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07-1285 (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 RERMIT ' Date: 4/26/07 Application, Number: 'x'07_ 00001285} Owner: Property Address: 61545 TORO • CANYON - WY SHEA . LA QUINTA i APN: 764-280-999-118 7300237- 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: 242110 ' / Contractor: D Applicant:/rchitectorE_ ngineer. SHEA HOMES, INC. .G11�j 1/-16A, 81260 AVENUE 62 LA QUINTA, CA 92253 MAY IOC 2�U1 ,(760)777-6005 Lic. No.: '6.72285' C1T.y0F=ACkU1NTA . • 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) f Division 3 of the Busines 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 Ln e lass: License,No.: 672285 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. y work, Da• ntractor: 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: - 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 700 of the I sh II fo with oam with those 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 not more than five hundred dollars ($500).: ate: pli t: ��" 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 riot 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 whodoes the work himself or herself through his or.her own employees, provided that the '-w 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, 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 town owner of conditions and restrictions set forth on this application. '-• - _ property who builds or improves thereon, and who contracts for the projects with a contractorls) 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.). _ ' • • •"^ +e whose benefit work is performed under or'pursuant to any permit issued as a result of this application, , 1 ) I am exempt under Sec. B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. • - Date: Owner: - 2. Any permit issued as a result of this application becomes null and void if work is not commenced - _ within 180 days from date of issuance of such permit, or cessation of work for. 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty. of perjury that there is a construction lending agency for the performance of the ` I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city an ount ordinances and state laws relating to building construction, and hereby authorize representatives •• of y o ae+ter upon the above-mentioned, p�cq��,�'(or i sp ticn pV•rposs.. Lender's Name: • . g �- Date: 'nature (Applicant or A en Lender's Address: • ' LQPERMIT _ Application Number 07-00001285 Structure Information Const -ruction -Type TYPE V ---NON RATED--, Flood Zone NON -AO FLOOD ZONE Other,=struct,info . ._ 'CODE EDITION 2001 CBC 61 BEDROOMS 4.00., FIRE -SPRINKLERS. NO GARAGE, SQ FTG 719.00 PATIO SQ FTG 322.00 NUMBER OF UNITS„ 1.00 1ST FLOOR SQUARE FOOTAGE -. 2.769.00 " Permit BUILDING PERMIT Additional,desc_,_ Permit'Fee 1-140.00 P1an.Check.Fee 741.00 Issue Date . . Valuation `'. '242110 Expiration Date 10/21/07.„ ,`. Qty." Unit Charge Per Extension " BASE FEE. 639.50 143.00 3.50,00 THOU BLDG -100-,001-500;000 500.50 Permit "MECHANICAL Additional desc Permit Fee. 90.00 Plan Check Fee 22.50.' Issue ,Date _ Valuation -_,a ." 0 - Expiration Date 10/23/07 _ 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 5.00.- 6.5000 EA MECH VENT FAN '° 32:50 ' 1:00 6.5000 EA' •MECH-EXHAUST HOOD``- 6:50 -Perrot .. :.,• : �.