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06-4378 (SFD)P.O. BOX 1504 _ - VOICE (760) 777-701.2 787495 CALLE TAMPICO FAX (760).777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 _ BUILDING PERMIT _ _ - Date: 12/26/06• Application Number: X06-00004378"4' ' Owner:. Property Address: 61643 TOPAZ DR _ SHEA LA QUINTA APN: -* 7642280-999-22 -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: 170639 Applicant; r Contractor:. D D frchiW or Engineer: SHEA HOMES, INC. Coo 6 81260 AVENUE 62 NcE �"IU 1 (760) 7I77A6005 92253 JAN 05 2007 �. Lic. No.: 672285 CITY OF LA QUINTA FINANCE DEPT. LICENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSATION DECLARATION - - I hereby affirm under penalty of perjury that I 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 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: B -. License No.: 672285 `►y for by Section 3700 of the Labor Code, for the performance of the work for which this permit is p 1I•�'(` te: ontractor issued. _XI 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 - OWNER -BUILDER DECLARATION - insurance carrier and policy number are: 1 hereby affirm under penalty of.perjury that I am exempt from the Contractor's State License Law for the Carrier AMERICAN HOME Policy Number 1247619 following reason (Sec. 7031 .5, Business and•Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any .. construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the - pe'rson in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State ecom and agree that, if'I hould be subject to the workers' compensation provisions of Section , Li _cense Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700 of the L or , I shall foZ� with co ply with those provisions. ' that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500):: ate: U nt. (_) 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property.who builds or improves thereon,-.. _ SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTHOUSAND- - - - - - - - and who does the work himself or herself through his or her,own employees, provided that theDOLLARS ($100,000)' IWADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within: - SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - 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.)..... -- - - - APPLICANT ACKNOWLEDGEMENT., (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.' IMPORTANT Application is hereby made to the Director of Building 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 this application. • property who builds or improves thereon, and who contracts for the projects with a contractors) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for - pursuant to the Contractors' State License Law.).- whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , BAP.C. for this reason - the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City f O ' 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.). - s Lender's Name: - 1 Lender's Address: , LQPERMIT o La uinta, its•officers,. agents and employees for any actor 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 cou 'ordinances and state laws relatingto bu cons0�x uthorize representatives of this nt t/o\enter upon thea ve-mentioned pr f insp ate: 1 vi$ ture�(Applicant or Agen o Application Number" . . . 06700004378 Structure Information Construction Type TYPE V - NON RATED ,.' Occupancy.,Type DWELLG/LODGING/CONG <=10 Flood Zone . . . NON -AO FLOOD ZONE - :Other' 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 1943.00" Permit . . . BUILDING PERMIT Additional. desc . " Permit Fee 888.00 Plan Check Fee 577.20 Issue Date Valuation 170639 Expiration Date". 6/24/07. Qty Unit Charge Per'- Extension BASE FEE 639.50 71.00 3.5000 THOU BLDG 100,001-500,000 248.50 Permit MECHANICAL Additional desc . Permit Fee . . . . 