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06-4380 (SFD)L P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT - M -13 PERMIT Application Number: X06100004380" -� Property Address: 61691 TOPAZ DR APN: 764=280-999-24 -300237- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 203016 Applicant:A�ect or'Engineer: T'�vs CensLLL-�I'�-S yLCz--2���� Ownei: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: SHEA HOMES, ;INC. 81260 AVENUE 62 LA QUINTA_CA- 92253 (760)777=6005 Lic. No.: 672285 - VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/26/06 17 - JAN 0 5 2007 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 ass: - License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Date: L.ontractor: issued. V 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 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 sho 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 700 of the Co shall tn9tbwith qo.$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 ZS any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred'dollars ($5001.: ate: plica " (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and •for , . the structure is not intended or offered 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 ($100,000). IN ADDITION 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 1, 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. ; 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 Ouinta, its officers, agents and employees for any act or omission related to the work being performed under of 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.). city and count ordinances and state laws relatin to building con uction, d hereby authorize representatives _ of thi c t on above -mention d rope y for spe tion p roses. Lender's Name: ' - /�nature A (Applicant ent Lender's Address: LQPERMIT Application Number. . . . . . 06-00004380 Permit BUILDING PERMIT = - Additional desc Permit.Fee' 1003.50 Plan Check Fee-. 652.28 Issue Date Valuation 203016 Expiration Date 6/24/07 Qty Unit Charge Per. Extension BASE FEE 639.50 . 104.00 3.5000 `----------------------------------------------- THOU BLDG 100,001-50.0,000 -------------- 364.00. :. MECHANICAL Additional desc . Permit Fee 83.50 Plan Check Fee 20.88 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 4:00 6.5000 EA MECH VENT FAN. 26.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50. Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 107.76 Plan Check Fee 26.94 Issue Date Valuation 0 Expiration.Date 6/24/07 Qty Unit Charge .Per Extension BASE FEE 15.00 2341. 00 .0350 ELEC NEW RES - 1 OR 2.FAMILY 81.94 541.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.82 Permit . . PLUMBING, Additional desc . Permit Fee 171.00 Plan Check Fee 42.75 Issue Date Valuation., 0• Expiration Date 6/24/07 Qty Unit Charge Per Extension BASE .FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 1.00. .15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT ' Application Number .06 -00004380 Permit .PLUMBING Qty Unit. Charge Per. Extension . 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 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 .- 6/24/07* Qty Unit'Charge Per '. Extension _ BASE FEE ;. ---------------------------------------------------- 15.00 " Special Notes and Comments Special --------- SFD - Lot'24 Plan 5320C, 2341 S.F. w/Casita (255sf), MBR Box:(26sf), Nook B6x(26sf) & Ext. Garage (83sf). Permit does not include block wall,`pool or driveway approach.2001 CBC, CMC; CPC, '2004.CEC;.2005 ENERGY CODES Other Fees .,ART IN PUBLIC PLACES -RES --- - -- 20..00-"-. DIF COMMUNITY CENTERS -RES 74..00 DIF_CIVIC CENTER - RES 995.00 ENERGYREVIEWFEE 65.23 DIF FIRE PROTECTION -RES 140.'00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC"- RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES. 20.30 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1:930.00 Fee summary. Charged Paid Credited Due Permit Fee Total 1380.76. .00 .00 1380.76 Plan Check Total 742.85 .00 .00 742.85 Other Fee Total 4580.53 .00 .00 4580.53 Grand Total 6704.14 00 :00 6704.14 - LQPERMIT I J ;-MAY 1,1,2007 11:45 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION 8t DIAGNOSTIC TESTING (Page 1 of 8) CF -411 Project Address Builder Name 61691 Topaz Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number Enter Tested Leakage Flow in CFM; 5320 Casita HERS Rater Telephone Sample Group Number/ Lot 0 (if applicable) William Henson 760-772-2954 62086/ 7024 Compliance Method (prescriptive) Climate Zone 15 Certifying Sign#fure %' G o Dare Certificate Number ��tt LJ Pass ❑ Fail April 26, 2007 CC3-1798402668 Firm: BCI Testing- T_-_._ HERS Provider:Ca10ERTS, Inc. Street Address: 41800 Washington St. City/State/zip: Bermuda Dunes / CA 192203 Copies to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was R Tested F- 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 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.P„ does not use building cavities as plenums or platform returns in lieu of ducts). i J 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. 