06-4392 (SFD)`ire ' ' '�+ . ' � "I "",�•
P.O. BOX 1504 .
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06700004392
Property Address: 61678 TOPAZ.DR
APN: 7.64 -280 -999 -138 -300237 -
Application description: DWELLING SINGLE FAMILY DETACHED
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 170639
Applicant:<chitect or Engineer,
1
C
SCOL Zl4Cf01
NOW
Owner:
SHEA.LA QUINTA
WORKER'S COMPENSATION DECLARATION'
C/O. JEFF MCQUEEN .
8800 N GAINEY CENTER
350
SCOTTSDALE, AZ 85258
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
.D
Contractor:
ate: r:' a ntractor:
-SHEA HOMES, INC.
issued.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor '
-81260 AVENUE 62
LA QUINTA, CA 92253
OWNER -BUILDER DECLARATION
(760)777-6005
insurance carrier and policy number are:
Lic. No.': 672285
VOICE (760) 777-7012
FAX. (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/27/06
JAN 1p 2001
C1 FIN"ANCE DEPT. QUINTAOF LA
f
LQPERn4TT
' 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
Licenselass: B License No.: 672285
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ate: r:' a ntractor:
-I
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I 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, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person 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
and agree that, if I should become subject to the workers' compensation provisions of Section ,
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
-4.
3700 of the bor Code I shall forthwith co ly with those provisions.
Ie l S� n -
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate: plicaiy-
(_ 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 •
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 HUNDRED THOUSAND - --
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended orofferedfor 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 _ 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 contractor(s) 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. , B.&P.C. for this reason
- the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
'
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit. ' -
Date: Owner: -
.2. 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
CONSTRUCTION LENDING AGENCY
permit to cancellation. -
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.I.' -
city and unty ordinances and state laws relating to building construction, and hereby authorize representatives -
• -of
Lender's Name:�
th'�,ntyupoeabove-mentioned pr for inspection purposes.
ate: (Applicant or Agep "
Lender's Address:
LQPERn4TT
LQPERMIT -- -
Application Number ..
: . . . 06-00004392 "
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
577.20
Issue Date
Valuation
170'39
Expiration Date
6/25/07
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
6/25/07
• 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
6/25/07
' Qty Unit Charge
Per
Extension
BASE FEE
15.00
- 1943.00 '.0350
ELEC. NEW RES - 1 -OR 2 FAMILY
68.01
`. 576.00 0200
ELEC. GARAGE OR NON-RESIDENTIAL
11.52
LQPERMIT -- -
LQPERAI IT .. - . .
Applicata-on Number. . . 06-00004392..,
- : -Permit .. PLUMBING,
Additional desc_ .
Permit.Fee 152.25 Plan Check Fee ..
35.81
Issue Date Valuation . .
. 0
'Expiration Date.. 6/25/07
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
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 6/25/07
Qty. Unit Charge Per
Extension.
BASE FEE
15.00
-----------------------------------------------------------------------------
Special Notes and Comments
. SFD - LOT 138,"PLAN 4.520C, 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
_ DIF COMMUNITY CENTERS -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
LQPERAI IT .. - . .
Application Number,
06-00004392
i 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
4548.78
_ Grand _Total.
64,24.33
:00
_00
-,
6424•.33
. LQPFRMIT
,MAY 11,2007 11:06 BCI*TESTING,ri1 000-000-00000
CERTIFICATE OF FIELD VERIFICATION 8: DIAGNOSTIC TESTING (Page i of 8) CF -4R
Project Address Builder Name
61678 Topaz Drive - La Quinta, CA 92253 Shea Homes, Inc.
8uifderContact Telephone Plan Number
4520 Casita
HERS Rater lelephone Sample Group Number /Lot 4 (it applicable)
William Henson 760-772-2954 52089 / 7138
Compliance Method Preso dve Climate Zone 15
Certifying Signature . , Date Cerci trate. Member
Firm: BCI Tes
StreP.t Address: 41800
May 3, 2007 CC3-1798402671_ ___
HERS Provider:CaICERTS, Inc.
City/State/21p:Bermuda Dunes / CA / 92203
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
I ha house was R Testeo ❑ Approved as part of sample testing, but was not tested.
