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06-2651 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 06-00002651 61216 TOPAZ DR 764-280-999-159 -300237- DWELLING - SINGLE :FAMILY MEDIUM HIGH DENSITY RES 215659 .BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 rchjtect or Engineer: �_\So �vt15 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Licep�glC`a#S: B _ \ License No.: 672285 /Date:!'; ontractor\�{�/ ontractor: 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 License Law (Chapter 9 (commencing with 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through 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 build or improve for the purpose of sale.). 1 _ 1 1 as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an 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.). ( ) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). _ Lender's Name: Lender's Address: 0111 LQPERMIT Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 LiC.'No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/12/06 AUG U 2 2006 CITY OF LA QUINTA FINANCE DEPT: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I 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 and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier AMERICAN HOME Policy Number ' 1247619 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should ecome subject_ to the rkers' compensation provisions of Section �7CO Lab , I hall fhw com ly ith ose provisions. ate:n WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES 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 hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or. omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result 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 I have read this application and state that the above information is correct. 1 agree to comply with all city and c untV ordinances and state laws relating to Idin cons ction, and he by authorize representatives of th' ty ter upon he above-mentioned ope or nsp do rposes ate: gnature (Applicant or Age Application Number . . 06-00002651 LQPERMIT Structure Information Construction Type TYPE,V -.NON RATED Occupancy Type . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 755.00 PATIO SQ FTG 376.00 NUMBER OF UNITS 1.00 -------------------------- 1ST FLOOR SQUARE FOOTAGE ---------------------------------=- 2424.00 --------------- Permit ... . BUILDING PERMIT Additional desc . Permit Fee . . . . 1045.50 Plan Check Fee 169.90 Issue Date . . . . Valuation 215659 Expiration Date 1/08/07 _ Qty Unit Charge Per Extension BASE FEE 639.50 116.00' 3.5000 --------------------------------------------------- THOU BLDG 100,001-500,000 ------------------------- 406.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 65.50 Plan Check Fee 4.10 Issue Date . . . . Valuation 0 ' Expiration Date 1/08/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 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 114.94 Plan Check Fee 7.19 Issue Date Valuation . . 0 Expiration Date 1/08/07 Qty Unit Charge Per Extension BASE FEE 15.00, 2424.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 84.84 LQPERMIT Application Number . . . . . 06-00002651 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension , 755.00 0200 ------------------------------------------------------ ELEC'GARAGE OR NON-RESIDENTIAL --------------------- 15.10 Permit ." PLUMBING Additional desc . Permit Fee . . . . 153.00 Plan Check Fee 9.56 Issue Date Valuation . . . . 0 Expiration Date 1/08/07 Qty Unit Charge Per Extension. BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1:00 7.5000 EA PLB WATER HEATER/VENT_' 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 ---------------------------------------------------------------------------- EA PLB GAS METER 15.00 Permit . . . GRADING PERMIT Additional desc.. Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . 0 Expiration Date 1/08/07 Qty Unit Charge Per Extension. "BASE FEE 15:00 Special Notes and Comments SFD - LOT 160, PLAN 6505B,"2424 SF INCLUDES BOX BAY @ MBR-26SF. PERMIT DOES NOT.INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY.APPROACH. 75% REDUCTION TO `-PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY -------------------------------------------------------------7-------------- CODES Other Fees . . . . ... . . . ART IN PUBLIC PLACES -RES 39.14 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 16.99 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 LQPERAIIT LQPERMIT Application Number . . . . 06-00002651 Other Fees ... . ----- ---------------------------- . . . . . . --- DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC = RES 22.00 DIF PARKS/REC -'RES 892.00 STRONG MOTION (SMI) - RES 21.56 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due Permit Fee Total .1393.94 .00 .00 1393.94 Plan Check Total 190.75 .00 .00 190.75'. Other Fee Total 3773.69 .00 .00 3773.69 Grand Total 5358.38 .00 .00 :5358.38 LQPERMIT PREPARED '3/16/11, 10:57:15 .INSPECTION HISTORY REPORT PAGE 1 " PROGRAM BP521L. 0/00/00 THRU 0/00/00 CITY OF LA QUINTA ----=----------'-------------------------------------------------------------------------------------------------7------------------- APPLICATION PROPERTY ADDRESS APN Alternate ID STRUCTR PERMIT .. INSPECTION RESULT DATE/STATUS INSPECTOR 06 00002651 61216 TOPAZ DR 764-280-999-159 -300237- 000 000 B001 00 BUILDING PERMIT 120 0001 FOOTINGS 8/18/06 APPROVED SW " 000.000 B001 00 BUILDING PERMIT 125 0001 SLAB 8/18/06 APPROVED SW 000 000 B001 00 BUILDING PERMIT" 135 0001 ROOF NAIL 9/18/06 APPROVED SW. -000 000 8001 00 BUILDING PERMIT 140 0001 OKAY TO WRAP 9/28/06 APPROVED SW 000 000 B00100 BUILDING PERMIT 145 0001 FRAMING 10/03/06 APPROVED SW 000 000 B001 00 BUILDING PERMIT 150 0001 INSULATION 10/04/06 APPROVED SW' 000 000 8001 00 BUILDING PERMIT 155 0001 LATH 10/10/06 APPROVED - SW 000 000 8001 00 BUILDING PERMIT 160 0001 DRYWALL NAIL .10/10/06 APPROVED SW _ 000 000 - B001 00 BUILDING.PERMIT' 199 0001 FINAL 11/30/06 APPROVED EM " 000 000 E01 00 ELEC-NEW RESIDENTIAL ,. 310 0001 ROUGH -ELECTRICAL 10/03/06 APPROVED SW. '. 000 000 E01 00'ELEC-NEW RESIDENTIAL 315 0001 -TEMP USE OF PERMANENT POW 11/09/06 APPROVED _ KK 000 000" E01 00 ELEC-NEW RESIDENTIAL. 399 0001 ELECTRICAL FINAL 11/30/06 APPROVED .EM 000 000 GP 00 GRADING PERMIT' 197 0001 GRADING -FINAL - 11/30/06 APPROVED EM " 000 000 MO1 00 MECHANICAL 405 0001.ROUGH MECHANICAL 10/03/06 APPROVED SW 000-000 M01 00 MECHANICAL 499 .0001 MECHANICAL FINAL 11/30/06 APPROVED EM 000 000 P01 00 PLUMBING 210 0001 SEWER.CONNECTION 8/08/06 APPROVED. GH 000 000. P01 00 PLUMBING 200 0001 UNDERGROUND PLUMBING 8/08/06 APPROVED GH - 000 000 P01 00 PLUMBING 230 0001 ROUGH PLUMBING 10/03/06 APPROVED SW • -000 000 P01 00 PLUMBING - 245 0001 SHOWER PAN 10/03/06 APPROVED SW' 000 000 P01 00 PLUMBING - 235 0001 GAS LINE / GAS TEST 10/25/06 APPROVED SW ' 000 000 P01 00 PLUMBING 299 0001 PLUMBING FINAL 11/30/06 APPROVED EM Nov 07 2006 3:48PM HP LASERJET Fnx P.10 !'/.�///%'+. a'i/'//J//.•//I/l / Ji IJ✓/r//N/'/. J,'/.<lJ.l/! l.'I//'I/N//i,:d/ %'iY+/,r//;+;r /ry!/J✓/J,!N, :/fl/.J/!'J/f/I'/Nl/.Y. FJJ l/lJ //,y!/J /l///J//:'i'/I///J//%//%✓/%/J✓ I r:'////Ji/: :.�' INSULATION CERTIFICATE l This is to certify that insulatlon has been installed in conformance with the current energy regulation, Califo i Administrative Code, Title 24, State of Catifomia, in the building located at: 61-216 To a Lot 7159,. Phase 16A, Trilogy Project,_ La Quinta, California r r/ CEILINGS: Y TYPE: BL011V MANUFACTURER: CERTAINTEED Thickness: R-38 WALLS: TYPE: BLOW MANUFACTURER: !:ERTAINTEED Thickness: R-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # ' BY: TITLE: r a PARAGON SCFiMiD BUILDING PRODUCTS, A MASCO COMPANY LICENSE # 632072 a s' BY: TITLE: OFFICE MANAGER DATE: 11/7/2006 / � '':./.IF.r.rl,!.