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05-5454 (SFD)Tjht 4 ,P0., BOX 1504 - 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & S ETY, DEPARTMENT �� ILDI G PERMIT Application Number: i 05-00005454�j Property Address: 81319 ULRICH'DR APN: 764-270-999-52 -300234- Application description: DWELLING - SINGLE FAMILY DETACHE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 239845 / Applicant:1. Architect or Engineer: �S �orvs LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu*Hess and P ofessionaI Code, and my License is in full force and effect. Licen ass: 131 License No.: 672285 Dat tract L OWNER -BUILDER DECLARATION 1 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 ($500).: (_) 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 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 or her 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.). (_ 1 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.). ( 1 I am exempt under Sec. ; B.&P.C. for this reason 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: Lender's Address: Fk LQPEPNIl f VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/15/05 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. 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 insurance carrier and policy number are: ' Carrier AMERICAN HOME ' Policy Number 1247619 I certify that, in the performance of the wor or which this permit is issued, I shall not employ any person in any manner so as to become s ect to the workers' compensation laws of California, and agree that, if I sh uld come subj t o the workers' compensation provisions of Section 00 of the Labor s all rthw' comply with those provisions. Da scant: 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 . Each 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 that I have read this application and state that the above infor ation is correct. I agree to comply with all city and county ordinances and state laws relating to g constru ion, and herebyauthorize representatives of is ounty to en er upon he above-mentioned pr y or inspe n purposes. D e (Applicant or Ag Owner: SHEA LA QUINTA �i d0 C/O JEFF MCQUEEN Cp 43 V 8800 N GAINEY CENTER 350 CQ 8 AZ 85258 SCOTTSDALE, t. 0 vLL Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu*Hess and P ofessionaI Code, and my License is in full force and effect. Licen ass: 131 License No.: 672285 Dat tract L OWNER -BUILDER DECLARATION 1 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 ($500).: (_) 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 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 or her 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.). (_ 1 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.). ( 1 I am exempt under Sec. ; B.&P.C. for this reason 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: Lender's Address: Fk LQPEPNIl f VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/15/05 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. 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 insurance carrier and policy number are: ' Carrier AMERICAN HOME ' Policy Number 1247619 I certify that, in the performance of the wor or which this permit is issued, I shall not employ any person in any manner so as to become s ect to the workers' compensation laws of California, and agree that, if I sh uld come subj t o the workers' compensation provisions of Section 00 of the Labor s all rthw' comply with those provisions. Da scant: 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 . Each 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 that I have read this application and state that the above infor ation is correct. I agree to comply with all city and county ordinances and state laws relating to g constru ion, and herebyauthorize representatives of is ounty to en er upon he above-mentioned pr y or inspe n purposes. D e (Applicant or Ag Application Number . . . . . 