07-1293 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: , 07-00001293 Owner:
Property Address:. 61578 TULARE LN SHEA LA QUINTA
APN: 764-280-999-115 -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
Application valuation: 223553.
Contractor:
Applicant: Architect or Engine!eer,': o SHED, HOMES, INC.
CQ%,ak 81260 AVENUE 62
LA QUINTA, CA 9225
'(760)777-6005
Lic. No.: 672285
LICENSED CONTRACTOR'S -DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisionsofChapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is.in full force and effect.
License ss: _ .;License No.: _6.72285
q^6 a ntractor:. '
,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 -
Licenae;Law (Chapter'9 (commencing vk; 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 i -n 7 1
p g p y t Secto 03 5.by
anyapplicant for a permit. subjects the applicant to a civil penalty_of not more than five hundred dollars (55001 :it.
(_ 1 1, as owner of the_property,`.or my employees with wages ,as their solecompensation will do the work''and
the structure is not intended or.6ffered for sale (Sec: 7044, Business -and. Professions 66de ,The*�•,,"
Contractors' State License Law does not applytto an owner of property -who builds or improves -thereon,
and.who does.the work himself or herselfthrough 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 buil_d`or
improve for the purpose of sale.).
(_ 1' 1, as owner of;the[pf6perty, am exclusively contracung,with licensed contractors to'constructfhe project (Sec'.
rac
7044, Business and Professions Code: The Conttors' State License•Law does not "apply io'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. -, 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
VOICE (760) 77777012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/26/07
Of
C,." AN
- .WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
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- an&will.maintain,workers' comms
pensation urance as.required by Section 3700.of the Labor.
..
Code' for theperformance of the,workforwhich this. permit is issued. lvly vvorkers'zcompensation
`insurance carrieiand•policy number are: - -
Carrier AMERICAN' HOME - Policy Number- '1242619' .
certdythatr'in,the:performance of the work for which:this permitis issued, I shall not employ any
persominany manner so as to become subject to theworkeis' compensation laws of California,
and agree that'ifi-should become subject'to the workers' -compensation provisions of Section
3700 of -the Labor hall f rtith� camp{yt� yvitth'those,provisions.
00
..Date s,phcant '
d
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT.AN EMPLOYER TO CRIMINAL PENALTIES AND CIyICFINES 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 he eby made io-the'Duector of,Budding and5afety'for a permit subject to the
conditions and. restrictions "set forth on this: applicationSL_. 0'
1. Each person upon whose behalf this apphcation!is made, each person at whose request and for'
whose benefit work is performed under'or'puisuant to any permit issued as a result of thisapplication;
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 actor omission related to the work being
performed.under or following issuance of. this permit;.
._
2. 'Any. permv:n:r.:rssued as a result of this application becomes null and void if work is not -commenced
within 186�days'from date of issuance of such permit, or cessation of work for 1'60 day's will subject
permitpto.cancellation.
I certify that I have read this application and state that the above informati�irrect. I agree to comply with all
city and ounty ordinances and state laws relating to .'ng co structiony authorize representatives
o y o ferupb the above-mentone ro or ir{pp1�[Ipe�CLJ\on p
Date: ignature (Applicant or A • — '
Application Number . . . . . 07-00001293
Permit .
. .
BUILDING PERMIT
Additional desc
.
Permit Fee . .
. .
1073.50
Plan Check Fee
697.78
Issue Date . .
. .
Valuation . . . .
223553
Expiration Date
10/23/07
Qty Unit
Charge
Per
Extension
BASE
FEE
639.50
124.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
434.00
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..OA00
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-NEWRESIDENTIAL
Additional desc
.
Permit.Fee . .
. .
.116.19
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--1OR 2 FAMILY.
90.97
511.00
0200'
ELEC
GARAGE OR NON-RESIDENTIAL
10.22
Permit
PLUMBING
Additional desc
Permit Fee . .
. .
160.50
Plan Check Fee
40.13
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
LQPERMIT
Application Number . . . . . 07-00001293
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
11.00 7.5000.EA`. PLB WATER-HEATER/VENT
7.50
1.00 3.0000. EA PLB WATER.INST/ALT/REP
3.00
1.00 9.00`00 EA PLB LAWN'SPRINKLER SYSTEM
9.00
8.00 .75-00 EA PLB GAS PIPE" >=5
6.00
----------------------------------------------------------------------------
1.00 15.0000 EA PLB GAS METER-'
15.00
Permit GRADING PERMIT
Additional de'sc-.
