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05-4794 (SFD)P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT - Application Number: 1,05--000-04794 Property Address: 81530 ULRICH DR APN: 764-270-999-100 -300234- Application description: DWELLING - SINGLE FAMILY DETACS�A Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 170639 17 Applicant: Architect or Engineer- V NO V I n 200 ------------------ 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 lass: License No.: 672285 te: 1 ntractor: rl 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, 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.). (_) 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: 1 't LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/07/05 Owner: SHEA LA QUINTA 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 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 mann so as to beco subject to the workers' compensation laws of California, and agree that, if 1 become ject to the workers' compensation provisions of Section t _ _ 3700 of the Lpb Pv I shall fo }twith 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 0100,000). 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. 1 certify that I have read this application and state that the above infArnnation is correct. I agree to comply with all city and county ordinances and state laws relating ing con u6tion, and hereby authorize representatives of ' c unity to enter up a above-mentione rppe for ins etion�ses. Date' K Signature (Applicant or Ag2yg / Application Number . . . . . 05-00004794 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 .577.20 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 17.63 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 23.63. Issue Date . . . . Valuation 0 Expiration Date 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 05-00004794 ---------------------------------------------------------------=---=-------- Permit . . . PLUMBING Additional desc Permit Fee . . . . 152.25 Plan Check Fee 35".81 Issue Date . . . . -Valuation 0 Expiration Date 5/01/06 Qty Unit Charge Per Extension BASE FEE 15.00 14..00 7. 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 5/01/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD _ LOT 100, 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 =-------- --------------------------- Other Fees . . . . . ---------------------------------------- . . ". . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 57.72 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 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid" Credited Due LQPERMIT Application Number . . . . 05-00004794 --------------------------- Permit Fee Total 1220.28 -------------------- .00 .00 ---------- 1220.28 _ Plan. Check Total 654.27 00 00 654.27 Other Fee Total 3770.78 .00 .00 3770..78 Grand Total 5645.33 .00 .00 5645.33 LQPERMIT APR 04,-,2006 11:06 BCI*TESTING,ril 000-000-00000 Page 5 CERTIFICATE OF FIELD VERIFICATION & DiAGNOSTIC TESTING (Page 1 of 8) CF -4R ProjectAddtess TRiLOCY AT LA QUiNTA- PHASE. 