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07-0285 (SFD)P.O. BOX 1504 ^' VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT ' Date: 1/26/07 Application Number:' t 0-7-00000285-- Owner: ' Property Address:,,.... `61739 TOPAZ DR SHEA LA QUINTA APN: 764-280-999-26 -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: 216061 Contractor: D 'Applicant: tect or Engineer: SHEA HOMES, INC. 1 1� G 81260 AVENUE 62 FEB p5 200 r;I� p LA QUINTA, CA 92253 (760)777.-6005 1� AF Lic: No.: 672285 -----------------------------------------=------------------------------------------------------ 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 8 Mess 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 Lice Cla License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is $Y1� r issued. / Di I l ontractor: I have and will maintain workers' compensation insurance, as required by Section.3700 of the Labor 1r V_ 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: 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 Iin 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 sh uld ecome subject to the vers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Professions Code) or �J;the Co all fo w t comply i th se provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by,any applicant for a permit subjects the applicant to a civil penalty of notmore than five hundred dollars ($500).: - ate: •plica 4� (_ 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, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND _ - and wHo-does the work himself or herself through his of her own employees, providedthatthe - 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, as ownerof 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. , BAP.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 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: ��y" , Lender's Address: V' LQPERMIT performed:under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. ' I certify that I have read this application and state that the'above informationks correct. I agree to comply with all city an ou ty ordinances and state laws reAge. wld' g constru, , and h r by authorize representatives of n /tenter upon above-menti/1 LYyor ins -tion urpos Date: OV S' ature (Applicant or _ . Application Number . . . . . 07-00000285 Permit BUILDING PERMIT . Additional desc.:_. Permit Fee 1049:00 Plan Check:Fee 681.85 Issue Date Valuation 216061 Expiration Date 7/25/07 Qty Unit'Charge Per Extension BASE FEE 639.50 117.00 3.5000.THOU BLDG 100,001-500,000 409:50 Permit MECHANICAL _ Additional desc . Permit Fee -,. 74.50 Plan Check Fee 18.63 Issue Date . . . . Valuation 0 Expiration Date 7/25/07 Qty Unit Charge Per Extension BASE FEE 15.00. 2.00-.' 9.0000 EA MECH FURNACE <=100K 18.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 4.00 6:5.000 EA MECH VENT FAN 26..00• 1.00 6.5000, EA MECH EXHAUST HOOD 6.50 Permit- ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 115.61" Plan Check Fee'. 28.90 Issue Date. . . . . Valuation . . . . 0 Expiration Date 7/25/07 Qty Unit Charge Per Extension BASE.FEE - 15.00 2450.00 0350 ELEC NEW RES .- 1 OR 2 FAMILY 85.75 743.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.86 Permit :.. : . ... PLUMBING. • Additional desc . Permit Fee . . . . 160.50 Plan Check Fee ". 40:13 Issue Date. Valuation 0 Expiration Date .. 7/25/07 Qty .Unit.Charge Per Extension BASE FEE 15.00 _ 15.00 6.0000 EA PLB FIXTURE 90.00 1.00 15:0000 EA PLB BUILDING SEWER 15.00 LQPERMIT Application Number . . . . . 07-00000285 • 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 9.00 8:00. .7500 EA PLB GAS PIPE >=5 6.00 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 7/25/07 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------------- -------------------- Special Notes and Comments SED - LOT -26, PLAN 5500A, 2450 S.F. WITH EXT. BOX BAY (63 SF.).@MBR AND 4' GAR. EXT. (83 SF.). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH.2001 CBC, CMC, CPC, _ 2004 CEC,.2005 ENERGY CODES -----------------_--------------------------------------------------------- Other Fees . . . . . ART IN PUBLIC PLACES -RES 40.15 DIF COMMUNITY CENTERS -RES 74.00 •DIF CIVIC CENTER - RES 995:00 ENERGY REVIEW FEE 68..19 i 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. 