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05-4805 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 05-00004805 81494 ULRICH-DR 764-270-999-103 7300234 - DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 237751 T4ht °F 4 Q" BUILDING & SAFETY DEPARTMENT WILDING PERMIT OOwner: ® SHEA LA QUINTA O JEFF MCQUEEN DETACHED ,/, ^ 8 TSDALE, AAZC85258 350 rchitect or Engineer: ` 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 theBusine, s and Profes, ion Is Code, and my License is in full force and effect. Licens sI B ice a No.: 672285 Date: ` tractor: 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 ($5001.: (_ 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 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. , BAP.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: LQPERMIT 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: 11/02/05 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 work or which this permit is issued, I shall not employ any person in any manner so s to becomest�lett to the workers' compensation laws of California, and agree that, if I should co a subjedt o the workers' compensation provisions of Section 300 of the or Cod.- A all rthwit cc - ose provisions. te: L)VppIicant: 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 ($100,0001. 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 rk for 180 days will subject permit to cancellation. I certify that I have read this application and state that the aboif mation is co rect. I ree to comply with all city and cou y ordinances a state laws relating to building c stru ion, and authon eresentatives of t ' c unt to enter the above-mentioned prope or spa. ti n purpo Date: ig at re (Applicant or Agent): ` Application Number . . . . . 05-00004805 LQPERMIT Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type .. . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 755.00 PATIO•SQ FTG 488.00 NUMBER OF UNITS 1.00 ------------------------------------------------ 1ST FLOOR SQUARE FOOTAGE -----=---------------------- 2679.00 Permit . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1122.50 Plan Check Fee .. 729.63 Issue Date Valuation 237751 Expiration Date 5/01/06 Qty Unit Charge Per, Extension BASE FEE 639.50 138.00 3.5000 ---------------.------------------------------------------------------------- THOU BLDG 100,001-500,000 .483..00 Permit MECHANICAL Additional desc . Permit Fee . . . . 99.50 'Plan Check Fee 6.00 Issue Date ..Valuation 0 .Expiration Date 5/01/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00- 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00. 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500K13TU 16.50 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 15.06 Plan Check Fee 3.77 Issue Date . . . . Valuation 0 Expiration Date 5/01/06 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT -Application Number . . . 05-00004805 Permit . ... . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 1.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY .04 1.00 .0200 -----------------------------------=---------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL .02 ` Permit . . PLUMBING Additional desc'. Permit Fee . . . . 177.00 Plan Check Fee 44.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/01/06 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 . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 01 Expiration Date .- 5/01/06 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------- ------------------------ Special Notes and Comments SFD.LOT 103 PLAN.6505B, 26.79 SF.INCLUDES 255 SF CASITA, 26 SF BOX BAY.