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06-2648 (SFD)j r f. ' c K`WP.O. BOX 1504 , 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 06-00002648 61285 TOPAZ DR 764-280-999-7 -300237- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 239845 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 A�ect or Engineer: I s P) Cans rL�4- z��bi --------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700q of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Licr�vlass B I r1 \ I 1Licennse No.: 672285 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 ($500).: (_ 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 I, 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 contractors) 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERDi1T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/12/06 Contractor. r1LAUG 4SHEA HOMES, INC. 81260 AVENUE 621LA QUINTA, CA 9?253 0 2 1006 (760)777-6005 Lic. No.: 672285 C�OFLAQUINyq FllNAun.. -- ------------------ 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 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manne so as to become subject to the workers' compensation laws of California, and agree that, if I sh Id become subject to thew ers' compensation provisions of Section 0 of the bor Co shat orth comply osa provisions. te: I 1 � plica 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 Quirita, 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 corre I agree to comply with all city and county ordinances and state laws relating to ildin onstr ctio and here b thorize representatives of t�hGy57',Ce/oYYYnty o enter upon above-mentioned op Y"f sp ion p oses. atD e: V nature (Applicant or Ag R LQPERMIT Application Number . . . . . 06-00002648 ------ Structure Information SFD PLAN 6420B W/CASITA, MBR&.NOOKBOX BAY ----- Construction Type . . . . . TYPE V.- NON RATED Occupancy Type . . . . . DWELLG/LODGING/CONG <=10 Other struct info . . . . . CODE EDITION 2001 ## BEDROOMS 3.00 FIRE SPRINKLERS NO . GARAGE SQ FTG 615.00 PATIO SQ FTG 323.00 NUMBER OF UNITS 1.00 ----------------------------------- 1ST FLOOR SQUARE FOOTAGE -------=--------------------- 2781.00 ------------ Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1129.50 Plan Check Fee 183.55 Issue Date . . . . Valuation . . 239845 Expiration Date 1/08/07 Qty Unit Charge Per Extension BASE FEE 639.50 140.00 3.5000 ------------------------------------------------------------------"---------- THOU BLDG 100,001-500,000 490.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 83.50 Plan Check Fee'. 5.22 Issue Date . . . . Valuation 0 Expiration Date 1/08/07 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 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 ------------------------------------------- EA MECH EXHAUST HOOD --------------------------------- 6.50 Permit . . Additional desc . Permit Fee . . . . Issue Date . . . . Expiration Date . Qty Unit Charge 2781.0.0 0350 615.00 .0200 ELEC-NEW RESIDENTIAL 124.64 Plan Check Fee . Valuation 1/08/07 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY ELEC GARAGE OR NON-RESIDENTIAL 7.79 0 Extension 15.00 97.34 12.30 .. C, Application Number . . . . . 06-00002648 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 177."00 Plan Check Fee 11.06 Issue Date . . . . Valuation 0 Expiration Date 1/•08/07 Qty Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00 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 ------------------------7-----------------=--------------------------------- 15.00 Special Notes and Comments SFD - Plan 6420C Lot 7 w/casita (255. sgft), Box Bay@ MBR (26 sgft) & Bay @ Nook(23 sgft), 2781 S.F. Permit does not include block wall, pool or driveway approach. 75%.REDUCTION TO PLANCHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYEP. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 99.61 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 18.36 . 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 23.98 LQPERMIT r� r Application Number . . . . . 06-00002648 ---'------------------------------------------------------------------------- Other Fees . . . . . . . DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due Permit Fee Total 1529.64 .00' .00- 1529.64 Plan Check Total 207.62 .00 .00 207.62 Other Fee Total 3837.95 .00 .00 3837.95 Grand Total 5575.21 .00 ..00 5575.21 LQPEPMff JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS. Client: Shea La Quinta, LLC Project: Trilogy @ La Quinta - Shea Homes 60-800 Triolgy Parkway La Quinta, CA 92253 Date: 11/15106 Project No: 02-1.109 Set ID Structure Age of Test Compression Strength JCM ID Location . Date Cast Cylinder ID (days) (psi) Set A Phase 16A - Lot # 7007 Slab on Grade 8-17-06 Concrete 273-758 Kitchen Required psi: 4000 4465 7 4150 4466 28 5600 4467 28 5640 CERTIFIED: , JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 • Page 1 of 1 wpm • • JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 LTT%=� 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 ❑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): ^j . as Supplier: Superior Time Sampled: ,1, n m Mix Design: D83625P Time in Mixer (min.): Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): ' (' Addmixture: POZZ 322N Concrete Temperature (F): Truck #: app Ticket #: aSC>-13 Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: Q None ❑ See Below Location of Sample: a�j pn Gko�.Q ❑ No Samples Taken D ipti of Work Inspected: ase �i a Lot# I 00-7 Product 3 Plan i"iaQ(" ?)