21.60 DIF STREET MAINT FAC -RES - 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summaryCharged - Paid Credited ---Due. Permit Fee Total 1414.61 00 .00 1414.61 Plan Check Total 769.51 .00 .00 7.69.51 Other Fee Total 4604.94 .00 .00 4604.94 -. Grand Total '6789.06 .00 ..00 6789.06 LQPERMIT sMAY•11,2007 10:59 BCI*TESTING,ri1 000-000-00000 Page 12 y ti CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of 8) CF -4R Project Address: Builder Name 61739 Topaz Drive - La. Quinta, CA 92253 Shea Homes; Inc. Builder Contact Telephone Plan Number Enter Torted I.eak49e Flow in CFM: 5500 STD HERS Rater r telephone Sample Group Number/ Lot # (if applicable) William Henson 760-772-2954 62095/ 7026 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature .� Oate Certificate Number �,,� _ .moi / //s.�1GY�'�_✓ May 10, 20.07 CC3-1798402677 „ Firm: BCI Testing �. _ HERS Provider.CaICERTS, Inc. Street Address: 41800 Washington Sl. — City/State/Zip: Bermuda Dunes / CA / 97.!.03 Conies to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was .`R I ested ❑ 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 will) the, diagnostic tested compliance requirements as checked on this form, The HERS rater must check and verify that the new distribution_ sytitem I..^, 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 -411 until a properly completed and slgned CF -6R has been received for the sample and tested buildings. The installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastlr. and drawbands are used in combination with cloth k—LnA ...kkn, Aurt to nn M ,.oat Ina1,r at d—f rnnnorfi— MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT -.Main System NEW CONSTRUCTION Duct Pressurization Test Results (CFM 25 Pa) Measured Values 1 Enter Torted I.eak49e Flow in CFM: 34 2 Fan Flow: Calculated (Nominal' .: Cool)ng".' Heating) or...Measured 1200 [nter •rota) Fan Flow in CFM: 3 Pass if Leakage Percentage - 6% [ 100 x ( Line 1 / Line 2 )J' 2.83% 0 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 fur Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [Linc 4 - Line sJ - (Only if Applicable) 7 Entcr Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System • Pass if Leakagc Percentage . 6% [ 100 x ( Line 5 / Line 2 )J: r-� El Pa.,, ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Dud System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: I ) 9 Pass if Leakage Percentage <- 151% [ too x ( Line 5 / Line 2 )J: n Pass Fall 10 Pass if Leakage to Outuidc Percentage <:'=10% [ 100 x ( Line 7 / Line 2 )1: to I Pass I.. -I Fail 1 Pas.; if leak :> age Reduction Percentage - 60% [ 100 x ( Line 6 / Line 4. )J E] Pass El Fail and Verifiotlon by Smoke Test and Visual Inspection 12 jPasn if Sraling of all Accessible Leaks and Verification by Smoke Test and Visual lhaprrtlon U Pass ❑ Fail Pass if One of Lines #9 throuigh #12 p ss ❑ Pas., ❑ rdil cMAY•1'1,2007 10:59 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8 CF -4R Project Address Builder Name 61739 Topaz Drive - La Quinta, CA 9225.3 _ ^ Shea Homes, Inc. Builder Coll fact Telephone Plan Number 5500 STD NER5 Rater To/cphone San7plo Group Number/ Lot # (if applicable) William Henson Compliance Method Certifying Signature Firm: BCI Testing Street Address: 41800 Washington St _ 750-772-2954 62095 / 7026 Climate Zone 15 Date Certificate Number May 10, 2007 CC3-1798402677 HERS Provider:Ca10ERTS, Inc. City/State/Zip:Bermuda Dunes / CA / 92203 Conics to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was R'fesled 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 HEIR$ rater must check and verify that the new distribution system is fully ducted and Correct tape is used before a CF•411 may be released on every trstgd, 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. RThe installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavilias as plenums or platform returns in lieu of ducts). ❑ New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawband;: are used in combination with cloth backed rubber adhesive duct tape to seal leaks at duct connections. MTNTMUM RFOUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New Svstem NEW CONSTRUCTION Duct Pressurization Test Results (CFM @25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: 39 1 Fan Flow: Calculated (Nominal'...: Cooling'...: Heating) or' 'Measured 1200 Enter Total Fan flow In CFM! 3 Pass If Leakage Percentage :: 6% [ 100 x ( Line 1 / Line Z )1: 3.25% 1- 1 Q Pass L -.J Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Fnter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Clrange-out. 5 tinter felted Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct Syslern 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 CFM to Outside (Only if Applicable) 8 Entire New Dud System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Hne 2 )1: n 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 ( I Ire 5 / Line 2 )1: n Pass n Fail 10 Pass if Leakage to Outside Pcrccnlage <:= 10% [ 100 x ( Line 7 / Line 2 )J: ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage :> 60% [ 100 x ( Line 6 / Line 4 )] ❑Pass❑Fail and Verification by Smoke Test and Visual Inspection 2 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection LJ Pass U Fail 11 Pass if One of Lines 90 through 412 Vass ❑ Pdss ❑ rail Page 13 MAY IL H07 11:00 BCI*TESTING, ri1 000-000-00000 Page 14 'CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 191 CF-4R Project Address Builder Name 61739 Tojlaz_ •Drive - La Quinta, CA 92253' Shea Homes, Inc. Builder Contact Telephone Plan Number, 5500 STD HERS Rater Telephone 5ample Group Number/ Lot 4 (it applicable) William Henson 760.772-2954 62095/ 7026- .Compliance 026•.Com liance Method Prescri tive Climate Zone 15 Certifying Signature _/ Date Cortificdle Numbcr _farms �y/LJ May 10, 2007 CC3-1798402677 - Firm: BCI Testin • HERS Provider: CaICERTS; Inc. Street Address: 41800 Washington St. ` Cly/Stale/Zip:Bermuda Dunes / CA / 97203 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. A. the HERS rater'provlding diagnostic testingand field verification, I certify that the house identified on this form complies with the . die ntistic tested compliance requirements as checked on this form, The installer has provided a copy of'the CF-6R (Installation Cortificatc). r HERMOSTATIC EXPANSION VALVE TXV : Main System Access is_provlded for Inspectlon. The procedure shall consist of visual verification that the TXV is ` installed an the system and installation,of the specific equipment Shall be verified. . Main System HVAC System TXVJ Pass .0 Fail , • _ Ill ' • " , J • A =MAY 1.1,2007.11:.00- BCI*TESTING,ri1 000=000700000 Page 15 CERTIFICATE OF FIELD VERIFICATION .& DIAGNOSTIC TESTING (Page 3-4 of 8) CF-4R Project Address 6uilderName 61739 Topaz Drive _La Quinta, CA 92253. Shea Homes, Inc_ Builder Contact Telephone Plan Number 5500 STD HERS Rater Telephone Sample Group Number/ Lot 4 (if applicable) William Henson . 760-772-2954 62095 / 7026 Com liancc Methods Prescri twe Climate Zone 15 . Certifying Signature Date Certificate Number /1 B411fYi`✓ `T May 10, 2007 CC3-1798402677 Firm: BCI Testing TT HERS Provider: Ca ICERTS,' Inc. Street Address: 41800 Washington St. City/State/Zip: Bermuda Dunes /'CA / 92203 , w Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT ' HERS RATER COMPLIANCE STATEMENT , The house was 0 Tested ❑ Approved as part of sample testing, but was not tested. t ` As the IILRS rater providing diagnostic testing and field verification, I certify that the.hoLise 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 W (Installation Certificate). • NERMpSTATIC EXPANSION VALVE TXV : New S stem ` Access Is provided for.lnspection The procedure shall consist of visual verification that the TXV is ' installed on the system and installation of the specific equipment shall be verified. New System HVAC System TXV R Pass .I ] Fail • * iii . , vMAY`1'1,2007 11:00 BCI*TESTING,ril. 000=000-00000 Page:16 CERTIFICATE OF.FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of B), CF -4R Project