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07-1282 (SFD)
P.O. BOX 1504 78-495 CALLE TAMP ICO LA QUINTA, CALIFORNIA. 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 0-7-00001282 i Property Address: 6'15'92`TULARE LN. APN: 764-280-999-114 -300237- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 151893. Applicant: chitect-or Engineer: k4b) Owner: - SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ -85258 Contractor: SHEA' HOMES, -INC. 60;800 TRILOGY PAR LA QUINTA, CA 922 (760)777-6005 LiC..No'.:::672285 VOICE (760).777=7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/26/07 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 of La Quinta, its officers,.agents and employees for any act or omission related to the work being .performed under of 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 ].have read this application and state that the above information is correct. I agree to comply with all city and cTirity dinances. and state laws relating to;bu' ding con ion,, and h y authorize representatives Of t o ntE�Don the above-mentioned prop inspQctio purpose ate:. - �� Sv' ature (Applicant or Ager _ U "•-LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby affirm -under -penalty of perjury that;l am -licensed under provisions of -Chapter 9 (commencing with ..I hereby affirm under penalty -of perjury one of the: following declarations:` ' - - --Section_;7000).of Division.3 of the Business and. Professionals Code; and my LicensIa is in full force. and effect: I have and will. maintain. a certificate of consent to°.selt-insure.for workers',compensation, as,provided ' • License,;E ss License`No 672285' " .� !, -: ` _ . .for by Section 3700of theLalior Code for the performance of the work "for.wfiich thispermitis - -- .- �. - _ Yn _. issued* - , ' ate. r•` .-- ntractori ': �• .I have and,wdl.maintain workers •compensation. insurance .as required by Section 3700 of.theLaboc: ` •„-. - r p; _ . Code, for the performance'of-tHe work for_:which this permit is issued. My workerscompensation , '- - OWNER,BUILDER DECLARATION. - insurance carner.'arid"pohcynumber are: ' '• I hereby affirm under_ penalty.ofperjurythat I am exempt from the Contrac;oKs'State License Law forthe., .: Carrier AMER ICAN:,HOME^, ,:-Polmcy.Number 1247619. followmg,reason.(Sec .7031.5; Business and Professions Coder. "Any city county that requires,a_permir to _ ' I'certdy ,that, in the; performance of the work for: which this permit is issued, I shall not employ any., , -.%„• ".construct alter,;improve, demolish or repair any, structure, prior to its issuance also requires the applicant for. the - "person any manner`so'asfo become subject to fhe•workers' compensationlawsof California, permit to file .a -signed statement that he.or,She'islicensed,p`ursuant to the provisions of "the'Contracfor s.State''" - - an g ree that, if 1. should subjecito.the workers' compensation- rovisionsof. Section p'' .,. , _ _ `• license Law (Chapter -9 (commencing withrSection_7000) of Division 3 of thebusiness,and Professions.•Code) or - -that he;onshe is exempt therefrom`and�the•basms for tlie;alleged,exempnon: Any violation,of Sectign'7631"5`by `- - '` _ —a • •. 39 'the - Lshall rt �•ith sump ith those provisions:. - ..: U. t �. ._ any applicant IoratPermitsubjects the applicant to a civil penalty=of not more: -than. five hundred dollars (5500).r,,= �pplica as;owner.