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05-4872 (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: 05-00004872 81523 ULRICH-DR 764-270-999-63 -300234- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 149689 itect or BUILDING& SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section0001 of vision 3 of the Busin ss and Professionals Code, and my License is in full force and effect. Lice se a s B'License No.: 672285 Date ontractor: 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 ($500).: (_ 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.). ' (_) 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 Date: 11/02/05 Owner: SHEA LA QUI NTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: SHEA HOMES,,INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 . Lic. No.: 672285 ------------------ 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. X 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 Numbqt 1247619 I certify that, in the perfornfance of the work fo which this permit is issued, I shall not employ any person in any manners to ecome sub' t to the workers' compensation laws of California, and agree that, i . I shoyjd�bece subje t the workers' compensation provisions of Section r 3700 of th abor G e, shall orth h ryplyrajM 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 perm' , or cessation of work for 180 days will subject permit to cancellation. I certify that. I have read this application and t th ab ?iii is correct. I agree to comply with all city and c unty ordinances a ate law elan g uil in construction, and hereby authorize representatives of thi Went enter the above- ention pro ori ion purpose��ate: /re IAp licant Agent): ' Application Number . . . . 05-00004872 Permit BUILDING PERMIT Additional desc . Permit Fee 814.50 Plan Check Fee 529.43 Issue Date Valuation 149689 Expiration Date 5/01/06 Qty Unit Charge Per Extension BASE FEE 639.50 50.00 ---------------- 3.5000 ----------------------------------------------------------- THOU BLDG 100,001-500,00.0 175.00 Permit MECHANICAL Additional. desc . Permit Fee . . 90.00 Plan Check Fee .22.50 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 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 . . . . 83.40 P1an'Check Fee 20.85 Issue Date Valuation 0 . Expiration Date 5/01/06 Qty Unit Charge Per Extension BASE FEE 15.00. - 1636.00 .0350 ELEC NEW. RES - 1 OR 2 FAMILY 57.26 557.00 ---------------------- .0200 ------------------------------------------------------ ELEC GARAGE OR NON-RESIDENTIAL 11:14 Permit PLUMBING Additional desc . Permit Fee 146.25 Plan Check Fee 36.56 Issue Date . . . . Valuation 0 Expiration Date 5/01/06 Qty Unit Charge Per Extension BASE FEE •15.00 13.00 6.0000 EA PLB FIXTURE 78.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT LQPERMrr Application Number . . . . . 05-00004872 Permit . . . . . . PLUMBING. Qty Unit Charge Per Extension 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 5/01/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - Plan 4210C Lot 63, 1636 S.F. .w/Casita (255sf); MBR Box Bay (26sf), Ext Garage (83sf) & Ext Patio (177sf). Permit does not include block wall, pool or driveway approach. ---------------------7-7--------------------•-------------------------------- Other Fees . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES •74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 52.94 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 14.96 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION = RES 1666.00 Fee summary Charged Paid - Credited Due Permit Fee Total 1149.15 .00 .00 1149.15 Plan Check Total 609.34 .00 .00 609.34 Other Fee Total. 3783.90 .00 .00 3783.90 Grand Total 5542.39• .00 .00 5542.39 LQPERMrr APR 04,2006 11:08 BCI*TESTING,ril 000-000-00000 Page 16 CERTIFICA"FE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (PRge 1 of 8) Proicet Address TRILOGY AT LA QjlJNTA- PITASE 13H Builder Name 8 1523 Ulddh Ddvo, La Quini7, CA :8)HEA HOMES Buildcl Contact 'relephone Plan Number Armando Ulloa 760-578-6819 4210 111).RS Rater Tcicphuutr Szuupl,� (31oup Ntulalxl William I emon, C(.N# CC2004076 760 772-2954 N/A Cum 1liancc Mcthrld (Proscriptive) chillute Zolle 15 'Cordfying Signature Date Samplc Ilousc (Lot) Number r ' J 3/30/21106 63 Firm HERS Wuvidw 13CI TESTING CAI CFRTS Street Addles CiL1:k11HLc'%ip 77-760 Country Club Drive, Suits I Palm Desert, CA 92211 ('ee ies u); f1GILDI:K, EIb:KS I'R(1�'IDLK .aNU LIL ll1,nLN(: ul•:PAK'fn41:N'I' HERS RATER COMPLIANCE STATEMENT 'Ills hznN; N'111: 91 Tekh;d /❑ Approved as pall of sample testing, but was not tested As the I wRS rater providing diagnostic testing :rod field verification, I certify that the house idetltiffed on this thrin complleii wtlb the diagnostic tested cnlnhliancc Te(Inir(:rlI;'UIX ;n drool cd ✓' nil this f lmi. The HERS rater 11111St Check and vcriti, that the new diaril,utieirl mslcgl is fllily dueled and correct inim is used lx:li)rc a UF411 may be released on even' Lesled building. The HERS rater must not release the Cf 4R until zl pzopcdy compleTed and sigttm CF-6R lips been received six the sample and tested buitclinFs. ® the installer has provided a coPy orCF•bR (lnstzdlahe.111 ('elhticntr'.) El Nom 11)XII-IN111111) %\"iron IS f1111V d1IL'led (i.e., does M)t [ISO building caVnIQS 8S plen11n1S or platform reLarllS in lieu of duets). ® New Systeuls where cloth bacl,ed, rubber adhesive duct ta}x. is installed_ InwAk and iltmv buuds ula: used in cvr11h1 wion with ak)lh backed, rubber adhesive duct tape to seal lezuks aL duct connections. f9 MINIMUM REOUIREMENTS FOR DUICT LEAK WE REI)f.f('I'ION CONIP1,1r1N(:E (101)1'l 1'ruce(In�(:1./i,r /ie/rl verilir:ulir,,, will dhiglie).v111: faalirlp u/ urY distribu iu)) .vPsidwis art, twat al/)!c' i14 RACI41, Appe ml& RC4.3. Duct Diagnwfic Leaks )e TeoiFut, Re IUS NEW CONSl'RI;(.'l' ON: 'UISUFCC System I Duct Pressuriraltion '1'esi Results (CFM (i;). 25 Pa) I haler Tmicd Lexkagc I Intl ill (:I'M: S8 Fail Fltrw: (:111L•nlrlfLd (Nwninal: Ed 0)01111A ✓❑ Hwii.ing) or ✓'❑ Wasurcd 2 Enter Tatal Fan Flow in (:FM 1600 ✓ i III,,w% it T.e+eka>tc Pcrcentalrc 5 6% 1 lUU \ l (Line J I )1 (l.ine 92)11 3.63°/n I�l'u ❑mail Me a-wre d Svme 11 2 DUCI PressIII'I%11flon Test Result,.; (CFM 6? 25 Pa) vuhles 1 Hn1er Testuf Leakage Flan' in CFM: Fan Flow: Calculated (Nunuinal: ✓❑ Cooling ✓❑ hulling) or ✓© Mcalsurcd 2 Fnler Tolal Fan I lop in CPM: ✓ i I''ass if kcal as c 1''crccntage S 6% j 100 x ( (Line I) i (Line2)17 17t�a . ❑lead ® '1'111(RNION"I'ATIC f:XANSION VA1,Vf (-rxv) 1'r<)CPdrlrJa.c /ar fie•IrJ re�ri 4-iitls)►t r, t111trrrM)-srrT/►r' aptrlei'm ► ilve13 are rrw ilo6ht in It•if.