Address Builder Name r 61739 Topaz Drive - La Quinta, CA 92253 Shea. Homes, Inc. Builder Contact Telephone Plan Number _ 5500 STD ...... HERS Rater Telephone Sample Group Number/ Lot ar (if applicable) William Henson 760-772-2954 62095 / 7026 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature ' f Date Certificate Number, May 10, 2007 CC3-1798402677 Firm: 5CI Testing HERS Provider:CaICERTS, Inc. Street Address: .41800 Washington St. City/State/Zip:l3errnuda Dunes/ CA /;92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT + HERS RATER COMPLIANCE STATEMENT The house was R Tested 0 Approved as part of sample testi ny,' but was riot tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the dia nostic tested compliance requirements as checked on this form. �• The installer has provided a copy of the CF -611 (Installation Cortificate), HIGH EER AIR CONDTTIONEiR- main System Procedures for verification are available in RACM Appendix R7: t 1, 2 Yes C] No EER values of installed systems match the CF-lR 2 2-I Yas -I ❑ No For split systems,: indoor coil is matched to outdoor, coil MHIGH EER AIR CONDITIONER: New System .• V.....-.I...e.. f-, - in DAr'M dnnnn,l:v Dr _ 1 R Yes F] No EER values of installed systems match the CF -IR 2 Yes 0 No For, split systems; indoor coil is matched to outdoor coil 3 U Yes G No Time Delay Relay Verified (If Required) Yes to 1 and 2) and 3 (If Required) is a pass Pass L Fail ` 3 ❑ Ycs'F I No Time Delay Relay'Verified (If Required) Yrs to 1 and 2; and 3 (If Required) is a pass . Pass LJ,Fail MHIGH EER AIR CONDITIONER: New System .• V.....-.I...e.. f-, - in DAr'M dnnnn,l:v Dr _ 1 R Yes F] No EER values of installed systems match the CF -IR 2 Yes 0 No For, split systems; indoor coil is matched to outdoor coil 3 U Yes G No Time Delay Relay Verified (If Required) Yes to 1 and 2) and 3 (If Required) is a pass Pass L Fail • N � e � ; • • ` ^��JCM�Irispections� r 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: t 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): Supplier: Superior 'Time Sampled: 10 t Mix Design: D83625P Time in Mixer (min.): Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): ;Addmixture: POZZ 322N Concrete Temperature (F):� y ` Truck #: Ticket #: —1-7 3-2Q Ambient Air Temperature (F): (�$ Field ID Marking: Set A - 4 cylinders ❑✓ IBC E] Title 24 Other: Unresolved Items: ❑ None ❑ See Below, Location of Sample: S 1Cs� cl cl� r, c ❑ No Samples Taken Description of Work Inspected: Phase �' Lot# 1 rlo Product Plan CJS �O 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 �r S t �;� C t �• G Ct C �Lt n rZll blrfl J I - 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 ' 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 Inspection Copy 2 Project Superintendent Copy 3 Governing Agency Page I of \ '�JCM Inspections 39725 Garand Lane Suite F L Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 L INSPECTIONS . PRESTRESSED CONCRETE INSPECTION REPORT Dater -Ac Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 60-800 Triolgy Parkway City: La Quinta, CA Client: Sub -Contractor: Shea La Quinta, LLC Sun Coast Tensioning General Contractor: Architect: Shea Homes for Active Adults Bassenian Lagoni Structural Engineer: 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 Syph psi to 33.04 kips/33,000 lbs Calibration Date: Machine # 3?S PhaseVoz)s Lot# , gy p Products Plane � Q� (0 3� To {� rt" Z__ D f li v� ❑✓ IBC Title 24 Other: Unresolved Items: None ❑' See Below. Description of Work Inspected: Specified Lot # Location Tendons Elongation (in) Actual Elongation (in) Complies within 7% +/- of specified elongation. Reference 11 h/SN2. Ica (0 Yes No GQCa Q� �. �x �a�S�on a. 1 Ll ❑ c't sQ corn 61k3 94-3 3 3 Rr ❑ . aS\� G� '"� O�X� S � G'4. 3 ' - LJ ❑ torn Q.PXl!c,neion) 5 []' ❑ ((''��.C�a►'na l.. (i�r�1 � oc�3lOCtr13 off. J `LJ ❑ p C 4c4 i i `c Qiw1�r A!3 1 l�ti t- % Lit/ ail 11 ❑ Coo. �oot+,—�ee ttx� uc uncL4 9--- ❑ I_ ❑ arc ooc�-> c�-s � �� ) ®.--,' ❑ 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 Certifichtitio�nl No: 0842216-89 \'a' Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of