07-1292 (SFD)ti .- .• •
,W
4
P.O. BOX 1504. VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/26/07
Application Number: 07-00001292 Owner:
Property Address: 61564 TULARE LN SHEA LA QUINTA
APN: 764-280-999-116 -300237- C/O JEFF MCQUEEN
Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350
Property Zoning:- MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85 0
Application valuation: 225179 D
Contractor:
Applicant: rchitect or Engineer: SHEA HOMES, INC.4*Al
5� %� GV�+ 81260 AVENUE 62 r _.
(� LA QUINTA, CA 922 3 a f,OF {AQUIPEiA
YL)I (760) 777-6005 FIWpPICEDEPY
Lic. No.: 672285
•
LICENSED CONTRACTOR'S. DECLARATION WORKER'S COMPENSATIONDECLARATION�
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm undt r'penalty of perjury one of thelollowing; declarations: �-
Section 7,000) of Division 3 of.the Business and Professionals Code, and my License,is.in full force and effect. - _ I have. and will maintairi a certificate of consent to self -insure for workers' compensation, as provided
Lice a lass:. B - -�t .'f _. •.# , License_No :. 672285' forr6y.Sectaon 3700 of the Labor Code, for the performance of thework for which this permit is ti ;
k t, s to -_ k .•.k
ntractor. -' :•. - r. +: .w "• :• �> +:rs? _'I have anC-will maintain workers: compensation insurance as required by Section 3700of.the_,Labor•.
r r 3. ?:•" `• - : ate• -. - r ' Code; for t66� rl ormance-of the -.work for which this permit is issued. My workers' compensation •- - ,
=,;-' 6/ a ,, OWNER -BUILDER DECLARATION �, t. �, _ insurance carnerand-policy number are:
!• , I hereby affirm under penalty, of:pequry that I am exempt.from.the ContraaoF's State License Law.for the '•Carrier- AMERICAN HOME r Policy Number " 1247619' .r
following reason (Sec. Z031.5,'Business and Professions Code:' °Any,city�oi 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
1construct, alter, improve, demolish or,repair:any stru&re_.prior•to its. issuance also regmres the'applicant for the .person. in any manner so:as to$ecome"subject to the workers- compensation laws of,California,
" permit to file a signed statemenI that he'or she'i"'i' icensed.pursuant_to the provisions of;tlie Co ntractor's'State ' ,"')' and agree'that, if._Ishould becorA6'subject to the woikers�compensauon provisioris of:.Section
• License Law (Chapter 9 lcominencmg witWs;ction 7000) of Division 3 of t1ie Business and Professoris Code) or 3760 of the Lab shall fo with'co'nmply with' hose provisions.: - - �•
r`•thaYheor she isexempt therefrom and fhe:oasisfor;the allegetl ezempuonf Anywolation of Section 7031.5[by r .i - �n ,\, -
r any applicant for:a'"permrt subjects the applicant to'a civil penalty of not more than -five hundred dollars ($500).: ,.Date. L +phc VI LJQ l�
' (• •` 1 1, as-owner'of the property dor my employees with wages as their sole compensation will do the work, and
.the structure is not.intendeb'or offered for sale (Sec. 7044, Business and Professions`Code. The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors:`State License Law does not apply to an'owner of property who builds or improves thereon, .SUBJECT AN EMPLOYER TO'CRIMINAL PENALTIES'AND CIVIL FINES LP -TO ONE HUNDRED THOUSAND
and whooties�the work himself or herself through his or her own employees, provided that the - DOLLARSI5100,0001. 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
(_ 1 I, as owner of the property, am exclusively contracting with licensed -contractors to construct the project (Sec.- " .Y 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 ori'this -application.
property whdbuilds or improves thereon, and who contracts for the projects with a contraaorlsl licensed . 1. Each person upon whose behalf'this.aji lication is made,'each person at whose request and for
pursuant to the Contractors State License Law.). ' '`,C o whose, benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec.r8.&P.C. for this reason 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
performedunder or followingissuance of this permit. -
.;,p,a_."• Date: Owner: 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 180days'will subject
- - CONSTRUCTION LENDING AGENCY - permit to cancellation. -
hereby affirm under penalty of -perjury that there is a,construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply +with all
work for. which this permit is issued (Sec: 3097,Civ: 0: - city and co my ordinances and state laws relating to bud ' gconstruction, and her uthorize representatives`.
