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05-4944 (SFD)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:. `__P5-00004944 Property Address: 81547 ULRICH DR APN: 764-270-999-65 -300234- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 148062 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 the Business and Professionals Code, and my License is in full force and effect. License1Class: License No.: 672285 Date: V Vl"LeW 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 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 (5500): (_) 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, 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: 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. 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 sa,2slo become subjeot)to the workers' compensation laws of California, and agree that, if I ho bec�me subject t e workers' compensation provisions of Section 3700 of the or e, f>�(I fort wi mply with those provisions. ate: pplicant: `e 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 (5100,000). 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 permi , or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this applicat n and state that the bov information is correct. I agree to comply with all city and county ordinances and a laws relating to u�ldi g c n, and hereby authorize representatives of this c my tolenter upon eabove-mentioned p?/e/rt or pec tion oses. te: I `� gnature (Applicant or Ag C((CCCeyi1✓ Application Number . . . . . 05-00004944 Permit . ... BUILDING PERMIT Additional desc . Permit Fee 811.00 Plan Check Fee 527.15 Issue Date Valuation . . . . 148062 Expiration Date 5/06/06 Qty Unit Charge Per Extension BASE FEE 639.50 49.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 .171.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 90.00 Plan Check Fee 22.50 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 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 . . . . 81.74 .Plan Check Fee 20.44 Issue Date . . . . Valuation . . . 0 Expiration Date 5/06/06 Qty. Unit Charge. Per Extension BASE FEE. 15.00 1636:00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 57.26 474.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.48 Permit PLUMBING Additional desc . Permit Fee . . . . 146.25 Plan Check Fee 36.56 Issue Date Valuation 0 Expiration Date 5/06/06. Qty Unit Charge Per 'Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 7 78.00 1.00 15.0000 EA PLB BUILDING.SEWER 15.00 LQPERNM LQPERMIT Application.Number . . . 05-00004944 - Permit . . . PLUMBING Qty Unit Charge Per Extension 1.00 7.5.000 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 65, Plan 4210B w/Casita (255sf), Box bay (26sf) & Patio Ext. (17-7sf). Permit does not include block wall, pool or driveway approach. ---------------------------------------------------------------=------------ Other Fees . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE• 52.72 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 14.80 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due Permit Fee Total 1143.99 .00 .00 1143.99 Plan Check Total 606.65 .00 .00 606.65. Other Fee Total .3783.52 .00 .00 3783.52 Grand Total 5534.16 .00 .00 ..5534.16 LQPERMIT APR.G4,2006 11:08 BCI*TESTING,ril 000-000-00000 Page 13 CERTIF'IC'ATE OF FIELD WRIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) t:l'-0lt Protect Address TRILOGY AT LA QUINTA- PHASE 13B BuildvrNumc B1!A 7 lunch i7rivP, La Quinta, CA SHEA HOMES Kudde Cuutrtct Tclephunc Plwl Nuniter Armando Ulloa 760-578-6819 4210 IiP.RSRater Touphonc SampleCn.mpNumber William Henson, C(:N# CC2004076 760-772-2954 N/A Compliance Method (I'rescri tive) Climate zone 15 Certifying Signature`/ Datc S:rrrrplc Holm, (Lot) N111116:1 ! -� [��J 3/30/2006 65 Firm iIERS I'rovidcr BCI TESTING CAI..C[,H I S S11ccl Arldlcss C'tty;slate:Zip 77-760 Country Club Drive, Suite I Palm Desert, CA 92211 Copies to: BVIi.DEN IIERS 1'Ro%,ii)M:R AND BUILDINC EI'.11t'I'NI Y1' HELLS RATER COMPLIANCE STATEMENT The. hoti.w. Nat;. Ell fisted ✓'O Approved as part or. ample testing, but was not Icstcd As the IiFRS rater providing diuguoslic testing wld liehl verification, i certify dial lltc huuxs idcntiliud (+u this Ibrin wulplics with the diagnostic tested compliance requirements us checked ✓ Uu this t6jiu. •lllc 11ERS otcf must chock and v'ertty that the nov distlilxrtioo sy:tcol Is filly ducted aqd correct talc is used I)cfnrc a (T -IR may he released on cvcry tasted building. The; III;RS rttur must not release the CF41Z until a properly cumplutcd and sig ;d CF 611 hug leen recoiled Iisr tin ;ample and tested building;. ® The inslalkr has provided a copy of CF-011(installation Ccrlilkatc) Nuw DI)tlibllti011 vystcnn IN lull. dueled 6.e.- doo nut use budding crrcltw, ns/)1011111115 ne phlttnnn ;euros In heq of rhlcts) ® New systcros where cloth backed. rubber adhesive duct tape is installed, mnsliuund draw hands aro used in conlhaTatnn with cloth backed, nnhhcr adhesive duct tape to seal leaks at duct connections. EI MINIMUNI RE0111RI:MENTGS FOR DUT LEAK%GP; REDUCTION COMi'LIANC'E C'REDI'T I'n1(rdurr..c j rJirM vrri/irrrtinu and diagnortir ftwing f�fair rii.drihminn NI'VOtts aril enwilable in HAI 11. Appendix N('1 't Duct Dinunostic Lcukuix Tcslina Rc%ullc NYW CONS-FRUC1'ION; Ed Yes ❑ No AcLss is provided for inspection. The procedure shall consist of visual verilication that Ila •I•Xu is imtullcd on the s)st:rn and inshdlrttion n1 the sp eciiii; equipment shall be. verified. System I Duct 1'ressuriration Test Results (CFM !ii? 251'a) flim, , uasur vshicq I Enter Posted Leakage Flnvv in (:PM: 72 a Ilan Flow: C.Aci lated (Nominal: 0 Coolum• ✓❑ Ilcari ng or Enter Total P011 Plow in (;FM: ✓❑ M Isatrcxi 1604) ✓ ✓ [I00,,(L,Ina -1 ): (I.rtic 72) 4,50% ON- 13Fnil Ny,tem 2 ' Ihlcr I'ressurinrtinn •fest Results (CPM (in, 2.5 11a) Mr:.rsur'ui Values I Knlcr'fcsted Leakage Plow in (:FM: y 2 run Flow: Calculated (Numinul: VO Cooling ✓❑ heating) or Enter Total Pan Flow in CPM: V13Measured ✓ ✓ I Puss il'l eaku);c Pnrcenla);e 5 G°.G ( IU0 x i (Linc "t I.inc,'12)11 ❑Pare ❑Pail PrrK:arLrn�s,/r,r•�rtlrl vrrri/icutirur rrtlutrmr,.vtrrnc: rix ,,Duron vrdvr..c un- uvullublr- ur N,i('.A/. fl grrrrdir Rl.. Yes i.%;) pass Ed Yes ❑ No AcLss is provided for inspection. The procedure shall consist of visual verilication that Ila •I•Xu is imtullcd on the s)st:rn and inshdlrttion n1 the sp eciiii; equipment shall be. verified. ✓ ✓ e ❑ flim, , Ef HIGH EER_ IRCONDITIONER Prune r7urva %ur verigcaliun urn amilrrble in 11!1(-;1•!, Ap/midi r 111. I El Yes ❑ No LLR vuules of inulnlled syslenns match the Ch- I R 2 M Yes 0 N For s Tltl 1n(dralr unll 1's inatchcd t,11 kild, K)i C,nl ✓ ✓ 3 113 Yes 121 No 'limo: Iklay Rcluv Vcrifial (If Ru/yuirW) FJ ❑ Yu; w I wed 2; and 3 (1!' Rupuinad) is it pas:: Pass hail Re•sU,rrtied Conyiliunrr !'eines : l Aril 2005 APR,04,2006 11:08 BCI*TESTING,ril 000-000-00000 Page 14 CERTIFICATE OF FIELD VERIFICATION & DIACNOSTiC TESTING (Page 1 of 8) CF -4R Nr(kiect Address TRILOGY AT LA QUINTA- PHASE 13B Builder Name 81547 Ulrich flrivP, i..a Quinia, CA SHEA i- DMFS HuddcrContacl 'Telephone Nan NurnbLT Armando Ulloa 760-578-6819 4210 CASITA HERS Raler 'telephone Sample Group Number William Hcnson, CCN# (:(.2004076 760-772-2854 N/A Compliance Method (Prescriptive) Climate Zone 15 ('crtilViu Si nnlwc / Date S9n1ltic )lou-: (Isit) Nun,i)cr /j�) 3/3()/'2006 65CASITA Finu IiF.RS PnlYlder BCI TESTING CALCERTS Street Address City!Statc-vip 77-760 Country Club prive, Suite I Palm Desert, CA 92211 Copies to: BUILDEK HERS PROVIDER AND BUILDINC DEPARTMENT HERS RA"VE?R COMPLIANCE STATEMENT lllc haus; kraN: [d Tvnied ✓Q Appruvect as part rrtsamplc testing, but was not tested As the I11slts rater providing diugn(vti; testing and field veriftwtion, 1 ctrlifv that tilt house identified on this forni annplies with the diaguuslic W%lul as tile;(;(; ✓ till Illi:; 161-111.'lli; HERS talc( nnrst vlictih mid wrify that the net+• disirihution system Is !idly dueled and corm r rape is used hcri)ru a CF -U may be released on cvcry tested building. The H KRN inter inu.St lint rclw.w. IIIc. (.FIR nwil 71 pry)perly Colliplocd and ,igncd Ch -(.,I( has Ixcn icceived tix rile ,ample ,lnd tv-�tcd buildings. 0 The inslullei has provided is evpv ofCF-61Z (lnstallatinn Cerliliu le) M New Distrihntion sysicnt is redly ducted (i.e., docs not use building aivities as plcmuns lir platform rdurns in lieu of ducts) E6 New syslcnts where cloth bucked. rubbt r udhusive duct lupe is installed, mastic and dnity bands aro used ill combination with cloth tucked, rubber adhesive duct tape to sca) leaks at duct connections. 171 MINIMUM ttFQ1i111 MMF.Nfti V014 111:('1' IYAKAGE iUD1.1.71.10N CON1P11JANCK (:Rba)TI 11nicraturm Jnr,lield veriftruliun twtl ditif;th)sltc, iesling al'irir rltvinhulirnt .cystrnts are available. ut RACW. Appendix /V V 3 Duct Diagnostic Leakm rc Toting Resuks Nl-M CON5TRUCYlON: 0 Yew ❑ No j&-css is provided for inspeaiun. The procedure shall consist of visual vcriticatinn that the TXV is installal on Oic sytatcm and installation of Ill( Ni"ific cyuipuitait shall be verified. ✓ ✓ 0 0 ,.. . Ca..nrrw Svswni I Duct Pressurization Test Results (CPM (kb 25 Pa) 1 Entex Tc %wd I -,xAa ;v Ftrnv in (.:FM• 24 i Fan Flow: C:dculatul (Nomiriul: 0 C71illy <3Hwiting) nr ✓❑ Measure! `� l"111cr Trial Fan Flow in (:I M' 804l ✓ ✓ i P:INs if LurkaKe Pcrecniaµc 5 6% 1 1110 y I (hew N 1) (i.inc ')2)11 3.011% 011am ❑Fail mam-virt l Sysicnl '2 Dim Prox-mr1%illon Tc,41 Resells (CFM (h) 25 Per) Values I F.nler Tcslel Leakage Flaw in (;FM: Fan Flnw: Calculated (Nnminnl: /❑ Cooling /❑ Nesting) or ✓C] Mmsawcd 2 Filler Tulal Tan Flow in CPM: ✓ ✓ 3 Pass if Leakage Percentage S 6% ( I (H) s I (),inc 9 ) / (Linc tit) ❑t.>A OFaif 0Ttllif(MOKFATICEXANSII)NVALVE (CXV) Nrarr1tlurtec farfiehi verilirariotr njYhr►rnrzcnrrir. rexpan.vion valiVrc ary available iulL't(,A4 Apveadislil Yes is a Pass 0 Yew ❑ No j&-css is provided for inspeaiun. The procedure shall consist of visual vcriticatinn that the TXV is installal on Oic sytatcm and installation of Ill( Ni"ific cyuipuitait shall be verified. ✓ ✓ 0 0 ,.. . 