@ MBR. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH.. --------=------------------------------------------------------------------- Other_ Fees . . . . . . . ART IN PUBLIC PLACES -RES - 94.37 DIF COMMUNITY CENTERS -RES "74.00 { DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 145.92 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 LQPERMIT ' .t Application Number . . . . . 05-00004805 -------------------------------------------------------.- Other Fees . . . . . . . ---------------- - STRONG MOTION (SMI) RES 23.77 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00- 666.00Fee Feesummary Charged Paid Credited Due , Permit Fee Total 1429.06 .00 .00 1429.06 Plan Check Total 783.65 .00 .00 783.65 Other Fee Total 3960.06 ..00 .00 .3960.06 .Grand Total 6172.77 .00 .00 6172.77 s LQPERMIT f APR'04,2006 11:08 BCI*TESTING,ril 000-000-00000 Page 12 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page I of a) CF -4K N(tivul Addre%s TRILOGY AT I,A QIIINTA- PHASE 1313 Builder Name 81494 Ulrich Drive, La Quinta CA Si•IEA I.10MES Iluiklu C:outucl I'cicPhnnc Plan Number Armando Ulloa 760-578-6819 6505 CASITA HERS Hater Telephorm Sample Group Numher William Henson, CCN# (:(:7.0(]4076 760-772-2954 N/A Conr liana Method (Prcwcri Hive) Climate/Amu 15 C criilying Signature / Dute Stunple House (Lal) Number r ) / Enter Tmal Fan Flow in CI:M• 3/24/2006 103 CASITA Firm IIEUS Pm,ider BCI TESTING CALCERTS Sveet Address City. Stutc-Lip 77-760 Country Club Drive, Suite 1 Palm Desert, CA 92211 Cn i" Io: BE; I1,I)E IIEJUS PROVIDER AND Lit' u.JnN(: uhrax'J•nlENT HERS RATER COMPLIANCE STATEMENT :Ihc howic %Vw;: Ell 7•cstcd ✓O Approved as purl ul'sample lc -,ling, fun was nul Intal As the I II(RS niter providing diagnostic testing and field vcriticttton, l certify that the house identdW on Thi3 tirrm ammpltes with the. diagnostic tested complitutce requirements as checktd ✓ on this 1i6mi. "rhe..1ruler must chuck and verify that the new• distnhntittn sy%lctn is fully tluclul marl volae:t falx: is uacd lxai,rc a CF•41Z may lx: rclQtxtxl on c%xT. Y lusted building. The MGRS rater muss not reka.e the CV -IR until a properly completed and signed CF -GR has been received Ihr the sample and tested buildings. 0 The installer Itas provided a copy of (.F4,R (installation Certificate) 0 Now Distribution system is filly ducted (i.e.. docs not use building cavities its plenums or plullurm relums in lien of duels). W New ,,ymeim, where cloth hacke(t, nthher adhcsivc duct tape is installed, mastic and draw hnnda aft•. 1I3ut It) combination willr clydlr bucked, rubl>Vr adhcsivc duct lupi: to seal 14.,; at duel connections. 0 MINI MIM RE011IREMENTS FOR AIX7 LEAKAGE RETYI"(TION COMPLIANCE ('1161,Dl•1 1'r911:cdl1rvrc /i)r/Irlrl err,/iCnrir„ r rwrrl ebago rsbr hfWitrg t /fair r/i.trrihrAiurr .+ysrrrrl� arr. available in I&ICf 1. I ppendir RC4.3. Duct Diagnostic Leakage Testing Results NIsW CONSTR(A."I'1ON: d Yes ❑ Nu Cason ✓. Sv.sic 1 I I ittet I'n!t.tlrivatitm •I a\t Resttll. ((.FM �ij1 2.5 Ila) I I{nler TC -.%1 l I.etknt;c How in CFM: 30 ? Fan Flow: Cale ilalcd (Nominal: Lei C:ot,lhtg ✓O Heading) or ✓❑ Measured Enter Tmal Fan Flow in CI:M• $UU ✓ i Yrrc� i1'i.utk„'c Pcimran ;c56% 1 100 x ((eine :11 )' (l•ine ct2) ] 3,75°/, EJPaar ❑Fail Measured Svstenl 2 Duct PrmsurfLation •east Residis ((.FM (0), 25 Pa) Valles 1 E.mer Tesled Leakage Flow in OW: Fan Flow: Calculated (Nominal: VO Cooling iC HU -3611A) 'of ✓❑ Wastrel 2 Enlet-Total I:a,r Flow rte Cl:M• to, ✓ 3 Pass if 1.eukage )'ercentage 5 h% 1 100 a 1' (I •Ine P l) / (1.rrlc d2) ❑Pahl Mil 0 'I'llERM(Iti•1 ATIC EXANNION VAI. F, ([-\V) Prvcrc/rrrr�.