05-00005454 Structure Information SFD PLAN 6420B W/CASITA, MBR&NOOKBOX BAY ----- Construction Type ., TYPE V - NON RATED Occupancy Type DWELLG/LODGING/CONG <=10 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 3..00 FIRE SPRINKLERS NO GARAGE SQ FTG 615.00 PATIO SQ FTG 323.00 NUMBER OF UNITS 1.00 --------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2781.00 ------------ Permit BUILDING PERMIT Additional desc '. Permit Fee 1129.50 Plan Check Fee 734.18 Issue Date Valuation . . . . 239845 Expiration.Date 6/i3/06 Qty Unit Charge Per Extension BASE FEE 639.50 140.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 490.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 83.50 Plan Check Fee 20.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/13/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 -------------------------------------- EA MECH EXHAUST HOOD : 6.50 . . . Additional desc . Permit Fee Issue Date . . . . Expiration Date . . Qty Unit Charge 2781.00 .0350 615.00 .0200 LQPERMIT ELEC-NEW RESIDENTIAL 124.64 Plan Check Fee ... Valuation . . . . 6/13/06 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY ELEC GARAGE OR NON-RESIDENTIAL 31.16 0 Extension 15.00 97.34 12..30 �.- Application Number . . . . . 05-00005454 ---------------------------------------------- ------------------------- Permit . . . PLUMBING Additional desc . Permit Fee . . . . 177.00 Plan Check Fee 44.25 Issue Date . . . . Valuation 0 Expiration Date 6/13/06 Qty Unit Charge Per Extension BASE FEE 15.00 .18.00 6.0000 EA PLB FIXTURE 108.00 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 9.0000 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 . Fee . . . 15.00 Plan Check Fee .00 _Permit Issue Date . . . . - Valuation_ 0 Expiration Date 6/13/06 Qty Unit Charge Per Extension BASE FEE 15.00. -------------------------------------------------------- --------------------- Special Notes and Comments SFD - Plan 6420C Lot 52 w/casita (255 sgft), Box Bay@ MBR (26 sgft) & Bay Q Nook(22 sqft), 2780 S.F. Permit - does not include block wall, pool or driveway approach. --------------------- _---- --------- 7 ----------------------------------------7 Other'Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 99.61 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 73.42 - 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 23.98 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited- Due LQPE"11T - .. =- Application Number . . . . . 05-00005454 --------------------------- Permit Fee Total 1529.64 -------------------- .00 .00 ---------- 1529'.64 Plan Check Total 830.47 .00 .00 830.47 Other Fee Total 3893.01 .00 .00 3893.01 Grand Total 6253.12 .00 .00 6253.12 LQPERMIT A 0 Page 1 of 1 CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTION'S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 5/24/06 Project: Trilogy @ La Quinta -.Shea Homes Project No: 02-1109 60-800 Trilogy Parkway t La Quinta, CA 92253 Set ID Structure Age of Test Compression Strength JCM ID Locadon Date.Cast Cylinder ID (days) (psi) Set A Phase 13C - Lot # 4052 Slab on Grade 2-9-06 Concrete 273-671 _ Den t G a1 VL r 2698 7 l Required psi: 4000 3500 2699 28 4950 2700 28 5020_ A 0 Page 1 of 1 CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 JCM Inspections 39725 Garand Lane Suite Fah go 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: 81-260 Avenue 62 La Quinta, CA ❑✓ IBC F-] Title 24 Other: 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): �C' Supplier: Superior Time Sampled: 3 Mix Design: D83625P Time in Mixer (min.): Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.):0 Addmixture: POZZ 322N Concrete Temperature (F): "� � Truck #: ,��Ticket #: Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: ®,None ❑See Below Location of Sample: ,��, (� r n ❑ No Samples Taken Description of Work Inspected: Phase C Lot# L a Plan & Ll -1 `()S�,rProduct 13 �A� 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 Fv A \\K : n 0 T vM ,:_v Or r`�rn ­ VN 6CAki \l)i nom# 0/ Ole— 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. n1/r. 