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06-4394 (SFD)P.O. BOX 1504 VOICE (760) 777-7012 - 78=495 CALLE TAMPICO • . FAX 777-7011 l LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT_ INSPECTIONS -(760) 77.7-7153 BUILDING PERMIT Date: 12/27/06 Application Number: 06-0000439il _ Owner: Property Address: 61722' TOPAZ DR SHEA LA QUINTA 'APN: 764-.280-999-136--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" Contractor: Applicant: rchitect or Engineer:(;. SHEA HOMES, INC. 10 ZU�7 fCpr/LSLJ� 81260 AVENUE 62 JAN LA QiTTNTA, CA 92253 2.C. U L . Zlo �Cca ( �. (760)7.77-6005' CITY OFQUINTA Lic . No.: 672285 FINANCE DEPT. - .LICENSED CONTRACTOR'S DECLARATION ' - WORKER'S COMPENSATION DECLARATION 1 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 Lic a lass: B - 'License No.: 672255 for by Section 3700 of the Labor Code, for the performance of.the work for which this permit is. c� issued. " Date:b- ontractor: 1 "•' _ �► 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 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 - 3700 of the Labor CoOe, I hall forthiNi h compllT ; ith those provisions. + • - that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031 .5 by O l n, t\.& any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: Applicant. - ( 1 I, as owner of the property, or my employees with .wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The 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, y, 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 (_ I 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 fora 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 buildsorimproves 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. 1 agree tocomplywith all work for which this permit is issued (Seca 3097, Civ. C.). - city and county ordinances and state laws relating to building construction, and f3greby authorize representatives o i� ounty to enter upon the above-mentis y for ' spec 'on purpos - Lender's Name: (CI �.ii 1� t ,1 Date: �/�'{gna/ture ( above-menti Lender's Address: f✓ - / - LQPER,%ITT - ' LQPERMIT - - " Application Number . . . . 06-00004394, 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 1943.0.0 Permit BUILDING PERMIT Additional desc Permit Fee 888:00 Plan Check Fee. 144.30 Issue.Date Valuation . . 17063.9 Expiration. Date. ._ 6/25/07 . Qty Unit Charge Per Extension ' BASE FEE" 639.50 71.00 3.5000 LDG 100,001-500,00,0 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 6/25/07 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 5:91 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 - - " LQPERA11T t Application Number .06-00004394, ' ' a - r ; PLUM ' :Permit ; s '•� = w .• ING g _ `'� r. Additional desc ' Permit*Fee 152.25 -" Plan Check Fee 8.95 f a Issue•Date`- r Valuation �, 0 - Expiration'Date 6/25/07 -' - Qty Unit Charge Per * Extension . [ �, • .. BASE FEE 15. 00" ' 1.4.00 « ' 6.0000 -EA PLB FIXTURE 0- .- .84. 00.'-« '15.000 15.0000 EA PLB BUILDING SEWER 6 iT -15. 00 - ,1*.•00 7.5000 EA PLB WATER•HEATER/VENT 7:50 ,_;L. 00 3.0000 EA PLB, WATER INST/ALT/_REP 3"00 - - - 1.00 - '.9. 00W 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_ --•,t =.r ------------------------------------------------- ---- - - - - --- - ----- _. Permit, GRADING' -PERMIT ' .•. Additional desc y. Permit Fee '15.00 Plan Check Fee- ` 00 ' IssueIDate: -Valuation- 0_„ Expiration Date• 6/25/'07 r' f t =Qty Unit Charge .Per. w . Extension X- ' ` BASE FEE 15.00. r J, ,- • ,r"•✓• -------- ----- -- - - - - j - - - - - - - - - - - - . -- -------------- -- --------------- } • --------- -- ' Special Notes and Comments +� -• ` SFD - LOT 136, PLAN 4520C, 1943 -SF/ 2,55- .55 , SF SF CASITA,BOX-BAY.'@ MBR -26 SF 4- GARAGE ' ;EXT - 88;SF.PERMIT DOES NOT•INCLUDE r s 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' ry-------_ --_---------------_------ ------------------------------ Other Fees' `ART IN 'PUBLIC PLACES -RES ` - . 