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07-1352 (SFD)P.O. BOX 1504 r 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: 5/03/07 Application Number:07-00001352 Owner: Property Address: 616-0-6—TULARE LN SHEA LA QUINTA APN: 764-280-999-113 -300237- C/O JEFF MCQUEEN Application description: DWELLING.- SINGLE FAMILY DETACHED 8800 N ,GAINEY CENTER 350 Property, Zoning: - MEDIUM HIGH DENSITY-RES- SCOTTSDALE, AZ 85258 Application valuation: 149689, Contractor: Applicant: rcHltect or Engineer -SHEA HOMES INC -. ; ' 81260 :AVENUE 62 i n Q I ��( LA QUINTA, CA 92253` ��`�luy (760) 777-6005" . _ MAY ll� 2007 Lic. No.: 672285 r CITY OF,tA QUINTA. F1UAMPC,nEPT. ------------------------ - • LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION _ (hereby affirm under penalty of perjury that I am hcen'sedundes.provisions of Chapter9 Icommencing�with I hereby affirm under penalty of. perjury one of.the;following declarations: - - • Section 70001;oi Division 3 of the Businesran'd 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 ' _License- ss:� '-,"� -�": L" N .672285` -',fortiy�Section3700_of.the`LaborCodd fortheperformance-o6he-workfor-whicl t61s,permmis-�' t s a ontractor. - z. r -.y - 1 ha W_anC. will maintain.workers=coTpensation insurance; as requuedtby Section 3700•ofahe Labor" r .,:pi - - - .'. Code, for: the, performance'of the work for which This permit is. issued. My, workers' compensation y _a� OWNER-BUILOER'DECLARATION ainsurance.carrier. and, policy number are;; -i• • I hereby affirm under penalty, of p-drjury'.that 1,am exempt from -the; Contractor's State: License-Law-for the Carrier HOME-'.-i. - ` '- Pohcy:Number •.-: 12476�P9..-. .s• '+' z .following reason (Sec: 7031.5: -Business%and Professions,Code:- Any cny or county.that reouues•e'permit to _ - _"(:certify [fiat, in- the, performance of,tfie work for which this _ per is'issuedia:_'shall not em to pan` - construct?alter, im rove demolish or're air an 'structure `rior to its issuance, I r..- it r h' 7 "" ! 4-; P ,. P Yf Y - .._, .-_P ._ ., -, ;..� . P � Y _. ,..P ... _„ a so. equ est a app scant for the ¢, � s person in any9manner.so asto'become sutiject toaheworkers'pcompensation Iaws�of. Cahforma,' permit-to-tile a signed statement that fie-or she _iskcenseC'pursuant�o the provisions of the Contractor s,5tate s - and agree'that°if i ould tiecorne subiect�'to the workers'lcompensationpicvisionsof`Section License Law (Chapter.9 (commencing with,5ectson'70001 of-Divisioin°3 ofthe:Business•anA:Professions'Code)• or ''-3 00 of the Lab "shal a 'with coin 'with those pro5isions.`,°r J. z ., . That-he _or,sheris exempt therefrom and the •basis- for;the alleged .exemption Ariy v olation-of Section,7031 5`6 rr' any applicant foga permit subjects the applicant to'a'civil penalty oirG` more than five hundred dollars ($500).:,. as ownerof�the property, or my employees with wages as.theu solecompensation will`dothe work, and'.. t. ^. i r#':w ••+'.,.. ,.b . FSi; the structure isnot intended,oroffered-'for•sale'(Sec"7044,.Business and'ProfessionsCode ,Thef`" _ - WARNING:, FAILURE TO SECURE WORKERS'�COMFENSATION�COVERAGE IS�UNLAWFUL;.AND SHALL , :5. `.• Coritraciors' State License Law d36s1rot'apply tot'an ownerof,property who•tiuilds or- improves'thereon, • .SUBJECT AN�EAAPLOYER'TO CRIMINAL P.ENALTIESAND.CIYIC-FINES.UP TO';ONE HUNDRED,THOUSAND and who does ,the'work hrmself,or herselfthrough, his or her-own emplOyees,.provided ^Fiat the _ , ••'DOLLARS,(S100,0001: IN ADDITION T,O THE'CO.ST.OF COMPENSATION DAMAGES AS PROVIDED FOR IN -, • improvements are noviniended,'or offered for sale: If; however,%the'budding'oriimprovement is sold'.within SECTION 3706'�OF THE LABOR•CODE,-INTEREST; AND.ATTORNEY'S FEES;, " '`4_ q?i _one year•of completiiin;�the owner-builderwill,have the burd`en,ol provinjl ahat:he or�she did'noibuild'on ,,4' :' ':3 - •- ` improve for the purposeof sale,). - L APPLICANT. ACKNOWLEDGEMENT, f_ I I; as owner of the: property 'am exclusively contracting,withlicensed`contractors'to construct the.projeet (Sec. IMPORTANT Application s.hereby made to the Direciorof. Budding 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�on ihis .application ` s' -: - ' property who bwlds of improves thereon, and who:contracts•for.the:piojects with a contractorIs) licensed 1: `=Each person upon whose behalf.this application is'made, each person at whose:request;and for • - pursuant to'the'Contreciors' State'License_ Law.). - ' whose benefit work is-performed under or pursuant to'any'permit issued;as a,resulI of this application," (_ 1 I am exempt under Seca , B.