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx of , 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 icaition% No: 0842216-80 (Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency j Page —L of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 LM INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date:a_ _C(o Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: �✓ IBC 81-260 Avenue 62 La Quinta, CA Title 24 Client: Sub -Contractor: Other: 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 Weather: Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons S Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips Unresolved Ams: 53o* Psi to 33.04 kips/33,000 lbs ® None ❑ See Below Calibration Date: Machine #3-7 r6 I 1-7 -0(a PhaseV2 GLot# y p S Product Plano O C Q 13\ CJ U ` ( \CA�A Qiz- Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. L) nS Yes No Go\ �c C , s'.\ ka_ a. ❑ Er Eln r ` `-�- 0' ❑ 1c 1 (f° r ❑ ® ❑ Rr ❑ -S Ate, 3 � ❑" ❑ 21 El LA s% El tom El i 0" ❑ CoS.G� \tQr� 3'1' 1 I ❑ 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: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of 1 JUN',02r2006 17:33 BCI*TESTINGrri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address Builder Name 81319 Ulrich Drive Shea Homes, Inc. HudderContact Te%phone Plan Number 6420 Casita HERS Rater Telephone Sample Gro umber/ Lot a (i applicable) _William Henson _ 602-625-1994 23108 052 Compliance Method Prsscri tive Climate Certifying Signature // / Date Certificate Number Firm: BC1 Testing Street Address: 77-760 Country Club Drive ste I 26, 2006 CC3-1798363690 HERS Provider;Ca[CERTS City/State/Zip:Palm Desert / CA / 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT ��' The house was Tested 'L Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic letting and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirenlents as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape Ir, used before a CF -4R may be released on every 19019d building. The HERS rater must not release the 1:7-4k until a properly completed and signed CF -6R ha& been received for the sample and tested buildings. 4%/ The Installer has provided a copy of the CF -611 (Installetien 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 bac:ked,.iubber• adhesive duct tape is installed, mastic and drawbaods are used in combination with cloth backed rubber adhesive duct tape to seal leaks at duct connecilonr.. 'MINIMUM REOUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System NEW CONSTRUCTION Duct Pressurization Test Results (CFM U 25 Pa) Measured Values 1 Enter Tented I Pakage Flow in CFM: 69 2 Fan Flow: Calculated (Nominal Cooling ' . Heating) or Measured Enter Total Fan Flow in CFM: 1400 3 Pass if Leakage Percentage <- 6°/ [ 100 x ( Line 1 / Line 2 )l: 4.930% Pass i : 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 Eilter Tented Ledkage flow in CFM: Final Teat 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 51 - (Only if Applicable) 7 Enter Tested Leakage Row in CFM to outside (only if Applicable) 8 Entiro New Duct System - Pass if Leakage Percentage •: 6%u ( 100 x ( Line S / Line 2 )J: i . PAcs 17. Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance; 9 Pass if Leakage Percentage •: 15% [ 100 x ( Line 5 / Line 2 )I: Pass Fail 10 Pass if Leakage to outside. Percentage <:= 10% [ 100 x ( Line 7 / Line 2 )J: F•-• Pass i .,, rail it Pace it I?akage Reduction Percentage >= 60% [ 100 x ( Line 6 /Line 4 and Vorificdtion by Smoke Test and Visual Inspectionrr--^�. Pas; „, Fail R12PasEsilSealing of all Accosslble Leaks and Verification by Smoke Test and Visual Inspection E. pa.^,s I..J Fail Pass if One of linea 99 through 912 pass I Pass ' fail Page 2 JUN',02,2006 17:33 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of 8) CF -4R Project Address Builder Name 82319 Ulrich Prive Shea Homes, Inc. Builder Contact Telephone Plan Number 6420 Casita HERS Rater JTelephone Sample Group Number/ Lot 4 (if applicable) William Henson----- _ 602-625-1994 23108 / 052 C:omoliance Method (Prescriotive) Climate Zone 15 Certifying Signature Firm: 80 Testing" Street Address: 77-760 Country Club Drive ste I Date Certificate Number !6;2006 CC3-1798363690 IiCRS Provider;Ca10ERTS City/State/Zip:Palm Desert / CA / 92211 Copies to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was :4'• Tested : :Approved as part of sample testing, but was not tested. As