack C: Millin ICC Ce "fi at bn' No:. 0842216-89
Contractor's Representative:
B.
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy3 •Goveming Agency
Page l of
N
JCM .INSPECTIONS
Complete General and SptdaJ Inspection Services . .
39725 G * ax -and L.awc_ Suite F, Palm Desert, California ' 92211
Phone.- 760 - 345 - 5554 Fa -i. 760 - 772 - 3895
��-IST SPECIMEN DATA SHEET
Cck LoAa
CLiC12t: S
'��s + a-7 -CD Date;
Proj . CC I Project No:
STRUCTURF.
I- Li4o—ci �FA'-
LOCATION IN S-MUCTURI?;
aA A t
REPORT OF STRENGTH TT -STS: Mortar Grout coacrcLck-o00'0t4.-r
SET N
Date Ca-st 61
1--A
Date Rtc.eJvM:
D�(� Qf T�zg:
Cast By: C'
Time Sampled,
b Design:
Specified ,Q7
pop
Ticket NL1mbC1.
4-
A,c,,*e to be Testodl( (L�
Slump (L'O).-
Admixture: A
Air Temp. (F).-_-
CDOc Tmp.(F):
Unit wt (PCO:
AirCofaent(%):--
Water Added
Thein Mixer (min):
Field ED Markings,. d\\
FOR LA-BORATORY USE ONLY
LN m r- -, - \ I ;'
D�(� Qf T�zg:
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Tow Uad (10A iao-2
s' -Cc
DLSted BY: L- S��
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