14INI14UM RE UIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System NEW CONSTRUCTION Duct Pressurization fest Results (CFM 0 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM; 70 2 Fan Flow: Calculated (Nominal `•...` Cooling '...'Heating) or'..) Measured Enter Total Fan Plow In CFM: 2000 3 Pass if Leakage Percentage •.. 6% ( 100 x ( Line 1 / Line 2 )J: 3.50% ��tt LJ 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 lu Duct System Alteration and/or Equipment Change -Out. 5 knter f ested Leakage How 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 if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% ( 1D0 x ( Line 5 / Line 2 )J: i ..l Pass i..l 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: L_1 Pass Fall 10 Pass if Leakage to Outside Percentage •:= 10% ( 100 x ( Line '7 / Line Z )J; IL—_JI n Pass I.. i Fail 11 Pass if Leakage Reduction Percentage '• 60'yu [ 100 x ( Line 5 / Line 4 )J and Verification by Smoke Test and Visual Inspection n Pass n Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection l..-1 Pass L .J Fail Pass if one of Lines, #9 through #12 pass n Pass n Fail Page 12 1 � MAY 11,2007 11:45 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address Builder Name 61_69_1 Topaz Drive - La Quinta, CA 92.253 _ Shea Homes, Inc. Builder Contact Telephone Plan Number 5320 Casita HERS Rater Telephone Sample Group Number /Lot 4 (if applicable) William Henson 760-772-29S4 62086 / 7024 Compliance Method (Prescriptive) Climate Zone 15 Ce,riIr,ng 5ign4tune y� Date Cerbhcate Number April 26, 2007 CC3-1798402668 Firm: BCI Testing HERS Provicler:CaICERTSr Inc. —_ Street Address: 41800 Washington St. City/State/Zip:Bermuda Dunes / CA/ 42203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was R Tested U 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 -41t may be released on every tested building, The TIERS ralcr must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. ' eThe 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: New System NEW CONSTRUCTION Duct Pressurization Test Results (CFM 2S Pa) Measured Values I triter Tested Laakago Flow in CFM; 30 2 Fan Row: Calculated (Nominal ''.:•'Cooling'•...-* Heating) or`..• Measured Enter Total Fan Row in CFM: 800 3 Pass if Leakage Percentage •: 6% ( 100 x ( Line 1 / Line 2 )J: 3,751/6 Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Row 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 Row in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration arid/or Equipment Change -Out 6 Enter Reduction in Leakage for Altered Duct System Rine 4 - Line 51 - (Only if Applicable) t 7 Enter Tested Leakage Row in CFM to Outside (Only if Applicable) 5 Entire New Duct System •• Pass if Leakage Percentage c 6% ( 100 x ( Line 5 / Line 2 )): r�-t ❑ 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)1: ❑ Pass Fail 10 Pas., If Leakage to Out5ido Percentage <— 10% [ 100 x ( Line 7 / Line 2 )l: t❑ ❑ Pass l.. Fail 11 pass if Leakage Reduction Percentage : ­ 6011/, ( 100 x { Line 6 / Line 4 )J and Verification by Smoke Test and Visual Inspection ❑pass El Fail 12 Pass if sealing of all Accr mble teaks and Verification by Smoke Test and Visual Inspection 11 El Pass Pass Fail Pass if One of Lines #9 through 412 pass 11 pass ❑ Fail Page 13 4 MAY X11,2007 11j:46 `BCI*TESTING,ri1 X000-000-00000 Page 14 CERTIFICATE OF FIELD VERIFICATION &'DIAGNOSTIC TESTING {page 3-4 of .8) "i CF-4R Project Address + Builder Name 61691 Topaz Drive La Quinta, CA 92253 Shea Homes, Inc. _ u buddcr Confact Telephone Plan Number 5320 Casita HERS Rater Telephoner Sample Group Number/ Lot A (it applicable) I William Henson 760-772-2954 62011115/ 7024 Com lance Method Nrescofive Climate zone 15 Certifying signature Date Certificate Number April 26, 2007 CC3-1798402668 _ Firm: 13CI Testing HERS Provider.Ca10ERTS, 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 - i 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 nostle tested compliance requirements as'checked on this form, , ' - ; I [�f The installer has provided a copy of the CF-GR SInstallation Ccrtificate). ` f9HERMOSTATYC EXPANSION VALVE TXV : Main System . Access is provided for Inspection. The procedure shall consist `of visual verification that the TXV Is installed on the system and installation of the specific.egtiipment shall be verified. Main System HVAC System TXV R