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06-4379 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 °�:WQu�tw BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: �_06--00004379-1 Property Address: 61667 TOPAZ DR APN: 764-280-999-23 -300237- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 170639 Applicant:rchitect or Engineer: - - �pp iS►'� C v (nSis `vl`il h -S e LICENSED CONTRACTOR'S DECLARATION 1 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. License lass:, B License No.: 672285 ate O -tractor: 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 subjects1the applicant to acivil penalty of not more than five hundred dollars ($500).: - 1 _ 1 1, 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 contractor(s) licensed . pursuant.to the Contractors' State License Law.). am exempt under Sec. B.&P.C. for this reason a Date: Owner: - CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that. there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: SHEA LA QUINTA - C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 ' JI: V'1"1'JLJALJJ, AG i55L5tl' Contractor: SHEA HOMES, INC. 81-260 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: ' 12/26/06 D° TJAN,05 2007 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. 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 become subject to the workers' compensation provisions of Section 700 of the LaborC all fort'Iht�wtS`jh c mply ith those provisions. Is ate: plicant: - 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 th t the above information is correct. I agree to comply with ail _ city and county ordinances and state laws relati � ing constction, an hereby authorize representatives of th' u o� er upon th bove-menti ed pro a for pec on ur e - - - - Date: - nature (Applicant o 9 s Application Number 06-00004379 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 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 144 .-30 Issue Date Valuation 170639 Expiration Date 6/24/07 Qty Unit -Charge. Pere 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.. 4.41 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'. 5.91. Issue Date Valuation . : . . 0 Expiration Date .. 6/24/07 Q.ty Unit Charge" Per Extension BASE FEE 15.00 Application Number . . . 06-00004379 ..Permit . . . PLUMBING . Additional desc.-. Permit Fee 152.25 Plan Check Fee 8.95 Issue Date Valuation :: 0 Expiration Date 6/24/07 _ Qty Unit Charge Per Extension BASE FEE, 15.00 14.00 6.00-00 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`. L •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 ------------------------------------------- 15.0.0 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 23; PLAN 4520B,'1943.SF/ 255 SF CASITA,BOX BAY @ MBR.-26 SF 4' GARAGE- ARAGEEXT EXT-`88, SF.PERMIT DOES'NOT INCLUDE BLOCK'-WALLS,POOL; SPA'OR DRIVEWAY APPROACH': 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTLIPLE,ISSUANCE OF SAME ._ PLAN TYPE.-,2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES " Other Fees ART IN PUBLIC PLACES-RES .00 DIF COMMUNITY CENTERS'-RES -74..00.`'= `-DIF,CIVIC CENTER = RES 995.00 ENERGY, REVIEW FEE 14.43 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 . LQPERMIT - .. Application Number 06-00004379 Other Fees . . . . . . . . . DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1220.28 .00 .00 1220.28 Plan Check Total 163.57 .00 .00 163.57 Other Fee Total 4506.49 00 .00 4506.49 Grand Total 5890.34 .00 .00 5890.34 LQPERMIT . _ _ MAY -._11,2007 11:45 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8 CF -4R Project Address Builder Name 61667 Topaz Drive - _La, Suinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone P14n Number . 4_920 Casita HERS Rater m telephone Sample Group Number/ LDt # (if applicable) William Henson 760-772-2954 62085 / 7023 Com liance Method (Prescriptive) Climate Zone 15 Certifying SignatureDate Certificate Number Z _ ,_.1 April 20, 2007 CC3-1798402667 Firm: BCI Testin9 _ HERS Provider.CaICERTS, Inc. Street AgdrpSS: 41800 Washington St. City/State/7ip:Bermuda Dunes / CA / 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 9 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 C,PAR. may be released on every tested building. The HERS rater mutt not release the CF4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. etThe installer has provided a copy of the CF 6R (Installation Certificate). s Nrw Distribution system is fully ducted (i.e., does not use building cavities as plenumor platform returns in lieu of ducts). r .I New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM RE UIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured values 1 F.nter'lested Leakage Flow In CFM: 54 2 Fan Flow: Calculated (Nominal '•:•- Cooling'...