-
of 1,h' ou y enter upon'the�above mentioned 6 ty ori pe p
_ Lender's Name: - �t,l)
_ Si •lure (Applicant or A 0: P/
Lender's Address: - -
LQPERMIT
Application Number . . . . . 07-000.01292
Permit . . .
. .
BUILDING PERMIT
Additional desc
.
Permit Fee . .
. .
1080.50
Plan Check Fee
702.33
Issue Date . .
. .
Valuation . .
225179
Expiration Date
10/23/07
Qty Unit
Charge
Per
Extension
BASE
FEE
639.50
126.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
441.00
Permit .
. .
MECHANICAL
Additional desc
.
Permit Fee
74.50
Plan Check Fee ..
18.63
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
1.00
9.0000
EA MECH
B/C'<=3HP/100K BTU
9.00
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 . .
. .
117.85
Plan Check Fee
29..46
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
.
10/23/07
..
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
2599.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
90.97
594.00
-------=---------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
--------------
11.88
---
Permit, .
. .
PLUMBING
Additional desc
.
Permit Fee . .
. .
160.50
Plan Check Fee
40.113
Issue'Date . .
. .
Valuation
0
Expiration Date
10/23/07
'
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
15.00
6.0000
EA PLB FIXTURE
90.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
Application Number . . . . . 07-00001292
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 ,Fee,. . . .
15.00 Plan Check Fee.
.00
Issue Date . . . .
Valuation . .
0
Expiration Date
10/23/07 .
Qty Unit Charge
Per
Extension
BASE FEE
.15.00
---------------------------------
Special Notes and Comments
SFD - LOT 116, PLAN 5500B,
2599 SF. (149
SF. EXERCISE ROOM, 63
SF.,BB, 83 SF.
GARAGE EXTENSION). PERMIT DOES NOT
INCLUDE POOL, SPA,'BLOCK WALLS OR
DRIVEWAY APPROACH.
2001 CBC; CMC, CPC, 2004
CEC, 2005
ENERGY CODES
------------------------------------------------
Fees' °.
ART- I•N PUBLIC PLACES -RES
62.94
'DIF;,OMMUNI.TY CENTERS -RES
74.00
DIF: -'CIVIC CENTER -- RES
995.00.
ENERGY REVIEW FEE
70.23
DIF FIRE PROTECTION -RES.
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES -.RES
355.00
DIF,PARK.MAINT FAC - RES_7
-•.22:00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
22.51
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION`- RES
1930..00
Fee summary Charged,
Permit Fee Total 1448.35
Plan Check Total 790.55
Other Fee Total 4630.68
Grand Total 6869.58
LQPERMIT
Paid Credited ' Due
.00 .00 1448.35
.00 .00 790.55
.00 .00 4630.68
.00 00 6869.58
Sep 13 2007 16:28 HIP LASERJET FAX
p.4
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:
61'564tt.u'igFb)L�fane,!Lot-7116, Phase 1713-1, Trilogy Project, La QuInta, California
CEILINGS:
TYPE: BLOW MANUFACTURER: CERTAINTEED Thickness; R-38
WALLS:
TYPE: SLOW 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: 9/13/2007
RP7EN 11OA1.
AIR CONDITIONING INC.
Installation Certificate : Residential CF -6R
Site Address
61-564 TULARE LANE Bldg: - Unit: -
1. BUILDER INFORMATION
Shea Trilogy La Quinta
60 -800 Trilogy Parkway
LA QUINTA, CA 92253
INSTALLING CONTRACTOR:
2. PROJECT INFORMATION
DISTRIBUTION TYPE
Flexible Ductwork in
Attic and Between Floors
PERMIT #
SUBDIVISION: Trilogy La Qunita
CITY: LA QUINTA
COUNTY: RIVERSIDE
WESTPAC AIR CONDITIONING
DUCT OR PIPING R -VALUE
Flexible Ductwork Will have
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
EQUIP.