70.50 Plan Check Fee 17."63 Issue.Date Valuation 0 Expiration Date .. 6/24/07 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 2.00 6.5000 EA" MECH VENT FAN 13.00 1.00 6.5000 EA MECH .EXHAUST -HOOD 6.50 Permit ..". . ELEC-NEW RESIDENTIAL Additional desc . Permit -Fee . . . 94.53 Plan Check Fee'". 23.63 Issue Date Valuation 0 Expiration Date 6/24/07 Qty, Unit Charge Per Extension BASE FEE 15.00 1943.00 .0350" ELEC NEW RES - 1 OR 2"FAMILY.. 68.01 576.00 .02.00 ELEC GARAGE OR NON-RESIDENTIAL 11.52 LQPERMIT LQPERMIT Application Number 06-00004378. Permit PLUMBING = - Additional desc . Permit Fee 152.25 Plan•Check Fee_ 35.81 Issue Date Valuation 0 Expiration Date 6/24/07 Qty ..Unit. Charge Extension _Per 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 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 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 6/24/07 Qty Unit Charge Per Extension - BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD --LOT 22, PLAN 4520A, 1943 SF/ -255 SF CASITA,BOX BAY -@ MBR -26 SF 4' GARAGE ; EXT:- 88 SF.PERMIT DOES NOT INCLUDE BLOCK WALLS,POOL, SPA OR DRIVEWAY APPROACH. 2001• CBC, CMC, CPC, 2004 CEC, .2005 ENERGY CODES Other Fees . ... . . . . . ART IN PUBLIC PLACES -RES .00 _ DIFCOMMUNITYCENTERS-RES 74.00 . DIF -CIVIC CENTER -RES 995.00 ENERGY REVIEW FEE 57:72 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 17.06 DIF STREET MAINT FAC -RES, 67.00 _-, DIF'TRANSPORTATION - RES. 1930.00 LQPERMIT Application Number 06-00004378 Fee summary Charged Paid Credited Due - Permit Fee Total ------ 1220.28 ------.----- .00 --------.-- '.00 ---------- 1220.28" Plan Check Total 654'27 .00 .00 654.27" Other Fee Total. 4549.78 .00 .00 4549.78 Grand Total 6424.33 .00 .00 .6424.33 " LQPERMIT - ' 11,2007 11:44 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION fir DIAGNOSTIC TESTING (Page i of Si CF -4R Project Address Builder Name 61543 Topaz Drive - La Quinta, CA 92253 Shea Homes, Inc. _ Ouilder Contact Telephone Plan Number 4520 Casita HERS Rater Telephone Sample Group Number/ Cat 4 (it applicable) William Henson 760-712-2954 62084/ 7022 _ Compliance Method Pnescri tive Climate Zone 15 -� Certifying Signature Date Certifrcile Number April 26, 2007 CC3-1798402666 Firm: BCI Testing HERS Provider:Ca10ERT5, Inc. Street Address: 41800 Washington St. City/State/Zip: Bermuda Dunes / CA ./,92203 Copies to: BUILDER, HERS PROVIpER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT , The house was 24 asted n Approved as part of sample testing, but was riot 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 CF4R may be released on every tested building. The HERS rater must not release the CFAR until a properly completed and signed CF -611 bas been received for the sample and tested buildings. BThe installer has provided a copy of the CF -611 (Installation Certificate). New 043ribution 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. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System NEW CONSTRUCTION Duel Pressurization Test Results (CFM Un 7.S Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: 64 2 Fan How: Calculated (Nominal'.:.- Cooling'-.:: Heating) or'. ' Mrasured Enter Total Fan Flow in CFM: 1600 3 Pass if Leakage Percentage < 6% [ 100 x ( Line 1 / Line 2 )J: 4.00"/ Q Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage. Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter 'Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Uuct System Alteration and/or Equipment Change -Out, 6 Fnter Reduction in Leakage for Altered Duet System [Lino 4 - Line 5] - (Only if Applicable) 7 Enter Tested Leakage Row in CFM to Outside (only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )J: tt---II n Pass 0 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 Pass []Fail 10 Pass if Leakage to Outside Percentage <= 10%n ( 100 x ( Line 7 / Line 2 )J: n pass ❑ Fail 11 Piss if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )) and Verification by Smoke Test and Visual Inspection ❑ Pass 1-1 Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspeetion f r Pass n Fad Pass if One of Lines 09 through #12 pass ❑ Pass ❑ Fail Page 2 MAY 11,2007 11:44 BCI*TESTING;ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of S CF -4R Project Address Builder Name 6_1643 Topaz Drive -'La Quinta, CA 92253 _Shea Homes, Inc. Builder Con tact Telephone Plan Number HERS Rater William Henson Method Certifying Sign.rture Firm: BCI Testing Street Address: 41800 Washington St. Telephone 760-772-29s4 4520 Casita Sample Group Number / Lot ft (if applicable) 62084/ 7022 Climate Zone is nate. Certificate Number April 26, 2007 CC3-1798402666 HERS Provider:CaICERTS, Inc. City/State/Zip: Bermuda Dunes / CA / 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was R 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 raqurfuments 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 on every testgd 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 -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). Now 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. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New System NEW CONSTRUCTION Duct Pressurivation Test Results (CFM Q 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: 28 Fan Flow: Calculated (Nominal'-...- Cooling'. 'Heating) or'...: Measured Enter Total Fan Flow in CFM-. 8D0 3 Pass if Leakage Percentaqe < 6% [ 100 x ( Line 1 / Line 2 )J: 3.50'yu Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of EXlstinq Duct System Prior to Duct System Alteration and/or Equipment Change -Out, 5 Enter Tested Leakage Flow in CFM: F'i'nd Test of Now 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 S] - (Only if Applicable) 7 Enter Tested Leakage Flow In CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 5% 1 100 x ( Line 5 / Line 2 )J: ❑ Pass n 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: g Pass if Leakage Percentage < 15% J 100 x ( Line 5 / Line 2 )]: [ ] Passn Fall 10 Pass if Leakage to Outside Percentage <- 10% [ 100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fail l l Pass if Leakage Reduction Percehtoge += 601yu ( 100 x ( Line 6 / Line 4 )J and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ F4il 12 1 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Insprttlon El Pass ❑ Fail Pass if One of Lines #9 through #12 puss I" 1 Pass ❑ Fail Page 3 MAY -11,2007 11:.44 BCI*TESTING; ri1. _000-000-00000 • Page'.4 CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING (Pao 3-4 of 8) CF -4R j Project Address Builder Name 6_164_3 !! jaz Drive La Quinta„CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number • 4520 Casita- - HERS Rater Telephone Sample Gruup Number / Lot 4 (if applicable) William Henson . ' 760-772-2954 62084 / 7022 Com fiance Method (Prescriptive)Climate zone 15 Certifying Signature ` Date Certificate Numbor I '+ April 26, 2007 CC3-1798402666' Firm BCI Testinc HrRS Provider: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 Tested CI Approved as part. of sample testing, but was not tested. i + Pu the hL-RS 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 installer has provided a copy of the Cf -611 (Installation Certificate);” i MAY -11,2007 11:44 BCI*TESTING,ril 000-000.