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07-0283 (SFD)C. .'BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00000283 Property Address: " 61766 TOPAZ DR APN: 764-280-999-134 -300237- Application description: DWELLING -'SINGLE FAMILY DETACHED Property Zoning: I MEDIUM HIGH DENSITY RES Application valuation: 163330 o. 00000 Applicant: rchitect or Engineer: -------------------------------------------------- ' LICENSED CONTRACTOR'S DECLARATION I here affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 0) of Division 3 of th iness and Trofpssignals Code, and my License is in full force and effect. "Cla License No.: 672285 D e:. ontractor. " OWNER -BUILDER DECLARATION " I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500).: (_) I,as owner of the property, or'my employees with wages as their sole compensation, will do -the work, and 40 the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the'work himself or herself through his orher own employees, provided that the - improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or • improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY -- 1 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: - n Lender's Address: ■' LQPERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 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: 1/26/07 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier AMERICAN HOME Policy Number 1247619 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to he workers' compensation laws of California, and agree that, if I s ul ecome sub t to the - rkers' compensation provisions of Section $v'QO of the Labor o tall fort wit comp) 'th those provisions. ' te: (� plicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. - 1 . Eacli person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and. hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify t at I ave read this application and state that the above informatio 's correct." I agree to comply with all Pte unt ordinances and state laws re lyin Cruction, hereby authorize representative s o , ty a ter upo he above- m tinned pr f -tion pu S. gnature (Applica or r LQPERMIT . Application.Number . . . . 07-00000283 - Permit BUILDING PERMIT Additional desc :- - -- -I I I I _. . Permit Fee'.. 863.50 Plan Check -Fee 561.28 IssueDate Valuation . . . . 163330 Expiration Date 7/25/07 Unit Charge Per Extension ,,Qty_ .BASE FEE 639:50- 3.5000 THOU" BLDG 100,001-500,000 224:00 P,ermit,. MECHANICAL Additional desc . Permit,Fee U. 5.0 Plan Check Fee'. 20:88 Issue "Date Valuation .0 Expiration Date 1/25/Q7 - Qty Unit Charge Per Extension. BASE FEE 15.00 2.00 9.0 000 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 . . . 89.82 Plan Check Fee -22.46 Issue Date Valuation' 0 Expiration'Date 7/25/07 Qty. Unit Charge Extension. .Per BASE FEE 15.00 1805.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 63.18 '582.00 .0200 ELEC GARAGE -OR NON-RESIDENTIAL 11.64 Permit PLUMBING" Additional desc - Permit Fee 147.00 Plan Check Fee 36.75 Issue Date . . . Valuation . . 0 Expiration Date, 7/25/07 Qty.Unit Charge Per Extension BASE FEE 15.00 13.00 6:0000 EA PLB FIXTURE 78.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00- a Application Number . . . . . 07=00000283 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 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 .. 7/25/07 Qty Unit Charge' Per Extension BASE FEE 15.00 . Special Notes and Comments SFD - Lot 134,1805.SF.Plan 4510A Casita (249sf), MBR Box Bay (26sf), Ext Garage (83sf) & Ext. Patio (120sf)."Permit does not include block wall, pool_or driveway approach.2001 CBC, CMC', CPC, 2.004 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 ENERGY REVIEW FEE 56.1.3 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 16.33 DIF.STREET MAINT FAC -RES 67.00 ; - - DIF TRANSPORTATION"- RES 1930.00 Fee -summary Charged '-Paid Credited, Due Permit Fee•Total 1198.82 .00 .00- 1198.82 Plan Check_Total " 64.1.37 .00 .00 ." 641.3.7 ' Other Fee Total 4567.46 .00. 00 4567.46 Grand Total 6407.65 .00 00 6407.65 . LQkRMIT - _ 'd" , r °MAY 11,2007 •10:58 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page I of B) CF -4R Project Address Su older Name 61766 Topaz Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number HERS Rater William Henson Compliance Method Certifying Signature Firm: BC) Testing Strect Address: 41600 Washington Sl. 4510 Casita Telephone Sample Group Number/ Lot # (if applicable) 760-772-2954 62093/ 7134 Climate Zone 15 Date Certificate Number May 10, 2007 CC3-1798402675 HERS Provider,CaICERTS, Inc. City/State/Zip: Bermuda Dunes / CA/ 927.03 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. A. the ACRS rater providing diagnostic testing and field verlficatlon, 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•411 may be released on every tested building. The HERS rater must not release the CF -4R until a property completed and signed CF -6R has been