05-4804 (SFD)P.O. BOX 1504 .4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: L05-00004804- Owner:
Property Address: 81506 ULLRICH DR SHEA LA QUINTA
APN: 764-270-999-102 -300234-VIFINANCFE
/O JEFF MCQUEEN
Application description: DWELLING - SINGLE FAMILY DETACHED 800 N ' GAINEY CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES COTTSDALE, AZ 85258
Application valuation: 170639 c 20^5
NOVV �J Contractor:
Applicant: rchitect or Engineer:LA QUINTA $HEA HOMES, INC.
11/^� DEQ$ 81260 AVENUE 62
1-15 `�cLt PA is 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 Business and Professionals Code, and my License is in full force and effect.
License a s: _ 1 ► wLicense No.: 672285
Date �� ontractor: Y ,v • —
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 155001:
(_ 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. ha0 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
------------------
WORKER'S COMPENSATION DECLARATION
Date: 11/02/05
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
Xissued. '
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/wk forwhich this permit is issued, I shall not employ any
person in any manner so s to becoubject to the workers' compensation laws of California,
a d agree that, if I d ecomet to the workers' compensation provisions of Section
3 00 of the rP,Odnksha : orth comply, with those provisions.
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 inforrgation is correct. 1 agree to comply with all
city and co ordinances and ate laws relating to ijgg constru on -and hereby authorize representatives
of this unty to enter upo e above-mentione� or inspe io roses.
ate: Signature (Applicant or Ag nt
J
Application Number .
. . . 05-00004804
Structure Information
Construction Type . .
. . . TYPE V - NON. RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info ..
CODE EDITION 2001 CBC
FIRE SPRINKLERS NO
GARAGE SQ FTG
576.00
PATIO SQ FTG
177.00
NUMBER OF UNITS
1.00
---------------------------------------------
1ST FLOOR -SQUARE FOOTAGE
-------------------------------
1943.00
Permit . . .
BUILDING•PERMIT
Additional desc ..
.Permit Fee . . . .
888.00 Plan Check Fee
144.30
Issue Date'
Valuation . . . .
170639,
Expiration Date
5/01/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
71.00 3.5000
--------------------------------------------------'-=------------------------
THOU BLDG.100,001-500,000
248.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
70.50 Plan Check Fee
4.41
Issue Date . .
Valuation
0
Expiration Date
5/01/06
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
2.00 6.5000
EA MECH VENT FAN
13.00
1.00. 6.5000
-------------------------------------------------
EA MECH EXHAUST HOOD
---------------------------
6..50
Permit . . ..
ELEC-NEW RESIDENTIAL
Additional desc .
Permit"Fee . . . .
94.53 Plan Check Fee
5:.43
Issue Date
Valuation
0
Expiration Pate-
5/01/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1943.00 ..0350
ELEC NEW RES = 1 OR 2 FAMILY
68.01
576.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
11.52
LQPERMIT
Application'Number . . . . . 05-00004804
Permit . .
PLUMBING
Additional desc .
Permit Fee
152.25 P1an.Check Fee
.8.95
Issue Date
Valuation
0
Expiration.Date
5/01/06
Qty Unit Charge
Per
Extension
BASE FEE
.15.00
14.00 6.0000
EA PLB FIXTURE
84 .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
5.00 .7500
EA PLB GAS PIPE >=5
3.75
1.100 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
5/01/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00.
---------------------=-----------------------------------------
Special Notes and Comments
-------------
SFD - LOT 102, PLAN 4520C,
1943 SF/ 255
SF CASITA,BOX BAY Q MBR -26 SF 4' GARAGE
EXT - 88 SF.PERMIT DOES NOT INCLUDE
BLOCK WALLS,POOL, SPA
OR DRIVEWAY
APPROACH. 75% REDUCTION TO PLAN CHECK
FEES DUE TO MULTIPLE
ISSUANCE OF SAME
PLAN TYPE
----------------------------------.--------------------------=---------------
Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
74.00 .
D.IF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
14.43
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
17.06
DIF STREET MAINT FAC -RES
67.00
LQPERMIT
J
Application Number
. . . . .
05-00004804
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
.DIF TRANSPORTATION - RES
1666.00
Fee.summary
Charged
Paid
Credited
Due
Permit Fee Total
1220.28
.00
.00
1220.28
Plan Check Total
163.09
.00
.00
163.09
Other Fee Total.