• -ELEC'=NEW RESIDENTIAL -,- Additional de"sc` ,Permit Fee' - *126:30 Plan Check -::Fee 31.58 Issue Date Valuation 0 Expiration Date :'10/23/07 ` Qty Unit Charge Per Extension' BASE FEE 15.00 2769.00 0350 - ELEC .NEW: RES `1 OR 2 FAMILY 96. 92, 719.00 ..0200 ELEC'GARAGE 'OR NON-RESIDENTIAL 14:38 LQPERN1IT Application Number 07-00001285 PLUMBING- Permit -PLUMBING-- Additional- desc Additional-desc . Permit Fee 171:00-- Plan Check Fee:. 39.75 Issue Date Valuation 0' Expiration Date 10/23/07 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 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 9.000'0"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 16/23/07 Qty Unit Charge Per Extension - BASE FEE •15,.0;0 'Special Notes and Comments SFD - LOT 118 PLAN 6430C 2769/108 S:F " EXT: PATIO. PERMIT%DOES NOT INCLUDE ^ BLOCK WALLS,;POOL-; SPA, OR DRIVEWAY �'AP•PROACH. 2001 CBC; . CMC, CPC,;' 200.4 CEC, , . 2005 ENERGY.,CODES, - ------.-.- - - -- Other FeesART IN PUBLIC PLACES -RES 105.27 DIF COMMUNITY CENTERS -RES 74._•00 DIF CIVIC CENTER - RES 995.00 _ - ENERGY REVIEW FEE 74.10- 4.10 DIF FIRE PROTECTION -R -ES DIF 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' , 24..21. DIF STREET, MAINT FAC -RES ,-_,6,,7.-.00 DIF TRANSPORTATION - RES x° 193 0 . 0 0 - Fee summary. Charged Paid Credited 'Due _ LQPERMIT " -Application Number . . . . . 07--00001285 Permit Fee Total 1542.30, .00 .00 1542'.30 Plan Check Total 834.83 .00 .00 -834.83- Other Fee Total 4678.58 .00 .00 4678.58 Grand Total 7055-.71 .00 00 7055.71 LQPERAITT - - . Sep 13.52007 16:275. HP LASERJET' FRX p:,2 .. �i�.'✓/� •IAl.:�;��.<�ia:. aivrri��,vi.•♦.•i�✓.-�i;Ga�.�r.L-.YYvnG%r ✓/�: v<sr..: �.:a�ri K•�iu✓.�r�Y�/���reiw.RZr� ir.✓.'..:v:wrnt, �.IYst� �T�,✓tri.R•av��i.�.•.Nr e.•::•r.•;i.i.�.•{:...•.:•G,...,.:.;..: ' -INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the currentenergy regulation, Cal ifornia'Administrative Code, Title 24, State of California, in the building located.at:, F 61545 Toro Canyon Way, Lot 7118, Phase'.117D-11, Trilogy Project, La Quinta, California l " CEILINGS: TYPE: BLOW, MANUFACTURER: CERTAINTEED Thickness: R-38 WALLS: r ., TYPE: BLOW MANUFACTURER: CERTAINTEED Thickness: R-13 " GENERAL CONTRACTOR: SHEA HOMES LICENSE# BY: TITLE: PARAGON SCHMID BUiL'OING'.PRODUCTS, A MASCO COMPANY LICENSE # 221517 . BY: TITLE: OFFICE MANAGER DATE: 9/13/2007 ' a .. �... .. :: r;�..•:'�:si.�.•...�.Y///�i•:.r.-.r �s��:.r::�fi•.:.vr i�'..:�:r<i:i���� i�r.-sv-':..':,iar,� rixV•sGrir.6�LF.<✓�usG6!.vrrlYT�re•tA•rl✓L•!<:fi:V�✓z�ii�ivn� � i</:o:..i✓i iii; ii�.:ui: c..r<.n•n•:.�e•.. :. : G + r l els \ \I • /i Installation Certificate : Residential CF -6R , AIR CONDITIONING INC. Site Address PERMIT # s 61-545 TORO CANYON WAY Bldg:- Unit:'- . ' 1. BUILDER INFORMATION t , Shea Trilogy La Quinta SUBDIVISION: Trilogy La Qunita t 60 -800 Trilogy Parkway CITY: LA QUINTA LA QUINTA, CA 92253 COUNTY: (RIVERSIDE r ' INSTALLING CONTRACTOR: WESTPAC'AIR CONDITIONING 2. PROJECT INFORMATION, DISTRIBUTION TYPE DUCT OR PIPING R -VALUE Flexible Ductwork in ti Flexible Ductwork Will have Attic and Between Floors a R -Value of 6.00 or Better I, the undersigned, verify that the equipment listed in the category above my signature is the equipment installed and that the equipment meets or -exceeds the requirements