&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 performed"under or following issuance of this permit.' Date: Owner: - 2.Anypermit issued as a result ofahjsapplicationbecomes'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 . CONSTRUCTION LENDING AGENCY permit to cancellation. - - - - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certjfy th t Ihave read this application and state that he above information is correct: - I 'gree to comply with all work for which this permit is issued :Sec. 3097, Civ. C.1. city and co' ty or �nances-and statelaws relating to construction, and hereby au t orize representatives Lender's Name: he above-mentioned rope ins cti u e oft 7N�Ke Date: (Applicant or Ag Lender's Address: - LQPERMIT Application Number .. . . . . 07-00001352 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 814.50 Plan Check Fee 529.43 Issue Date Valuation . . . . 149689 Expiration Date 10/30/07 Qty Unit Charge Per Extension BASE FEE 639.50 50.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 175.00 . Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 90.00 Plan Check Fee 22.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/30/07 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/100K BTU 18.00 . 5.`00 6.5000 EA MECH VENT FAN 32.50 1.00 ------------ --------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 83.40 Plan Check Fee 20.85 Issue Date Valuation 0 Expiration Date 10/30/07, Qty Unit Charge Per Extension BASE FEE 15:00 1636.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 57.26 557.00 -------------------------------------- .0200 ELEC,GARAGE'-OR.NON-RESIDENTIAL ------------------------------------- 11.14 Permit . . . PLUMBING Additional desc . Permit Fee 146.25 Plan Check Fee 36.56 Issue Date Valuation 0 Expiration Date 10/30/07 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT Application Number . . . 07-00001352 Permit . . . . . . PLUMBING Qty Unit Charge Per BASE FEE 15.00 Extension 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 5.00 .7500 EA PLB GAS PIPE >=5 3.75 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Issue Date . . . . Expiration Date ... 10/30/07 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 113, Plan 4210B. 1636 S.F. w/Casita (255sf), MBR Box Bay (26sf), Ext Garage (83sf) & Ext Patio (177sf). Permit does not include block wall, pool or driveway approach. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES --------------------------------------=------------------------- Other Fees .. . . . . . . . ART IN PUBLIC PLACES -RES ------------ 20.00 DIF'COMMUNITY CENTERS -RES 74.00 DIF. -CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 52'.94 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF -PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 14.96 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged --------------------------- Paid Credited ----------=--------- Due Permit Fee Total 1149.15 ---------- .00 .00 1149.15 Plan Check Total 609.3.4 .00 .00 609.3.4 Other Fee Total 4562.90 .00 .00 4562.90 Grand Total 6321.39 .00 .00 6321.39 LQPERAIIT .9 v • tTEN 1 IDAC Installation Certificate : Residential CF -6R AIR CONDITIONING INC. Site Address PERMIT # 61-606 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 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-FAU 1 Furnace-CASITA MANUFACT HEATING UNIT ACTUAL'EFF. HEATING EQUIP MAKE MODEL ## AFUE CAPACITY 4. COOLING INFORMATION C�JUI►'1<:iAN111m ' :i11-YA Allstyle AHK24-5ZOT+D+VP 80% (Allstyle) COOLING MANUFACT COMPRESSOR ACTUAL EFF. EQUIP. MAKE MODEL # SEER A/C-FAU 1 Amana GSC130481A 13 Coil-FAU 1 H/P-CASITA Aspen CP48A3B EER 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. 