•.'Heating) or' -..,Measured Enter Total Fan Flow in CFM: 1600 3 Pass if Leakage Percentage •: 6% [ 100 x ( Line 1 / Line 2 )1:. 3,38% Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: pre -Test of Cxisting Duct System Prior to Duct System Alteration and/or Equipment Change -Out, 5 tnlef 'I osled 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 ChM to outside (only if Applicable) 8 JEntire New Duct System - Pass if Leakage Percentage -: 6% 1 100 x { Line S / Line 2 )): n 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: 9 Pass if Leakage Percentage c= 150/a [ 100 x ( Line 5 / Lint:2 )]; 0 Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <:= 10% [ 100 x ( Line / / Line 2 )l: ❑ Pass ❑ Fail 1 I Pass if Leakage Reduction Percentage >= 60% [ 100 x ( line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection Pass ❑ Fail 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 912 puss ❑ Pass ❑ Fail Page 7 j_ MAYi11,2007 11:45 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (page i of 8) CF -4R Project Address Builder Name 61667 Topaz Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone plan Number 4520 Casita WR5 Ratr..r Telephone Sample Group Number Lot # (if applicable) William Henson 760-772-2954 62085/ 7023 _ Compliance Method Prescri five Climate Zone 15 Certifying Signature. "V ' Z/ /' Date Certificate Number Finn: BCI Testing ' Street Address: 41800 Washington St. 26, 2007 CC3-1798402667 HERS Provider-CaICERTS Int, City/State/zip:Bermuda Dunes / CA / 92203 Copies to: BUILDER, HERS PROVIDER AND 13UILDINO DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 2 Tested ❑ Approve4 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 HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a C17-411 may be released on every tested building, The HERS rater must not release the CF -41t 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 cavitle, 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: New System NEW CONSTRUCTION Duct Pressurization Test Results (CFM 0) 25 Pa) Measured Values 1 Enter Tested Leakaqe Flow in CFM: 27 2 Fan How: Calculated (Nominal'..*.* Cooling :....'Heating) or % 'r Measured Enter Total Fan Flow in CFM: 800 3 Pass if I.eakage Percentage -: 6% [ 100 x ( Line 1 / Line 2 )1: 3.38% Q Pass n Fall ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CPM from CF -611: 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 Enter Reduction in Leakage for Altered Duct System LLine 4 - Line 5] - (Only if Applicable) 7 Enter Tested Leakage Flow in CCM to Outside (Only if Applicable) 8 Entire Now Duct System - Pass if Leakage Percentage < 6% f 100 x ( Linc 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% f 100 X ( Line 5 / Line 2 )]:t❑ Pass 1-1Fail 10 Pass if Leakage to Outside Percentage <= 10%f 100 x { Line 7 / Line 2 )J: --11 L-1 Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 60% f 100 X ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual inspection Pass n Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines 409 through 012 pass ❑ Pass ❑ Fail Page 8 ,,,.;MAY 11,2007 11:45 BCI*TESTING,ri1 000-000-00000 Page 9 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of ,8 CF-4R Project Address1 Builder Nd Me 61667 Topaz Dr_i_ve_,- La Quints, CA 92253 Shea Homes, Inc. Builder Contact 1 . Telephone Phtn Number _ 4520 Casita T"s Rater Telephone Simple Group Number/ Lot P (if applicable) William Henson 760-772-2954 62005/ 702.3 _ Compliance Method Piescri tive Climate Zone IS Certifying Signaturr + ;/j�� ��. �j( _J , Data CertifcateWuniber t� • April 26, 2007 CC3-1788402667 Firm: BCI Testing HER$, Provider:CalCERTS, Inc. Street Address: 41800 Washington,St. City/State/Zip: Bermuda Durres / CA/ 92203 Copies to: BUILDER, HERS PROVIDER AND BUILD_ ING 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 R nostic tested compliance requirements as checked on this form. The installer has Brovided a copy of the CF-6R (Installation certificate). HERMOSTATIC 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... . Main System HVAC System TXV j 'W Pass ❑ Fbil a . t i { r y 1, MAY; 11, 2007 11:95 BCI*TESTING, ril 000-000-00000, Page 10 , CERTIFICATE OF FIELD VERIFICATION 8: DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R Project Address Builder Name 61667 Topaz Drive. - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact ;, telephone Plan Number 4520 Casita riEKS Kilter 7o1ophvnc Samp/c Group Number/ Lot # (itapplicable) William Henson 760-772-2954 62085/ 7023. compliance Method (Prescriptive) Climate Zone 15 Certifying signature Date Certificate Number . >A April 26,2007 CC3-1798402667 