of the Appliance Efficiency Standards., In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate complience with the Energy Efficiency Standards for residential buildings. ` 3. HEATING INFORMATION - MANUFACT' HEATING .r ACTUAL EFF. HEATING EQUIP MAKE MODEL # , AFUE CAPACITY HEATING EQUIP. LOAD Furnace-FAU 1 GMS80704BX 80% Furnace-FAU 2: GMS80704BX 80% 4. COOLING INFORMATION , MANUFACT' HEATING UNIT ACTUAL EFF. HEATING EQUIP MAKE MODEL # , AFUE CAPACITY COOLING. MANI ACT- COMPRESSOR ACTUAL EFF. EQUIP. MAKE MODEL # SEER COOLING EQUIP COOLING CAPACITY LOAD . A/C-FAU 1 Amana ', GSC130481A 13, Coil-FAU 1 Aspen CP48A3B EER A/C-FAU 2 Amana GSC130361A 13 Coil-FAU 2 Aspen CP48A3B EER The building design heat, loss and design heat gain rate have been determined using a method specified in Section 150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection. r . 5. THERMOSTATIC EXPANSION VALVE (TXV): Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection. YES`Q NO 0 N/A Q . 6. SUBMITTED BY: WESTPAC AIR CONDITIONING 6/28/2007 Signature Installing HVAC Contractor Date „1 \\Claire\Crystal Reports\Purchasing\CF6R_Report.rpt Job#: 6693 Lot: 7118 Bldg: - Unit: - SEP 20,2007 17:52 BCI*TESTING,ril 000-000-00000 CERTIFICATE OF FIELD VERIFICATION 8: DIAGNOSTIC TESTING (Page i of 8) CF -4R Project Address 1 II 1 Builder Name ^ 61545 Toro Canyon Way - La Quinta, CA 92253 Shea Homes, Inc. Builder Contact Telephone Plan Number Enter Tested Leakage Flow in CFM: 6430 STD _ _ HERS Rater Telephone Sample. Group Number/ Lot g (if applicable) William Irvine 760-772-2754 76298 / 7118 _ Compliance Method (Prescriptive) Climate Zone 15 Certlfying Signature ,ot Date Certificate Number ~r ¢ L dl►Q September 21, 2007 CC3-1798416880 Firm: $CI Testing _ HERS Provlder:CaICERTS, Inc. Street Address: 4180D Washington St. _ City/State/Zip: Bermuda Dunes CA /92203 Copies to; BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house wasR. Tested ❑ Approved as part of sample testing, but was Associated. 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 chocked on this form, The HERS rater must check and verify that the new disliibulion 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 reledsc the CF -4R until a properly completed and signed CF -6R has been received fur the sample and tested buildings. The Installer has provided a copy of the CF -6R (Installation Certificate), New Distribution system is fully ducted (i.e., does not use building cavities- as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth bdckod, 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 0 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: 57 2 Fan plow: Cplculatcd (Nominal '•'•' Cooling'.) Heating) or '_'Measured Enter Total Fan Row in CFM: 1200 3 Pass if Leakage Percentage � 6% [ 100 x ( Line 1 / Line 2 )J: 4.75% r�� tJ Pass ❑ Fail ALTERATIONS: Dud 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 Sysro�m Alteration and/or Equipment Change -out. 5 Enter Tested Ledkaoe 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 (Line 4 - Line SJ - (Only If Applicable) 7 Enter Tested Leakage How in CFM to Outside (Only if Applicable) 8 Entirt Now Duct System - Pass if Leakage Percentage < 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 <= 1501n [ 100 x ( Line 5 / Una 2 )]: ❑ Pass Ll Fail 10 Pass if