13B BuilderNmic 81530 Ulrich Drive, La Quinta, GA SHEA HOMES NuildcT C41111ad 'Telephone Plan Number Armando Ulloa 760-578-6819 4520 I II•;I(ti Rater .1'ciVplirl1lc tialnply Chump Nondnl William Henson CCN# CC2004076 760-772-2954 NIA Com liance Methal ( Prescriptive) Climate 7mic 15 Ccrliljing Signatarc Dale: Samplu l iouse (1.c11) Number .y/ J � J �+• -3/22/2 006 100 Pim ! [I .Rti I'r0vldor BCI TESTING CAI.CE.RTS i(rcct Addic.. City:statc(Y.ip 77-760 Country Club Drive, Suite t Palm Desert, CA 92211 Ci, hi 1« IIt ILDFR IIFR% PROVIDER AND BM1.111NC DIWARTMWN r ITERS RATER COMPLIANCE STATEMENT 'Ilia houk was (i?('I'csted ✓0 Approved aA part of %ample testing, but was not tested As the iIERS rater providing diagnostic Lusting and licld \uritic:atiou. I ccriilj' that the hour ideutilicd oil this luau complies with the dlllgttUSLIG tuslud GPulpliallue royilllcmCnts ns chocked ✓ on this thin) 'I3te III:RN rater must check and Verity that the new distrihiltion sy31 m IS hilly ducted and correct uipe is used before a CFA may he relcmd on every tested building. The ITERS latus- must not relcus the CF41Z until a pluimly coaglletcd and siguul C'F-61Z ills Ixeri icx yi\'cd lei thc,aunplc alid Idled boll'Imp d lllc imiallcl has pia\ idyd a wpy of F -61t (hwtulluliuu Ccutidiculu) 181 Now U14lydine0ll system is tiilh ducted (i.e.. docs 1101 use building cavities as plenums or plattorm returns in lieu of ducts). 0 Ne\, �"-Iwn% where Orth Nlk:bc1.l, Illhintl millusivi: 41110 I;qx: is inKt;lhv\t, ITIMSI1\: „llel 111:1\V IWI1111%:Ill: 11WO ill comhination with cloth hacked, rubber adhesive duct tape l0 sett leaks at duct connections. 0 rvIINi.\11:A1 REQUIRYMEN'IN FOR 111,("1' LEAKAGE IIEDli('HON COMPLIAN('F; ('REDI'I Pruceclures br field veritivatiun and diagnusliu lesting of air distribution systems are (imiki,ble in MCV, Appendix RC4.3. Duct Dia gnostic Leakage Testing Results N'R'N' CONSTRU TION: 0 Yes ❑ No ctisur ✓ ✓ System I Duct Pretisuriiztion Tc,,( Results (CFM (Tit 25 Pa ) 1 Enter Tested l.wkuge flow in CPM: 76 Fan How Calculated (Nominal: 0 Unoling ✓O Ilcalino.) or ✓13 Mc,•lsurod 2 I'-pter'TOtol Fan Flow in CFM: 1600 ✓ ✓ i [100 (Line h, l), (Luie h2)11 3.75% 141Pa1q 01'alt MMINUICAI System 1 DIV PTCSSll6X1llnn'I O51 Results (CFM (ii? 25 Pa) Vslues I F;nter tested Leakage I•low in CFM: Pun Plow: Culculatc0 (Numinul: ✓0 Cuoling ✓0 Heating) or ✓❑ MCXMITal 2 Enler'Towl Pan Flow in CIN: ✓ ✓ 3 Pass it Leukage Percentage S 6% J 100 s 1 (Line !! 1)! (Line 112)11 f]Paw ❑Pail 0 'ruh;xMuti Pn'I I(' I':xni�slu� v.Al.vr; (r��') Pnrce•duresf(n•f eitl verilicatiun of thertmstalir expa»sion vakes are, availahle in k4CA/, :I pj)mdtr RL. Yes is a pass 0 Yes ❑ No jAl:ct-.4 i:; provided tier imgw4ion. 'Flly pnxmdurc tihnll comiM of vimial vcriiicalion that lhe'FXV is installed on the syslcm and instailhuion all' the 5peci is equipment shall lx verified. ✓ ✓ 0 ❑ T 1l 111(:11 VTI? AIR CONDITIONER Prewednm.\ /i,r veri/iention un! aveahtill(t I M Yes q No ITR voiles of installed sslstems match the CF. 2 0 Yes 0 No Fur split system, iii(Inut coil 1. mildchcd Io outdoilr coil ✓ ✓ 3 ❑ Yes ® No Time MNY Rulay Widied (ll'Reyuiucd) D Ycc ro I and 7: and 3 (It*R(, aiTc:d) is it ploys Pans Fail Residential Compliance Pi -ails April 2005 APR 04,2006 11:06 BCI*TESTING,ril 000-000-00000 Page 6 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Pllge I of 8) CF4H Prnjoct Address 'TRILOGY AT LA QIIINTA- PHASE 13B Huilder Name 61530 Ulrich Drive, La Quinta, CA S1 ICA 110MES l'luilder Conutct Totephonc