received for the sample and tested buildings. BThe instdllcr lids 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 6 95 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM; 49 2 Fan Flow: Calculated (Nominal', . Cooling'•. Heating) or'.. Measured rntpir Total Fan Flow in CFM: 1600 3 Pass if Leakage Percentage ; 6% [ 100 x ( I ine 1 / I ine 2 )J: 3.060h 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 Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [1 -me 4 - Line 5] - (Only if Applicable) 7 Enter Tested Leakage How in CFM to Outside (Only If Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / kine 2 )l: ❑ 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 := 1 S'%) [ 100 x ( Line 5 / 1 one 7. )J; ❑ Aa is ❑ Fail 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( (.ine 7 / Line 2 )J; ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )l and Verification by Smoke Test and Visual Inspection P. ss ❑Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke lest and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines tl9 through #12 pass ❑ PasS 11 Fail Page 2 'MAY 11,2007 10:58 BCI*TESTING,ri1 000-000-00000 , Page 3 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address Budder Name 51766 Topaz Drive - Li Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number 24 4510 Casita HERS Rater telephone sample Group Number / i.ot # (rf apphcable) William Henson 760-77Z-2954 5ZO93 / 7134 _ Compliance Method (Prescriptive) Climate Lone 15 Certifying Signature Date Certificate Number ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Maw to, 2007 CC3-1798402675 Firm: Bcf Testing HERS Provider:CaICERTS, Inc.. Street Address: 41800 Washington St. City/State/Zip:Elermuda Dunes / CA / 92203 Copier. 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 HM rater providing diagnostic testing and field verification, 1 certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The, HFRS rater must check and verify that the new distribution System is fully ducted and correct tape is used before a Cr --4R moy be released on every tested budding. 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. I� rhe 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 r,yrtemr. 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 'al duct conneclialis. MINIMUM REOUIREMENTS 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: 24 2 Fan Flow: Calculated (Nominal •-•' Cooling •.• Heating) or'...•' Measured Enter Total Fan Flow in CFM: 800 3 Pass if Leakage Percentage <6% [ 100 x ( Line 1 / Line 2 )): 31001%, `:J ISI Pass n Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Lcakage Flow ill CFM from CF -611: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equiprnant Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Teat of New Duct System or Altered Uuct System for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction In Leakage for Altered Duct System (Line 4 - Line 5) - (Only dApplicable) 7 Enter Tested Leakage Flow its CFM to Outside (Only if Applicable) 8 Fntire New Duct System - Pass if Leakage Percentage < 6% 1 100 x ( Line 5 / Line Z )l: ❑ 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 PcrccnlaGe <= 1S%n [ 100 x ( Line 5 / Line 2 )j: U Pass U Fail 10 Paas if I eakage to outside Percentage -•:= 30% [ 100 x ( Line 7 / Line 2 )J: El Pass ❑ Pad it Pass if I eakage Reduction Percentage >— 60016 [ 100 x ( Line 6 / Line 4 )J and Verification by %mcske'fest and Visual Inspection �, 1 Pass 1.31I Fail 12 P49G If Sealinq of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ff---II ' l.J Pass I-..1 Fail Pass if One of Lines #9 through #12 pass ❑ Pass 1"I Fail 'MAY 11,2007 10:58 BCI*TESTING,ri1 000-000700000 Page 4 - CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING(`_ige 3-4 of 8) CF-4111 Projera,Address eurldar Namc 4 61_766 Topaz Dive - LQ Quinta, CA 92253 Shea Homes, Inc. Builder Contacf ,' Telephone, Plan Number ~ 4510 Casifa, HERS Rater Telephone Sample Group Number/ Lot # (if applicable) William Henson 760-772-2954 62093 / 7134 , Compliance Method Prescfi tive Climate Zone 15 Certifying Signature. • Date Certificate Number , May-10,;2007 CC3-1798402675 Firm: BCI Testing HERS Provider:CaICERTS, Inc. Street Address: 41800 Washington St.' City/State/Zip: Bermuda Dunes / CA,/ 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT 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 nostic tested compliance rcquirements as checked on this form. t + [ The installer has provided a`copy of the CF-6R (Installation Certificate)., . HERMOSTATIC EXPANSION VALVE TXV : Main System Access is provided for inspection: the procedure shall Corisisl of visual verification that the TXV.is installed on the system and installatlon.of the specific equipment shall be verified. Main System HVAC System TXV R Pass n Fail ,MAY 11,2007 10:58 BCI*TESTING,ri1'• 000-000-00000 Page 6 CERTIFICATE OF FIELD VERIFICATION& DIAGNOSTIC TESTING (Page 5 of Fj CF -4R Project Address