Furnace -STD
SYSTEM
Furnace -2 STD
SYSTEM
MANUFACT
HEATING UNIT
ACTUAL EFF.
HEATING EQUIP
MAKE
MODEL
AFUE
• CAPACITY
4. COOLING INFORMATION
amana liMJRSU4J3AX 80%
Amana GMS80453AX 80%
COOLING
MANUFACT
COMPRESSOR
ACTUAL EFF.
EQUIP.
MAKE
MODEL # 11
SEER
A/C -STD SYSTEM Amana GSC130361A 13
Coil -STD SYSTEM
A/C -2 STD
SYSTEM
Coil -2 STD
SYSTEM
Aspen
Amana
Aspen
CP36A2B
GSC130361A
EER
CP36A2B EER
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: 7116 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:
YESF--] NO 0 N/AF--]
WESTPAC AIR CONDITIONING 6/28/2007
Signature Installing HVAC Contractor Date
\\C lai re\Crystal Reports\Purchasing\C F6R_Report.rpt
Job#: 6693 Lot: 7116 Bldg: - Unit: -
SEP 20,2007 17:50 BCI*TESTING,ril 000-000-00000
CERTIFICATE OF FIELD VERIFICATION flk DIAGNOSTIC TESTING (Page 1 of 8) CF -4R
■rwrwr. , ,moi
Project Address
Sudder Name
61564 Tulare Lane - La Quints, CA 92253
Shea Homes, -Inc,
Builder Contact
_._ r
Telephone Plan Nurrlber
1
3500 STp
HERS Rater
To1cphone 54rop/e Group Number J Lot v (U' appncabre)
William Irvine
760-772-2754 76300 / 7116 ,
Compliance Method (Prescriptive
Climate Zone 15
Certifying Signature r, )
Date Certificate Number
4.33%
September 11, 2007 CC3=1798416682
Firm: BCI Testing
HERS Provider: CalCERTS,'Inc.
Street Address: 41800 Washington St.
_ City/State/Zip:Bermuda Dunes / CA / 92203
Copies to. BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was Tested ❑ Approved as part of sample testing, but was Associated.
As the HERS rater providing diagnostic testing and field verification, I.tertify that the house Identified on this form complies with the
diaghostic tv:ted compliance requirements as checked on this form. The HERS rater must check and verify, that the new distribution
system is fully ductod and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not
release the CF -411 until a properly comploted and aigood CF -61t has been received for the sample and tested buildings.
The installer has provided a Copy of the CF -6R (Installation Certlficate).
New Distribution system Is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
U New systems where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used In combination with cloth
backed, rubber adhesive duct tape to seal leaks at duct connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System
NEW
CONSTRUCTION
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
1
Enter Tested Leakage Flow in CFM:
52
2
Fan Flow: Calculated (Nominal'." Cooling '. ' Heating) or �..' Measured
Enter Total Fan Flow in CFM:
1200
3
Pass if Leakage Percentage < 6% [ 100 x ( Lille i /Line 2 )J:
4.33%
pass U Fail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
4
Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Dud System Prior to
Duct System Alteration and/or Equipment Change -Out.
5
Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct Sy,^.tem
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 Flow in CFM to Outside (Only if Applicable)
8
Entire New Duct System • Pass if Leakage Percentage � 6% [ 100 x (Lino S_/ 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 5 /Line 2 )):
❑ Pass ❑ Fail
10
Pass if Leakage to Outside Percentage <= 10% 1 100 x ( Line 7 /Una 2 )J':
❑ Pass ❑ Fall
11
Pass if Leakage Reduction Percentage a= 60% 1100 x (Line 6 /Line 4 )J
and Verification by Smoke Test and Visual Inspection
Pass Fail
12
Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
❑ Pass ❑ Fail
Pass if One of Lines 49 through 412 pass
0 Pass ❑ Fall
Page 6
SEP 20,2007 17:50 BCI*TESTING,ril 000-000-00000 Page 7
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTIN_G_(Page i of 8) CF -4R
Project Address
Builder Name
61564 Tulare Lane- La Qulnta, CA 92253
Shea Homes, Inc.