As the ITERS rater providing diagnostic testing and field verification, I certify that the house identified on this forth 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 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 duct connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System
NEW CONSTRUCTION
Duct Pressurization Test Results (CFM (o 25 Pa)
Measured
Values
1
Enter Tested Leakage Flow in erM:
49
Fan Flow: Calculated (Nominal`_" Cooling :....'Heating) or -_- Measured
Enter Total Fan Flow in CFM:
1600
3
Pass if Leakage Percentage : 6% J 100 x ( Line 1 / Line 2 )):
3.06%
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 Duct System Alteration and/or Lquipment 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 < 6% [ 100 x ( Line 5 / Linc 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 <= 151% [ 100 x ( Line 5 / Line -2 )J:
❑ Pass ❑ Fail
10
Pass if Leakage to Outside Pertentage •° 10% [ 100 x ( Line 7 / Line 2 )J:
n P.ss n rail
11
Pass if Leakage Reduction Percentage >= 60"/1 [ 100 x ( Line 6 / Line 4 ))
and Verification by Smoke lest and Visual Inspection
Pass n Fail
12
Pass if Sealing of all Accesslble leaks and Verification by Smoke Test and Visual Inspection
n Pass n Fail
Paxe if One of Lines #9 through #12 pass
❑ Pass ❑ Fail
Page 2
,MAY 1 ,2007 11:06 BCI*TESTING,ri1 000-000-00000
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -411
Project Address
Builder Name
61678 Topaz Drive - La Quinta, CA 92253
Shea Homes, Inc.
BuildorContacf
Telephone Plan Number
Fnter Tested I eakage Flow in CFM:
4520 Casita
HERS Rater �� ��
Telephone Sample Group Number/ Lot & (if applicable)
William Henson
760-772-2954 62089/ 7138
compliance Method (prescriptive)
Climate Zone 15
Certifying Signature /
Date Certificate Number
Nay 3, 2007 CC3-1798402671
Firm: BCI Testing
HERS Provider:CaICERTSf 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 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 fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not
release the CFAR 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 -61t (Installation Certificate).
New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
J_•) New systems where cloth barked, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth
backed, rubber adhesive dud tape to seal leaks at dud connections,
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New System
NEW CONSTRUCTION
Duct Pressurization Test Results (CFM Ci 25 Pa)
Measured
Values
1
Fnter Tested I eakage Flow in CFM:
23
2
Fan Flow: Calculated (Nominal `•:: Cooling'•.. Heating) of _• Measured
800
Enter Total Fan Flow in CFM:
3
Pass if Leakage Percentage <: 6% [ 100 x ( Line 1 / Line 2 )):
2.68%
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 Dud 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 0 Applicable)
7
1 Enter Tested Lea kago Flow in CFM to Outside (only If Applicable)
8
Entire New Duct System - Pass if Leakage Percentage •: 6% L 100 x ( Line 5 / Line 2 )):
n Pau n Fall
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 )];
ff--11
❑ Foss t...i Fail
10
Pass if Leakage to Outside Percentage < 10%) ( 100 x ( Line 7 / Line 2 )];
n Pas, n Fall
11
Pass if Lcakagc Reduction Pc(ccntage >= 6011/n ( 100 x ( l Ine 6 / line 4 )]
❑pass ❑ Fail
and Verification by Smoke Test and Visual Inspection
17
IPASr, If Seallnq of all Accesglble I eaks and Verification by Smoke Test and Visual Inspection
Pass Fall
Pass if One of Linen *9 through #12 pass
fn to
U Pass 1__I Fail
Page 3
MAY 11,2007 11:06 BCI*TESTING,ri1 X000-000-00000_-. Page 4
q
CEkTIFICATF.0 FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF-41114
Vrojoct Address Builder Name
61678 Topaz Drive -,La Quinta, CA 92253 Shea Homes, In_c.
Builder Contact s Telephone plan Number
4520 Casita' k
HERS Rater Telephone Sample Group Number Lot :r (if applicable),
William Henson 760-772-2954 62089/ 7138 1
Com fiance Method Prescri live Climate zone 15
Certifying Signature i )/ , Date Certificate Number, s
i.
ii��3 .//c•'�� !:/A✓ May 3, 2007 CC3-1798402671
Firm: BCI Testing -HER5 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 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 .