Leakage to Outside Percentage <= 109k [ 100 x ( Line 7 / Line 2 )J: ❑ Pass ❑ Fail I I Pass if Leakage Reduction Pertentage >= 60% [ 100 x ( Line 6 / Line 4 )J and Verification by Smoke Test and Visual inspection n pass ❑ Fall 12 Pass if Sealing of an Accessible I oaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Linen 09 through #12 pg9s n Pass ❑ fail Page 19 SEP 20,2007 17;52 BCI'*TESTING,ril 000=000-00000 Page 20 CERTIFICATE OF FIELD VERIFICATION-& DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R Project Address - Builder Name' 61545 Toro Canyon Way.- La Quints, CA 92253 Shea Homes, Inc. Builder Contact Telephone'. Plan Number 64301STD HERS kater 'Ielephone Sample Group Number / Lot 0' ofappllcaxel P William Irvine 760-7722754 .76298/7118 Compliance. Method CEMLrgtiveL Climate Zone. 15 Certificate Number, Certifying Signature' Date - „� September 11, 2007 CCa-17984115880 Firm: BCI Te, HERS Provider:C610ERTS, Inc.. . Street Address: 41600 Washington St. City/State/Zip:BerMuda Dunes /'CA/ 92203. Copies to: BUILDER, HERS PROVIDER AND BUILDING DgPARTMEN? HERS RATER COMPLIANCE STATEMENT. , The douse was R't ested E Approved as part of sample leSting, but was Associated. As the HERS rater providing diagnostic lesting.and field verification, I certify that.the house identified on this forrh conlplle5 with the di a nostic tested compliance requirements'as checked on this form.. The installer has provideda copy of the CF -6R (Installation Certificate). SEP•'20,2007 17:52 BCI*TESTING,ri1 0007000-00000 k Page 22 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) _ CF -41? Project Address J Builder Name 61545 Toro Canyon Way - La Quints, CA 92253 Shea Homes, Inc. ! Builder Contact* Telephone Plan Numbr 6430 STD , HERS Rarer Telephone Sample Group Number Lot # (if applicable) William Irvine 760-772-27_54- 76298/ 7118 ` compliance MethoQPrescZi ti Climate Zone 15 Certifying Signature Date Certificate Number 4 September 11, 2007 CC3-1798416880 Firm: BCI Testing HERS Provider:CaICERTS, Inc. Street Address: 41800 Washington St. City/State/Zip:Bet muda Dunes / CA / 92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT' x HERS RATER COMPLIANCE STATEMENT The house was 0 Tested ❑ Approved as part -of sample testing, but was Associated. A: the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the dnostic tested compliance requirement.9 as checked on this form, ' iad The installer has provided a copy of the CF -6R (lnstallatlon.CertifltAM). HIGH EER AIR CONDITIONER: Main System '- Procedures for veriflration are available in RACM, ApPendix RI. ~ 1 Yes, No EER values of installed systems match the CF -1R , t[I I�71 Z Yes l_I No IS.I For split systems, indoor coil is matched io oatdoor coil 3 n Yns ❑ No Time Delay Relay Verified (If Required) , Yes to 1 and 2; and 3 (If Required) Is a pa Pa55 Mail . HIGH EER AIR CONDITIONER: New System' Procedures for verification are available in RACK AoDeftdlx RI, r I dyes 1..1 No EER values of installed system: match the CF -1R 2 2 Yes LJ No For split systems, indoor coil is matched to outdoor foil 3 LI Yes , U No Time Delay Relay Verified (If Required)' Yes to 1 and 21 and 3 (If Required) is a pa_ -1 PASS Fail y SEP 20,2007 17:52 BCI*TESTING,ril 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of 8) CF -4111 Project Address