�'r: i!/lrr%J.'/.'l:.'J%✓/Ji /.'/ %J/.r//.+✓//:///%✓wJ'�.W.:r�/i SIV;Y�wJ.✓.<ria:JY��•✓�r/./J.k/.../�Y✓'JI:I�J'.r.<t:cY�r/aV///./I.'Jr'!Y�1�Js�✓%`J��-'✓/.//r •�Y..I�rrI�I,//X.Y./l/I��:.rJdi�J'J/:%.rJ/•.: w.: w',.. F ..,/' is t JCM Inspections - • - Mfg 39725 Garand Lane Suite F J�Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - fax: 766-772-3895 INSPECT -TONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 11/15/06 Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1169 60-800 Triolgy Parkway La Quinta, CA 92253 Set ID Structure Age of Test Compression Strength JCM ID Location Date Cast Cylinder ID (days) (psi) Set A Phase 16A'- Lot # 7159 Slab on Grade 8-21-06 Concrete 273-753 Bath 3 Required psi: 4000 4493 7 2730 4494 28 3780 4495 56 4000 CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per. ASTMC39 • Page 1 of 1 JCM Inspections 39725 Garand Lane Suite F TLM 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 ❑✓ IBC F-1 Title 24 Other: Client: Sub-Contractor: Shea La Quinta, LLC DCCCC General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Slump (inches): �� Supplier: Superior Time Sampled: I n ; r) rt Mix Design: D83625P Time in Mixer (min.): &) Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): n� n Addmixture: POZZ 322N Concrete Temperature (F): Truck #: Ticket #: 33 �-0 Ambient Air Temperature (F): q C--•- Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: 0 None ❑ See Below Location of Sample: r Q�% ❑ No Samples Taken D ti In of Work Inspected: Phase' Cn Lot#' } C C1 Product 3 Plan Tnt��z �t ��► e� a to � 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 A 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. 9'- A\-C)(0 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. t,- -O(n 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx ``,y Verified correct mix design. I � 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 p pecifications _applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-80 Contra`ctor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of 1 JCM Inspections LM39725 Garand Lane Suite Fah Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date:_ Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 60-800 Triolgy Parkway City: La Quinta, CA Client: Sub -Contractor: Shea La Quinta, LLC 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 -Related Tendons Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips Ct I n�a psi to 33.04 kips/33,000 lbs ` Calibration Date: Machine # �.Z� ? h 9,_ 1-7 - n(e, PhaseLot# p Product Plan — �--' on N S �1 �r�n�� to 1� ""��i%I0 0 IBC ❑ Title 24 Other: Unresolved Items: QsNone ❑See Below Description of Work Inspected:a Specified �o�.�\��a Lot # Location Tendons Elongation (in) :.,-7 /.,�' fey�� Actual Elongation (in) P_ IX L�+ 1/ —Y" r Ll �'lr nrt� /Q C1 r I 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 plWpecifications _applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-89 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of N& 29,2006 16:22 BCI*TESTING,ri1 CERTYF CATE OF FIELD VERIFICAT71ON 8r D 1111111 4 'dPcru add. 61216 To&z Drive - La Quinta, CA 92253 • • IIIIIT IIIA ESTING (Page 1 of 8) CF -4R Builder Name Shea Homes, Inc. Telephone Plan Number 6505 STD 11CRS Rater Telephone Sample Group Number/ Lot # (rfapplicabla) William Henson 760-772-2954 45912 / 7159 Compliance Method (Prescriptive) / Climate Zone 15 Certifying Signature7 > � Date Ccrilfitate Number Al 3: .y • November 28, 2006 CC3-1798386494 Firm: BCI Testing HERS Provlder:Ca10ERTS, Inc. Street Address: 77-760 Country Club Drive ste I _ City/Stale%Zip:Palm Desert/ CA/ 97.211 Co ies to: BUILDER HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was R Tested F1 Approved as part of sample testing, but was not tested. X.; the HFRS 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 dlstrlbutio11 