Permit Fee . . 15:00 Plan Check Fee
.00
Issue Date Valuation:,:.
0
Expiration Date 10/23/07:. <
Y '
Qty y Unit Charge Per
Extension
..:
BASE FEE
15',.00;;; "
Special'Notes and Comments
SFD - LOT 115, PLAN "5500.x, 2599 .SF'.' '(149
SF.. EXERCISE ROOM, ?'63 SF;'BB.'PERMIT DOES
NOT; INgLUDq, )?QOL, SPA,. 'BLOCK,"WALLS OR
"
DRIVEWAY-APPROACH.
2001. CBC,�_'CMC, •CPC, 2004 CEC, 2005
-
<,
--
;; • _
- - -- ---- - - - - -- -- ---
Other Fees, ` . - - - - -ART "IN. PUBLIC PLACES-RES •.
-- --
62_9 4
DIF'` COMMUNITYCENTERS-RES
74.00 =. • .Y
r.
+'> DIFCIVICzCENTER - RES -
995::00
y".ENERGY
REVIEW�FEE "`.
69 7$^ #
., :.
DIF FIRE PROTECTION RES'
GRADING. PLAN,4 FEE
n,P 00 .
DIFIIBRARIES -"RE`S
355 00: "
DIF•=PARK`MAINT -FAC.,-. RES
22 '00;>;
.
p , ':DIFYPARKS_'/RECr RES
892.'00
STRONG MOTION +`{'SMT) - RES
22.51_
DIF' STREET MAINT, FAC-RES
67 : 0'0, -
DIF. TRANSPORTATION• -`:RES.
1930 Q;Q,
Fee summary Charged Paid Credited
- - ------- - - - - ------ - - - - ------ --------
Due
-- - - - - --
'
----------- -
-Permit Fee Total 1439.69 .00 .00
1439.69•
'
Plan Check Total786.00 00 .00
786.00
Other Fee Total '4630.23 .00 .00
4630.23
Grand Total. 6.855.92 .00 ' .00
6855.92
LQPERMIT
\ \/
_7 a�'%jEN 11'111. Installation Certificate: Residential CF -6R
AIR CONDITIONING INC.
Site Address PERMIT #
61`578-TULARE'LANE Bldg: - Unit: -
1. BUILDER INFORMATION
Shea Trilogy La Quinta SUBDIVISION: Trilogy La Qunita
60 -800 Trilogy Parkway CITY: LA QUINTA
LA QUINTA, CA 92253 COUNTY: RIVERSIDE
INSTALLING CONTRACTOR: WESTPAC AIR CONDITIONING
2. PROJECT INFORMATION
DISTRIBUTION TYPE
Flexible Ductwork in
Attic and Between Floors
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
E MODE
I AFUE
I CAPACITY
4. COOLING INFORMATION
Amana UM5804S3AX 80%
Amana GMS80453AX 80%
COOLING MANUFACT
COMPRESSOR
ACTUAL EFF.
EQUIP. MAKE
MODEL #
SEER
A/C -STD SYSTEM Amana GSC130361A 13
Coil -STD SYSTEM Aspen
A/C -2 STD
SYSTEM
Coil -2 STD
SYSTEM
CP36A2B EER
Amana GSC 130361A 13
Aspen
CP36A213 EER
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\C rys to 1 Re p o its\Purchasing\C F 6 R_ Rep ort. rp t
Job#: 6693 Lot: 7115 Bldg: - Unit: -
5. THERMOSTATIC EXPANSION. VALVE (TXV)s
Thermostatic Expansion Valve (or Comnusion approved equivalent) is installed dhd access.is provided. for inspection.
YES-Q NO 0 N/A Q
6: SUBMITTED BY:
WESTPAC AIR CONDITIONING 6%28/2007
y
77
Signature Installing HVAC Contractor Date
j
c.