-16-o( 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 R7 , -;t G of \ r c` v k' i � u n nc��^ I a sr \^� o6' $ ma \, �� \ ...J W'.Ao.,x C brads \N_"L ��o�clr $^� n"m t, 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-? - o(z 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx ` N 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. $- I O(D 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx Verified correct mix design. I 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: 0842216-80 Contractor's Representative: -------------- Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page i of t JCMfInispect ons'` 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: c3 a�olp Project Name: Project No: 02-1109 Trilogy @ La Quinta - Shea Homes 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-Related Tendons ❑✓ IBC ❑ Title 24 Jack Machine Calibration: Received Sheet from Sun Coast-Gage Pressure in psi to Machine Load in kips Other: i_ar" psi to 33.04 kips/33,000 lbs Unresolved Items: Calibration Date: Machine # l t �y R f 17 _ oln allone Phase Lot#--7 nn'-7 Product 3 Planb a. 11C (,k � ❑ See Below r Description of Work Inspected: Specified Lot # Location Tendons Elongation (in) Actual Elongation (in) r -0 PA �n�� C �G\C w �(�+• v ('OtJt+•^ Q e.1��•to� nt.a •� .. akyv !, ,� � ::i-��/ \_ ,'�. CNK c Ac / C n i 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 Certificiti�on No: 0842216-89 Contractor's Repiesentative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of Nov.07 2006 3:45PN HP LASERJET FAX p.7 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 bullding located at: 61.285 Topaz Drive, Lot 7007, Phase 16A, Trilogy Project, La Quinta, California CEILINGS: TYPE: BLOW MANUFACTURER: CEIRTAINTEED Thickness: R-38 WALLS: TYPE: BLOW MANUFACTURER: CEIRTAINTEED Thickness: R-13 GENERAL CONTRACTOR: SHEA HOMES, LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE ## 632072 BY: Nt-� TITLE: OFFICE MANAGER DATE: 11[7/2006 t C] • NOV 16,2006 20:02 BCI*TESTING,ri1 000-000-00000 Page 2 v07 & DIAGNOSTIC TESTING [Pace �108) Project Address Builder Name 612'85iTOpaX Drlva ;1 a�Quinta,. CA 92253— Shea Homes, Inc. Builder Contact Telephone Plan Number _ _ 6420 Casita HERS Rater~ y - Telephone Sample Croup Number/ lot (if applicable) William Henson 760-772-2954 45909T/1700.7 Compliance Method (Prescriptive) Ciimate'Z6n6!15A Certifying Signature �' .� Date Certificate Number �� `�� iF%e'c•t�t?U`•-_� November 16, 2006 CC3-1798386491 Firm: BCI Testin4 - HERS Provider:Ca10ERTS, Inc. Street Address: 77-760 Country Club Drive Ste I City/State/Zip:Palm Desert / CA / 92211 Conies to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 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 Hefts 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 on every tested building. The HERS rater must not release the CF,4R until a properly completed and signed Cr -6R has been received for the sample and tested buildings. BThe 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). ❑ New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber odhosive duct tape to seal leaks at dud connections. INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System 8 NEW CONSTRUCTION Duct Pressurization Test Results (CFM 0 25 Pa) Measured values 1 Enter Tested Leakage Flow in CFM: 75 2 Fan Flow: Calculated (Nominal':? Cooling 'Heating) or k. Measured 1400 Enter Total Fin Flow in CFM: 3 Pass if Leakage Percentage -: 6% 1 100 x ( Line 1 / Line 2 )): 5.36°G ©pass ❑ FeII ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Fxlsting Duct System Prior to Duct System Alteratlon 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. EnterReduction in Leakage for Altered Duct System 6 (Line 4 - Line 51 - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage : 6% [ 100 X ( 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 -t -- 151A, [ 100 x ( Line 5 / Line 2 )); ❑ Pass Fail 10 Pass if Leakage to Outside Percentage <;= 10% [ 100 x ( Line 7 / Line 2 )): nn❑ F.] Pars F.] Fail 11 Pass if Leakage Reduction Percentage . - 60% 1 100 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 ❑ Fail Pass if One of Likes 99 through #1Z pass ❑ Pass ❑ Fail 8 • • �J NOV 16,2006 20:02 BCI*TESTING,ri1 000-000-00000 Page 3 CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING (Page i of 8) CF -4R Project Address Builder Name 61285 Topaz Drive - La Quints, CA 92253 Y Shea Homes, Inc. Builder Contact Enter Tested Leakage Flow in CFM: Telephone Plan Number Fan Flow: Calculated (Nominal`•.1)Cooling',..