Pass ❑ Fail I MAY 11,2007 11:46 BCI*TESTING,ri1� 000-000-00000' t Page 15 ' CERTIFICATE OF FIELD VERIFICATION$ DIAGNOSTIC TESTING_ (Page 3-4 of 8) CF -4R Project Address , . Builder Name 61691 Topaz Drive - La Quinta, CA 92253 Shea Homes, Tne. Builder Contact / Telephone Plan Numbor _ 5320 Casita HERS Rater Telephone Sample Group Number/ Lot 9 (if applicable) ' William Henson 760-772-29S4 62086 / 7024 ; Compliance Method Pmscri tive Climate Zone 15 Certifying Signature, 1 '/ r slate. Certificate Number ' April 26, 2007 CC3-1798402668 Firm: BCI Testing _ HERS Provider:Ca10ERTS, Inc. Street Address: '41801) Washin ton St. City/State/Zip: garmu,da. Dunes CAJ 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT. HERS RATER COMPLIANCE STATEMENT The house .was Q Tested El 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 an this form, , [ The installer has provided a cony of the CF -6R (Installation Cortificate2, ' r. ti r s a i � • 1 Y r t , 'mk',11,2007 11:46 'BCI*TESTING,ri1 000-000-00000 Page 16 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page S of 8) CF -4R Project Address Builder Name 61691 Topaz Drive - Ld utnta, CA 92253_ Shea Homes, Inc. — ., ..Q....— BuilderContact Telephone Plan Number _ 5320 Casita HERS Rater lelephone Sample Group Number/ tat St (if applicable) William Henson 760-772-2954 62086/ 7024 n Compliance Method (Prescriptive) Climate Zone is Certifying Signature '` i� - pate Certificate Number April 26, 2007 CC3-1798402668 Firm: F3Q Testing HERS Provider.CaICERTS, Inc. Street Address: 41800 Washington St.. City/State/7-ip:Bermuda Dunes / CA / 92203 Copies 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 dia nostic tested compliance requirements as checked on this form. The installer has provided a copy of,the CF -6R (Installation Certificate). IGH EER AIR CONDITIONER: Main System Prr At—t rer verlReel;nn arm av211ahln in RArM Annonetiv RI 1 Yes ❑ No EER values of installed systems match the CF -1R 2 R Yes ❑ No For split systems,` indoor coil is matched to outdoor coil 3 ❑ Yes ❑ No Time Delay Relay,Vorified (If Raquired) Yes to i and 2; and 3 (If Required) is a paS4 Pass Fail MHIGH EER AIR CONDITIONER: New System Procedures for verification are available in RACK Annendix RI. 1 MY. ❑ No • EER Yalues of installed systems match the CF -IR 7 _RYes n No For split systems, indoor coil is matched to outdoor coil 9 'El Yes'. U No - True Delay Relay.Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a pass . Pass. M Fail ' "JCM'Inspections ' 3.9725 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, Inc./ Suncoast Post Tensi Slump (inches): 9 W Supplier: Superior Time Sampled: r)r) Ct r4-1 Mix Design: D83625P Time in Mixer (min.): Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): CYC Addmixture: POZZ 322N Concrete Temperature (F)c '7 cr, Truck M Ticket #:'I Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders Z IBC []Title 24 Other: Unresolved Items: ❑ None See Below Location of Sam P le: TOo�nq ""LrtsCctc�O. Y..���C'r0r t' ❑ No Samples Taken Description of Work Inspected: Phase(fl _,L Lot# aF Product Plan. SLOG 0-1 r r 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 4�� c\�� N�'1^ U n ��� G % 0,• 0Aafi o IP aW 73 c'Ov�C- Also, typical details 2, 3/SD-1 and Notes on SN -1 apply. Checked rebar for grade, size, placement, coverage and splices. Rebar and tendons were securely tied andsupportedoff 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: approx9�a , 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. 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- '.V f . — — — -- it Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of) ---- "^' fJCM�Inspecii ns'�,! ? 39725 Garand Lane Suite F I . Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date:a,_ 0`7 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 Sun Coast Tensioning General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Be Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons ; ❑ Title 24 Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips Other: ' r Ll r,,., psi to 33.04 kips/33,000 lbs a Unresolved Items: Calibration Date: Machine # � None t / Phasel(.� Lot# -i oa'y Product PlanS5a O C G\ 69 Tc) pct Z Q't' 1 � e., � E] ;See Below Description of Work Inspected: Actual Elongation Elon (� to 9 ) ` Specified Complies within 7% +/- of specified elongation.. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. Yes No n e n ns tC�Q dt S'i r3!1$ �' ❑ ,' S;ASL- tl Vr ❑ 3 ' ❑ FL -11 ❑ w� cc 1 ❑ ' CJ Govcx Ll --b 2 ❑ t Pxke41 Inn Ci ❑ ca c 3 -a- I I 21, ❑. ❑ o ❑ ❑ ❑ ❑l 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. Mill^liitn. ICC Certification No: 0842216-89 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page i of