� j,rl+u/d vPrrliC•arrarr u1 •rht•rr,rt,�rrtrit: ra•veuraiu„ �ulvrs ort• available in R•1(.3/. An,�(•r,e/%e >v Yes Is n Crass d Yes ❑ Nu Act s. is provided for inspe tion. The prcmwdure . o hall WOSISI f vstatl �'Cii Cfdion that the 'fXV is installed on the system turd installation of Ihe specific equipment shall he verified. ✓. ® ❑ 0 11101 1:1(R AiR CONDITIONER /'r,)cv(/r(rry j)r veriflurrir,n are availahle ire 161C.A4.4pprra/is W. 1 Ell Yes ❑ No EIFU, vtndes of installed syslemx match the CF -1 R 2 0 Yes ❑ No For split systunt, indoor (;oil is ruutchel to outdoor coil ✓ 3 ❑ Yes 0 No Time Delay Reluy Verified (IL Required) ® d Yes to I and 2, and :l (N' Rtxptired) is a sc Pass Vail Resicltarliol Compliemew I hrme April 2005 Le APR°04,2006 11:07 BCI*TESTING,ril 000-000-00000 Page 11 Ck:KT11FICA'iE OF FIELD VERIFICATION & DIAGNOSTICTESTING. (Page i of 8) Project Address TRILOGY AT LA QU1NTA- PHASE 138 Builder Nmac 181494 Uitich Dilve, La Quinta, CA SHFA KNOF.S Builder C:nntircl 'I'cicphunc Plan Nunrtxr Armando Ulloa 760.578-6819 6505 f 11':RS Raw 'telephone Sample (411ttp Numlier William Henson, CCN# CC2004076 760-772-2954 N/A Cnttl ?Mance Methnd (lrrcccrt tivc) Climate /.one 15 Certifying ")icnature bale Sample Houst: (Lod) Numixi ����/�"� 1/2i)/2W6 103 Fitur HER") Provider BCI TESTING CALCERTS Street Address City-Niale-Vip 77-760 Country Club Drive, Suite I Palm Desert, CA 92211 Cu ism tu: B19r.DF. HF,RS PR0NIDER Ai\T) Bt']I.D]N(: D}.l :\RT1.iE r HERS RATER COMPLIANCE STATEMENT 'I'lie housr was: EI Tested ✓D Approved as t49rt OPsmtplc icsune.. hot wets 11011 11esled A.,� the 111.16 rater providing diagnostic Icsting and field verification, 1 cettil'y that the haus identified on this Ibmi complies with the diagnostic tested cunipliunce requirements us chcckal ✓ un this Ionil. the HERS ItiLel must check sad vti llV Mut the new distribufiun system is lully ducted and coneet tape +s used Uelbre a Cl1-4R nlny hr released nn every- rested buildine. The III -:RS niter must not iclvwx Iher C:F•4R ut til it pivp>;ily cant)'+icicd rend sigwxl (:F -GR has heel' received ti+r the saotple and Icsled huildings. 16 The installw has ptuvidcd it copy of CF •6R (1111stullation C ;I11ficale) ECJ New I)istnblttion systan is tilly ducted (i.e., docs not ttse building cavities as plenums or platform returns in lieu of ducts). E f Nc+s syatclils wheic cloth backed, nlbhcr adhesive (duct tape is installed, mantle and draw hands are used in combination with cloth hW, cked. rubber adhesive duct tupe to seal leaks tit duct cumtectiuus. Fd n•11N1V1t �AI R!'a?I dkM:nti':'S't:ti M'OK Ul'("1' 1.Iin1CA(:!i kliDllC'1'!ON ('UI1ll'LL•1NC:ii (;RLUI'I' Pruccchrres fclrfic•kl vcrifi u/iun uncl diagnustic: tcsRnK ufrlir (lis/nbidion •r),shlms ora arallahle' in RlC.11..IppeM&TRC'4J Duct Disanostic E.eukne Testing Results NF"'CONS1'klriTlON: E�1 Yes Measured ✓ System I Duet Prcxsuriralion'I'csl Results (C11M 025 1"u) I Enter'I'cstcd I.a'Ika a Flnw in (:I -*M' 46 Llan 111(+w Calculated (Nn+ltiital EJ (:online ✓p heating) of ✓❑ Merslued Eutur Tidal run FTuw in CFM: 1400 ✓ ✓ 3 Puss il'Lt lku a Pttcenttr e. S 6% 1 IW x J (Lice '+l (L.ine 7, 3,29% E311.m: ❑rail Measured Systctu 2 Duut 1'ta»u111L lhon'tcst Results (CFM (a) 25 Pa) values I Enter'restcd lzak= Flow tit ca -'M- 43 Fan Flow: Caleulxlcd (Nominal: 1d Ondiiig ✓❑ 1 Juathi ;) or ✓❑ Meaa'orexf P:nicr Tota) Fan Flow in CFM: 1400 ✓ ✓ .i Pass if Leakage Pcrecutage 5 6% 1 100 x I (Linc o 1) i (Linc 1;2)11 3.117% Wane 01ail El '1'IIERMOtii'A'1'1(' h:XnNSION V,,1l.,VE ('IlV) I+MCI:(hl/Ks fhr field +seri/7r,•urlru1l rrfille"ral.kin e: rr..r/ub&lrnj Valves nre uvadiAle Ur RACA1, /tppip lLI: R/.. Ycs is o pass E�1 Yes Aces-., is provided fur inspection. 