- Heating) or'• -.?Measured' 6420 Casita HERS Rater 2 Telephone Sample Group Number/ Lot rl (if applicable) William Henson_ 760-772-2954 45909/ 7007 Compliance Method (Prescriptive) i Climate Zone 15 Certifying Signature „% ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Date Certificate Number 4 I r3r�•_J November 16, 2006 CC3-1y98386491 Firm: BCI Testing _. ..n ..y HERS Provider:CaICERTS, Inc. Street Address: 77.76D County Club Drive ste I City/State/Zip:Palm Desert / CA / 92211 • 9 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 not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form Compiles with the diagnostic tested compliance requirements as checked on this form. The HERS rater must Check and verify that the new distribution system Is fully ducted and correct tape is used before a CF4R 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. 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). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at dud connections. INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New System - NEW CONSTRUCTION Duct Pressurization Test Results (CFM a 25 Pa) +� �• .W- Measured values 1 Enter Tested Leakage Flow in CFM: 46 Fan Flow: Calculated (Nominal`•.1)Cooling',..- Heating) or'• -.?Measured' 1200 2 Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage -- 69b [ 100 x ( Line 1 / Line 2 )j: 3_63% D Pass ❑ Pall 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. 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 Eater Red4Ltiup in Leakaye for Altered Duct System [Line 4 - Line 51 - (Only if Applicable) 7 Enter Torted Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Dud 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 )): ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )): ❑ Pass ❑ Fad 11 pass If Leakage Reduction Percentage > • 60% [ 100 x ( Line 6 / Line 4 )J El 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 If One of Lines #0 through rf 12 pass ❑ Pass ❑ Fail ❑ Pass ❑ Fail NOV 7.6,2006 20:02 BCI*TESTING,ri1 000-000-00000 Page 4 CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address Builder Name 61285 Topaz_ Drive - La Quinta, CA 92253 -_ Shea Homes, Inc. Builder Contact Telephone plan Number 6420 Casita HERS Rater Telephone Sample Group Number/ Lot # (if applicable) William Henson 760-772-2954 45909/ 7007 Com llance Method Pfsscri tiv Climate Zone 15 Certifying Signature "�olDate Certificate Number November 1.6, 2006 CC3-1798386491 Firm: BCI Testing HERS Provider:CaICERTS, Inc. Street Address: 77-760 Country Club Drive Ste I City/State/zip:Palm Desert / CA / 92211 • 9 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was R 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 Tully ducted and correct tape is used before a Cr -4R may be released on every tested building. The HERS rater must not release the CF -411 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 -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). ❑ New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. LvImiNimuM RE UIRE14ENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New System NEW CONSTRUCTION _ ssurlration Test Results (CFM t1g 25 Pa) Measured Valuos 1sted Leakage flow in CFM: y_ FEnter 31 2: Calculated (Nominal' ., Cooling ',.. 'Heating) of _'Measured 8C0 tal Fan Flow in CFM: 3 Pats if Leakage Percentage < 6% [ 100 x ( Line 1 / Line 2-)]: 3.880/a Q pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Row in CFM from CF -6R: Pre -Test of Fxisting Duct System Prior to Duct System Alteration and/or Equipment Change-Oul. 5 Enter Tested Leakage Row 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 5) - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass If Leakage Percentage < 611/a [ 100 x ( Line 5 / Line 2 )J: ❑ 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. n r-� I.. I Pass O Fail 10 Pass if Leakage to Outside Percentage <:= 10% f 100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fail �^ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )J and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection I❑I I . I Pass ❑ Fail Pass If One of Lines #9 through #12 pass ❑ Pass ❑ Fall NOV 16,2006 20:03 BCI*TESTING,ri1. 