5. THERMOSTATIC EXPANSION VALVE (TXV): Thermostatic Expansion Valve (or Commision approved equivalent) is installed. and access is provided for inspection. YES Q. NOF-1 N/A Q 6. SUBMITTED BY: WESTPAC AIR CONDITIONING Signature Installing HVAC Contractor \\Claire\Crystal Reports\Purchasing\C F6 R_Report.rpt Job#: 6695 Lot: 7113 Bldg: - Unit: - 6/28/2007 Date Sep 13 2007 16:31 HP LASERJET FAX p.7 INSULATION. CERTIFICATE. This is to certify that insulation has been installed in cbriformanoewth the current energy State of regulation, Californi,6.Adm'inistrative Code, Title 24�'Sta ,Calif6 mia, in,'thebullding located at: 61606 Tulare Lane, Lot 7113, Phase 170'-2, Trilogy Pr6ject, La Quinta, California CEILINGS. TYPE: BLOW MANUFACTURER: CERTAINTEEP, 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 4 221517 BY: TITLE: OFFICE MANAGER DATE: 9/13/2007 SEP 20,2007 17:39 BCI*TESTING,ril 000-000-00000 CERTIFICATE OF FIELD VERIFICATION $1 Project Address CF -4R 61606 Tulare Lane - La Quinta, CA 92253 Shea Montes, Inc. Builder Contact Telephone Plan Number 4220 Casita _ H5AS Rater Telephone simple. Otriup Number I Lot # (if applicable) William Irvine 760-7724754 76303"t 7113 Compliance Method Pnescri Live Climate Zone 15 Certifying Signature Dah, Certificate Number r September 13, 2007 CC3-1798416865 Firm: BCI Testing HERS Provider;CaICERTS; Inc. Street Address: 41800 Washington St. _ City/State/Zip:klermuda Dunes / CA / 92203 Conies to: BUILDER. HERS PROVxDER 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 housclderitlfied 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 -411 may be released an every tested building, The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received foe 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., 4005 not use building cavities`as plenums or platform returns in lieu of ducts). New systems where doth 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. a.,ruraar 1a■AV9:n11tDeaienrrc rnR nurr LIFAVAGE REDUCnON. COMlaL-1ANCE CREDIT: Main Svstem NEW CONSTRUCTION Duct Pressurization fest Results (CFM 25 Pa) Meau re Values 1 Enter Tested Leakage Flow In. CFM: 76 2 Fan Flow; Calculated (Nominal'.,.' Cooling ':.•' Heating) or %..' Measured 1600 Enter Total Fan now in CFM: 3 Pass if Leakage Percentage -� 61/o [ 100 x ( Line 1 / Line 2)1: 4.889l6 Q Pass ❑ Fall ALTERATIONS: Duct System and/or HVAC Equipment,Change-Out 4 Fitter Tested Leakage Flow in CFM from CF -6R: Pre -Test of -Existing Duct System Prior to Duct System Alteration and/or Equipment C114ege-Out. 5 Enter Tested Leakage Flow in CFM: Fnal 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 Leakogr Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% ( 100 x ( Lini.5 / Line 2 El Pdss I. r-1 r Fail TEST OR VERIFICATION STANDARDS: For Altered Duct Sfstem 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 / Uhe Z Pass i- I Fail 10 Pass if Leakage to Outside Percentage -.-= 10% [ 100 x ( Line 7./ Line 2 )]: ❑ Pass n Fail 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 5e4gng of all Accessible Leaks and Verification by Smoke Test.and Visual Inspection Pass Fail Pass If One of Lines #9 through #12 pass �n I I Pass e.._.1 Fail Page 7 SEP 20,2007 17:40 BCI*TESTING,ril 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING.(Page i of 8) CF -4R Project Address Builder Name . 63.606 Tulare Lane - LaAyinta, CA 92253 Shea. Homes, Inc._ _ t'iullder Contact Telephone Plan Number 37 4210 ,Casita- HERS Rarer Telephone Sample Group Number / Lot 4 (if applicable) William Irvine 760-772-2754 76303/ 7113 Compilhance Method P cri ti Climate Zone. 15 Certifying5ignaturc Date Certificate Number 3 September 33, 2007-CC3.1798416885 Firm: BCI Testing HERS Providee:CaICERTS„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 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 "ntified on this form complier with the diagnostic tested compliance requirements as checked on this form. The HERS rter 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 tesldd 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. 