00 « ---- "DIF COMMUNITY CENTERS -RES -74.00 '" •„ = DIF CIVIC RES 995.00' + ,CENTER.- .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 " . • r _. 40 - LQPERA11T t • Application Number 06-00004394 a -Other Fees . . . . . DIF .STREET MAINT FAC -RES 67.00 ;- DIF TRANSPORTATION - RES 1930.00 ` - Fee summary Charged Paid Credited Due F '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 11:07 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address Builder Name 61722 Topaz Drive - La Quinta, CA 92253 Shea Homest Builder Contact Telephone Plan Number 4520 Casita HERS Rater telephone Sample Group NumberI lot V (it applicable) William Henson 760-772-2954 62091 / 7136 Certifying Signature Firm: EiC1 'resting Street A4gress: 41800 Washington St. Climate Cone is Date Certificate Number May 10, 2007 CC3-1798402.673 HERS Provider:CaICERTS, Inc. City/State/Zlp:Fiknnuda Dunes / CA / 97703 Coolies to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT Tl1e 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 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 -GR 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). 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. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System NEW CONSTRUCTION Duct Pressurization Test Results (CFM L?) 25 Pa) Measured Vaiues 1 Enter Tested Leakage flow in CFM; 44 2 Fan Flow: Calculated (Nominal...: Cooling '....'Heating) or-...: Measured tnter'rotal Fan Flow in CFM: 1600 3 Pass if Leakage Percentage < 6% L 100 x ( Line 1 / Line 2 )); 2.75'yu Pass n Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R; Pro -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -06t. 5 Enter Tested Leakage Row in CFM: final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out, 6 Enter Reduction in Leakage for Altered Duct System [Line 4 •• Line 5] - (Only if Applicable) 7 Enter Testcd Lcakagc Flow in CFM to outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage c 6% ( 100 x ( Line 5 / Line 2 }]: ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass If Leakage Percentage <-• 15%, ( 100 x ( une S / Line 7 )j: n Pass n Fail 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Lme 7 / Line 2 )j; ❑ Pass ❑ Fail I t Pass it Leakage Reduction Parcentaqe >- 60% ( 100 x ( Line 6 / Line 4 )i and Verification by Smoke Test and Visual Inspection ❑Pas: ❑Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test acid Visual Inspection n Pass Fail Pass if One of Lines #9 through #12 pass to F r Pass 0 Fail Page 12 MAY '11,2007 11:07 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address Sunder Name 61722 Topaz Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number 4520 Casita HERS Rater Telephone Sample Group Number/ Lot & (if applicable) William Henson 760-772-2954 62091 / 7136 Compliance Method (prescriptive) Climate Zone 15 r-o,+;r;,;, c;—h— , i n.+. Certificate Number Street Address BCI Testing 41800 Washington St. CC3-1798402673 HERS Provider: CaICERTS, Inc. City/State/Zip:Bermuda Dunes / CA / 92203 CoMeS to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 2 Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form 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 (wily ducted and correct tape or, 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 -611 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 syF.tems 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 (d 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM; 23 2 Fan Flow: Calculated (Nominal'••_••` Cooling...: Heating) or-...: Measured 800 Entei dotal Pan Flow in CFM: 3 Pass if Leakage Percentage < 6% [ 100 x ( Line 1 / Line 2 )]: 2.88% 2 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 Dud