*M. J e n(P..1.1J.. Yes is n I)rIs_s 14 Yes ❑ No Accss is provided for inspection. The procudurc shall consist of visual .6wilicarlon thnt the TXV Is installed nn the systcm and HIRVOlntinn of the slwcilk equipuHcnt shall Ix; .clilicJ ✓ ✓ Id 0 W HIGH EFI2 AIR CONDITIONER 1'mur(Irrre.v /ijr+vr•ire:r)11rr)r am elueodnhlo In 1001. 11)pru)diT 141 I El ye", 0 No FER \. UIC% 1118I1:I1 tI1C (. -I R 2 ki Yes ❑ No For s flit systcm. indrxor a:)il is Hnatchcd to outd(x11 u111 '/ 'i 3 ❑ Yes 0 No Tiule IMU) Relay Verified (11'R uired) 21 ❑ Yes to l and 2: and t (11' lea uirad) iv a jvltiti Pons Fpil Resuh-vilea1 1'brrns :IPril 2oO5 APR 04,2006 11:09 BCI*TESTING,ril 000-000-00000 Page 17 L'N;ft'I IFICATF OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) (. F-4R I'rnlccl Address TRILOGY AT LA QWNTA- PHASE 13B Buildui Nuuu 81523 Ulrich Drive, La Quinta, CA SHEA HOMES Huilder Conlact �— Telephone Mail N141111m. Armando Ulloa 760-578•-6819 4210 CASITA [ IHAS linter Tcicllhonc Simple a -mup Nundxx William Henson, C('N# CC2004076 760-772-2954 N/A Com Iiance Method Wrescritive) Clintulc llnlc 15 Curti fyingSignaturc lisle %ampleIlouse (I.nt)Nilniber 3/3t)/'1000 63 CASITA Firm iIF'RN Pvewkler BCI TESTING CALCERTS Struct Addtc„ laity Slate"r.ip 77-760 Country Club Drive, Suite I 1 Palm Desert, CA 92211 cuie.lo: BIll.r)FR IIFRSI'ROVnlN:R•1N'i1IIIrll.plNGDEPARTNIVNr HERS RATER COMPLIANCE STATEMENT Thr• 6441se kv:ra: i6'feslcti ✓O Approved n-, prl of mnplc testing, hul WAS riot t"'Wil As the I IhRS rater providing diagnuslic testing and field veriticaiiun, I curtifv that tlic humc iduditicd uu this loan cuniplics with the diuLrwstic tesled curupiiunce recluirruneuts us checked ✓ sit this form. 'Lllc 1•iL-'RS rater must chu:k and vcrit4• thlt the nov diriit'ibllt1011 system Is fully ducted and psrrcct mpo is used hefnre n ('F-IR may be released on every tested building. Thu I IF:KS rater must not relcasu Lhe Cr,-4R until a pWIlUdy comr,lUtcd turd siµnud CF-61Z lids bast Icl;6VUd Li,1 the sample Mid WNIl:d buildillp. 0 The installer has providu3 a copy of CF-Q (Installation Curtiliu tu) fil New Dishilruttou svStc111 is li.IIIN il000d (i.c.. does mot use I.milding car'ti s at. picmim& or platform ref u'qs in lieu of ducts). pf New sv.stems where cloth hacked, ruhbar adhesive duel [ape is installed, muslic and draw hands are tiwd in i:unlhrnahon with dot[l IxrcIzed. ruhhcr adhesive duct tales to seal leak, at duel connections. 0 MINIM:Nt RuVUIRl:N1l:XIS FORDU(7r LEAKAGE' REDU' ION (.'ONrrLIANCI? CRE'DH Pruc•eduresfurfrc+kl verification atiel diugnuaic• fesring of air distribithani ymicars (ire avaikible. irr XICA-1, appvnch.r RC'4. 3. Duct Diagnotic Leakage Testing Results NEW (`ONSTRIi(A"10N., Mcnsujcl SVSTCrtt 1 Duct Prcisurmitinll Tcm Results ((:FM n1. 7.5 Pa) I I'.Ilter tested L,eakate flow in CUM: 31 Z Iglu flow. (;:rlculntt�ll (Nrlrninnl 0 (.':r,nlillZ, ✓Q pasting) (IT VC3 MeaStlred Ia11Ca 'fola) Fall Flaw in (TM' 800 ✓ ✓ 3 Pass if I.cnkm ,c. 1'crccntapc. <_ 6% 1 100 s (Line # 1) i (I .inc ;12} .I RMMA Ol'ims ❑Pail M03\nr'lAl ,SvStcm 2 Duct I1ressurivatlon Tcst Rcstllti (CFIA (n; 25 MI) Valuv,; I Vilter ••I csi.e i.eakage Flow ill (:l'M: Pan Flow: Calculated (Nominal: ✓13 Cooling ✓❑ 1Tuatinp) or ✓❑ Mcmired 2 1•:111rl fatal Fall Flow ul CTM' ✓ 3 Va�� II` I.c Lk1RC I'cl'CClttayc S (,i16 1100 z I (Lint:;! 