Builder Name 61766 Topaz Drive - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact . Telephone Plan Number 4510 Casita ' HERS Rater Telephone Sample Group Number/ Lot. a• (if applicable) William Henson 760-772-2954 62093/ 7134 Compliance Method Prescri tive Climate Zone 15 Certifying Signature r/i^) Date Ccrtificate,Number May 10, 2007 'CC3-1798402675 Firm: SCI Testing HERS Provider:CalCERTS, Inc. Street Address: 41800 Washington St. City/State/Zip: Bermuda Dunes /SCA / 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT. HERS RATER COMPLIANCE STATEMENT The house'was M Tested [J 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•611 (Installation Certificate). HIGH EER AIR CONDITIONER: Main System , Procedures for vnrific bon .ore dv'4dable ,n RACM A endix RI. I Ry. n No EER values of installed systems match the CF -111 ? R Yes FI No For split systems, indoor coil is matched to outdoor Boit 3 ❑ Yes ❑ No Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a pas Pass Fail IWIHIGH EER AIR CONDITIONER: New System Procedure_v for verification are available in RACM. AOOendix RI. I Ycs ❑ No EER values of installyd systems match the CF -1R 2 Yes ❑ No For split systems, indoor"coil 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 pas Pass ', Fdll 4 , • t JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 == L"_ _ Ll� 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): PJB c�-� Supplier: Superior Time Sampled: '� ; A cz- (I Y,-r Mix Design: D83625P Time in Mixer (min.): (L © Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): N Addmixture: POZZ 322N Concrete Temperature (F): Truck #: a pc�'� Ticket #: (o(o Ambient Air Temperature (F): Cnl^ Field ID Marking: Set A - 4 cylinders ZIBC Title 24' Other: Unresolved Items: None ❑ See Below /'� Location of Sample: ��� Q� `3-y nK'' Q ❑ No Samples Taken Description of Work Inspected: Phase (, _ Lot#'), �. Product Plan L\tS )o \1 Gto �— - 0-7 ; 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 Hoolldow`ns (6,7,8/SD-1), Pad Footings and additional rebar placed as per these details and as noted on A ' n c �.!► o: `ct c\tom X05` tt �ct a<4 Qac\CnS,'i�� ornSina 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. 0--7 j 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. 3�-0 • 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 Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of • r - JCM Inspections 39725 Garand Lane Suite F l Palm Desert, CA 92211 _ INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: 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 •r 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 # �gS —1 S-O'� ❑ None Phase ki Lot# •^�1i Product Plan S 1(-) �,� (�(� '�� ; ❑ See Below L on z . 1) f tf L, Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 WSW. Yes No a (e ,C� r � LIQ ❑ n � t+� Llta. ttQ.@ LJ ❑ Elr or, L- a o r, n Doi 'Al{• '0� ❑ Q n r '*Lz [P-" ❑ c an aq, 3 V ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ I hereby certify that I have inspected all of the above woik, 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: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of _ ;�.�prwcs•.� �?a�v�'ti•'o_ :')"y,3b�S%iiti - , - ' - . .,jlbm Inspections;,:, z' ,t. t'39725 Garand Larie Suite IF Palm Desert; CA 92211 INSPECTIONS i Phone:;760-345-5554 -'Fax: 760-772-3895 INSPECTION S ;• ,' EPDXY`INSPECTION REPORT Date: Project Name: • Project No: 02-1109 Trilogy@ La Quinta - Shea Homes ' .. Project`Address: City: ' 60-800Triolgy Parkway >. La Quinta, CA Client: Sub -Contractor: e. . ' Shea La Quinta, LLC DCCCC General Contractor: Architect:.. •Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni ". Boren & Associates, Inc./ Suncoast Post Tensi 'F✓ > Anchor Bolts' , Rebar , :. IBC -: Epoxy Type:"� rr—^`� ' \ i c S o�. cJ� 1 y � Title 24 Other: r c� .,'Epoxy ShelfLfe Unresolved ed Items:, Hole Cleaning Method(s):�ov.Jh C,�e.c... Q�CGlr;�a ��czce .W: <t �j a; None ' ', ❑ See Below Description of Work Inspected: '•• �'T �*;•� y nG� {-�.s sy t1S _�'� Q ,\ PCc�1;c�r+�`v 11'1 I• �e�-i r \rang `T .`vJacc '? s.^� :�,n o C;X,S ,nr CO�CCe e_'S�a� C' u to \'� r, r !t .n,`�-f O c .S�c .� �.J c�li�i �o c�� •� .�r ' C. ��'�.� � � e:�` 01.+� i �i � t) �: � \ n i<j. ° + . z _ . - ' �_ ��s� � (a 0 - � ` t i� a� '� `t l'3 �i r C; c?�v`cT.�- Q` � •n .� 510 � , • . o'P�!"�•"•O'�'.t"`1,�-'1;:°• � '< . , . . •; . 1 t `_,.,,,,mss i�o �•7 \V A \1,. rf. v R+���� c T t► t •�� F `o �, Q't r R \h4S.¢ �6 � _ �'• Lr.�,�"rT- IV t t �e�Co�r'1 ��u''C\� VJ�a1�La�'" '.��� t.,.'���a�a� �•�•� til ,/� n IA_ ,�`. . aC I Az 4P \t��C't•at�;IC1.5,•�jcr�'``` ' y •� ', l , Work complies with written approval from Structural Engineer and ICC Evaluation Report # 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., . Jack C. Millinn ICC Certification No: 0842216-49 • - ContractorsHRepresenta�tive: TVInspector: Copy 1 JCM Inspections Copy 2 ; Project Superintendent , . T , ,t Copy 3' :.Governing Agency Page , of