Firm: BCI Testing ' HERS Provider:CaICERTS, Inc. ' Street Address: 41800 Washin ton St: City/State/Zip: Bermuda Dunes / CA / 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 2Tested 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 witll the r dia nootic testrd compliance requirements as checked on thl. form. r The installer has provided a copy of the CF -6R Installation Certificate). MtSystem HERMOSTATIC EXPANSION VALVE TXV New S tem ' Access is provided for inspection. The procedure shall consist of visual -verification that the TXV is L ., installed on the system and installation of the specific equipment'shall be verified' t New System HVAC System TXV pass n Fail " t 1 i MAY 11,2007 11:45 -BCI*TESTING,ri1 000-000-00000 Page 11 CERTIFICATE ,OF FIELD VERIFICATION 8: DIAGNOSTIC TESTING (Page 5 of 8) CF -4R Project Address Builder Name 6_1667 Topaz Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact i Telephone Plan Number 4520 Casita ' HERS Rater Telephone 5ample Group Number/, Lot v (if appdeable) William Henson 760-7.7.2-2954_ 62085/ 7023 Com Nance Method ffresrriptive2 r Climate Zone 15 Certifying Signature , ; Date Certificate Number Aprit'26, 2007 CC3-1798402667 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 The house was © Tested El Approved as part of sample testing, but wa's not tested. , As lhn ITERS 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 instailer,has provided a copy of the CF -6R (Installation Certificate), IGH EER AIR CONDITIONER: Main System Procedures for verification are available in RACM Appcndix R1. 04 1 ,CJ Yes ❑ No EER values of installed systems match the C -1R Z Yas E] No For split systems, indoor coil Is matched to outdoor coil ., r�7 3 ❑ Yr ❑ No Time Delay Relay Verified (If Required) 3 FI Yes Yes to 1 and 2; and 3 (If Req�dred) is a pass Pass Fail . HIGH EER AIR CONDITIONER: New System Procedures for verification are available in RACM, A endix Rf 1 Yes El No EER values of Installed Systems match the CF -1R 10 R7 7 Yes, ❑ No r For split systems, indoor coil is matched to outdoor Coll 3 FI Yes F] No Time Delay Relay Verified (If Required) ` Yes to 1 and 2; and 3 (If Required) is a pas 9 Pass U Fail A, 0!;q_1T �g nsp ions," 39725 Garand Lane-Suiite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-6554 - Fax: 760-772-3895 I N S r 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 Ten si Slump'(inches): Supplier: Superior Mix Design: Time Sampled: 9, D83625P. Time in Mixer (min.): Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): Addmixture: POZZ 322N Concrete Temperature (F): Truck M 3C)e-- Ticket #: Ambient Air Temperature (F): SField ID Marking: Set'A - 4 cylinders ZIBC Title 24 Other: Unresolved Items: ❑ None See Below Location of Sample: No Samples TakeA Description of Work Inspected: PhaseLot# Product Plan H-�oi�). N t Aal Tt.-2 0 n —7 1) Received mill certifications for rebar and tendons placed. 2) Typical exterior Footings including Garage Footings/Door (11,1,2,13/SD-1), Tie Beams (20/SD-1), Typical Interior Footings/Rib including step (15,18/SD-I), 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 Cc Ger c,.A'O-- okilr) nzln Also, typical details 2, 3/SD-1 and Notes on SNA apply. Checked rebar for grade, size, placement, coverage and splices. Rebar and tendbns 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 i4 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 \LA 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. I Inspector: Jack C. Millin ICC Certification No:�,0842216-49 MU- f Contractor's RepresentatiVe: _Q1 A Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I A I_ - INSPECTIONS JCM°Inspections - 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 I INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date:_ Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: 60-800 Triolgy Parkway City: La Quinta, CA Client: Shea La Quinta, LLC Sub-Contractor: Sun Coast Tensioning General Contractor: Shea Homes for Active Adults Architect: Structural Engineer: Bassenian Lagoni 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 e- LI nf� psi to 33.04 kips/33,000 lbs Calibration Date: Machine # a-aI y— Phase'�� Lot# ,�� Product Plan S,:)n I o rarlZ �t \1i:Pi ❑✓ IBC ❑ Title 24 Other: Unresolved Items: ❑None ❑See Below Description of Work Inspected: Lot # Location \ Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Tendons Elongation (in) Reference 11 h/SN2. . Yes No �L ®. ❑ ❑ '. n' :gin c ;� - n - • � �.Y IiLJ ❑ 3y ©,. ❑ El, -4a; - ❑ Z�- ❑ a r Q ❑ ❑ ❑ ❑ -❑ ❑ ❑ ❑ ❑ 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 CertificicjatiomNo: 0842216-89 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of ' 1