the HERS 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 HERS rater must check and verify that the new distribution systam I:; fully dui:lad end rorreGt tope is used before it CF -4R may be released on every tested building. the HERS ratrr must not release the CF 411 until a properly completed and signed CF -6R has been received for the sample and tested buildings. The installer has provided a copy of the CF -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). i/ 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 REOUIREt4ENTS FOR DUCT LEAKAGE REDUCTION COMPLIONCF CREDIT_ Now Svstem NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured values 1 Enter Tested Leakage Flow in CFM: 55 2 Fan Flow: Calculated (Nominal Cooling Heating) or Measured Lnter Iotal Fan Flow in CVM; 1200 3 Pas: if Leakage, Percentage <.- 6'%4 ( 100 x ( Lino 1 / Line 2 )J: 4.58°/u �� 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 Sy,tem Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System (Line 4 Line 51 • (Only if Applicable) 7 Enter Tcstcd Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage <= 6`k [ 100 x ( Linc 5 / Line 2 )J; ! _.• Pass ;. ! Fad 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 it Leakage Percentage •: 15% 100 x Line 5 / Line 2 9 9 l ( )I� r- ....Pas.; Fail 10 Pass if Leakage to Outside Percentage <- 10% [ 100 x ( Line 7 / Line 2 )J: ; Pass fail 11 Pass If Leakage Reduction Percentage :>= 60%a ( 100 x ( Line 5 / Line 4 )J and Verification by Smoke Test and Visual Inspection r- r-+ Passrail 12 Pass if Sealing of all Acc:esslble Leaks and Verification by Smoke Test and Visual Inspection . F Pass I .: Fall Piisc if One of Lines 99 through #12 pass I • Pass I. ..i Fail Page 3 JUN'.02,2006 17:33 BCI*TESTING,ri1 000-000-00000 Page 4 CERTIFICATE OF IFIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address Builder Name 81319 Ulrich Drive Shea Homes, Inc. Builder Contact Telephone Plan Number 6420 Casita HERS Rater Telephone Sample Group Number/ Lot 0 (if applicable) William Henson 602-625-1984 23108/052 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature 9 /j) 1 Date Certificate Number May 26, 2006 CC3-1798363690 Firm: 1301 Testing HERS Provider.CalCERT$ Street Address: 77-760 Country Ciub Drive ste I City/State/Zip:Palm Desert / CA / 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was'.✓. Tested'. Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this farm. The HERS rater most check and verify that the new distribution system is fully ducted and correct tape is used before a CFAR may be released on every tested building. The HERS rater must not release the Cl -4k until a properly complete4 and signed CF -6R has been received for the sample and tested buildings, 1,% The inslallcr has provided d copy of the Cr -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. VMINIMUM REOUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New Svstem NEW CONSTRUCTION Duct Pressurization Test Results (CFM fgl 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: 27 2 Fan flow: Calculated (Nominal Cooling' Heating) or ..'Measured B00 Enter Total ran Flow in CfM; 3 Pass if Leakage Percentage •= 6% [ 100 x ( Line 1 / Line 2 )];3.38%u �!j 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 Teat 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 [Lin(- 4 - Linc 5] - (Only if Appli(able) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage <= 6"/o [ 100 x ( Line 5 / Line 2 )]; r 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% 1 100 x ( Line S / Line 2 )): _ Pass Fail 10 Pass if Leakage to Outside Percentage <= 10% 1100 x ( Line 7 / Line 2 )): i Pass i • Fail 11 Pass if Ledkage Reduction Percentage - 60% [ 100 x { Line 6 / Line 4 )) r — r-, Pass Fail and Verification by Smoke Test and Visual Inspection _ _ 12 1Fail Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ! ; Pass i Pass if One of Lines #9 through 1#12 pass Pass Fail JUN',02,2006 17:34 BCI*TESTING,ri1'. 000-000-00000 CERTIFICATE OF FIELD VERIFICATION &DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R ` Project Address Builder Namc 81319 Ulrich Drive y __•_-.••_....