Builder Contact
Telephone Plan Number
55
5500 STD
HERS Rater
Telephone 54mple Group Number/ Lot 4 (if applicable)
William Irvine
760=772-2754 76300/ 7116
Compliance Method (prescriptive)
Climate Zone 15
Certifying Signature
Date Certificate Number
P1
J
September 11, 2007 CC3-1798416882
Firm: EtCi to ting
HERS Provldeir:CalICERTS, Inc.
Street Addross: 41800 Washington 5t.
City/State/ZIp:8ermuda Dunes / CA 192203
Cooies to: BUILDER. HERS PROVIDLR 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 compiles with the
diagnostic tested compliance requirements as checked on this form. The HERS rater must cheek and verity that the new distribution
system is fully ducted and correct tape Is used before a CF•4R may be released on evel'y.t93L4d building. The HERS rater must not
releasu the CF -4R until a properly completed and signed er-6R has been received for the sample and tested buildings.
The Installer has provided a copy of the CF -6R (lnstallatlon Certificate).
New Distribution system is fully ducted (i.e., does not use building Cavities is plenums or platform returns In lieu of ducts),
L-1 New systems where doth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used in combination with cloth
bocked rubber adhesive duct tape to seal leaks at duct connections.
aairuirm"M RFeuTREMENTS MR nUCT LEAKAGE Rt=bUCTYON,.COMPLIANCE, CREDIT: New Svstem
NEW CONSTRUCTION
Duct Pressurization Test Results (CFM ® 25 Pa)
Measured
Values
1
Enter Tested Leakage Flow in CFM:
55
2
r••.
Fan Flow: Calculated (Nominal `.'.` Cooling,...' Heating) or .% Measured
1200
Enter Total Fan Flow to CrM:
3
Pass if Leakage Percentage . 6% [ 100 x ( Line 1 / Line 2 )):
4.58%
R Pass ❑ Fail
ALTERATIONS: Duct System and/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.
Enter Tested Leakage Flow In CFM: Final Test of New Duct System or Altered Duct System
5
for Duct System Alteration and/ot Equipment Change•Out.
6
Enter Reduction in Leakage for Altcred Duct System
[Line 4 - Line 51 - (Only if Applicable)
7
Enter Tested Leakage Flow in CFM to outside (Only if Applicable)
8
Entire Now Duct System - Pass if Leakage Percentage < 6% [ 100,x ( Line 5 / Line 2 )]:
n 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
Pas: if Leakage Percentage <. 15%u [ 100 x ( Line 5 / Line 2 )]:
1--I
I... pass F Fail
10
Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]:
n Pass I 1 Fail
11
Pa>; if Leakage Reduction Percentage >= 60Wo [ 100 x ( Line 6 / Line 4 )]
Pass r Fail
and Verification by Smoke Test and Visual Inspectionr
12
Pass if Sealing of all Accessible Leaks and Vr:rification by Smoke Test and Visual Inspectiont_�1I
PBSf,, Fail
Pass if One of Lines #9 through if 12 pass
fn1
L. r 1 Pass LJ Fail
SEP 20,2007 17:50 BCI*TESTING,ril 000-000-00000
CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R
Project
Project Address
Builder Name
61564 Tulare Lane - La Quinta, CA 92253
-
Shea Homes, Inc.
Builder Contac
Telephone Plan Number
5500 STD
NIERS Rater
Telephone Sample Group Number/ Lot 4 (if applicable)
William Irvine
760-772-2754 76300 1 7116
_
Compliance Method (Prescriptive
Climate Zone 15
Certifying Signature
Date Certificate Number
September 11, 2007 CC3-1798416882
Firm: BGI Te ting
HERS Provider: CaICERTS,:Inc.___
Street Address: 41800 Washington Si.