-of theprope'4 or my employees: wnh.wages as then sole, compensation wdl do'the work and. - ' £ .. the structure ms not intended or.'offered4i5r,sale (Sec.5044, Business and Piofessions'Cade. The`.' . , ••• N/ARNING: FAILURE TO SECURE WORKERS' COMFENSATION.COVERAGE IS UNLAWFUL, AND SHALL.. - Contiactors`• State License Law.does not•apply to an owner of$roperty wh8;b6ilds orimproves thereon,'. SudAdT,74N EMPLOYER TO' k MINAL PENALTIES ANO"CIVIL-FINES-UP TO`ONE•HUNDRED THOUSAND '' � ' •" - "-. and whodoes the wgrk himself;orherself. through his.or herown employees?provided that they - DOLLARS IS100 0006 "INADDITION,70 THECOST OF`,COMFENSATION DAMAGES AS.PRO VIDED FOR IN -• .improver_ eats are not interided•or;offered for sale.. if, however,.the buddmg;or improJement ms, sold within SECTION 3706 OF THE LABOR .CODE, INTEREST :AND ATTORNEY-SFEES.- ' _. - one,'a of-completion,•the owner -builder will have the,burden,of proving-thai'he(or. she'did not build -or. .- - ; ". V•. a:"'' ' improve for the purpose of sale.). - .- ... APPLICANT. ACKNOWLEDGEMENT " - - (_) I, as -owner of the property,•.aimexclusivelycontracting :with, licensed contractors to construct the project (Sec. 'IMPORTANT Application'is hereby made to the Director of.Building.. and'Safety fora permit subject to the,^ .. ' - 7044, Business and Professions Code: The Contractors' State License Lawcdoes not apply to_an owner of conditions and restrictions set forth:on this application:. ., -property who builds or improves thereon, and wlio-contracts fotthe projects witha contractor(sl licensed • �'"1. Each person upon.whose behalfihis applicatiortrs made, each, person at whose request and for pursuant to tke Contractors' State License Law.): - - •• whose benefit:wo. k:is'periormed'und6r or"pursuant to any'permit-issued as a result of this application, I _ 1 I am exempt under Sec. , B.&P.C. for'this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and'hold harmless the City 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 of La Quinta, its officers,.agents and employees for any act or omission related to the work being .performed under of 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 ].have read this application and state that the above information is correct. I agree to comply with all city and cTirity dinances. and state laws relating to;bu' ding con ion,, and h y authorize representatives Of t o ntE�Don the above-mentioned prop inspQctio purpose ate:. - �� Sv' ature (Applicant or Ager _ U Application Number . . . . . 07.-00001282 ------ Structure Information 1 ----- Other struct info . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 576.00 PATIO SQ FTG 177.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1711.00. ---------------------------------------------------------------------------- Permit . . Additional desc . Permit Fee Issue Date Expiration'Date . BUILDING PERMIT 821.50 Plan Check Fee 533.98 Valuation . . . . 151893 10/23/07 Qty Unit Charge Per Extension BASE FEE 639.50 52.00 3.5000 THOU BLDG 100,001-500,000 182.00 ------------------------------------------------------------------------=--- Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 80.00 Issue Date . . . . Expiration Date . . 10/23/07 Plan Check Fee . . 20.00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 11.0000 'EA MECH FURNACE >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP,/'.100K BTU. 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 2.00 6.5000 EA MECH VENT.FAN 13.00 1.00 6.5000 EA MECH EXHAUST'HOOD 6.56 Permit' . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 86.41 Plan Check Fee 21.60 Issue Date . . . . Valuation . . . . 0 .Expiration Date 10/23/07 Qty Unit Charge Per Extension BASE FEE 15.00 1711.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 59.89 5.76.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 LQPERMIT Application Number Permit . Additional desc Permit Fee Issue Date Expiration Date 07-00001282 PLUMBING 128.25 Plan Check Fee Valuation . . 