dia nostic tested compliance requirement.^as checkad on this form. "
The installer hes provided a copy�of lh� CF-6R_(Installation Certificate).,
i
MAY 1;1,2007 11:06 BCI*TESTING,ril 000-000-00000 Page 5'
CERTIFICATE OF -FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) t { CF 4R
Proloct Address LBuilder Name
61678 Topaz Drive - La Quinta, CA 92253 Shea Homes, Inc.
IBuilde Contact • . TelephonePlan Number T� ,
' 4520 Casita:
HERS Rater Telephone Sample Group Number/ Lot # (if applicable) E
William Henson 760-772-2954 62089 L7138 '
Compliance Method (Prescrrpl,ve) Climate Zone 15
Certifying Signature. `. date Certificate Number
May 3, 2007 CC3-1798402611 _
Finn: BCI Testing ./_ s - `/ T IIERS 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'0 Tested ❑ Approved as part of sample Lasting, but wa8 riot tested, '
As the HERS rater providrnV diagnostic testing and field verification, I certify that the house identified on this form complies with the
diagnostic totted compliance requirements as checked on this form. '
[� The installer' has provided a copy of the CF -6R (Installation c:e_rtlflcd_ te),
ERMOSTATIC EXPANSION VALVE TXV c New System
Access is provided for inspection.The procedure shall consist of visual verification that the TXV is
installed on the system and'instaliation of the specific equipment shall be verified,
New System HVAC System .TXV ' R P4 S!; ❑ Fail
,
` r �t ,, ; • it
a � ' i VV ' - , a - � • a r
1 r'
MAY 1,1,2007 11:06 BCI*,TESTING,ri1-' 000-000-00000 Page 6
CERTIFICAYE_•OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page S of 8) CF -4R
Project Address Builder Name
61678 Topaz Drive - La.Quinta, CA 92253 Shea Homes, Inc:
Builder Contact Telephone Plan Number
4520 Casita ,
NEMS Kater Telephone Sample Group Number Lot # (if applicable,)
William Henson + _ 760-772-2954 62084/ 7138 W` ,
Compliance Method Pecscri Live Climate Zone. 15
Certifying Signature /' j i pate Certificate, Number
�/� s���• May 3, 2007 CC3-1798402671
Firm:, BCI Testing HERS Provider:Ca10ERTS, Inc.
Street Address: 41800 Washington St.. _ City/State/Zip:Bermuda Dunes / (:A / 92203
Copies ta:-BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was 0 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 tha house identified on this form complies with the
dia nostic tested compliance requircmenl� as checked on this form.
S� The installer has provided a copy of the CF -6R (Installation Certificate).
r HIGH EER AIR CONDITIONER: Main System
Procedures for verification are available in RACM Appendix R1.
1 R Yes n No EER values of installed systems match the CFr111
2 Yes ❑ No For split systems, Indoor Coil is malehed to outdoor coil
3 ❑ Yes ❑ No . Time Delay Relay Verified (If Required)
Yes to i and 2; and 3 (If Required) is a Pa -.• Pa$s I.JFail '
HIGH EER AIR CONDITIONER: New System ,
ProcxduraF; for verification are, available in RACM Appendix RL
•
1 Yes ❑ No EER values of installed systems match the CF -1R
2 Yesn No For split systvrns, indoor'coil is matched to outdoor coil
3 ElYes U No Time Delay Relay Verified (If Rr:qulred)
Yes to 1 and 2; and 3 (If Required) is a passi M PASS LJFail
•
s
•
f
CM Inspedtloft-,
.39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT Dates: Noted", Below
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:
60-800 Triolgy Parkway La Quinta, CA
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
General Contractor: Architect* Structural Engineer:
Shea Homes for Active Adults Bassenian Lagoni Borm & Associates" In'C.1 Suncoast Post Tensi
Slump (inches): Supplier: Superior
Time Sampled: Mix. Degign: D83625P
Time in Mixer (min.): Specified Strength (PSI): 4000
Water Added @ Jobsite (gals.): 0 rw— Addmixture: POZZ. 322N
Concrete Temperature (F): '7S Truck M aCycZ- Ticket #:
Ambient Air Temperature (F): (0 0 Field ID Marking: Set A - 4 cylinders'
Title 24
Other:
Unresolved Items:
E] None
See Below
Location of Sample: 0\10 on GV 4X,
No Samples Taken
Description of Work Inspected: Phase ' __Lot# Product Plan Ll ,O ('Z1
GI `6:70;> (vz_ � V\v e-,
1) Received mill certifications for rebir 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 rti 3 A AA -30-1, nq %4 Ce, wNc,_ t-\ Grn f OLf
Q �r ".1,)n \A'\ \An' -3 0, 0-)'(11
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'@ 1,8" o.c.
2) Molded 4 cylinders for compression tests with breaks at 7 days (1), 28 days (2) and one for holding purposes.
01
1) The placement of concrete for Garage Interior Footings and Slab on Gradelotal cubic yards placed: approx 1 Verified correct mix design.
