05-4795 (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:
��05-00004795
-81518 ULRICH"DR
764-270-999-101 -300234-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
170639
•.'4���NINW
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
OTTSDALE, AZ 85258
Architect or Engineer-
h3o C on
�Lc �_-Zteyal
LICENSED CONTRACTOR'S DECLARATION
NOV 1 � 2005
CF�FiC�a�'NZ4
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) alss/:�B :4iw� L�incenseNo.: 672285
Dater L l 4` C 6' Contractor.
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 70001 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).:
1 _ 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 contractorsto 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
pntractor:
4A HOMES, INC.
1260 AVENUE 62
A QUINTA, CA 92253
760)777-6005
ic. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/07/05
-------------------------------------7----------
WORKER'S COMPENSATION DECLARATION -
I hereby affirm under penalty of perjury one of the following declarations:
1 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 for which this permit is issued, I shall not employ any
person in any manner so as to bek-,..�u
bject to the workers' compensation laws of California,
and agree that, if 1 shou becomes to the workers' compensation provisions of Section
3700 ofthe Labo shall f ith comply with those provisions.
Date: Applicant:
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 Ouinta, 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 issuanceof 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 inform ion is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin®Po stru n nd he
authorize representatives
of this c unty t enter upon the above-mentioned property ect n purpose .
Date11 ��� Signature (Applicant or Agent):
Application Number . . . . . 05-00004795
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
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'
888.0.0 Plan Check Fee
144.30
Issue Date . .
Valuation . . . .
170639
Expiration Date
5/06/06
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,.
5/06/06
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 Date
5/06/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1943.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
68.01
576.00 .0200
IELEC GARAGE OR NON-RESIDENTIAL
11.52
LQPERMIT
Application Number . . . . . 05-00004795
Permit - . . .
PLUMBING
Additional desc .
Permit Fee . . . .
152.25 Plan Check Fee
8.95
Issue•Date . .
Valuation . . . .
0
Expiration Date..
5/06/06
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
1.00 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
5/06/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 101, PLAN 4520B,
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
DIF 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
Application -Number
05-00004795
-----------------------------------------------------------------------------"
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
i
LQYERMIT
APR,04,2006 11:07 BCI*TESTING,ril 000-000-00000 Page 7
CERTIFICATE OF FIELD VE1UHCATION & DIAGNOSTICTESTING (Page 1 of 8) OAR
Project Address 1-HILOGY AT LA QUINTA- PHASE 13D
81518 Ulrich Drive, La Quinta, CA
Ihulder Name
SHEA I IOMLS
BuildrrContact 'I'cicphnnc
Armando Ulloa 760-5/8-8819
flan Numhcr
4520
if HIS hater Telephone
William Henson. CC:N# ( (2004076 760-772-2954
Switple Group Number
N/A
(amt nliance Method (Preseri tive)
Climule Zone 15
C'.erlifying Signature IYItc.
lull /2006
Samf,(c 1lr,nu: (I a,t) Nutnix:r
101
Firm
BCI TESTING
I MRS Provider
CALCERTS
Street Address
77-760 Country Club Drive, Suite I
C11:" SIMM ZiI1
Palm Desert, CA 92211
Ctifilen to: BUILDEIZ, HERS PROVIDER a.VA BUILDING DEP_kRTNIVfF
HERS RATER COMPLIANCE S7•ATEMEN'11'
The house %%wi. El Tustcd ✓O Approved a -N pirl of-saniptc testing. boll wall, loot tcsied
As the I IF.RS rater providing diagnostic testing and field verification, 1 certify that the house identified an this Norm complies with
the diagmisfic tested compliuuuu ,c,luirwitunts as chcckud ✓ on this Baro. lliu 111:16 ndcr must chuck mid verify that file num
chsfribufiun syslwn is Belly ductal uud curreet Itgw is tisccl luainic: a CF -41t finny Ix: rolommod 1n1 cvice.y festal I1ud111rit. 'clic HfiRS
rater must and rcict-.L the CF -IR until a properly umipleted and signal CF -Got has been rweived tilr the vcumple :find tcNtul bulhlnly,N.
0 The installer has provided a copv nf'CF-Got (Installation Certificate)
0 New Distribution system is fully ducted (i.r•., does not use building cavities as plenums or platform returns in lieu ofAllms).
® New sy'sienns where cloth bucked, rubl,er adhesive dim islie i% inNIA61, ma%lie Unci 1I1LW IxImcIN AR: uN1x1 ill
anubntafit'll ,vilh uloflt backed, uibbei adhesive duct lung: to scul leaks at duel cenmcctions.