! a
\\Claire\Crystal Reports\Purchasi ng\CF6R_Report. rpt
Job#: 6693 Lot: 7115 Bldg: - Unit: -
Sep 13 2007 16:29 HP LASERJET FAX
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:
61578 Tulare Lane, Lot 7115, Phase 117113-1, Trilogy Project, La Quinta, California
CEILINGS:
TYPE: BLOW 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 #2215117
BY: TITLE: OFFICE MANAGER DATE: 9113/2007
p.5
SEP 20,2007 17:49 BCI*TESTING,ril 000-000-00000
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING L=1 Of 8 CF -41R
Project Addru= Budder Name
61578 Tulare Lane - La-Quinta, CA 92253 Shea Homes, Inc.
Builder Contact Telephone Plan Number
5500 STD
HERS Rater Telephone Sample -Group Number / Lot 4 (if applicable)
_William Irvine - ^ 760-772-2754 76301 / 7115 _ _ _
Compliance Method (Prescriptive) . Climate Zone IS
Certifying Signature i 1 ) 1V 1_— I Date Certifrcate'Number
Firm
Street Address: 41800 Washington St.
September 11, 2007 CC3-1788416883
HERS ProvideriCaICER1'SyInC.
City/State/Zip: Bermuda -Dunes CA 192203
Cooles to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was R'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 verify that the new distribution
system Is fully ducted and correct tape is used before a CF -4R may be released an everytested building.. The HERS rater must not
release the CF -4R 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 -61t (Installation Certificate).
New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
New systems where cloth backed, rubber adhesive duct tape is installed, mastic and'drawbands are used in combination with cloth
backed rubber adhesive duct to a to seal leaks at duct connections.
MTNiMuut REnU1Rr.HF TS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT,.Main Svstom
NEW CONSTRUCTION
Duct Pressurization Test Results (CFM id 25 Pa)
Measured
Values
1 Enter Tested Leakage Flow in CFM:
58
2 Fan Flow; Calculated (Nominal `.-'Cooling `..•' Heating) er'.._:' Measured
Enter Total Fan Flow in CFM:
1200
3 Pass if Leakage Percentage < 61/a [ 100 x ( Line 1 / Line 2)]:
4.839b
[ Pass ❑ Fail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
11 Enter Tested Leakage Flow in CFM from CF -6R: PreTest of Existing Duct Sistem Prior to
Duct System Alteration and/or Equipment Change -Out.
5 Enter Tested Leakage Flow in CFM: Pitta) Test of New Duct System or Altered Duct System
for Duct System Alteration and/or Equipment Change -Out.
8 Enter Reduction in Leakage for Altered Duct System
[Line 4 - Line SJ - (Only if Applicable)
7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable)
8 Entire New Duct Systom - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / line 2 ));
❑ Pass ❑ Fall
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 compliants:
9
Pass If Leakage Percentage <= 15%t 100 x ( Line 5 /Line 2 )):
i
Pass Fall
U ❑
10
Pass if Leakage to Outside Percentage •= 10% [ 100 x ( Line 7 / line 2 ))!
❑ Pass ❑ Fail
11
Pass if Leakdye Reduction Percentage �-- 60% [ 100 x ( Line 6 / Line 4 )1
and Verification by Smoke Test and Visual Inspection
El Pass, ElFail
12
Pass if Sealing of all Accessible Leaks and V•rificatinn by Smoke Test and Visual Inspection
II----�I
❑ Pass I -.l Fail
Pass if One of Lines #9 through #12 pass
n Pass n Fail
Page 1
SEP 20,2007 17:49 BCI*TESTING,ril 000-000-00000
CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING (Page 1 of 8) _ CF -4R
Project Address
Builder Name
61378 Tulare Lane - La Quinta, CA 92.2.53
Shea Homes Inc.
Builder Contact T
Telephone Plan Number
Enter Tested Leakage Flow in CFM:
5500 STD
HERS R-9 for
Telephone Sample Group Numbers Lot 4 (if applicably)
William Irvine
760-772-2754 76301/ 7115
Compliance Method (Prescrlptive)
Cllmate Zone 15
Certifying Signaturer, ) AU/A — _
Date Cer6ficafe Number
September 11, 1007 CC3-1798416883
Firm:
Street Address:
St.
HERS Provlder:Ca10ERTS, Inc.
City/State/Zip-Bermuda Dunes / CA / 92203
Copies 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 complies with the
dlaanostic 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 -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings.
8 The installer has provided a copy of the Cf -69 (Installation Certificate).
New Distribution system is fully ducted (I,e., does not use building cavities as plenums or platform returns in lieu of ducts).