=00000 ?t Page 5 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R' , Project AddressBuilder Name' 61643 Topaz Drive - La Quinta, CA 92253 Shea. Homes, Inc. Builder Contact . _ i Telephone plan Number 4920 Casiita HERS Rotor Telephone Sample Grvup Number I Lot # (if applicable) William Henson 760-772-2954 620841 7022 Com lance Method (prescriptive) Climate Zone 15 Certifying Signature t r' . ) i •� oate Cerrificate Number April 26, 2007 CC3-1798402666 _ Firm: • . BCI Testing HERS Provider: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 x 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 dia nostic tested' compliance requirements as checked on this forth. ' The installer has provided a copy of the CF -61Z (Installation Certificate). 0 MlTHERMOSTATIC 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 Q Pass ❑ Fail , t y r 2 A MAY 11,2007'11:44 BCI*TESTING,ri1 000-000-00000 Page 6 CERTIFICATE OF FIELD VERIFICATION as DIAGNOSTIC TESTING (Page 120 a CF -411 Project Address Builder Name 61643 Topaz Drive - La Quinta, CA 92253 Shea`Homes, Inc.. Builder Contact _ Telephone Plan Number r` 4520 Casita HERS Rater Telephone Sample Group Number / tot S (if applicab1c) William Henson _- 750-772-2954 62084 /7022 Com liance Method (Prescriptive) Climate Zone 15 Certifying Signature. / Dale CertiNcato Number -April 26, 2007 C_C3-1798402666 firm; 8CI Testiffg i HERS Provider.CalCERTS, Inc. Street Address: 41800 Washington SL: City/State/Zip:Eiermuda Dunes/ CA/ 92203 ' Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was Q 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 farm complies with the dla nostle lusted compliance requirements as checked on this form. < �--�--The installer has provided a copy of the CF -6R (Installation Certificate). P11HIGH EER AIR CONDIT10NER- Main System Procedures fog verification are available in RACM Appendix RI. I Yes ❑ No EER values of installed systems match the CF -1R ` 2 Yes ,n No For split systems, indoor coil is matched to outdoor coil . 3 ❑ Yes • ❑ No TimDelay Relay Verified (If Requlred) Yes to 1 and 2; and 3 (I( Required) is a P44 M Pass LJ Fail HIGH EER AIR CONDITIONER: New Systern Procedures for verification are available in RACM, Appendix RI. 1 0 Yes ❑ No EER values of installed systems match the CF -111, " t 2 10 Yes ❑ No For split systems, indoor coil is matched to outdoor coil ' 3 n Yea ❑ No Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a p PassFaif • a S � r r r JCM Inspections, -- - A39725lGairand Lane Suite F j 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 for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Slump (inches): � .Qp Supplier: Superior Time Sampled: 9, '. a•S Mix Design: D83625P Time in Mixer (min.): qg Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): 10 Addmixture: POZZ 322N Concrete Temperature (F): 119— Truck M (pLA:3 ' Ticket #: ( (Dc,— (D Ambient Air Temperature (F): jrji D Field ID Marking: Set•A - 4 cylinders ✓ ❑ IBC ❑ Title 24 Other: Unresolved Items: None ❑ See Below Location of Sample:` ❑ No Samples Taken' Description of Work Inspected: PhaseLot# Product -I Plan Ll S:�kO '0-7 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 3,� f 11 � }t n AL4 N, e 4 ct Q Q �X c� 1/a1CDv� nS t'( 0QC('30f'r1, XAn �C�14 O� Q.. - r Also, typical details 2, 3/SD-1 and Notes on SNA apply. Checked rebar for grade, size, placement, coverage and splices. Rebar and tendons were securely tied and supported off the earth. Accepted for concrete placement. 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx A mechanical vibrator was used to consolidate the concrete. ,Approved #4 rebar slab dowels were placed @ 18" o.c. 2) Molded 4 cylinders for compression tests with breaks at 7 days (1), 28 days (2) and one for holding purposes. 