't'he procedure shall consist of vi sual✓ wrilicatiun Ih;/l the •I.xv i. inst; JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 : Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 3112/06 Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 81-260 Avenue 62 La Quinta, CA 92274 Set ID Structure Age of Test Compression Strength JCM ID Locadon Date Cast Cylinder ID (days) (psi) Set A Phase 13B - Lot # 4103 Slab on Grade 12-9-05 273-643 Casita 2017 7 2018 28 2019 28 Page 1 of 1 Required psi: 4000 3180 4760 5060 CERTIFIED:\C" nspections supplies the service of compression strength test results only. Per ASTMC39 I_ 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: I Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: O✓ IBC 81-260 Avenue 62 La Quinta, CA Title 24 Client: Sub-Contractor: Shea La Quinta, LLC Sun Coast Tensioning Other: 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 Surinu Unresolved RAS: Jack Machine Calibration: Received Sheet from Sun Coast-Gage Pressure in. psi to Machine Load in kips S_qe,,�, psi to 33.04 kips/33,000 lbs None ❑ See Below Calibration Date: Machine # /12ZI, ( U 1,4_ 6, -(TZ Phasel.9, Lot# LA I Product 3 Plan Iln.S t)'S� �i "1� l.� �` i Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. L- 4k1��+ Yes No CIN I� `1r El Fie ❑ ❑ Lam' lil� El a ke EE� ❑ .. CY ❑ On G' ❑ G -V, 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 work to comply with the approved plans, specifications _applicable building laws. Final report issued at project completion. ICC Certification No:084�2/),16-89 t Inspector: Jack C.7eLl Conttraa/c'Jtor's/�Reeeppre`sentative: t^ 00�' _ I Y A__ 1 / ? Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ( of JCM Inspections 39725 Garand Lane Suite F JEY, Palm Desert, CA 92211 ER 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 ❑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): S, Op Supplier: Superior Time Sampled: , fir) r, Mix Design: D83625P Time in Mixer (min.): --fir--- Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): S Addmixture: POZZ 322N Concrete Temperature (F): —1-7 Truck #: L4-1 q Ticket #: O S ci^0 Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: © None ❑ see Below Location of Sample: cV, n G ('6 c . rn •, r t - ❑ No Samples Taken Description of Work Inspected: Phase1 Lot# 1 0 Product :Z Plan ,, lL4 �'^• osz- 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 noted on �17 ex,A nas �w1�• T1 ilti e� �n r� �r �5�`!�`�`n.) n 1 • 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. 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx ! 3 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 Certificati6-r Noi, 0842216-80 Contractor's Representative: Copy 1 JCM Inspections� Copy 2 Project Superintendent Copy 3 Governing Agency Page __L of 1 03/29/2006 11:28 FAX PARAGONPSCHIMID Ia002/007 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 81.494 ULRICH DRIVE, LOT 4103, PHASE 1313, LA QUINTA, CA CEILINGS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: BATTS MAUNFACTURER: Borate THICKNESS: W-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: PARAGON SCHMID BU ING PRODUCTS A MASCO Company LICENSE # 221517 BY: Y ,100 TITLE: ACCOUNT REPRESENTIVE DATE: v� D