000-000-00000 Page 5 CERTIFICATE OF FIELD VERIFICATION A DIIAAGNOSTIC TESTING (Page 3-4 of 8) CF -41% Project Address Builder Name 61285 Topaz Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact M' Telephone Plan Number _ 6420 Casita HERS Rater N Telephone Sample Group Number/ Lot # (if applicable). William Henson 750-772-2954 45909/ 7007 Compliance Method Prescri Live t Climate Zone 15 Certifying Signature r �') Date Certificate Number r'r': % 7•. •'FSG LYS•✓ . November 16, 2006 CC3-179$396491 Firm: BCI Testing HERS Provider:CatCERTS, Inc, Street Address: 71-760 Country Club Drive ste I City/State/Zip:Palm Desert / CA / 9221i Conies to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house wasR. Tested n Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field veriflwtion, t certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. W The installer has Provided a copy of the CF -6R (Installation Certificate). MTHERMOSTATIC EXPANSION VALVE: TXV : Main S stem Access is provided for inspection. The procedure shall consist of visual verification that the TXV Is Installed on the system and installation of the specific equipment shall be verified. JI ry ' Main System HVAC System TXV [_J Pass ❑ Fail • 0 • t • =`NOV 16,2006 20:03 BCI*TESTING,ril 000-000-00000 Page 6 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -41K Project Address Builder Name 61285 Topaz Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number 6420 Casita HERS Raler Telephone Sample Group Numt er/ Lot # (if applicable) William Henson 760-772-2954 49909/ 7007 Compliance Method (prescriptive) Climate Zono 15 Certifying Signalure / Date Certificate Number r�'`—� November 16, 2006 CC3-1798386491 Firm: BCI Testing ' HERS Provider:CdICERTS, Inc. Street Address: 77-760 Country Club brive ste I City/State/Zip:Palm Desert / CA / 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was R Tested ❑ Approved as pan 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. W The installer has providad a COPY of the CF -6R (Installation Certificate). =HERMOSTATIC 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. New System HVAC System TXV R Pass ❑ Fail • 6 NOV 16,2006 20:03 BCI*TESTING,ri1 000-000-00000 Page 7 CERTIFICATE OF FIELD VERIFICATION R DIAGNOSTIC TESTING (Page 3- 4 of CF -411 Project Address Builder Name 51285 Topaz Drive - La Quinta, CA 92253 _ - Shea Homes, Inc. Builder Contact Telephone Plan Number WE 6420 Casita HERS Ratcr Telephone Sample Group Number/ Lot 0 (if applicable) William Henson 760-772-2954 45909 / 7001 Compliance Method (Prescriptive) i r Climate Zone 15 Certifying signature / T Oatc Certificate Number _November 16, 2006 CC3-1798386491 Firm: BCI Testing HERS Provider:CaICERTS, Inc. Street Address: 7T.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 F Tested n 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 forth. The installer has provided a copy of the CF -6R (Installation Certificate), LvffHERMOSTATIC EXPANSION VALV�TXV,` New S rstem ___ 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. New System HVAC System TXVJ M Pass U Fail • 6 NOV16,2006 20:03 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION 8t DIAGNOSTIC TESTING (Page 5 of 8) CF -4R Project Address Builder Name 6_1285 Topaz Drive - La Quintd, CA 92253 - Shea Homes, Inc. Builder Contact Telephone Plan Number 6420 Casita HERS Rater Telephone Sample Group Number/ Lot 0 (if applicable) William Henson 760-772-2954 4S9091 7007 Compliance Method (Prescriptive)Climate Zone 15 Certifying Signature /. T—- Rate Certificate Number November 18 2006 CC3-1798386491 Firm. BCI f estinq HERS Provider:CaICERTS, Inc. Street Address: 77-760 Country Club Drive ste I City/State/Yip-Palm Desert / CA / 92211 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 not tested. As the HERS rater providing diagnostic testing and field vorificatlon, I certify that the house identified on this form complies with the diagnostic tested compllance requirements as checked on this form. The installer has provided a copy of the CF -6R (Installation Certificate). ..IVINIGH EER AIR CONDITIONER: Main System Procedure: for Verification are available in RACM, Appendix RI, 1 Yes ❑ No EER values of installed systems match the CF -1R z Yes ❑ No For split systems, indoor coil is matched to outdoor coil +� Yes LJ No ITime Delay Relay Verified (If Required) H Yes.to I and 2; and 3 (if Required) is a pass tyl Pass ( ) Fail "IGH EER AIR CONDITIONER: New System Procedures for verification are available in RACM, Appendix RI. 1 2Yes [] No EER values of installed systems match the CF -1R Z ^ R Yes I. I No For split systems, indoor coil is matched to outdoor coil 3 _.. ❑ Yet ❑ No lime Deiay Relay Verified (If Required) Tv Yes to 1 and 2; and 3 (If Required) is a LvfIGH EER AIR CONDITIONER; New System Procedures for verification are available in RACM, Appendix RI. 1 R Yes ❑ No EER values of installed systems match the CF -IR Z 2 Yes ❑ No For split systoms, indoor coil Is matched to outdoor coil 3 ❑ Yes ❑ No Time Delay Relay Verged (If Required) Yes to 1 bad 2; and 3 (if Required) is a p Pass L Fail 0 Page 8 • • EA,