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 J New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed rubber adhesive dud t4pc to seal leaks at duct connections. u.w.., nz.,n.nrucurc a:no nim -T 1 eel[Are or-nttcrrnN CnMD1 TANCE CREnIT_ New SvltP.M NEW CONSTRUCTION Duct Pressurization Test Results (CFM (P 25 Pa) Measured Values 1 Enter rested Leakage Flow in CFM; 37 2 Fan Flow; Calculated (Nominal `--n` Cooling '•.:' Heating) or .? Measured 600 Fnter Total Fan Flow in CFM: 3 Pass if Leakage Percentage -- 69/h j 100 x ( Line 1 / Line 2 )]: 4.63% II ----II Pass l..i Fail ALTERATIONS., Dud System and/or'HVAC Equipment Chang"e-Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre Test of Existing Dint 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 Flow in CFM to Outside (Only if Applicable) a Entire New 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 Pass If Leakage Percentage c— 15% ( 100 x ( Line 5 / Line 2 )J: n Pass n Fail 10 Pass if Leakage to Outside Percentage <= 1001n ( 100 x ( Line 7 / Line 2 )J: ❑ Pass LJ Fail 11 Pass if Leakage Reduction Percentage >= 60% 1100 x ( Line 6 / Line 4 )] ❑Pass ❑Fad 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 ❑ Fail Pass if One of Linea #9 through #12 pass 11 Pass ❑ Fail Page 8 SEP 20,2007 17:40 BCI*TESTING,ril 000-000-00000 Page 9 CERTIFICATE OF FIELD VERIFICATION DIAGNOSTIC TESTING (Page 3-4 of 8 CF -411 Projoct Adorer Builder Name 61606 Tulare Lane - La QuInta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number 4210 Casita HERS Rater T telephone Sample Group Number/ Lot 4 f if apocable) William Irvine 760-772-2754 76303/7113 Compliance Method Preseri tiv Climate Zone 15 Certifying SignaturoDate Certificate Number i� .' September 13, 2007 CC34798416885 Firm: BCI Tekina HERS Provider:CaICERTS, 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 2 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 compiles with the di a nostic tested compliance requirements as checked on this form. The installer has provided a copy of the CF -611 (Installation Certificate). �htHERMOSTATIC 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 © Pass ❑ rail SEP 20,2007 17:40 BCI*TESTING,ril 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Paje 340f 8) ` CF -4R Prafect Address Wilder'Narne 61606 Tulare Lane - La QuInta, CA 92253 Shea Homes, Inc. Builder Contact Telephone 'Plan.Number 4210 4asita HERS Ratr, Telephone Sample' Group Npmbe, / Loi & (If applicable) William Irvine 760-772-2754: 78303,/ 7113 Compliance Method (Prescriptive W, Climate Zone 15 Certifying Signature Date Certificate'Number Be pternber 13, 2007 CC3-179841.6885 Firm: BC1 Te ting _ `HERS Provider:CaICERTS Inc. Street Address: 41800 Washington St. City/State6l),Germuda Dunes / CA / 92203 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 dia nostic tested compliance requirements as checked on this form.' (� The installer has provided a copy of the CF -611 (Installatlon Certificate), ERMOSTATIC Access is provided for inspection. The procedure shall consist of visual,veriflcatlon that the TXV Is installed on the system and installation of the speclFlc equipment shall:be verified. New S.ysteM HVAC System TXV (�7f Pass n Fail Page 10 SEP 20,2007 17:40 BCI*TESTING,ril 000-000-00000 Page 11 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8 CF -411 Project Address Builder Name 61606 Tulare Lane - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number L No 4210 Casita HERS Rater Telephone Sample Group Number / Lot 0 (tf applicable) William Irvine 760-772-2754 76303 / 7113 -- Compliance Method (Prescriptiv4a Climate Zone is Certifying Signaturep, ) f Date CertlRCdte Number September 13, 2007 C64798416885 Firm: BCI Testing HERS Provider:C310ERTS,10C. Street Address: 41800 Washington St. City/State/Zip: Bermuda Dunes/ CAI 92203 Conics 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 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), MHIGH EER AIR CONDITIONER: Main System F vo Nlnn ?it ava/Ghle In RAPM Annandir RT 1 MY., y ❑ No EER values of installed systems match the CF -1R 2 my. I I Na For split systems, indoor coil is matched to outdoor