10/23/07 32.06 0 Qty Unit Charge Per Extension Extension 15.00 -----------------------------------------=---------------------------------- Special Notes and.Comments BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE 60.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000'EA DRIVEWAY APPROACH. 2001. 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 .750.0 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 Issue Date Expiration Date 10/23/07 Plan Check Fee . . .00 Valuation . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 -----------------------------------------=---------------------------------- Special Notes and.Comments SFD - LOT 114, •PLAN. 4520B, 1711 SF. (INCLUDES BOX BAY@MBR-26 SF & BAY Q NOOK -23 SF)AND 4' GARAGE EXT. (88 SF). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2001. CBC, CMC, CPC., 2004 CECI- 2005 ENERGY ----------------- ------------------------------------------------------------ Other Fees . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF•COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW.FEE 53.40 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 15.18 DIF STREET MAINT FAC -RES 6.7.00 DIF TRANSPORTATION - RES 1930.00. Fee summary Charged Paid. Credited Due LQPERMIT .Application Number . . . 07-.00001282 Permit Fee Total - 1131.16 -------------------- .00 .00 ---------- 1131.16 Plan Check Total 607.64 .00 ..00 607.64 Other Fee Total 4563.58 .00 .00 4563.58 Grand Total 63'02.38 .00. .:00 6302.38 '• YZ "" LQPERMIT. .. Installation Certificate-: Residential CF -6R Site Address PERMIT # 461-592 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 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 EQUIP: Furnace-FAU 1 MANUFACT HEATING UNIT ACTUALEFF. HEATING EOUIP MAKE MODEL #'W. AFUE CAPACITY 4. COOLING INFORMATION UMS80704BX 80% COOLING MANUFACT COMPRESSOR ACTUAL EFF. EQUIP. MAKE � MODEL'# :. .' SEER ' A/C-FAU 1 Amana GSC130481A Coil-FAU 1 Aspen CP48A3B EER 12 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. 5. THERMOSTATIC EXPANSION VALVE (TXV): Thermostatic Expansion Valve ('or Commision approved equivalent) is installed and access is provided for inspection. YES. Q NO Q N/A 0 6. SUBMITTED BY: WESTPAC AIR CONDITIONING Signature Installing HVAC Contractor \\C lai re\Crystal Reports\Purchasing\C F6R_Report.rpt Job#: 6693 Lot: 7114 Bldg: - Unit: - 6/28/2007 Date Sep 13 2007 16:30 HP LASERJET FAX p.6 .. ...'::./'J'%Jr:.'!:J%+i%..r�r/siJ:.r://.r..Ji lJd.✓YIF.r.1.'•iY/i•!'/iA/1'.!.'✓/q%/'//•rN.!/iI/J:✓.!.'/4'✓!/. /.'y.:'//.V. J/I%d/J//'Iii.`1,r%AJ'/.: f!✓/!l✓/IJA////J✓//'l/%JYI///lilt%.ri i/I.'/.'.•,•%'/.'.•'/�/'/'r 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: r 61592 Tulare Lane, Lot 7114, Phase 17D-1, Trilogy Project, La Quinta, California CEILINGS. TYPE: BLOW MANUFACTURER: CERTAINTEED Thickness: R-38 WALLS: TYPE: BLOW MANUFACTURER: CERTAINTEED Thickness: R-13 A GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE # 221517 BY: TITLE: OFFICE MANAGER DATE: 9/13/2007 ':r/. !,' r/a/ r,....1: J/!.:..' li.fr /!: �i✓.'lAl: >/.P I:/ . �r•I'/.r�.'I.'/'!/fi'J '/.'J/!'i.i./%! .i !�I:'J:. ��///:/JJ/.YH!/JJii:l•J•1/✓.':/ ✓ .1,' IJ•%•�I/R/.%:G/////Yi�%f..l'F •%/.//!%JI �YI%'PJ✓%.r/.:: is Y/% J/ is i. /i.r::/.'!..✓ :• :.1: /.'.✓ir:':: .: ..... . r SEP 20,2007 17:40 BCI*TESTING,ril 000-000-00000 Page 12 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) . 