1) i (Liu,.; 12)i I ❑PaxV ❑Fail 0 '1'111,'It,%IOS'Fr\'il(' N:Xi%NSI N b'AI,VE ('I:\V) Prix-edm Nfifir,ireld vrrifrrxrrirr►e rf themirmialic: wjlvrr am avathihlr ere RAC.AI. Ap errcdrx Rl, Aa. K is provided for inspection. Be procedure shall consist ill* visuat ✓ ✓ Yeti i, a iv, Ef Y(ti ❑ No vel-dicaliva that fire I:XV is irlW:41W an 111V NYMcm i1nd in-tullidinn of lhn sixeilic etluipment shall he verified. Pa." NI IIIGIF NI -:It AIR C0N111'I'I0-NF.0 Prvvechsmy fur verrlicaleon ary if vmlubk, rn kW.A1, :lpperrilrx lit. L IJ 1 cS 0 No LLR yalilCS Ut installed systems iiiatGh the Cl'-L R 2 Ef Yips 13 Nil For split systun. iudrlrn• coil i, matched to nutdour coil v ✓ 3 El Yes [a No 1-ieric ucluv Relay Verified (11'RatuirW-) 0 0 Yes to 1 and 2. and 3 (If Rcuuired) is a imms hm% Fail Resic/cnliell Uumplierrecr 14n-nrs 11sri1:?I1lJ,S JCM Inspections 39725 Garand Lane Suite F LILM Palm Desert, CA 92211 :]Em INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 3/13/06 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 # 4063 Slab on Grade 12-19-05 Concrete 273-646 Kitchen Required psi: 4000 2113 7 3580 2114 28 5080 2115 28 5020 }} CERTIFIED: c . 1 JC9 Inspections supplies the service of compression strength test results only. PerASTMC39 Page 1 of 1 JCM Inspections 39725 Garand Lane Suite F lf� AM Palm Desert, CA 92211 _ INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: 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: 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 Tensl Weather: Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons u n 1,+A Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips Unresolved Item: Z None S I -I nn psi to 33.04 kips/33,000 Ibs ❑ See Below Calibration Date: Machine # );14 1,4 `�_ to - ci_r Phase �3.&,Lot# L4 p" Product J Plan y,?, I g 1Sz-,33 U i f CA U Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11h/SN2. Yee)sj� No sz 1 ❑ .y9- El 3 Y ®� ❑ � LGY ❑ ❑ ❑ 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.Certifjf5ation No:0842216-89 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent ' 'Copy 3 GovdrniW Agency Page _V__ of�_ JCM Inspections �]Lm 39725 Garand Lane Suite F Palm Desert, CA 92211 - L1_ LM IN S P L. 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 g 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): Supplier: Superior S h Time Sampled: h� Mix Design: D83625P Time in Mixer (min.): y Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): n1 Addmixture: POZZ 322N Concrete Temperature (F): -� 3 Truck #: Ticket #: c �rJ 9 - J_a— -= '7 � Ambient Air Temperature (F): 3 Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: ®None ❑ See Below Location of Sample: r ( k �_' ❑ No Samples Taken Description of Work Inspected: Phase} Lot#LA Product Plan .. y t 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 �4 , , •, , . L �k . �ti e) r n � r, ` . ( y1� Also, typical details 2, 3/SD-1 and Notes on SNA apply. Checked reba[ or 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 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: JackMillin ICC Certifica 'rid b: 0842216-80 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 03/29/2000 11:28 FAX PARAGOHPSCHIMIO IM003/007 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 61-523 ULRICH DRIVE, LOT 4063, PHASE 13B, LA QUINTA, CA CEILINGS: TYPE: BLOW MANUFACTURER: Certalnteed THICKNESS: R-38 WALLS: TYPE: BATTS MAUNFACTURER: Borate THICKNESS: W-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: PARAG N SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221617 t"3�' TITLE: ACCOUNT REPRESENTIVE DATE: �6 9