toll 3 ❑ Yes ❑ No Time Delay Relay Verified (If Required), Yes to 2 and 2; and 3'(If Required) is a Dass M PASS M Fail IVIHIGH EER AIR CONDITIONER: New System 0— 4— Fnr 0—iFirAlMn AM availahlo in RACM Annandir RT. 1 Q Yes 1_1 No EER values of installed systems match the CF -1R 2 M Yes n No For split systems, indoor coil is matched to outdoor coil 3 U Yes L No Time Delay Relay Verified (If Requlred) Yes to I snd 27 and 3 (If Required) is a pa Pass Fail JCM Inspections ' 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Dates: Noted Below Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: 60-800 Triolgy Parkway La Quinta, CA Client: Sub -Contractor: Shea La Quinta, LLC DCCCC General Contractor: Architect: Structural Engineer: Shea Homes fog Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Slump (inches): Supplier: Superior Time Sampled: ; Oyr Mix Design: D83625P Time in Mixer (min): Specified Strength (PSI)' 4000 Water Added @ Jobsite (gals.): 1�0"-A—• Addmixture: POZZ 322N Concrete Temperature (F): 90 Truck M ,Ticket #:. q Ambient Air Temperature (F): 90 Field 1D Marking: Set A - 4 cylinders Q✓ IBC F] Title 24 Other: Unresolved Items: None See Below Location of Sample: S\q\p 01,1GV�QS OO No Samples Taken Description of Work Inspected: Phase _ Lot#'��e—+�— Product Plan ' r jUD 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 rtin a Cn &A, (CID � �S\ o • ' F;Yi'; S�c'Nl 24 D � �� r 'o vJ f'. OOrri, Also, typical details 2, 3/SD-1 and Notes on SN -1 apply. Checked rebar for grade, size, placement, coverage and splices. Rebar and tendons were securely tied and supported off the earth. Accepted for concrete placement. 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx 0, 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: Jac C. Millin ICC'Cert'fl ati8n No: 0842216-49. I SSL Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 ' Governing Agency , Page of 1 • � TT JCM inspections ;39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 t N S P E C T I o x s PRESTRESSED CONCRETE INSPECTION REPORT Date:" Project Name: Trilogy @ La. Quinta - Shea Homes Project Nd:.., 02-1109 " Project Address: 60-800 Tnolgy. Parkway City: La Quinta, CA Client: Shea •La,Quinta, LLC • Sub -Contractor: Sun Coast Tensioning General Contractor: Architect: Shea Homes for, Active Adults Bassenian Lagoni Structural Engineer: Borm &'Associates; Inc./ Suncoast Post Tensi Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons Jack Machine Calibration:. Received .Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips 5 psi'to 33:04 kips/33,000 lbs Calibration Date: Machine # Phasi 77_1�*�,Lot# —1 11 Z" Product' Plan m --T�k\os LA aq, ❑✓ IBC Title 24 Other: Unresolved Items: one E See Below Description of Work Inspected: Specified' L'ot # Location Tendons Elongation (in) Actual Elongation (in) . Complies within 7% +/- of specified elongation: Reference 11 h/SN2. IL Yes No �(XC.n. ?nSt ❑ ,w El A � o.c a � ex ��s c o� 2,4- ?t � 4 � 4�' � Rr El CL 0 0 0 0 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. Insp c or: Jack C. Millin ICG Certification No: 0842216-89 A� Contractor's. Representative: Copy 1 JCM Inspections •Copy 2 . Project superintendent Copy 3 ; Governing. Agency Page of J CM INSPECTIONS Complete G-eneral end Sp-tcw Inspection Services 922 11 39725 Ga -rand Y.anc, Suite F, Palm Desert, California �Ute�c Phone_ 760 - 345 - 555-4 Fax: 760 - 772 - 3895 ESQ' SPECIMEN DATA SHEET .� `x12 c. c4 10 S�fx 1z CL Vk57, Client' ���� �-- � � �' �'�^pC, 4-- 3 7� Dice: �� c--►,�z Sco- sckA.� `352.5 ro P'ect No: 1 Projec[� � ..//�1 (� �r l9 �Su; — `�► Y" _ V" "� COWMACTOR STRUCTURE: \\� of\csc- LOCATION IN MUCI-URE: REPORT OF STRENGTH TESTS. Morur ( ) Gmuc () Coacrctt wo 01-bcr ( SET Date Cast — _ U Slump (in): • Date Receiv(_d: '� AdrnixTure: O'Z2— Cant By: Time Sampled C1 Mix Design: Supplier Cispec fiedrOsi�� '� A C) Ticket Number Age to be Tested77 Air Temp (F): O Conc Temp(F): Unit Wt (pco:� A.irContent(%): Water Added (gal): Time in Mixer (min): Field ED Markings. 4x% FOR LABORATORY USE ONLY Lb Date of lc�c �� g 2/? at �. 1 d 1 1 7� V all . TO Tee _ B C®\LkM �a �-- Owl