__.,.._... Shea Homes, Inc. Builder Contact 1Waphurra Pldn Number 6420 Casita HERS Rater S telephone Sample Group Number/ Lot 4 (if applicable) William Benson 602-625-1994 23109/052 Compliance Method (Prescriptive) % Climate Zone 15 Certifying signature p� ��-__, • Date Certificate Number, ___, May 26, 2006 CC3-1798363690 Firm: BCI Testing ITERS Provider:CalCERTS Street Address: 77-760, Country Club Drive ste I city/State/Zip: Palm Desert (CA / 92211 CopleS to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was W TestedApproved as part of sample testing, but was not tested. A; the HERS fater providing diagnostic testing and field verification. I certify that the house identified on this form complies with the dia nostic tested compliance requirements as checked on this form. The installer has provided a copy of the CF -6R (Installation Certificate). ...THERMOSTATIC EXPANSION VALVE (TXV): Main System Access is provided for inspection. lite procedure shall consist of visual veritication that the TXV is installed on the: system and installation of the specific equipment shall be verified. Main System HVAC System TXV V Pass Fail . s Page 5 JUN,0.2,2006 17:34 BCI*TESTING,ri1 000=000-00000 Page'6 CERTIFICATE OF FIELD VERIFICATION B< DIAGNOSTIC TESTING (Page 3-4 of 8)' ' V " Clr-411 Project Address Rul,rler Nance 81319 Ulrich Drive Shea Homes, Inc. Builder Contac Telrr,hune Pldn Number 6420 Casita HERS Rater Telephone Sample Group Number/ cot a, (if applicable) William Henson_ 602-625-1994 23108 / 052 com liann Afethod PrEscrr t/ve Climate Zone 15 rertlfying signature ; / Date Certificate Number 'May 26, 2006.CC3-1798363690 Firm: BCl Testing 4a HERS Provider;Ca10ERTS Street Address: 77-760 Country Club Drive ste I City/State/Zip:Palm Desert / CA / 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was V�o Tested " Approved as part of sample testing, but was not tested. As the IMRS rater providing diagtt"aic 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. i �/ The installer has provided a copy of the CF -6R (trwtdlldLion Caitificdtr). - THERMOSTATIC EXPANSION VALVE TXV : New System Access Is provided for inspection. The procedure shall consist of visudl verification that the IXV is installed on the system dnd installation of the specific equipment shall be verified. New System HVAC System TXVI Pass Fail JUNA2,2006 17:34 BCI*TESTING,ri1 000-000-00000 Page 7 CERTIFICATE OF FIELD VERIFICATION 8; DIAGNOSTIC TESTING (Page 3-4 of 8VO Ilu CF -4R Project AddressGuilder Name 81319 Ulrich Drive Shea Homesr Inc. Builder Contac) Telephone Plan Number 6420 Casita HERS Rater Telephone. Sample Group Number/ Lot # (if applicable) William Henson _ 602-625-1994 23108 / 052 Com Nance Method (Prescriptive) ) Climate Zone 15 Certifying Signature Date Certificate Number May 26, 2006 CC3-1798363690 Firm: BCT Testing - HERS Provider:CaICERTS Street Address: 77.760 Country Club Drive ste I City/State/Zip:Palin Desert / CA / 92211 _ Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was V Tested I._._ Approved as part of sample testing, but was not tested. As the HLXS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the cl nostic tested compliance requirements as checked on this form. 3. The installer has provided a cu lire CF -611 (Installation Certificate). . HERMOSTATIC EXPANSION VALVE TXV : New System Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific, equipment shall be verified. New System HVAC System TXV :" pass I Fail 0 qW. 02,2006 17:34 BCI*TESTING,ril 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -411 Project Address Builder Name 81319 Ulrich Drive Shea Homes, Inc. Builder Contact Tclephanc Plan Number 6420 Casita HERS Rater Telephonc aample Group Number/ Lot 4 (if applicable) William Henson 602-525-1994 23108/052 Com to ce Method Prescrr ove Climate Zone 15 Certifying Signature / / Date Certificate Number firm: BCI Testing Street Address: 77.760 Country Club Drive ste I 26, 2006 CC3-1798363690 HERS Provider:CaICERTS City/State/Zip:Palm Desert / CA / 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was :J 'rested i Approved as part of sample testing, but was not