System Prior to Duct System Alteration and/or Equipment Change -Out. y Enter Tested Leakage Plow in CFM: Final Test of New Duct System or Altered Duct System for Dud System Alteration end/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [Line 4 Line 5] • (Only if Applicable) 7 Enter Tested Leakaao now in CFM to Outside (Only If Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / 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 •:- 15% 1100 x ( Line 5 / Line 2 )1: Pass Fail 10 Pass if Leakage to Outside Percentage •= 10% L 100 x ( Line 7 / Line 2)J; t❑ -1 I❑ -I Pdss 1rr-_1�I Fail I i Pass if Leakage Reduction Percentage '>- 60% [ 100 x ( Linc 6 / Linc 4 )] fLJ1 U pass El u Fail and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leak, and Verification by Smoke Test and Visual Inspection n Pase F1 i Fall Pass if Cont: of Lines #9 through #12 pass 11 Pass [D Fail Page 13 •r r; MAY ♦11,2007 11:08 BCI*TESTINGiril 000-0001,00000, L ;{ Page 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) _ 'CF-4R 7 Project Address Sulldei Name 51722 Topaz Drive - Ld_quintal CA 92253" • Shea Homes, Inc. ` Builder Contact ! Telephone Plan Number - _ _ 4520'Casita HER5 Ratcr r Telephone Sample Group Number Lot *1 (if applicable) William Henson — _ 750-772-2954 62091 /,7136, , Com Nance Method PrCSCri ~five Climate Zone 15 Certifying Signature 1 '- Date Certificate Number ,;eA✓ May 10, 2007 CC3-1798402673 Firm: BCl Testing +- ' HERS Proyider,CaICERTS, Inc. Street Address: 41800 Washington Sts City/State/Zip: Bermuda Pune% / CA / 92203 Copies to. BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 2 Tested ❑ Approved as part of sample testing, but was not tested. ' As the HERS rater providing diagnostic testing and field veiification, I certify that the house identified on this form complies with the dla nostit tested compliance requirements as checked on this form. The installer has provided a copy of the'CF 611 (Installation LCertificate). CRMOSTATIC EXPANSION VALVE TXV : Main System r ^� 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 shrall be verifled. s r • 1 Main SyStem.HVAC System TXV lJ ?ass U Fail . } r r , • r , • r, M& 11,;2007.11:08_ BCI*TESTING,rii 000-000-.00000* Page 15 r 01 CERTIFICATE OF -FIELD VERIFICATION 8l DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R PrQlect Addrosv k Builder Name 61722:To04z Drive - La Quinta, CA 92253, Shea'Homes, Inc. Builder Contact M ',Telephone Plan Number t ' 4920�Casita ,- __ HERS Rater ,^ Telephone Sample Gmup Number/ Lot # (if applicable)*,. William Henson 760-772-2954 62091 / 7136 Compliance Method. Prescrl tive `•-` + , Climate Zone Is Certifying Signature %r : ° Date Certifeate Number. I r May i0, 2007 CC3-1798402673: ' Firm: 8CI Testing HERS Provider;CaICERTS, Inca +: Street Address:' 41800 Washington St: • iity/State/Zip: Bermuda Durres / CA 192203 Copies to: BUILDER, HERS PROVIDER AND BUILDING. DEPARTMENT' HERS RATER -COMPLIANCE STATEMENT The house was a Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rate(provldinq'diaghostic testing and field verification, I certify that the house identified on this form complies with the " d9nostic tested c did nostic tested compliance requirements as checked on this form. r The installer has provided a copy,of thctCF-6R (Installation Certificate). e HERMOSTATIC-EXPANSION VALVE TXV : New System Access is provided tar inspection. The procedure shall consist of visual. verification that thii TXv is installed on,the system and installation of the specific equipment Shall be vei•Ifled: -. New System HVAC System TXV pass ; E1 Fail' 41 t s . `+ ♦ ) � • r •.