Bulkier Name 61545 Toro CanY2.n�ft CA 92253 - Shea Homes, Inc. Builder Contact Telephone Plan Ntlmber 1 6430 STD _ HERS Rater Telephone Simple Group Number/ Lot 4 (if applicable) William Irvine 760-772-2754 76298/7118 Compliance Method Presrri tive Climate Zone IS Certifying Signaturel Date Certificate Number f / o September 11, 2007 CC3-1798416880 Fir;7_ BCI Tes ingw HERS Provider:CaICERTS, Inc. Street Address: 41600 Washington St. City/State/Zip:Berrnuda Dunes / CA 192203 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 Assodated. 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 -411 may be released on every tested building. The HERS rater must not release the CF -411 until a properly completed and signed CF -6R Ilas bten rtccived 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 Ileu of ducts). IJ New systems where cloth backed, rubber adhesive duct tape Is inoallod, 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: Mairl System NEW CONSTRUCTION Duct Pre•.surization Test Results (CFM (0 25 Pa) Measured values 1 Enter Tested Leakage Row in CFM: 81 2 Fan How: Calculated (Nominal''.' Cooling %..- Heating) or'...? Measured Inter Total ran now In CFM: 1600 3 Pass if Leakage Percentage -: 6% [ 100 x ( Line 1 / Line 2 )J: 5.06% Pass U Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 EnterTested 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 Alltred Duct System for Duct System Alteration and/or Equipment Change -out. 6 Enter Reduction in Leakage for Altered Duct System (Linc 4 - Line 5) - (Only if Applicable) / Enter Tested Leakage flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage •t 6`86 [ 100 x ( Line 5 / Line 2 )J: U 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 .- 1ST/a [ 100 x ( Line 5 / Line 2 )J: n Pass U Fail 10 Pass if Leakage to Outside Percentage — 10% [ 100 x ( Line 7 / Line 2 )J: Pass ❑ Fail 11 Pass if Leakage Reduction Percentage s= 60"A) [ 100 x ( Line 6 / Line 4 )J and Verification by Smoke Test and Visual Inspection i i pass I Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection El Pass ❑ Fail Pass if One of Lines #9 through #12 pa"1 I.. Pass ❑ Fail Page 18 JCM Inspections 39725 Garand Lane Suite F �( Palm Desert, CA 92211 I N S P E C T I ONS 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): 7�� Supplier: Superior. Time Sampled: n .r. Mix Design:. D83625P Time in Mixer (min.): - �. Specified Strength (PSI): 4000. Water Added @ Jobsite (gals.): Addmixture: POZZ 322N Concrete Temperature (F): Truck M Ticket'#:❑• Ambient Air Temperature (F): U Field ID Marking: Set A - 4 cylinders R✓ IBC E]Title 24 Other: Unresolved Items: None See Below Location of Sample: Q No Samples Taken Description of Work Inspected: Phase Lot# Product 3 Plan 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 L Also, typical details 2, 3/SD-1 and Notes on -1 apply. Checked rebar for grade, size, placement, coverage and splices. Rebar and tendons were -SN 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 Certif cation No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ' of JJ Copy 2 Project Superintendent *Copy 1 Copy 3 Governing Agency Page of JCM Inspections' 39725 Garand Lane Suite F L=�'• Pallm'Degdft, CA 92211 IN&PECTIONS Phone;. 