flan Numhcr Alrnando Ulloa 760-57F,-6819 4520 CASITA I lla(S I(alrr Telephone Sample Group Nun leer William Henson, CCN# CC2004076 160-I%2-2954 N/A (:nngdiuncc MoluA (Vrescri fivo Cliulule Zone 15 Certifying Signaturo , U:dc Sapyle. I(nusr. ((.,it) Nundwi 3/22/2006 100 CASITA Firm HITS, Pn»ider BCI TESTING CALCERTS Street Address C11y;SLI1wzip lPalm 77-760 Country Club Drive, Suite I Desert, CA 92211 Ca i,x t,,: III;]1,I)PA IIFRS PROVIDER AND 11171.DING DERAIGAIENT HERS RATER (,'OMPLIAN(:E S'1'A'I'EM'EN'f The huusc %kas: EI Tc;acd ✓❑ App,uvcd as Ikul ul N:auplc tcamg, but was oul leslud As the t II US rarer priding diagnostic testing and field verilication, 1 certify that the house identified nn this l6mi complies pith the. diagnostic tested compliance. n.c)niremenh aN chu:ktxl ✓ on this li,nn. The I IFRS talcr tuust dlcck and ectily Ihul 111c nca% dnhihuti,m sl'Nt�7n ,N filly dodul and curreet Ial,V is used helms a Cr4 k nuiv he reh-a-IL1 nn MAN WStLl building. 'fhe I if='RS rater must. nut rete tse the CF4R until a properh wnspleted and signed C:F4tR has been received for the sample and tested buildings. fid The iti mnller has provided it copv of CI --6R (Installation Certificate) ® New Distribution system is fully ducted (i.e.. dues nut use building cavities us plenums or platibrin relunts in lieu of ducts). Ed New s►,stems where cloth backuL rubber adhosive duct lupe is insudled, mastic and draw hands are used in annbinatiuu %•ills e141111 h:ecluxl, rubber odlteSiYe (hest t,,goe lu,,rail Ieaks al (lust wonesbOI1N. 9 MINIM IIM REOUIRFMENTS FOR DI ICT LEA KXCE RFDI`<T PION CONIPLIANCF: CREDIT Pr,ce(lures.r,r yard verirmrlinn anal &oAn,,.clic k•.rling a%air (1i-v1rihrrliun vvvt(:ncv urn+ <n-nilahlr- in 101'..',14, , lj,potdix 1([ 4.3. Duct Diagnostic Leakage Testing Results NEW CONSI'R11CTION: ACeti9oxi far insp,.s;tion. The procedure shall eon4ist ol'v,xual ✓ / Yes is a Fatas P1 Yes ❑ No]th.,pL.,r,,:"t.q vc[itiethe I'XV is ulst(dled un the sysletn surd installuliun of EI ❑ Mcawlre;e SYNIC111 1 I)uc1 Presvuriialiun fest ItesullN ((:FM (ul 2.5 Ma) I Enter I'cslcd I,e:gkagc [low in CPM: 22 2 I an Flow: Calculated (NnTnin l: Ef Cooling ✓❑ ilcaling) or ✓❑ Maysurod linter Tutal Fan Plow in ChM: 800 ✓ ✓ Pass Il Lvika 'e Percenla ge 5 6% 1 100 a I (Linc � I) ' ( Line i/2)1] 2,75% Ellam 01:ail Me:ssuseel SVwm 1. Duct 1'icssuinshun'I'cNt Results ((:)"M Iii; 7.i Pa) Values I F:ptcr'fesled Lu,kuke Fhnv m CFM. Fan Flow: Lalculatod (Nominal' ✓❑ Cooling ✓❑ Ilcating) or ✓❑ Moastlrod 2 Flitcr Total Fall Flow at C:PM: ✓ ✓ .I Pass if Leakage 11cre:niap S h% 1 I()),, I (I.inc YI )/ (I.inc?i2)jl il EI TIIFRNIOSTATIC F\AN%ION VALVE (1:CV) Procr(/uresJurf(ekl verficahuu u da:rinwhilic aryans(un v /swy are (mailable in RrlCj11, Apperrdir RL. ® 111GII FF:R AI It (:O!NDIIIONER Pp%v •dares fbr veriijicntion car mwi/ahle in lL ICAJ, Appendir /t1. 1 21 Yes ❑ No l iER vaulce of installed systems match the LF -I R 2 E1 Yes ❑ No Pur split system, indoor coil is inalched to ouldwr coil ✓ ✓ 3 ❑ Yes El No Time Ik:lav Rcluy Verified (If Rexluiwd) ® tD Ycs to 1 and 2; and :3 (1f l(c , uircd) i•s a Pass Pus:: Pail 11asi(lerdi(rl Conrpliunve ),(,rms April 21)05 ACeti9oxi far insp,.s;tion. The procedure shall eon4ist ol'v,xual ✓ / Yes is a Fatas P1 Yes ❑ No]th.,pL.,r,,:"t.q vc[itiethe I'XV is ulst(dled un the sysletn surd installuliun of EI ❑ ipmcnr shall he verified. ® 111GII FF:R AI It (:O!NDIIIONER Pp%v •dares fbr veriijicntion car mwi/ahle in lL ICAJ, Appendir /t1. 