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 rele4se the CF -41Z 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 CFAR (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, tubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed. rubber adhesive duct tape to seal leaks at dud connections_ INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main system NEW CONSTRUCTION Duct Pres;urizAlOn Test Results (CFM Q 25 Pa) Measured Values y^ I triter Tested Leakage Row in CFM: _ 67 7 Fan Row: Calculated (Nominal'.:. Coohrnq '...'Heating) or',..: Measured 1400 Enter Total Fan Flow in CFM: W Pass ❑ Fail 3 Pass if Leakage Percentage < 6% f 100 x ( Line 1 / Line 2)j: 4,79% 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. Fnter Tested Leakage Row in CFM: Final Test of New Duct System or Altered Duct System for 5 Duct System Alteration and/or Equipment Change -out. Enter Reduction in Leakage for Altered Duct System 6 (Line 4 - Line 51 • (Only if Applicable) 7 Enter Tested Loakage Flow In CFM to Outside (Only if Applicable) 8 Entire New Duct System - Vass if Leakage Percentage c 6% ( 100 x ( Una 5 / Line 2 )j: n 1 l 1 Pass l.J Fad 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 Parcentaqe <._ IS% ( 100 x ( Line 5 / Line 2 )J: w, r f ,� Pass n Fail 10 Pass if Leakage to Outside Percentage 10% [ 100 x ( Line 7 / I.Ine 2 )): ❑ Pass ❑ rail Pass I I Fail 11 Pass if Leakage Reduction Percentage >= 60°/n f 100 x ( Line 6 / Line 4 )J and Verification by Smoke Test and Visual Inspection �.T 12 Pass if Sealing of all Accessible I.eaks and Verification by Smoke Test and Visual Inspection ❑Pass ❑Fail ❑ Pass Fail Pass if One of Lines #9 through #12 pass Page 15 NOV 29,2006 16:22 BCI*TESTING,ri1 000-000-00000 Page 16 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Prqject Addm ,^. Builder Name 61216 Topaz Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number 2 6505 STD HERS p4ter r , Telephone Samplr. Croup Number/ Lot # (if applleable) William Henson _ 760-772-2954 45912/7159 _ Compliance Method (Prescriptive) Climate Zone 15 certifying Signature XX . �• �•' rf''`'� hire Certificate Number ' November 28, 2006 CC3-1798386494 Firm: BCI Testing HERS Provider,Ca10ERTS, Inc. Street Address: 77-760 Country Club Drive Ste I T City/State/ZIp:Palm Desert / CA 192211 is • 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 not tested. 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 on every testxij building. The HERS rater must not release the CF -4R untila properly completed and signed CF•611 has been received for the Sample and tested buildings. WI the installer has provided a copy of the CF -6R (Installation Certificate). New Distribution systom is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). I t New Systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive dud tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New System .� NEW CONSTRUCTION Dud Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage How in (:FM: Fan Flow: Calculated (Nominal `•''Cooling '...'Heating)or'•..;Medsured 65 2 1400 Enter Total Fan Flow in CFM: 0 pds6M ❑ Fdll 3 Pass if Leakage Percentage •= 6% ( 100 x ( Line. 1 / Line 2 )1: 4.649/o ALTERATIONS: Dud System and/or HVAC Equipment Change -Out T 4 Enter Tested Leakage Flow In CFM from CF -611: Pre -Test of Existing Duct System Prior to Dud System Alteration and/or equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Dud System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage.for Altered Duct System (I.Ihe 4 - One 51 - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (only if Applicable) ---II ❑ Pass [J Fail B Entire New Duct System - Pass If Leakage Percentage < 6% 100 x ( Line 5 / Line 2 )]: TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the fallowing four Test or Verification Standards for compliance: ❑ Pass ❑ Fail 9 Pass if Leakage Percentage < = 1511/o j 