11IIN111SGM RF.OI'iRF.iVIF,\TS FOR Ditt'T T,F•AKACF. RHDI'C.TION ("OiNP1.LaNC'1 CREDIT
Proce•dure•s forfie tel veriftcrr/ion cerid dhiynos ie to vinr ofe it disirihulion .ryes/esu mvt mvtilabh? in Ralf '1l.. ippi!/tdll'!t('1.3
Duct Diagnostic Leakage Testing Result%
NEW CONSTRII(TION!
9 Yes
❑ No
AcuSY is provided t„r instraaion. The pr,lalluil rhall u111N l l,l'viraml
wrtlicaTton That the TXV is instulled un the system and installation n(
the specific equipment shall Ix vcri fieri.
✓ ✓
� O
1 ,
Measured
System I
Dut Pressurization fest Results (CPM (a) 25 Pa)
1
1:wcr Tcstcd I.c:aka c }low in CFM:
65
7.
Fall Flux. Caltalblutl (Nmllillal iJ (:lulling ✓O Heading) or
✓0 Measurod
Fillcr''ilial I;
APR,04,2006 11:07 BCI*TESTING,ril 000-000-00000 Page 8
CIrRTIFICATF OF FICLO VERIFICATION & DIAGNOSTIC TFSTINC, (Page I of 8) C'I1'AN
Project Address TRILOGY AT LA QUINTA- PHASE 13B
r3uildcrName
81518 Ulrich Drive, I a Quinta, CA
SHFA HOMFS
Budder Contact 'Telephone
Plan Number
Armando l)Iloa 760-578-6819
4520 CASITA
I II'At; ItaIGr Tclopill lle
Sample: Cirnup Ntltidxa.
William Henson, CCN# CC2004076 760.7722954
N/A
Compliance Method (Proscriptive)
Climate 7.one 1.5
Ccf14in9 SiKtlulurc/ Ihte
SanlPle l louse (l Alt) Nuntlx r
3129/20)6
101 CAS ITA
44d�
Fum
111:11% Provider
BCl TESTING
CALCERTS
Street Add%%
city, statc,"Aip .
77-760 Country Club Drive, Suito I
Palm Desert, CA 92211
('tt 'r%tet: III:11MI:K IIh:RN PROVIDER ANI) 111:11MI:N(:I VT%R'I NlVNT
HERS RATER COMPLIANCE STATEMENT
'Pile holtse was: 0 Tested ✓❑ Approved as part of sample testing, but was not tested
As The MRS stet ycuvidiug diagnostic lesliug turd field vu'i[ictltioll. I codify thtit Ilse IWIISe itk:uldicd oiu this kwu complies with
the diagnostic tested compliance requirement% as checked ✓, nn this tilrm. The I WKS rater const check and verity that the new
distribution system is fully ducted and correct tape is used hclioro a CF4R may he released on every tested building. The IIRRS
tatty must wit release the CF -4R until a luolmly completed and signed (:F -(,R has biom tt eiVCd R)l lino s anplc and tc,tt:d buildings.
® 11tc instullct hos pnwidud it copy ol'CF6R (lushilluliun Certidicutc)
81 Now Ursirlbill len sysicnl is Billy ducted (i.e., does not nso hudd(ng covitic& as plonunls or platdiirtn returns in lieu ui'ducts).
hJ
Net-.- systems when. chill backed. rubtwr adheslvv duk:t tape is inxtalled, nutslie and dente% hands tyre used in
combination with cloth hacked, ruhher adhcsiYc duel tape to seal leaks at duel connections.
Fri MINIM1'h1 lth:Ql'lRFPv11':NTS FOR 1)IVU I.Fn1CAGF 12EDU(:1'10N 61IN114JAN(T (:REPI1'
11rnro•dures filr/icld vrriFrnlinrr rmd dingnnstir resting n)'air disrrfhurion .ct.cnmas not erl'nilrthla in K:I('Ai, :Ippeutriix RCI i.
Due[ Diagnostic 1,enkuLre Testing Results
NEW CONSTRUCr10N:
O No
Acus is provided lirr inspuclimi. The procedure Shull consist of visual
verification that the T'X V is installed on the system and inxinlhllinrl of
the specific equipment Shull be verilied.