tested. As the TIERS rater providing diagnostic testing and field verification, I certify that the house identified on OILS form complies witli the cl. nostic tested compliance requirements as checked on this form. The installer has provided a copy of the CF -611 (Installation Certificate). YHIGH EER AIR CONDITIONER: Main System Procedures for verification are available in RACM, Appendix RI. 1 FJ Pass !Fail EER values of installed systems match the Cr -1R z 6. Pass ^ Fall For split systems, indoor coil is matched to outdoor coil 3 I Pass II Fail Time Delay Relay Verified (If Required) Yes to I and Z; and 3 (If 11"uired) is a pa -4 Pass Fall WHIGH EER AIR CONDITIONER: New System Procedures fvr verification are available in RACM, Appendix Rf. 1 I-V Pass :. l Fail EER values of installed systems match the CF -1R z p,) SD 71 fall For split systems, indoor coil is matched to outdoor coil -i �. : p61 V1 Fail Time. nelay Relay VerlflP.d (if Required) Yes to 1 and 2; and 3 (If Required) is a passl ...., Pass ....: Fail 'HIGH EER AIR CONDITIONER: New System Procedures for verification are available in RACM, Appendix RI. 1 IYI Pass ! Fail EER values of installed systems match the CF-111- 2 F-1RZ Pass Fail For split systems, indoor coil is matched to outdoor coil r- 3 L• Pass E%OOJ Fall Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a pas4 M. Pass L. Fail Page 8 06VO812006 09:33 17603471841 PARGON SCHMID INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building at 81-319 ULRICH DR., LOT 4052, PHASE 13C, LA QUINTA, CA CEILINGS: TYPE: BLOW MANUFACTURER: Cocoon THICKNESS:, R-38 WALLS: TYPE: BATTS MAUNFACTURER: Borate THICKNESS: W-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: PAGE 06 I,�40 is 2 ac BORM - STRUCTURAL ENGINEERS STRUCTURAL JOB SITE OBSERVATION FINDINGS Project Name: -I- n� l .0���1 c-�' L ��� Project#: ,4`1 ,I A-0 Observer:�rJ LotBidg..# _ Plan Type: Elevation: C- C FoundationFloor" ramie Roof Framing 1-414 Foundation / AIG Framing /Foundation Option /Framing Option AB per detail per plan. ?;BAI. Provide nut & washer. tightened connection @ sill plate connection to foundation. HD and HD anchorage to foundation have not been installed as indicated on foundation plans. Refer to repair procedures from D. Provide concrete patching or repair procedures at damaged concrete for completion of slab or foundation application per plans. - --- - E. Framing C5) Provide shim, post or.solid blocking for bearing condition @ framing member. G. Provide sole plate connection to'frai ming below as called for in'shear wall schedule. H Provide beam, floor joist, roof truss or header as indicated on plans. I..:� .Provide (verify', complete) nailing and length of strap as indicated on plan: J" rovide A=35 connection (or H1 connector at roof level) with spacing per plan. Unable.to see, contactor to verify. L. Provide'blocking and/or straps per details 18/SD3 or 19/SD3. Provide; top plate splice at breaks in uppermost top plate with nails. or strap per detail per plan. N. O. Provide additional studs at trusses per detail and/or verify the.stud grade. P. Provide minimum 3X per shear wall schedule. Provide connection or shear transfer per detail per plan. R Provide (verify, nail) connector hardware/hanger. S. Provide completion of nailing of shear material to framing at boundaries and at adjacent panel edges as called for in shear wall schedule. OTProvide shear material (at ceiling lid) per plan as construction sequence allows. U._ .Install diagonal brace to top plate per plan detail 2/SD3 & WSW.. V. Provide bracing blocks with boundary nailing at the floor sheathing at 48 o.c. for parallel framed floor joists per detail 2/SD4. W. Provide blocked diaphram per plan.. �X--.� Provide truss hangers at truss to girder truss or at beam to truss connection as per manufacturer's specifications. Provide full depth blocking with boundary nailing per detail at drag line. Provide edge nailing at post with holdown, strapdown oof.ii the edge of shear wall. Field Superintendent (third copy): Date: Time: Framing Foreman (second copy): % Date: Time: Field Engineer __py : Date:. .� Time: — — -f- PAGE OF