3727.49
.00
.00
3727.49
Grand Total
5110.86
.00
.00
5110.86
J
APR 04,2006 11:07 BCI*TESTING,ril 000-000-00000 Page 9
CERTIFICATE OF FIELD Vl:lt FICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -41t
Project Address TRILOGY AT LA QiJINTA- PTiASF. 1313
Builder Nallle
B1506 Ulrich Drive, La Ouinta, CA
SHEA HOMES
Builder C ontu%A elcphotln
Plan Numb r
Armando Ulloa 76j0 -57a-6819
4520
HERS Rater 'telephone
Sample C;roup*Nurnbcr
William I lenson, CCN# CC2004076 760-772-2954
N/A
Compliance Method (Prescriptive)
Climate Xune 15
Cerlilying Signrthtn: ikota
S:u1tp1C 1 lonsc (I .w) Numl :r
j CEJ 3/29/2000
102
First
HERS Provider
BCI TESTING
CALCERTS
Street Address
City -'Stale -'Zip
77-760 Country Club Drive, Suite 1
Palm Desert, CA 92211
.Copie. to: BUILDIat, HERS PROVU)ER _1ND BUILDING DEPARTMENT
ITERS RATER COMPLIANCE STATEMENT
•111e house was: Tt l Totcd ✓ O Apptovcd as pati (if saml:*, testing. Uel %vas not tested
As the HERS niter prmiding diagnostic testing and licld verilicution. I eLdily thut the house identified on this limn complies with
1110 divynli+sl+c lcsted coolpliaocc rulaire[llctits as Checkej ✓ oil this linin+• Ilia HERS mtCl oltisl t:h4,vk and vk:1ify that flit: llew
distribution systcm is fulh• ducted and correct tape is used )xolilrea CPAR may be released on every tested building. The HERS
rder must nut Iv mica (lie C:FAR unlil :I i+rnloerh uompletod and signed CF -6R Ince k -un ret:eived line the sumple and tested buildings.
0 Thi: inshillcr has provided it coloy ()]'Cl -'-OR (Installation C:crfilicalo)
0 New• 11.rlydmtual S\ inert W fnll�• daoled (+ C . dour not Ilse huildill): vat•dus ak lilenup+s nr plattinrrl 1'c:lurlls ill lieu of duels 1.
® Ncw syslems where cloth backed rubber adhesive duct tope; is installed, mastic and draw hands are used in
conlbnlatlQll with cloth IXICked, i uliNt adhesive duct Wtv to soul Icuks tit duct cunueeliuns.
0 MININIUM REQUIREMENTS Ii OR DIVI' LEAi -kCF. REDIX-PION C'ONIPLIANCE CREDIT
Pose.t1urca; fi,rftedcl ve0ficalie,rl anal a/iul ruche testing of air elisirihtdion .iplemv an available in Kit CA /• Appendix radix H('d.3.
Duct Diagnostic Leakage Testing; Results
NEW CONS'CRl I('1'ION_
0 Yus
❑ No
&r. -u* iu pruvidcd fur intipmLion. The pr•ucuiure shall um:ti i of vovuul
verifieslion Thal the i X V is installed nn the system alld inMalhdiou of
flee specilic cyuipment shall be verified.
✓ V
0 ❑
easure
System I
Duct Pressurization') est Results (CPM (u) 25 Pa)
i
P.nter Tesled Leakaae Flow in CFM:
71
2
Pan How- Cale lntecl (NomimQ' 0 Coiling ✓❑ Huidiug) ur
✓❑ Mcasurul
Enter Totsl Fan Him In CM
1600
✓ ve
3
Passifi,eaka a1'titenfuue56% 100s
(Lint ,!l
!Linc llj11
4.449/o
OPam; ❑Fait
Measured
System 2
Duel Pres(turization Test Results (CFM (a) 25 I'a)
V:+lur_c
I
I'.nler Tested Leakage Flnw in CFM:
Van Flow: Calculalcd ( Nominal: /❑ Crn)linr,
"❑ 1leating) or
✓❑ Monsurud
2
I,mer'fotal 1'au Flow in ow:
✓ ✓
3
Pass ifLwkuge Perccntuge s 6% ( 100 x j
(IJ lie 41) i
(Line 42)J J
❑Pass ❑Fail
RI TIIEIthIOSTATIC EXANSION' VALVE (TXV)
Prrlt:c•durex forf (,It•1 verifrcaliort /J lhennaylaric expansion valvec,rnt (mirdable Ill IMM, Appendix X..
Yes is u lulss
0 Yus
❑ No
&r. -u* iu pruvidcd fur intipmLion. The pr•ucuiure shall um:ti i of vovuul
verifieslion Thal the i X V is installed nn the system alld inMalhdiou of
flee specilic cyuipment shall be verified.
✓ V
0 ❑
0 HiGH EFR AIR CONDITIONER .
pmeed"resfi,r veraier+/tai, ere uvmlahlu iu R4('1 f. Appvmlix l(1.