760-345-5554 Fax- 760-772-3895 INSPECTION PRESTRESSED CONCRETE INSPECTION REPORT Date:, L Proj6ct°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 S even Strand Stress -Relieved Tendons IBC . F❑ 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 I Unresolved Items: Calibration Date: Machine # F-] None Phase ot#-i i -Product:3. Planto�- ( _ ,_�n SFT. A [:],See Below ❑C, Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot# Location Tendons Elongation (in) Reference 11 h/SN1 Yes No r)6v<,,32 El IRr El+* r 12� Ls.L L wr 1:1 -3 El ❑ —0 El I hereby certify that I have inspected all of the above work, unless otherwise noted, add 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 Ceirtification No: 0842216-89 Contractor's Representative: JJ Copy 2 Project Superintendent *Copy 1 Copy 3 Governing Agency Page of j C JC1YI INSPFCg`IONS 3. . Complete .general i�nd Sp"W Inspection .Services •39725 Garand L.Lne, Suite F, pa m- "Desert, California 97211 ;?hone: '760 - 345 - 5554 F2 -i: 760 - 772 - 3895 �\ EST PECI EN DATA SHEET - .1 1% Client: ��� � � � �c�t ��� �'�..��,•r a c, � 3'�� . D�.te: J� ti G .�, , ©� Project, Pro e�t:Ido:y .t`1 +� � � �}� —� � til• �P �1 ' � �`. `_ \\^\] � sTRucrtrxt?: _,-- a r\ LACAnON IN SMUCt-URE: RF -PORT OF STRENGTH TESTS. Morur () Grouc (1 ConcrCLzw cr SET 4e Date Cast' 4 - Q Date Retceiveed: Cast By: Time Sampled: IALK Design: r Supplie L___: S�pec'ified`pss� � ��� Ticket Number-: (✓e (� Age to be•Tested:`:( c), as< Slurnp (io). A -,00 Admixture: �-- Aif- Temp (F): A- Conc TemXF): 77�: ' Unit Wt (pct}: AirContent(%): Water Added (gal): Time. in Nrlixet (f ,-- Field ID Markings: FOR LABORATORY USE ONLY Lab Ny m r'°�t�E�fJ��� Vie. "1 D'S__7 Am do)l TO al . 1 IJA�J �V SD ©0 D lb/1 , O 1l.CJ(C) ��l O .. 1 s4_ 3JCM'Inspections . 39725 Garand Lane Suite F� ie' • � j< Palm Desert, CA 92211 ; - • INSPECTIONS F*.' P• hone: 760-345-5554 - -Fax: -760-772-3895 INSPECTION S EPDXY INSPECTION REPORT',' Date: ^ �00, Project Name: ,. A Project No: 02-1109, Trilogy @ La Quinta - Shea Homes , Project Address: x t City: 1 r s 60-800 Triolgy Parkway `. ` La Quinta, CA 'Client: ` Sub -Contractor: Shea La Quinta, LLC , t DCCCC General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian L'agoni Boni & Associates, Inc./ Suncoast Post Tensi t' ®'Anchor Bolts Rebar " ❑✓ IBC ` �^+ "\ Title 24 " Type F Other. `—+ f Unresolved Items: Epoxy Shelf Life: 'n �� r��Q Hole Cleaning Method(s): (�\�� . ., " a ��' . �. r ..c�^� l \. \c� �i� " a Q°Non See Below Description of Work Inspected:+f I tt" " v.An �e0 f •. 'A •erw �7�7�1•\ !,A (1° n6� ,n a� �1 /�1.1 �\a. A� \tL'1a 1 T •..a\ Al n �,weC n�Ml iwi. \ ifl t??Q�t� .{ > `'� err/\ � I n' 1_'�'L .. i.•� � I l `-.t A>� nY r I+' tS` V \ �A._A �.' A Fl,�•i'!1 �i\ i'1.. /! Q N � C, \ .ri lin y t t ICl !a 1 •� 1 1 •t� \ �f� A a w.� t- • 'er 11. �f\ `-\. �L'•) ` .. '' j`L ' +} I t - t+i1 1 1 , ` A;t r �' i,.; : •;i, in \.-�•f \ . f�. • i''' #k 7N\• 'r". ni \ O(7nlf-, ,A '`'1 Y1 11 A ��C.-t�tli r•1, E�hJ_.i' L + " Vit` -( �' :.�• � 31� ;, �....,,'� A .(���' � t ,.�.`}� ,. � .. _ \� Y fir. . +?�` t , � '� �.' � r • -t r � • ' \\' k1�.i� " �i Q Y�,al A\ \. � _f � "� ` . ! • �• -*fit � • S,' ' - 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. Inspector: Jack C. Milli((n�� ICC Cert\if�ication ~No: ' 0842216-49 Contractor's Representative : Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency . Page of