1d HICH EER AM CONDITIONER l'rarredu)vs /i)r vrrif rano are tnu ilnhle in RA(I.I.Appeoldoy NI GNE Yes ❑ No F.F.R vatilcs ot'imtallui svNlcmN inalch the CF. I It 2 a Yes ❑ No Fvi split 8ys(uiu. Undue( evil is inut;h;d to uuidtx)r toil ✓ ✓ d Q Yu. 0 No Tunc Delay IWO%, Verified (if It uii0 0 ❑ Yrs Ar 1 and 2. anil'l (dl' Rulninsl) is it p rse . Pass fail Rvsirleruial (.7ompliunca Frtrnrt April 20115 CERTIFIED: jCM14spections supplies the service of compression strength test results only. Per ASTMC39 Page 1 of 1 JCM Inspections 39725 Garand Lane Suite F I 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 # 4065 Slab on Grade 12-14-05 Concrete 273$44 Master Bedroom Required psi: 4000 2073 7 '3070 2074 28 4560 2075 28 4530 CERTIFIED: jCM14spections supplies the service of compression strength test results only. Per ASTMC39 Page 1 of 1 INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: _ry.' Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: 81-260 Avenue 62 City: La Quinta, CA Q✓ IBC Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC Sun Coast Tensioning General Contractor: Shea Homes for Active Adults Architect: Structural Engineer: Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Size and Type of Tendons: Jack Machine Calibration: Calibration Date: Phase �3 $ Lot# u n (,, 1/2" Diameter Seven Strand Stress -Relieved Tendons Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips psi to 33.04 kips/33,000 lbs Machine # i.aQ I y 1-a— t _nr Product _I Plan ()jp, q,1!—, L1v7 kA k f C rj ti 0 Weather: Unresolved Items: ®,None ❑ See Below Description of Work Inspected: Lot # Location Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Tendons Elongation (in) Reference 11 h/SN2. LA- Yetis' No ,i �11� r� Q�r��l P.Q.Al., �V\\�1��t�J•�1RR. � � � LJ" ❑ I+ -i'�?^T a�S1 3� 3-2s . 't 5" ❑ Eg� ❑ EiJ� ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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 Certificatio . No: 0842216-89 VN Contractor's Representaive: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page —4— 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 ❑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 Time Sampled: 9: 3S r t Mix Design: D83625P Time in Mixer (min.): Z'S' Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): t7 Addmixture: POZZ 322N Concrete Temperature (F): Truck #:a B '] Ticket #: I (Qp9 Ambient Air Temperature (F): (orb Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: ©None ❑ See Below Location of Sample: S'.c1\71 0"I Vr" f c rtQ ❑ No Samples Taken Description of Work Inspected: Phase (3 Lot# y () (QS' Product Plan y a j p g SIGH"'? W cisG, R)c vs, ,-a- - os - 1) Received mill certifications for rebar and tendons placed. 2) Typical exterior Footings including Garage Footings/Door (I1,12,13/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 —A /V\ en 4. d� 0 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. la -I y - os 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. J 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 I i_ 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' ifo: 0842216-80 Q., Contractor's presentative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of 1 03/29/2006 11:28 FAX PARAGONPSCHIMID 004/007 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 81-547 ULRICH DRIVE, LOT 4065, 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 BUIL PING PRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE:''