0-411 Project Address Builder Name 61592 Tulare Lane - La Quinta, CA 92253 Shea Homes, Inc. — Builder Contact Telephone Plan Number 87 4520 STD HERS Rater Telephone Sample Group Number Lot 4 (if applicable) William Irvine 760-772-2754 76302/7114 Compliance Method (Prescriptive Climate Zone 15 Certilying signature pate Certificate Number f ) September 13, 2007 CC3-1798416884 Firm: BCI Tes Ing HSRS Provider:CaICERTS, Inc. Street Address: 41800 Washington St. City/State/Zip_Bermuda Dunes / CA / 92203 Copies to; IIUILDER, HERS PROVIDE=R 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, 1 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 on every te;tt*, building. The HERS rater must not release the CF•411 until a properly completed and signed CF -6R has been received for the sample and tested buildings. eThe 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, mastic and drawbands are used in combination with cloth backed rubber adhesive duct tb a to seal leaks at dud connections. MTNT14UM RFOUTREMENTS FOR 13UCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main Svstem NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM; 87 2 Fan Flow; Calculated (Nominal'"Cooling `.•- Heating) or`••_'Measured 2000 Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage < 61/a [ 100 x ( Line 1 /Line 2 )l: 4.350/a © 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 Duet System Prior to Ouct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM; Final Text 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 [Lino 4 - Line 51 - (Only If Applicable) 7 enter Tested I.eakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage <'6% [ 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 )): II ----II rI--1� P Pass 1._I Fall 10 Pass if Leakage to Outside Percentage -- 10% ( 100 x ( Line 7 /Line 2 )): n Pass n Fall 11 Pass if Leakage Reduction Percentage >- 60% [ 100 x ( Line 6 / Line 4,)) ❑ Pass ❑ Fail and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fall Pass if One of Lines #9 through 912 pass 0 Pass ❑ Fail SEP 20,2007 17:40 BCI*TESTING,ri1 000-0.00-00000 CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTINd• P.a a:3-4 of 8). CF -4R Project Address f :Auilde'r'Name' 61592 Tulare Lane - La Qulnta, CA 92253 Shea-Momes, Inc. Auilder Contact Telephone PlanAimber 4520-sra MEAS Rater Telephone byinple.Group NumberI Lot # (if applicable) William Irvine 760-772-2754;.,76302 / 711C' Com fiance Method (Prescriptive) GlimateZone 15, Certifying Signature pate 'CertiAcate Number r,0L 15�:� September 13, 206,CC3=1798416884 Firm: BCI sting HERS Provider..CMCFRTS, Inc. _ Street Address: 11800 ,Washington St. City/State/Zip:8ermuda Dunes / CA / 92203 to: BUILDER, HERS•PROVIDER AND BUILDING HERS RATER COMPLIANCE`STATEFIENT The house was R Tested n Approved as part of sample testingi but was Associated. Ac the HERS rater providing diagnostic testing and field verification, 1 Certify that Ehe house identified on this form complies with the dia nostic tested compliance requirements as checked an this form. The installer has.provlded a copy of the CF-,6R;,(Instaf1ation Certificate). '6TWERMOSTATIC EXPANSION VALVE (.TXV): Main System Access is provided for inspection. The procedure shall consist of vlsualtiverificatiorrthat the TXV is installed on the •system and Installatlon,of.thd specirkc ei quipment_shall<be .verified: Main System N"tC' .ystem TXV PP.. n Fail Page 13 SEP 20,2007 17:40 BCI*TESTING,ril 000-000700000 Page 14 CERTIFICATE OF FIELD VERIFICATION-& DIAGNOSTIC YESTING°(Page`s of;$);;. CF -411 Project Address Builder Name': 61592 Tulare Lane - La Quinta, CA 92253 �- Shea•Homes,;Inc. Builder Contact' Telephone Plan Number 4820 STD. HERS Rater Telephone :sample Group Number/ Lot it (if applicable) William Irvine 760-772-2!54, 16302;/,. 