100 x ( Line 5 / Line 2 )j: 10 Pass if Leakage to Outside Percentage <= 10% ( 100 x ( Line 7 / Line 2 )j: y R_ U Pass `,_J Fail ❑pass❑ Fail 11 _ Pass if I eakage Reduction Percentage >= 60% ( 100 x ( Line 6 / Linc 4 )] 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 Lines #9 through #12 plass ❑Pass ❑ Fail NOV 29,2006 16:23 BCI*TESTING,ri1 000-000-00000 Page 17 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R Project Address Builder Name 61216 Topaz Drive - La Quinta, CA 92253 Shea Homes, i c. Builder Contact Telephone Plan Number 6505 STD HER.,; Rator Telephone Sample Group Number/ Lot # (if applicable) William Henson 760-772-2954 45912/7159 Com Nance Method (Prescriptive Climate zone 15 Certifying Signature ;;; ' Date Certificate Number November 28, 2006 CC3-1798386494 Firm: f3Cl Testing HERS Provider: CalCERTS, Inc. Street Address; 77-760 Country Club Drive ste I �� City/State/21p-Palm Desert / CA / 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT 'I he house was R Tested I .1 Approved as part of sample testing, but was not tested. A., the MFRS rates 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. e The installer has provided a copy of the CF -6R (Installation certificate). lv�rHERMOSTATIC 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. _ 1�1 Main System HVAC System TW pass 1 I Fail • • NOV 29,2006 16:23 BCI*TESTING,ri1 . . 000-000-00000 Page 18 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R Project Address , Bullrler Name 61216 Topaz Drive - La Quinta, CA 92253_ • Shea Homes, Inc. Builder Contact Telephone Plan Number 6505 STD HERS Rater 7cicphonc Sample Group Numbcr/ Lot # (if applimblc) William Henson _ 760-772-2954 45912/7159 Compliance Method (prescriptive) r Climate Zone 15 Certifying signature- /� � ? , 'Z� �` �f l"�� -� Date Certificate Number •" November 28, 2006 CC3-1798386494 .Firm; BCI Testing _ HERS Provider-CaICERTS, Inc. - Street Address: %'7:760 Country Club Drive Ste I City/State/Zip: Palm Desert / CA / 92211 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 not tested. 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. EThe installer has provided a copy of the CF -6R (Installation Certificate). E YNHERMOSTATIC EXPANSION VALVE (TXV): New 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. �7I II ---II New System I IVAC System TXV R O Pass Fait L� • NOV 29,2006 16:23 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -4R • Prgject Address - - Builder Name 61216 To az Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number _ 6505 STD HERS Rater ^ Telephone Sample Group Number / Lot (if applicable) William Henson 760-772-295445912/7159 lie Com nee Method Presr-ri Live . �..— Climate Zone 15 Certifying Signature: • j ./ , 554 i,�L� Date Certificate Number "j• ` S'" _ _ November 28, 2006 CC3-1798386494 Firm: BCI Testing REPS Provider: CaICERTS, Inc. -'-�Street Address: 77-760 Country Club Drive ste I City/State/Zip: Palm Desert CA / 92211 • • Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 11? Tested 11 Approved as part of sample testing, but was not tested, 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 Installer has provided a copy of the CF -6R (Installation Certificate). HIGH EER AIR CONDITIONER: Main System Procedures for verification are Available in RACM, Appendix RI. _ 1 I Q Yes ❑ No I EER values of installed systems match the CF -1R ---1 0 Yes �_I No I For split systems, indoor coil is matched to outdoor col) Yes 0 No Time Dolay Relay Verified (If Required) Yea to 3 and 2; and 3 (If Required) is a IVfHIGH EER AIR CONDITIONER: New System Procedures ffor verification are available in RACKAppendix RI. _ 1 9fi-1 Yes I J No EER values of installed systems match the 0: -IR Z Yes ❑ No For split systems, indoor cod is matched to outdoor coil 3 ❑ Yes ❑ No .)line Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a Pass U fail Pass U Fall Page 19