I hereby certify that I have inspected all of the above work, unless otherwise rioted, 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 Certificatibn No: 0842216-49
Contractor's Representative:
Copy 1 JCIVI Inspections Copy 2 Project superintendent Copy 3 Governing Agency Page of
7711=!=
6144ec I 0
39725 Garand Labe Stfite F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
PRESTRESSED CONCRETE- INSPECTION REPORT Date: I4 -0-7
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:,
60-800 Trioigy Parkway La Quinta, CA
Client: Sub -Contractor:
Shea La Quinta, LLC Sun Coast Tensioning
General Contractor: Architect: Structural Engineer:
Shea Hom es for Active Adults Basseniain Lagoni Borm & Associates, Inc./
Suncoast Post Tensi
Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons
IBC
Title 24
Jack Machine Calibration: Received Sheet from .Sun Coast -Gage Pressure in psi to Machine Load in kips
Other:
psi to 33.04 kips/33,000 lbs
Unresolved Items:
Calibration Date: Machine#
r❑ None
Phase Plan L4s (0 1 (Dl?� 7
��ot# Product -0 Q_'
F-1 see Below
Description of Work Inspected: A, Actual Elongation
(in)
Specified Complies within 7% +/- of specified elongation.
Lot# Location Tendons Elongation (in) Reference 11 h/SN2.
Yes, No
0 t VIII
[R� El
Rol)(
E]
-A
El
'Eam" El
1:1
A-
14-
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 I work to comply with the approved
plans, specifications -applicable building laws. Final report issued at project completion.
Inspector: Jack C. Millin ICCCertifi6ationNo: 0842216-89
Contractor's Representative*,
C
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of
n1111111111
JCM Inspections
39725-Garand Lane Suite F
= . Palm Desert, CA 92211
INSPECTIONS-
?hone: 760-345-5554 - 'Fax: 760-772-3895 I N S P E C T I o N s
COMPRESSION STRENGTH TEST'RESULTS : '
Client:'Shea.La-Quinta, LLC
Date: 3125107
Project: Trilogy @ La-Q6inta - Shea
Homes Project No: 02-1109 -,
60-800 Triolgy Parkway`
La Quinta, CA 92253
Set ID Structure
h Age of Test Compression Strength'
JCM ID Location
Date Cast Cylinder ID (days) (psi)
Set A Phase 16D2 -Lot # 7138
Slab on Grade1-30-07 Concrete,
273-84 Master Bedroom
Required psi: 4000
5954 7 3740,.
5955 28 .. -' 5290.
«' 5956 28 5340 '.
-
CERTIFIED: c-,. '
4.
{ J Inspections supplies the service
•
« of compression strength test results only.
F Per ASTMC39
Page 1 of 1 .
,
P.
t�.
Mlnspedidns,)
39725 Garand LaneSuiteIF
Palm Desirt, CA 92211.
INSPECTIONS .,Phone: 760-345-5554 -,.Fax: 760-772-3895' INSPECTIONS
EPDXY, INSPECTION -REPORT Date:
Project Name: Project No: 02-1109
Trilogy @ La Quinta - Shea Homes
Project Address: City:
60-800 Triolgy Parkway I La Quinta, CA
Client: Sub -Contractor:,'
Shea La Quinta, LLC
ontractor: -Architect:
General C Structural Engineer:
Shea Homes for Active Adults. Bassenian Lagoni i Borrhl & Associates, Inc./ Suncoast Post Tensi
'Anchor BoltsZIBC
Rebar
Epoxy Type:
[]Title 24,
Othir:rrX
Epoxy,'Shilf Lifer t, ;;N -T,
Unresolved Items:
Hole Cleaning Method(s): VVo w, <) C\1Z,11'eN . Q>( kk&,N 0 � It. tAlQWone'
See Below
r
Description of Work Inspected:'
1?,(X tM. -,Ik r, t A C, 4z, \I
.. ' 'y• ...�? v ,
�^a!%b� �rri\\nr� " �QC.c'
R�.���\`Cltai'�(�n\ht'1�'
L i z 0
A
0% C, Ckl*Ayk% kAkQ 1644 � (V -4/ c—f
- 7
A,
Y-
J.
Work complies with written approval from Structural Engineer and [CC Evaluation Report #
I hereby dertify 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 completioA.
Inspector: Jack C. Millin ICC 136ftification No: 0842216-49
Contractor's, Representative:
Copy I JCM Inspections Copy 2 Project Superintendent Copy 3 - Governing Agency
Page of