7114. Com fiance Method (Prescriptive).",';Glimate'Zoiea5 Certifying Signature r ice. 9eDate'CertfcaMN6fhb.iK ptemW 13, 2007 C3=17984_168 8 4 Frm: BCI Testirig HERS Provider?C810ERi'Si inC_ Street Address' 41800 Washington St. _ City/5tate%Zip:Berrriuda Dunes:/ CA / 92203 Copies to: BUILDER, HERS,PROVIDERAND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT` The house was R Testeci 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 regUlrements as checked on this form. The installer has provided a copy of the CF 11 (Installation Certificate). HIGH EER AIR CONDITIONER: Main.System e.,...e,i-- A— — D'ArAC -A .... dlr or . Yes 1i:1I No EER values of installed ar;tams Match the CF -1.R 2 t•J Yas i_! No For.split systems; indoor coil is matched to outdoor.coil n No Time Delay Relay Verifed'(IPRequired) r 3 n Yes Yes to 1 and 2,and.3`(If Rmquired) I's's pais Pass Fail t JCM 16906010W- 39725 Ga -rand 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: 60-800 Trio1gy Parkway La Quinta, CA Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Architect: Structural Engineer: Shea Homes for Activ'e Adults Bassenian Lagoni Borrri'& Associates, Inc./ Suncoast Post Tensi Slump (inches): Supplier: Superior, Time Sampled: Mix Design: D83625P • Time in Mixer (min.): Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): Addmixture: POZZ 322N Concrete Temperature (F): Truck M LA_J_q Ticket #: Ambient Air Temperature (F): CW n Field ID Marking: Set A'- 4 cylinders ✓IBC E] Title 24 Other: Unresolved Items: E] None See -Below Location of Sample: F I No Samples Taken Description of Work Inspected: Phase )-kot# —11 Product Plan Slit" 1) Received' mill certifications for Debar and tendons placed. 2Vypical 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), &ven 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 0 SA 0ry zz®r�ocrl.. 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. 67 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx 2S®r A mechanical vibrator was used to consolidatb 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. to 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 Certification No: 0842216.49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3. Governing Agency Page I of Copy 1 JCM Inspections Copy 2.' Project Superintendent Copy�3 y'Goyeming Agency Page i _ of JCM Inspections + I. 39725 Garland Lane Suite F �. I Palm Desert, CA 92211 L.- ---- 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 Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Size and Type. of Tendons:- 1/2" Diameter Seven'Strand Stress -Relieved Tendons Q.IBC ❑ 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 #. 38 a None Phas Lot# �� �I t t Product Plan � y o. ( h\ -S9'4'_7 \<X f �. - �.. See Below Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- ofspecifiedelongation. Lot•# Location " Tendons Elongation (in) Reference 11h/SN2. L s. Yes No <' R�vf� 1 ❑, ,` •\ • 't' .. . � �� lam': Q El � .. S u ❑ Cao a ET o o•El a ❑. ❑ 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.�llin ICC Certifcat'o N 0842216-89 Contractor's' Representative: Me {� a Copy 1 JCM Inspections Copy 2.' Project Superintendent Copy�3 y'Goyeming Agency Page i _ of ra VT JCM LNSPECnONS „. Complete General "d Sp•ecW Inspection Serviccs 39725 Garand L.anc, Suite F, Palm Desert, California. 922.11 Phone: 760 - 345 - 555-4 Fa_i: 760 - 772 - 3895 EST SP9CIMEN DATA SHEET Dal : �J�►�I`z�lc� s�b9 CkA�. p ,sass�Q� Project a i Project'No: CONTRACTOR--�C—C.t:.�_1 STRUCTURE: t �'15� C fieSL_ LCICATION IN STRUCTURE:. REPqRT OF STRENGM TESTS: Mortar () Grout() Coacruc Ot.bsr ( SET N Date Cast C9 — Date Re(xived: 1 Cast By: Time Sampled' c� S 0rn-) Ticket. Number: f q cQA o j Age to be Tested,71 (L), Slump (in): 4'; Air Temp (F): a� Conc Te nXF): C Unit wckpco: AirCOIItent.N:_ Water Added (gal): Time in Mixer (mia) �5 Field 1D Markings. - FOR LABORATORY USE ONLY Lab Numb r- Datc of Tcsc Ce - ® ^'' 0v. wwwn Tested B