City/State/Zip: Bermuda Dunes / CA_/ 92203
Cooies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATrR COMPLIANCE STATEMENT
The house was R TestedFl 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
dnostic touted compliance requirements as checked on this form.
iad The installer has provided a copy of the CF -61t (Installation Certificate). _
THERMOSTATIC EXPANSION VALVE tTXV): Mair► 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 Pass n Fail
Page 8
SEP 20,2007 17:50 BCI*TESTING,ril 000-000=00000
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Paye 3-4 of'$) CF -4R
�irwr�
Project Address Builder Name
61564 Tulare Lane - La Quinta, CA 92253 — Sl1ea.Homes, Inc.
Builder Contact Te%phone Plan Number
"SSDO SYD
HERS Rater Te/aphonia `Samplo GitaW Nur"nber'/ Lot At (if applicable)
William Irvine 760-.7.77-2754 76300 `/ 7116
r'mm�/hnro Morhn� /Dmcr�inl•lvnl 'Gllrriata_ 7ena_•1'S
Certifying SignatureDate 'Lenrncare niumoer.,
Septeiinber 11,•2007 C04798.4141i12
Firm: BCI Tdstinq HERS`ProvideriCaICERTS;:Inc.
Street Address; 41800 Washington St. City/State%ZipiBer'muda Ounes / CA / 92203
Copies to, BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was W Tested n Approved as part or sample testing, but;was,Associated.
As the HERS rater providing diagnostic testing and field vorlfication, I certify that the house'identified on this form complies with the
dla nostic tested compliance requirements as checked on this form.
4The installer has provided a copy of the &-6R Installation Certificate).
1, HERMOSTATIC EXPANSION VALVE TXV : New S stem• .
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.verifled. '
New System .HVAC.System.TXV R "Pass ❑ Fail
Page 9
SEP 20,2007 17:51 BCI*TESTING,ril 000-000-00000 Page 10
CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING (Page S of 8) . CF -4R
Project Address
Sulldei Name
61564 Tulare Lane - La Quinta, CA 92253
Shea•Home& Inc.
9ullderContact
Telephone Plan Number
5500 STD
HERS Rater
Telephone Sample Group Number/ Lot ;t (if applicable)
William Irvine
760-772-2754 76300 /-7116
compliance Method (prescriptive)
Climate Zone 15
Certifying Signature
Date Certificate, Number
r• j
Sep1temb" 11, 2007 CC3-1798416882
Firm: BCI Testing
_ HERS Provider:Ca10ERTS, Inc.
Street Address: 41800 Washington St.
City/State/Zip: Bermuda Dunes / CA / 92203
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was W Tested n Approved as part of sample testing, but was Associated.
As the HERS rater providing diagnostic testing and field veriflcatlon, I certify that tho house Idontiflod on this form complies with the
dia nostic tested compliance requirements as checked an this form.
��The installer has provided a copy of the CF -611 (Installation Certificate).
IYIHIGH EER AIR CONDITIONER: Main System
Procedures for verification are available in RACM. Aooendhe RL
1 R Yes n No @ER values of installed systems match the CF -IR
z R Yes n No For split systems, indoor coil is matched to outdoor coil
3 ❑ Yes ❑ No Time Delay Relay Verified (If Required)
Yes to 1 and 2; and'3 (If,RegWred) is a p-4 pd5s M Fdil
RHIGH CER AIR CONDITIONER: New System
Procedures for vonfication are available in RACM Appendik Rl.
1 R Yes ❑ No LkR values of installed systems match the CF -IR
2 R Yes n No For split systems, indoor coil is matched to outdoor coil
3 LJ Yes LJ No Time Delay Relay Verified (If Required)
Yes to 1 and 2; and 3 (If Regtked) Is. pas pass Q Fail
JCM Inspections✓ -
,4 39725 Garand Lane Suite F
Palm Desert, CA 92211 y
INSPECTIONS' Phone: 760-345=5554 - Fax: 760-772-3895 I N S P EC T I O,N S
REINFORCED CONCRETE, INSPECTIONREPORT Dates: (voted Below .
Project Name: 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 DCCCC
General Contractor: Architect: Structural Engineer:. .