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx Verified correct mix design. - 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 Millin ICC Certification No: 0842216-49 -Contractor's Representative: /. Copy, 1 JCM Inspections Copy 2 'Project Superintendent Copy 3 Governing Agency _ Page 1 of �r } JCM'Inspectionsl ' 39725 Garand Lane Suite F J , L'� 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: Shea La Quinta, LLC Sub -Contractor: Sun Coast Tensioning General Contractor: Architect: Shea Homes for Active Adults Bassenian Lagoni Structural Engineer: Born &'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 SyC�o psi to 33.04 kips/33,000 lbs Calibration Date: Machine # i t 1 y_� PhaseLot# Product Planl�S�.O� �o\i��3--C�Qc���, ❑✓ IBC ❑ Title 24 Other: Unresolved Items: F-] None ❑See Below (in) Description of Work Inspected: Actual Elongation ( ) Specified Complies within 7% +1- of specified elongation. Lot # Location Tendons Elongation (in) . Reference 11 h/SN2. Yes No LAx ev,s;.on i ❑ El $' 19/ ❑ r� ev.c 3 EV ❑ //-- cZ3l 1�1 ❑ [ce. oe c d ar ill, "A w -St �i 4 p ! ©� ❑ �• .,. Z ec, to .`.► ❑, R,\r. Sgt atl_ 0 NO s o- ❑ lap 19- El ` ❑ ❑ - ❑ ❑, ❑ ❑ ❑ ❑ 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: J ck C. Millin ICC Certification No: 0842216-89 Co t actor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page \ of 1 - JCKInspections 39725 Garand Lane Suite F Palm Desert, CA 92211 . 4 INSPECTIONS Phone: 760-345-5554.;- Fax: 750-772-38.95 INSPECTIONS ' `COMPRESSION STRENGTH'TEST"RESULTS • `.; Client: Shea La Quinfa, LLC `'' Date: 3/25/07 Project: Trilogy'@ La Quinta -Shea Homes' 4. Project No: 02=1.109. 60-800 Triolgy Parkway - T La Quinta, CA `92253. ' Set ID Structure , . Age of Test Compression Strength JCM ID Location Date Cast Cylinder ID - (days) '(psi) Set A Phase' 16D1 - Lot #-7022 • Slab on. Grade ° 1-23-07 Concrete 273-848 " r Required, psi: 4000 : 5871 7 i` 3,490 5872 28 J • 4480 5873 .28 4530 CERTIFIED: `JC Inspections supplies the service r of compression strength test results_ only. , " Per ASTMC39 r _. : moi' is � ' t .' '. ' • . ,�'� a , - ' a IL " Page 1 of 1 _ E , ,JCMelnspections 14; 39725 Garand Lane Suite F . ;?Palm Desert; CA 92211 ' 2 INSPECTIONS phone: 760-345-5554 -Fax: 760-772-3895 INSPECTIONS EPDXYf INSPECTIONREPORT Date:��_Q"� ,. Project Name: r i Project No: 02'1109 r Trilogy @ La Quinta - Shea Homes Project Address: I City: r �, 60-800 Triolgy Parkway f La Quinta, CA Client: Sub -Contractors " t. 'Shea La Quinta, LLC DCCCC �• General Contractor: Architect: Structural Engineer: " Shea Homes for Active Adults Bassenian Lagoni F Borm & Associates, Inc./ Suncoast Post Tensi ++ " _ 5 Q Anchor Bolts °, , ' Rebar ?•' %Q✓ IBC y = - t F otitl� 24 Epoxy Type: \VMQSQr� 1 1 QL .)x e74-- E Shelf Life: Other' 'Unresolved ox j Items:. ll Hole Cleaning Method(s): .. ,None 1 r El See Below Description of Work Inspected:' ��(� C\C �a c-• �� .C, 14 l: 1 �� "(p t n ;,vim: -- +�ce.CC�c�.oJ.. tQcCv�ous�v, CC esc\jc. frri` �lt �cl:�c�"t"I�ii�-►oe r t; 30 o:�x\.stinZ�concce��: c vXV) e�loc; aS,G,b `'oo 111Q Q, L.. 'A'tn_wic,q lo\��15'�: • __�o.. ���._��v�� ._�Cci�U� ._L.•' V>�.��_ '`'L��� �- . ►" " ` ' j ' ���4Sxi..�l�_r�, i"'-�1�- �` .� ,. ^�`ci�Cc�c��..S. � c��co�.� �'IT�'.�'�a.��o���c �c"vc ��� i• •b, `IIV G1ACIIN, � �����ac �'C'n�.Qo�•� \n ec. Qi�� �,�z �� - . .ft: ',�..c�• • .. a D v 1���? ���� ,\l�,^�`," Q M `�VY1e'•� \ , \ t��o r� FS c `C.; � c > �1 �.�: •'�� i G�' d: _ po� � (S 1._..t vr�?�:, �°C'. /�' Work complies with written approval from Structural Engineer and ICC Evaluation Report # (/ A I' _ 1'e ���- >� I hereby certify that I have inspected all of the above work; unless otherwise noted, and to the best of my ability l have found this work to comply with the approved, �% 1 plans, specifications building laws. Final report issued at completion. _applicable project Inspector: Uack C. Millin \[CC Certification No: M4221649 Contractors Representative:..;q__0 --.--......ry -- ' l Copy 1 JCM Inspections Copy 2 Project Superintendent "+• , ? Copy 3~'Governing Agency Page of�y � •' �"+` . ` ` I,�.j It ` •'� j . . j * t Ak�'y ..