New systems where cloth backed, rubber adhesive duct tape is IhStalled, 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: New System
NEW CONSTRUCTION
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
1
Enter Tested Leakage Flow in CFM:
51
2
Fan Flow: Calculated (Nominal t'' Cooling '....'Heating) or'.-.-' Measured
Enter Total Fan Flow in CFM:
1200
3
Pass if Leakage Percentage < 6% [ 100 x ( Line 1 / Line 2 )]:
4.25%
0 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 Equipm<tlt 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 Flow in CFM to Outside (Only if Applicable)
8
Entire New Duct System - Pass if Leakage Percentage < 6% i 100 x ( Line 5 / 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 )J:
Fn Pass ❑ Fail
10
Pass if Leakage to Outside Percentage -:- 10% L 100 x ( Line 7 / Line 2 )J:
L_J Pass ❑ Fail
11
Pass if Leakage Reduction Percentage y- 60% [ 100 x ( line 6 / Line 4 )J
and Verification by Smoke Test and Visual Inspection
11 Pda> El Fail
12
Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual inspection
LJ Pass ❑ Fail
Pass if One of Lines 99 through df 12 pass
❑ Pass ❑ Fail
Page 2
SEP 20,2007 17:50 BCI*TESTING,ril 000-000-00000
CERTIFICATE_ OF FIELD VI»RIFICATION & DIAGNOSTIC TESTING(Page 3-4 of 8) . CF -4R
Project Address Builder Name
61578 Tulare Lane - La uinta CA 92253 Shea Homes, IRC.
Builder Contact Telephone. Plan Number
SS00' STD
HERS Rater Telephone Sample Group Number/ Lot 4 (if applicable)
William Irvine 760-772-27S4..7 636i / 7115
Compliance Method (Prescriptive Climate Zone 15,
Certifying Signature , Dati CertifircaM Number
i, a Q September 11,,•2007 CC3-17984'16883
Firm: BCI Testing — HERS Provlder':QMCERTS Inc.
Street Address: 41800 Washington St. Clty/State/Zlp:Bermdda Dunes / CA / 92203
Copies to: BUILDER, HERS PROVIDER AND BUILDING EPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was R Tested -E] Approved as part of sample testing, but was Associated.
As the HERS rater providing diagnostic tasting and field verification, I certify that the house identified on this form complies with the
diagnostic to=ted compliance requirements as checked on this form.
W The Installer has provided a copy of the -CF -6R (Installation Certificate
YITHFftMOSTATiC EXPANSIbN.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 equipfrient.shall be verified.
Main System, HVAC 5ysteM Txv.1 R.Pass ❑ Faii
Page 3
SEP 20,2007 17:50 BCI*TESTING,ril 000-000-00000
CERTIFICATE OF FIELD VERIFICATION & DIAGNC
Project Address
8ullder Name
61578 Tulare Lane - La Quinta, CA 92253
emT
Shed Homes, Inc.
Builder Contact
Telephoner;
SEP 20,2007 17:50 BCI*TESTING,ril 000-000-00000 Page 5
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -4111
Project Address
Builder Name
61578 Tulare Lane - La Quinta, CA 92253
Shea Homes, Inc -
Builder Contact
Telephone Plan Number
5500 STD
MFRS Rater
relaprtone sample Group Number/ Lot # (if applicable)
William Irvine
760-772-2754 76301/ 7115
Compliance Method (Prescriptive)
climate zone 1s
Certifying Signature
w.
Date t:ertl&ate Number
f, i Q
September 11, 2007 CC3-1798416883
Firm: BCI Te Ing_
HERS Provider:C310ERTS, Inc.
Street Address: 41800 Washington St.
City/State/Zip: Bermuda Dunes / CA / 92203
Conies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was d 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 on this form.
t� The installer has provided a copy of the CF -6R (Installation Certificate).