1 21 Yes ❑ No l iER vaulce of installed systems match the LF -I R 2 E1 Yes ❑ No Pur split system, indoor coil is inalched to ouldwr coil ✓ ✓ 3 ❑ Yes El No Time Ik:lav Rcluy Verified (If Rexluiwd) ® tD Ycs to 1 and 2; and :3 (1f l(c , uircd) i•s a Pass Pus:: Pail 11asi(lerdi(rl Conrpliunve ),(,rms April 21)05 0 CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 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 COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 3112106 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 # 4100 Slab on Grade 12-7-05 Concrete 273-640 Master Bath Required psi: 4000 1949 7 3420 1950 28 4890 1951 28 4980 CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 Page 1 of 1 'r JCM Inspections _LML A;n 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_I LI _Q� 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 c%Or) psi to 33.04 kips/33,000 lbs Calibration Date: Machine # I A;L I y ),:;i fb_ US Phase' 3 L Lot# LA I Utz Product Plan a 0 G SIS 1O u I( i Ct,, Q r ,* v Q.. - Weather: S�� Unresolved Ite s: ❑X 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. Lc gtoo Yes No L 1 `` y !� rye ^ \ a A ✓, i"\ C \l!, 0 .F\' AL. � �j . '4' ' + A I `l1 e LS ©.. ❑ b n k. �t�n � —3 3 � ©s ❑ Yf, �.1^ c O �f� �' I .�y ..y W 1 �1/ 5 D ,1 • �� r4.� � f rY� L_I ❑ — Q ter` r ❑ ❑ c r ln.n 4�.1`�lCirwA OPnSYS ��T ��,� S� ©r ❑ C1 S o. — ! tk C.-{ ! El0� ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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. A Inspector: Jac C. Millin ICC Certilf(c�at�io : N :0842216-89 .� t C., • 1 111. � Contra�ctor's�Rep/rse�ntative: NI— Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page t of JCM Inspections 39725 Garand Lane Suite F j=M==9 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 Supplier: Superior Time Sampled: O M Mix Design: D83625P Time in Mixer (min.): S b Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): �� Addmixture: POZZ 322N Concrete Temperature (F):.? ( Truck #: G q l- Ticket #: L4 �)C � Ambient Air Temperature (F): �^ Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: ©,None ❑ see Below Location of Sample: SI CV, Owl G -(14r__ I(`{�n �� �c Wn 1 t -t ❑ No Samples Taken Description of Work Inspected: Phase Lot# y pp Product Plan 1 1C__;0' CA nave. 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 R-7— 3 3a LA l' n rt, k. Y" � arta 1R_ n'A, i� C- 't 1 \!1i � r P7 " r Also, typical details 2, 3/SD-1 and Notes on SN -1 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 I-) 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. W — R- off' 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 (BICC Certification No: 0842216-80 Contractor'slAepresentat ive: ,zr Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of 03/24/2006 10`45 FAX PARAGONPSCHIMID Ia012/013 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 81-530 ULRICH DRIVE, LOT 4100, PHASE 136, 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: PARAG N SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 r BY: 'C.c c r.• <<n� TITLE: ACCOUNT REPRESENTIVE DATE:. C =