Shea Homes for Active Adults Basse.nian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi
Slump (inches): ( Supplier: Superior '
Time Sampled: ;�r�c� a Mix Design: D83625P , "
Time in Mixer (min.):' , .S Specified Strength (PSI): 4000
Water Added @'Jobsite (gals`):. ; >� Addmixture: POZZ 322N
n
Concrete Temperature, (F):", Truck #: -. Ticket
Ambient Air.Temperature (F): Field ID Marking: Set A - 4 cylinderst �• —
Z IBC
Title 24 '
Other:
Unresolved Items:
. None
See Below
Location of Sample:` p. _
No Samples Taken
Description of Work Inspected: Phase._ Lo Plan SC��
\Pr-oduct
.-. sw t.RYLSL
1) Received mill' certifications for rebar.and tendons placed.
2) Typical exterior Footings including Garage Footings/Door (11,12,13/SD-1), Tie Beams (20/SD-1); Typical Interior Footings/Rib'including step (15,18/SD-1),
Seven Strand Tendons (4,10,12,13;16/SD-1), Simpson Strong Walls (24/SD-1), Anchor Bolts and Holdowns (6,7,8/SD-1); Pad Footings and additional
rebar placed as 'per these details and as noted on c , , S
QIL
Also, typical details 2, 3/SD-1 and Notes,on SO apply. Checked'rebar for grade, size, placement, coverage and:splices. Rebar and tendons, Were
securely tied and supported offthe 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 06
A mechanical vibrator was used to consolidate the concrete'. Approved #4 rebar slab dowels were placed @ 18" o.c.
2) Molded 4 cylinders foi,compression tests. with, breaks at 7 days (1), 28 days (2) and one for holding purposes.
1) The placement of concrete for Garage,lnterior. 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 reportfissued at project completion.
Inspector: Jak C. Millin ICC Ce,rtifcation No: 0842216-49
Contractor's Representative: ;
Copy,1 JCM Inspections Copy 2 Project Superintendent Copy 3 .Governing Agency Page of
L-
E
JCM Inspections '
39725 Garand Lane Suite F
' 'Palm Desert, CA 92211
I—
-—
I N S P E C T I O N S
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:
'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 Lagonr
Borm & Associates, Inc./
Suncoast Post Tensi
Size and Type of Tendons:
1/2" Diameter Seven Strand Stress -Relieved Tendons
❑✓ IBC
❑ Title 24
Jack Machine Calibration:,
Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips
Other:
5!406 psi to 33.04 kips/33,000 lbs
Unresolved Items:
Calibration Date:
Machine # 3$ n
�—
None . '.
Phase - Lo
Product Plan��-yam {� r_
to
�Q.
❑ See.Below
�-�►7 VC� �• � —S�
A
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
o
4
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❑
El
y
y
o'
oo El
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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.
Inspe-etor: Jack C. Millin ' ICC e ification.No: 0842216-89
Contractor's Representative:.
Copy 1 JCM Inspections
Copy 2 Project Superintendent'
Copy Zl Governing'Agency
r
Page t of
JCM INSPEMONS
Complete General and SpecialInspection Services
39725 Garand L.2nt- Suite F, Palm Desert, California 92211
Phone: 760 - 345 - 5554 F": 760 - 772 - 3895
FESTCIMEN DATA SHEET
v
Client:+ Date: 0
Pro* t --c I LqA� 121 -5 a 15%
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LOCAMNIN MUCMTRE:
-S
OF STRENGTH AS -M . Mortar Grour Caacrac-O-Lcr
SET
Date Cast_C,__–(o
Date R(>3eived:
Cast By:
Tifne Sampled:
Mix Design: � �2
Suppli
eSigri.-
-- —111I.M.1b.r ��—r�
Ticket Numbnr.c� —J
Age to be Tested-,::( c)�
Slump (L'jl)
Air Temp (F).
Conc T(IMXF).]
uru,t wt (Pco.-
AirC0btCnt(%):
'Water Added (gal): --
Time
Field DD Markings.*
FOR LABORATORY USE ONLY
Lab Ny mr
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14 -5
1 4(-P
Date of Test.
(0
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GB):
Total Loa -d Ob)-,
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