} '` • . ' a i' y 41 MAYS 11, 2007 11:08 BCI*TESTINGi ri'1 .e 000-000-00000 ` Page 16 CERTIFICATE OF FIELD VERIFICATION& DIAGNOSTIC TESTING (Page 5 of 8) CF -411 j Prgject Address ; Builder Name ; • 61122 Topaz Drive - La Qginta, CA 92253 Shea Homes, Inc. Budder Contact Telephone Plan Number " 4520 Casita HFR s Rater Telephone Sample "Group Number / Lot 0 (if applicable) William Henson 760-772-2954 62091 / 7136 Col» liance Method (prescriptive) Climate Zone 18 Certifying Signature Date Certificate Number R May 10, 2007 CC3-1798402673 Firm: BCI Testing.,.HERS Provider;Ca10ERTS Inc. Street AdgreSs; 41800 Washington,St. Cdy/State/7ip:Bermuda .Dunos_/.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 requlremenLs as checked on this form. The installer has provided a copy of the CF -6R I+Inslalldtio_n Certificate). HIGH EER AIR CONDITIONER: Main System ' Procedures for verification aro available in RACK Appendix R1. 1 2 Yes ❑ No EER values of installed systems match the CF -IR 2 Ye. '❑ No For split systems,` indoor coil is matched to outdoor coil 3 ❑ Yes ❑ No Time Delay Relay. Verified (If Required) Vex to 1 and 2; and 3 (If Required) is a pas pass LFail HIGH EER AIR CONDITIONER: New System Procedures for verification are available in RACM, Appendix RI, t 1 R Yes FIN- No EER values of installed systems match the CF•1R ` '- Yes ❑ No For split,systems;,'Mdoor toll Is matched to outdoor coil 3 ❑ Yes ❑ No Time Delay Relay Verified (If Required) `. Yes to 1 and 2; and 3 (If Required) is a paissi M Pass E.1 Fail A f • • K ` - -- 'JCM Inspections- 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 a General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults . Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Slump (inches): 00 Supplier: Superior Time Sampled: O m Mix Design: D83625P Time in Mixer (min.): 3°J' Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): N tLp Addmixture: POZZ 322N Concrete Temperature (F): .I C(; Tru1.ck #:' (J q O Ticket #: 10 Ambient Air Temperature (F):. . Field ID Marking: Set A - 4 cylinders ❑✓ IBC ❑ Title 24 Other: Unresolved Items: iE] None ; ❑ See Below Location. of Sample: \ c,h e3C1 n k\ _ . Q�a "\"L, -Q c;1 ❑ No Samples Taken • Description of Work Inspected: Phase'�j Lot# `' 3 Product Plan d.e_ 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 r. �. u ionr� �� Q Si t1 O V \►,i i n rx n ,A, rZ n c\ bl r r�rrt 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 and supported off the earth. Accepted for concrete placement. S-0 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. 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 of �JCM Irispectlons . 39725 Garand Lane,Suite F Palm Desert, CA 92211 ==L" INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date:a_ kq,_p,,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 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: syn psi to 33.04 kips/33,000 lbs Unresolved Items: Calibration Date: Machine #None %) ❑ PhaseitpDa Lot# -113 6 Product Plan Sao G � "�� —To P.(k;Z O,I i d e— ❑ See Below Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +1- of specified•elongation. Lot•# Location Tendons Elongation (in) Reference 11 h/SN2. (, Yes No ©' ❑ 3 L7' ❑ n, e a <I El Rr ❑ a ccs+ p en f1 R ❑ m •. ❑ M ❑ ❑ ❑ ❑ ❑ ❑ 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: 0842216-89 Contractor's Representative: \ "� �t Q � , , - Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page i of - o JCM Inspections i r 39725 Garand;Lane Suite F T ':Palm Desert, CA 92211' ; INSPECTIONS „Phone: 760-345-5554 - Fax: 760-772-3895 IN S P E C T.I ON S f COMPRESSION'.STRENGTH.TEST RESULTS '3 Client: Shea La Quinta; LLC 1 - ,Date: 519/07. Project: Trilogy: @ La Quints-.Shea'Homes_ Project No: y 02-11.09 ., .. l . La Quints,` CA 92253` Set ID Structure V Age of Test Compression Strength JCM ID Location . ,� Date Cast Cylinder ID (days) (psi) Set A Phase 16132 - Lot # 7.136 ;Slab on. Grade a .'2-5 707, Concrete 273.852. Casita -,Required, psi: 4000 'j 6019 7. 3720 6020 28- 5200 ^6021 28, 5140'