0 Yrs O No EER (•cotes ofiustullcd systtam nlulcll the CF-) R
2 0 Yes ❑ No Fnr Slit smocin. oldow Ctrl is undched to outdoor Buil ✓ ✓
.1 ❑ Yt:s 0 No 'Pint(: 1)e1n) RidAV Vlnilic.d (IfR clited) ® ❑
Yes Iu I and 2. Aird 3 (I(Rcyuircd) it a pass I'nrro Puil
Resiclrnlieil f'nlrtplia►rce Pixmy April 2005
APR 04,2006 11:07 BCI*TESTING,ril 000-000-00000
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC: TESTING (Page I of 8) C'F-4R
Protect Addrass 'TRILOGY AT LA QIUNTA- PHASE 13B
Builder Nnmc
81506 Ulrich Drive, La Quinta, CA
Si-iti+ riuitntS
Ihlildcr(:(lnlacl 'fclupllonc
PlanNuu►IAT
Armando Ulloa 760••578.6819
4520 CASITA
IMRS Ruler 'fcicphoac
Snmplc Droop Numbci
William Henson, CCN# CC2004076 760-772-2954
N/A
cold ]lune Method (Pruscl( ttivc.)
C11111ntc zotic 15
Ccrifvu►q Slt;naturc llalc
Sample 1 Louse (I,ot) Number
/ � J
r' 7 3/29/2(x)(,
102 CASITA
Finn
HE.ItS Provider
BCI TESTING
CALCERTS
street Address
City:'Slatc'Zip
77-760 Country Club Drive, Suite I
Palm Desert, CA 92211
(•u irs at: III:I1,U4at I IF.RS PROVIDFR ,%'M 11111,DING AF.PARTMFNT
HERS RATER COMPLIANCE STATEMENT
The house was: ® 'Tested ✓❑ Approved us part ul'salnple testing. but was not tested
A.s the lwl: S rawi providing diagnostic Icsling and field verification, I certify that the house identified on This titan complies Leith
the diagnostic tested compliance mquirements as checked ✓ nn this limn. The IIRRS rater must cheek and verify drat the new
distribution system is lolly ducted and a)rrect tape is used beibre a CZAR Duly be released on every tested building. Thu IILRS
rater must not release the C'r4R until a properly completed and signed CF -6R has been mxivcd for thu sumplt: and tested buildings.
0 The installer has provided a copy of C;F-6R (Installation Certificate)
0 New Distribution system is lull)' ducted (i.e., does not use building cavities us plenums or plullimn returns in lieu oT'ducts).
Nvw sy:teltls %Vlttittt vlulll br1r,L(:tl, t nbtxx ,ttlhaAMI duet I:tpe: is ins1111CA, mastic lull tlunV bunds rot: ltst:tl in
combination (vith cloth backed, rubber adhesive duct lupe to seal leaks at duct ccmncctions.
0 MINIMI:M REQI-IRENIEN• 'S FOR DUCT' LEAKAGE REDIVFION COMPLIANCE CREDl7
Prru.-rdures.lewiald veri/)rrainn and ditq,-m rlic lesfinm rif air rli.vlrihulion spefeme ars• inwilrrhlr. in RACt•l.: ippr.,allx ll('•J f
Duct Diu gnostic I,caka tc Tcstin t Results
NEW CONKIIIU TION:
121 Yes
❑ No
At:us;; Is lifc.widut) tin IIISP00ioll. I'llo PI'Awdultt -Alull (Rt11Sl;il el Visual
verification that the TXV in instalM on the system and installation of
t1w spixitit: equipment shall be Vel ilicd.
✓ ✓
[d 0
Pass Fail
casured
System 1
Uuct Prassurizntton Test Results (CFM (0125 1'n
I
liuter'1'esled leakage Flow in CFM:
32
2
fall I'low. Calculated (Nanlinul. 0 Ctxding VD lle(ltiug) of
+'D Measured
I:utul Tolid Ful 1•luty in CFM.
NO
� V
3
Puss if Leaku ge Percculu ;c 5 6% 100 Line "1 1) l
(Line 1)2)11
4.00%
1 EIPaw ❑Fail
tiyslem 2
IDUCL Pressurization Test Results (CFM(a 25 Pa)
vin-tnwat
Values
I
Enter Tested Leakage Plow in CFM:
);nt HOW (.111L'tllalt%f (Nnmiunl• ✓p ('t■,lint!, ✓0 1(caliog) ttr
✓CJ Measured
lintel Total Fun Iluw in CFM:
or
3
Pins if Lctlkage 1'clta:nt',Igc S 6% 1 100.N I (Linc .,1) i
(Line 02)11
❑I'ze ❑t+nil
0 T11FIiMOSTATIC EXANSION VAI.VF. (TSV)
I'mexchrrt (frtrfielel ve rifrrruic,n cJ drenrx,,eluric etpansian valwx are available in IGI<'A•/, AppentArRI..