MCAAIIrc
dl ❑
Syslt:tn I
Nut Pressari.alimi 'rest Rcstits (CFM (r� 25 Pa)
I
RnIer Tested Lcukage Flow in CFM:
27
7
Fan Flnly Calcuedlat(Nnimnal• ill Cnnlulg -1,0 11cating) nr V,0 Measured
t•:nter Total Fall I'low at ON:
8oU
✓ ✓
1
page tt' l .Caka _e I'rru ntaHe 5 6% 1 11.H) x L Lute it 1 •' (Line. 42
3,38%
EIPa5s Mail
Mutisnted
System 2
noel r ressurizalion Test Results (CFM (ti> 2.5 IN)
Values
I
Enter Tatted l eA—age Fluor in CFM:
Fon Flow (adcaL•ded (Numinal: ✓❑ Cooling ✓❑ Heating) or ✓❑ Mtasurod
2
limos 1'111:d F;m I•lmv in (:PM:
✓ ✓
i
Pass tf LC1k8gC I'c1Y.enTagc G°!o 11110 .xl (Line N 1) % (Line 112)11
❑l'as; ❑Fail
0 '1'!lE12AdU5I'n'I'1(: F;Xn�S[(m VALVE ( XV)
Prucrcluresforfiehl verification of rlte:rmosratic expansive valves are avialahlr. in R iCA4, Apperuit.t RI
Yes is a puss ® Yes
O No
Acus is provided lirr inspuclimi. The procedure Shull consist of visual
verification that the T'X V is installed on the system and inxinlhllinrl of
the specific equipment Shull be verilied.
✓ ✓
dl ❑
,.... Fail
® 111(:11EER Alit CONDI"Fi 'it
Pr(xvchervs for verification oro available- in /td('1l, : dppend& Ido.
I EI Yt,'s ❑ No PER Yaulas of installed systems match the CF -I It
2 13 Yes ❑ No ror split syNtcnl, ind001• coil iN nl:uuhcd hr 011011A)f c41il
3 ❑ Yet IBJ No Tinto Dela • Relay Vcciliut (II'14%rlitetl) 1� ❑
Ycc to .I and 2: ttnd 3 1t Ret sit(,d) is u puss pass Foil
Rexi,lonlial Cntnpliprlre. Yopwis :lAril .700.5
JCM Inspections
39725 Garand Lane Suite F
�—DEPalm 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 # 4101 Slab on Grade. 12-7-05 Concrete
273-641 Kitchen Required psi: 4000
1953 7 3870
1954 28 5800
1955 28 5940
CERTIFIED:'
Inspections supplies the service
of compression strength test results only.
Per ASTMC39
f
Page 1 of 1
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
PRESTRESSED CONCRETE INSPECTION REPORT
Date: .,, I y ��-
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: Structural Engineer:
Shea Homes for Active Adults Bassenian Lagoni 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 # 1-1:4.1 L4 )
Phase Lot# Product JPlanL4 !g4() ISI u , i r)„ (),�-
Weather:
ta,nntl
Unresolved Items:
-1 None
❑ See Below
Description of Work Inspected: Actual Elongation (in)
Specified Complies within 7% +/- of specified elongation.
Lot # Location Tendons Elongation (in) Reference 11 h/SN2.
Yes
No
LJ
LJ
a r��'�_A- R es eio r,-,
Q 31q
el
❑
taln :�.r s Q�.r'.?1`� Qr.,r.tn W 1 � r�rn„a -Si ��_-
t3'�
1 �
Lf
❑
a_. , . S ;rip J
-�- 3
l u 1
®'
❑
VV
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
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 Rep/rees�entative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page I of
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 I N S P E C T I O N S
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): .`7 Supplier: Superior
Time Sampled: ' `, �� n� Mix Design: D83625P
Time in Mixer (min.): S S Specified Strength (PSI): 4000
Water Added @ Jobsite (gals.): �Addmixture: POZZ 322N
Concrete Temperature (F): '-) Truck #: �C� Ticket #: f (�
Ambient Air Temperature (F): --� Field ID Marking: Set A - 4 cylinders
Weather:
Unresolved Items:
�(. None
❑ See Below
Location of Sample:
E] No Samples Taken
Description of Work Inspected: PhaseLot# L4 10 1 Product Plan
�p
r 1 / I
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 �`� ` K„} . T,� �� , L)
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 a
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.
R- n.
1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx Verified correct mix design.
I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications _applicable building laws. Final report issued at project completion.
Inspector: Jack C. Millin( ICC Certification No: 0842216-80
Contractor's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of
03/24/2006 10:45 FAX PARAGONPSCHIMID fa013/013
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
81.518 ULRICH DRIVE, LOT 4101, PHASE 13B, LA QUINTA, CA
CEILINGS:
TYPE: BLOW MANUFACTURER: Certainteed 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: ! i`'