MHIGH EER AIR CONDITIONER: Main System
0— 4—. —. c,„ —4G—f;— — .. RerM AnaandlY Rr
1 r2 Yes ❑ No EER values of R
installed systems match the CF -1
2 Yes n No For split systems, indoor coil is matched to outdoor coil
3 ❑ Yes n No Time Delay Relay Verified (If Required)
Yen to 1 and 2; and 3 (If Required) is a p Pass El Fall
MHIGH EER AIR CONDITIONER: New System
Or,r-r,�ur�c fir—ifi-14— aro avnitahla in -RdrM. dneendiY Rr.
t 141 Yes 11R
No EER values of installed systems match the CF -1
z r2, Yes ❑ No For split systems, Indoor coil is matched to outdoor coil
0
3 Yes U No Time Delay Relay Verified (If Required)
Yes to 1 and 2; and 3 (If Required) is a pass Pass LJ Fail
JCM Inspections
39725 Garand Lane Suite F
PalrnMesert, CA 92211
I N S P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 I N S P E C T I o N s
REINFORCED CONCRETE INSPECTION REPORT Daces: Noted 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 Bassenian Lagoni Borm & Associates, Inc./, Suncoast Post Tensi
Slump (inches):Supplier: Superior j
Time Sampled: Mix Design: D83625P
Time in Mixer (min.): S� Specified Strength (PSI): 4000
Water Added @ Jobsite (gals.): Addmixture: POZZ 322N
O �� _
Concrete Temperature (F):-- Truck #:('„'` 1 Q _ Ticket #: q �„� I
Ambient Air Temperature (F): Field ID Marking: S—ettAA - 4 cylinders--�'J ` r
IBC
Title 24
Other:
Unresolved Items:
None
See Below
Location of Sample:
No Samples Taken
Description of Work Inspected: Phase Lot# S^ Product Plan . �S
Q \ ..
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 Holdownns'(6,7,8/SD-1), Pad Footings and additional
rebar placed as per these details and as noted on =. S y _1t: , 2 C , "
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 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.
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..
Inspector: Jack C. Millin ICC Cb 'fibation No: 0842216-49
Contractor's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _L of T
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JCM Inspections • -
39725 Garand Lane Suite F
I_
Palm`Dese,&- A92211
INSPECTIONS Phone: 760-345 5554 Fax: 760-772-3895
I N S P E.0 T I O N S
PRESTRESSED CONCRETE INSPECTION REPORT
Date: 6 ^I 67
Project Name:
Project No:
Trilogy @ La Quinta - Shea Homes
024109
Project Address:
City:
60-800 Triolgy Parkway
La Quinta,
CA
Client:
Sub -Contractor:
.Shea La Quinta, LLC
Sun Coast Tensioning
General Contractor: Architect: w • , Structural Engineer:
Shea Homes for Active Adults Bassenian Lagoni
Borm & Associates, Inc./ Suncoast Post Tensi
Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons
❑✓ IBC -
F-] Title 24
Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips
Other:
psi to 33.04 kips/33',000 lbs
Unresolved Items:
Calibration Date: Machine #$ �;Z_�.
. � �
F-] None
Phasq LLot# 1 ,_ Product Plane
❑ See Below
la
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
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201,
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1 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 Cekificatibn o: `0842216-89
Contractor's Representative:.
Copy 1 JCM Inspections Copy 2 Project superintendent. Copy 3 Goveming Agency
Page! ofA—
JCM INSPECTIONS
Complete G-enet-a1 and Sp-cci.al Inspection Services
39725 Garand ]< ane, Suite F, Palm DeseM California 92211
Phone: 760 - 345 - 5554 Fax: 760 - 772 - 3895
ESQ' SPECIMEN DATA SHEET
Client: <ASC) a �' c.� 'eE� p C, + 3� Date; t9
�t'\`t�7� �--��u..i'�0.—a��l2ct.u��.'S.��.�gS�r'�k;�'+�►p"I�
CONTRACT
STRUCTURE: �C _C
STRUCTURE:
LOCATION_IN STRUCTURE: 11
RETORT OF STRP.NGTH TESTS: Mortar () Grouc () Concrcic Otbc.r ( )
SET K
Date Cast (cam --
Date Received: CO
Cast By:
Time Sampled ' b '•�Q�
Mix Design: —a - 1
Supplier-e�' ion
Va:Speciiieclp`st:. A p6t�
I
Ticket Number.
Age to be Tested
Slump (in):
Admixwe:—
Air Temp (F):
Date est:.��
Cooc Temp(F):
` OL-
Ur>it We (pcO: �..
AirContent(%):�
Water Added
Time in .Mixer (mia):
Field. ED Markings*
FOR LABORATORY USE ONLY
(:"1`) 0) 0
Date est:.��
r-
-,
Doca UL-
�fl`Y zs6
Total Qad Ob):
T ctcd Bv:
Co Q�
(:"1`) 0) 0