Yes is a Pass
121 Yes
❑ No
At:us;; Is lifc.widut) tin IIISP00ioll. I'llo PI'Awdultt -Alull (Rt11Sl;il el Visual
verification that the TXV in instalM on the system and installation of
t1w spixitit: equipment shall be Vel ilicd.
✓ ✓
[d 0
Pass Fail
0 IIICIl x:IsK AIR CONDITIONER
Trnceduresfor verifrcalion are cnwiluhle in 1Z4CAf,, .4p/xndix R1.
1 0 Yes ❑ No EER vaulex of installed s%,stenns match the CF -1 R
2 0 Yes ❑ No For split syslcm, indoor u+il is malchul it) outdtxtr coil V
3 ❑ Yes 61 No Time Duluy Relay Vuriliud M'Rlxtuimd) 1z 13
Ycs lu { :uul 7. and i (If Rer lircll) is p vls¢ Pass trail
RiWilenda/ Cimipliotice F'nrrrrx April 2005
Page 10
CERTIFIED:
Page 1 of 1
JCN71-rnspections supplies the service
of compression strength test results only.
Per ASTMC39
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: 3/12/06
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 Location
Date Cast Cylinder ID (days)
(psi)
Set A Phase 13B - Lot #4102 .Slab on Grade
12-9-05
Concrete
273-642 Kitchen
Required psi: 4000
2013 7
3370
'
2014 28
' nAAr no
4750
Inn^
CERTIFIED:
Page 1 of 1
JCN71-rnspections supplies the service
of compression strength test results only.
Per ASTMC39
R
-- JCM Inspections
39725 Garand Lane Suite Fi�
I. Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
PRESTRESSED CONCRETE INSPECTION REPORT
Date:
Project Name:
Trilogy @ La Quinta - Shea Homes
Project No:
02-1109
Project Address: City:
-81-260 Avenue 62 La Quinta, CA
�✓ IBC
Title 24
Other:
Client: Sub -Contractor:
Shea La Quinta, .LLC Sun Coast Tensioning
General Contractor: Architect:
Shea Homes for Active Adults Bassenian Lagoni
Structural Engineer:
Borm & Associates, Inc./ Suncoast Post Tensi
Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons
Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips
psi to 33.04 kips/33,000 lbs
Calibration Date: Machine # /p, -
a I L1 /_a_ M�
Phase Lot# Ll I 0,-,t- Product Plan y50 G �� u c Q.. 0� i uA-
Weather:
Sunny
Unresolved -Re' s:
,[K] None
F-1 see Below
Description of Work Inspected:
Specified
Lot # Location Tendons Elongation (in)
Actual Elongation (in)
Complies within 7% +/- of specified elongation.
Reference 11 h/SN2.
LA N n
Yes
No
Jv �
0
❑
❑
SrO wn L\ 'V Ga rc%ovp
L\
5r _s Y. g4-1
I ✓1
❑
`►y
a
❑
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 this work to comply with the approved
plans, specifications applicable building laws. Final report issued at project completion.
Inspector., Jack C. Millin _ ICC Certificati6ia No: 0842216-89.
Contractor's Repprreesentative-
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT Dates: Noted Below
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:
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): S% a s- Supplier: Superior
Time Sampled: o Mix Design: D83625P
Time in Mixer (min.): f) Specified Strength (PSI): 4000
Water Added @ Jobsite (gals.): k) 0 el 0 Addmixture: POZZ 322N
Concrete Temperature (F): Truck #: !-� cam" Ticket #: ' ()�
Ambient Air Temperature (F): 67 Field ID Marking: Set A - 4 cylinders
Weather:
Unresolved Items:
� None
❑ See Below
Location of Sampler ��� �., G -C n Q 0 t1t r,
❑ No Samples Taken
Description of Work Inspected: Phase Lot# LJ n Product _J Plan
n
h1 q� k I k c ir��
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/SDA), Pad Footings and additional
placed as per these details and as noted on �'�--M3 3 a(� i n[r <<� Q, �'�,�. �_ �� ;. ,.� LI
�rebar
1S. �^n�,i .�.♦ ti. Qa lnX !"ana. W\ •�+)n l � \` 1, to \ �� �h C•A!/1�M � v
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 9 o
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.
l.I - os'
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 1 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: Jac C. Milli(n� ICC Ce rtffii\cation�N"o: 0842216-80
Conttrra`ctoes,Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of
03/24/2006 10:44 FAX PARAGONPSCHIMID IA 008/013
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
81-506 ULRICH DRIVE, LOT 4102, PHASE 13B, LA QUINTA,,CA
CEILINGS:
TYPE: BLOW MANUFACTURER: Certalnteed THICKNESS: R-38
WALLS:
TYPE: BATTS MANUFACTURER: BORATE THICKNESS: W-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
TITLE: ACCOUNT REPRESENTIVE DATE: