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05-3906 (SFD)l P.O. BOX 1504 - 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ^�__ e _ Date: 9/07/05 Application Number: �� OS -00_003906 Owner: y Property Address: 81665 ULRICH DR SHEA LA QUINTA APN: 764-270-999-73 -300234- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350 .Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 Application valuation: 210504 Contractor: Applicant: /Architect or Engineer: n SHEA HOMES, INC. e AVENUE 6 2 LA Q D ' LA QUINTA, CA 92253 (760)77 Lic. NO..:: 672 672285 oC(CT 14 2005 Wrya all 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 Class: B License No.: 672285 Date: 6ntractor: ��ia-��� 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(sl licensed pursuant to the Contractors' State License Law.). 1 _ 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 WORKER'S COMPENSATION DECLARATION 1 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. 411 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 Num r 1247619 _ I certify that, in the performance of the work f r hich this permit is issued, I shall not employ any person in any manner as to become su a to the workers' compensation laws of California, and agree that, if I sh u b me subject he workers' compensation provisions of Section 00 of the or C II forthwith sl with those provisions. ate:k I plican, 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 holdharmlessthe 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 cessati of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that a above informatio is orrect. I agree to comply with all city and county ordinances and state laws relating to b ' nstruction, hereby authorize representatives of this cou y to en er upon th ove-mentioned pr e y fo nspe io r of t) e: O azure (Applicant or Agent Application Number . . . . 05-00003906' Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1028.00 Plan Check Fee 668.20 Issue Date . . . . Valuation . . . . 210504 Expiration Date 3/06/06 Qty Unit";Charge Per Extension BASE FEE 639.50 111.00 ------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 --------------------------- 388.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . 77.00 Plan Check Fee 19.25 Issue Date . . . . Valuation 0 Expiration Date 3/06/06 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 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 .Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 110.66 Plan Check Fee 27.67 ,Issue Date . . . . Valuation . . . . 0 Expiration Date 3/06/06 " Qty. Unit Charge Per Extension BASE FEE 15.00 2460.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 86.10 478.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.56 Permit . . PLUMBING Additional desc . Permit Fee . . . . 165.00 Plan Check Fee 41.25 Issue Date . . . . Valuation . . . 0 Expiration Date 3/06/06 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00' LQPERMIT Application Number . . . . . 05-00003906 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 6.00 .7500 EA PLB GAS PIPE >=5• 4.50 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 3/06/06 Qty Unit Charge Per Extension. BASE FEE 115.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - Plan 5515C Lot 73, 2460 S.F. w/Casita (290sf), MBR Box Bay (26sf) & . Kitchen Bay (22sf). Permit does not include block wall, pool or driveway approach. ----------------------------------------------=----------------------------- Other Fees . . . . . . . .. ART IN PUBLIC PLACES -RES' 26.26 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 66.82 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE •.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES. 5.00 DIF.PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 21.05 DIF STREET MAINT FAC -.RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited -------------------- Due --------------------------- Permit Fee Total ---------- 1395.66 .00 .00 1395.66 Plan Check Total 756.3.7 .00 .00 756.37 Other Fee Total .2519.13 .00' .00 2519.13. Grand Total 4671.16 .00 .00 4671.16 LQPERMIT MAR -21,2006 14:21 BCI*TESTING,ri1 000-000-00000 Page 4 CF -4R CERTIFICATE OF FIELD VERIFICATION DIAGNOSTIC TESTING March, 16 2006 This CF -411 Issued by CalCERTS® is for the home located at: 81665 Ulrich Drive La Quinta CA, 92253 Certificate Number: CC3-1798358271 ested Duct Leaks e: Date Inspected: March, 13 2006 Yes -Passed Ca10ERTS Rater: William Henson ested Duct in Conditioned Space: N/A CC2004076 ` HERS Analyst: N/A Builder/ Developer: Shea Homes, Inc. �{ Project: Trilogy (cb La Quinta Phase: Phase 13A € Plan Name: 5515 Lot Number: 073 Specifics about this home: General Information Conditioned Floor Area: 2100 Square Feet Conditioned Volume: 0 Cubic Feet inq & Verification Results Front Orientation: N/A Main System HVAC System Number of Stories: 1 Heating and Cooling Systems Heating Equipment: Furnace: 0.8 Cooling Equipment: AC: 12 HVAC Air Distribution Duct Location: Duct Leakage Target: Duct Insulation R -Value: Tasted Attic Approved As Part Of sample Group 6.0 6 BC1 Testing Air Infiltration Blower Door Target: 120 Water Heating System Pra osed TY I Size I Fuel I EF Distribution 77-760 Country Club Drive, suite I Palm Desert, CA. 92211 760-772-2954 Water Heatin9 System Actual Certifying D(Ato TY I Size I Fuel I EF Distribution The energy efficiency rating of this home is determined using California Home Energy Rating System (C -HERS) rules. The rating considers heating, cooling and water heating and assumes average weather, thermostat settings, and quantities of hot water for a typical household. Actual energy use will vary according to occupant behavior. This Rating Completion Summary is provided only after the features listed have been verified and approved by the CaICERTS Certified Rater Shown above. If you have a concern or complaint regarding this report of the seivices used in oblanioig it, you may contact: CaIURIS - Customer Service 11 Naturtua St Suite 140, rulsom, CA 95630. ested Duct Leaks e: YcS Passed Tested TXV: Yes -Passed Tested Duct Design Compliance: N/A ested Duct in Conditioned Space: N/A ested Reduced Duct Surface Area: N/A [Tested Infiltration Reduction Credit: N/A Tasted Attic Approved As Part Of sample Group 6.0 6 BC1 Testing Air Infiltration Blower Door Target: 120 Water Heating System Pra osed TY I Size I Fuel I EF Distribution 77-760 Country Club Drive, suite I Palm Desert, CA. 92211 760-772-2954 Water Heatin9 System Actual Certifying D(Ato TY I Size I Fuel I EF Distribution The energy efficiency rating of this home is determined using California Home Energy Rating System (C -HERS) rules. The rating considers heating, cooling and water heating and assumes average weather, thermostat settings, and quantities of hot water for a typical household. Actual energy use will vary according to occupant behavior. This Rating Completion Summary is provided only after the features listed have been verified and approved by the CaICERTS Certified Rater Shown above. If you have a concern or complaint regarding this report of the seivices used in oblanioig it, you may contact: CaIURIS - Customer Service 11 Naturtua St Suite 140, rulsom, CA 95630. MAR 21,2006 14:21 BCI*TESTING,ri1 000-000-00000 Page 5 CF -4R CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING March, 16 2006 This CF -4R Issued by CaICERTSe is for the home located at: 81665 Ulrich Drive . La Quinta CA, 92253 Certificate Number: CC3-1798359811 Date Inspected: March, 13 2006 ; Ca10ERTS Rater: William Henson t •. Number of Stories: CC2004076 HERS Analyst: N/A Builder/Developer: Shea Homes, Inc. Project: Irilogy @ La Quinta Phase: Phase 13A t11 Plan Name: Casita Lot Number: 073 Specifics about this home: General Information Conditioned Floor Area: 400 Square Fact Conditioned Volume: 0 Cubic Feet Front Orientation: N/A Number of Stories: 1 Heating and Cooling Systems N/A Heating Equipment: Furnace: 0.8 Cooling Equipment: AC: 12 HVAC Air Distribution Duct Location: Duct Leakage Target: Duct Insulation R -Value: Air Infiltration Blower Door Target: testing & Verification Results in S stem HVAC S stem sted Duct Leaka e: Yes Passed sted TXV: le Yes - Passed sted Duct Desi n Com liance: N/A sted Duct in Conditioned Space: N/A Tested Reduced Duct Surface Area: N/A Tested Infiltration Reduction Credit: N/A Attic 'Tested 6.0 Approved As Part Of Sample Group 6 BCI Testing 48 77.780 Counta Club Drive Suite I Water Heating System Pro used TY I Size I Fuel I EF Distribution Palm Desert. CA. 02211 760-772-2y.4/, Water Heatin S stem Actual TY Size Fuel EF Distribution Certifying ^cture Dote The onergy efficiency rating of this home is determined using California Home Energy Rating System (C -TIERS) rules. The rating considers heating, cooling and water heating and assumes average weather, thermostat settings, and quantities of hot water for a typical household. Actual energy use will vary according to occupant behavior. This Rating Completion Summary is provided only after the features listed have been verified and approved by the CalCtRIS Certified Rater shown above. If you have a concern or complaint regarding this report of the services used In obtaining it, you may contact: C,aICFRT S - Customer Service 11 Natoma St Suite 140, Folsom, CA 95630. MAR 16,2006 16:10 BCI*TESTING,ri1 000-000-00000 Page 3 CF -4R CERTIFICATE OF FIELD VERIFICATION 8t DIAGNOSTIC TESTING 'March, 16 2006 This CF -411 Issued by CalCERTS® is for the home located at: 81665 Ulrich Drive La Quinta CA,.92253 Certificate Number: CC3-1798358271 ted Duct Leakage: Date Inspected: March, 13 2006 L k CalCERTS Rater: William Henson ted Duct in Conditioned Space: N/A CC2004076 N/A HERS Analyst: N/A Builder/ Developer: Shea Homes, Inc. Project; Trilogy Cay La Quinta i Phase: Phase 13A Plan Name: 5515 ? Lot Number: 073 Specifics about this General Information Conditioned Floor Area: Conditioned Volume: Front Orientation: Number of Stories: Heating and Cooling Systems Heating Equipment: Cooling Equipment: HVAC Air Distribution Duct Location: Duct Leakage Target: Duct Insulation R -Value: Air Infiltration Slower Door Target: home: 2100 Square Feet 0 Cubic Feet N/A 1 Furnace: 0.8 AC: 12 Testino & Verification Results n System HVAC System ted Duct Leakage: Yes - Passed ted 7XV: rested Yes -Passed Duct Design Compliance., N/A ted Duct in Conditioned Space: N/A ested Reduced Duct Surface Area: N/A ested Infiltration Reduction Credit: N/A Testod Attic Approved As Part Of Sample Group 6.0 6 BCI Testing 120 Water Heating System P=osed TY I Size I Fuel I EF Distribution 77-760 Country Club Drive, Suite I Palm Desert, CA. 92211 760-772.2954 Water Hewing System Actual Certifying Si.z_-ture InLe TY I Size I Fuel I EF Distribution The energy efficiency rating of this home is determined using California Home Energy Rating System (C -ITERS) rules. The rating considers heating, cooling and water heating and assumes avorago weather, thermostat settings, and quantities of hot water for a typical household, Actual energy use will vary according to occupant behavior. This Rating Completion Summary is provided only after the features listed have been verified and approved by the CaICERTS Certified Rater shown above. If you have a concern or complaint regarding this report of the services used in obtaining it, you may contact: Ca10ERTS - Customer Service 11 Natoma St Suite 140, Folsom, CA 95630, MAR 16,2006 16:10 BCI*TESTING,ri1 000-000-00000 Page 4 CF -4R CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING March, 16 2006 65 This CF -4R La Qui Issued by Ca10ERTS® Is for the home located at: Ulrich Drive La QuiUlrich CA, 92253 Certificate Number: CC3-1798359811 Conditioned Volume: Date Inspected: March, 13 2006 Lax Ca10ERTS Rater: William Henson' Haaring and Coolinq Systems N/A CC2004076 r c HERS Analyst: N/A : �= Builder/Developer: Shea Homes, lnc. � ,t Project: Trilogy @ La Quinta Phase: Phase 13A 1 Plan Name: t:asita Lot Number: 073 Specifics about this home: General Information Conditioned Floor Area: 400 Square Feet Conditioned Volume: 0 Cubic Feet Front Orientation: N/A Number of Stories: 1 Haaring and Coolinq Systems N/A Heating Equipment: Fumace: 0.8 Cooling Equipment: AC: 12 HVAC Air Distribution Duct Location: Duct Leakage Target: Duct Insulation R -Value: Air Infiltration Blower Door Target: Test. nQ & Verification Results Main System HVAC System ested Duct Leakage: Yes - Passed ested TXV: Yes - Passed ested Duct Design Compliance: N A sted Duct in Conditioned Space: N/A ested Reduced Duct Surface Area: i N/A sted Infiltration Reduction Credit: N/A. Attic Tested 6.0 Approvorl As Part Of Sample Group 6 48 Water Hratinq -S stem Pro osed TY I Size I Fuel I EF Distribution Water Heatino Svstem Actual BCI Testing 77-760 Country Club Drive, Suite I Palm Desert, CA. 92211 760-772.2X,4/, TY Size Fuel EF Distribution Certifying L-.�- : ture Date The energy efficiency rating of this home is determined using California Rome Energy Rating System (C -HERS) rules. The rating considers heating, cooling and water heating and assumes average weather, thermostat settings, and quantities of hot water for a typical household. Actual energy use will vary according to occupant behavior. This Rating Completion Summary is provided only after the features listed have been verified and approved by the CaICERTS Certified Rater shown above. It you have a concern or complaint regarding this report of the services used in obtaining it, you may contact: CoICERTS - Customer Service 11 Natoma St Suite 140, Folsom, CA 95630. 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: 3/12/0.6 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 13A - Lot # 4073 Slab on Grade 11-11-05 Concrete 273-627 Nook Required psi: 4000 1801 7 3070 1802 28 4460 1803 28 4510 CERTIFIED: Page 1 of 1 JCM Inspections 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 i___ I_ 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: 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 .3m psi to 33.04 kips/33,000 lbs Calibration Date: Machine # // � ` Phase 13t, Lot# l.) b��Product� Plan SSSS _ICJ�o \ f Weather: u. n Unresolved Items: EA -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. . t Ll t) Yes No �LA rn� lAt n P CA -r" 3 "U ©— ❑ J � C CL( Ckr,, Z 111"t-� � y ❑ '1'� •A .z� El� ❑ 2 ❑ ©/ ❑ u ❑ r. t' C 111 " A_12� El ron CAr. _S1 A0 El ❑ ❑ 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 I(p/CC Certification No: 08412216-89 Contracttor'ssRRep/reeesseentntative: Copy 1 JCM Inspections 2 Project Superintendent r Copy 3 Governing Agency Page I of 1 - 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 OIBC 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): Sa� Supplier: Superior Time Sampled: L, -z A U Mix Design: D83625P r Time in Mixer (min.): Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): ! r Addmixture: POZZ 322N Concrete Temperature (F): - Truck #: x(01 Ticket #: U 12,-7 3 - Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders Ambient Weather: Unresolved Items: Q None ❑ See Below Location of Sample: ❑ No Samples Taken Description of Work Inspected: Phase Lot# �,. �� Product . Plan 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 Q A!\a' f A ^11 C -r PLI 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. �—I X—�� 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx 100 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: Jack C. Millin ICC /Certificationo:842216-80 Cont r 6tor's Rep esenta'1iv� Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 11 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 Q 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): S5'� Supplier: Superior Time Sampled: ; uv, Cr n', Mix Design: D83625P Time in Mixer (min.): L4 5-. Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): Addmixture: POZZ 322N Concrete Temperature (F):-1 9 Truck #: L40,,— Ticket #:®None Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: ❑ See Below Location of Sample: No Samples Taken Description of Work Inspected: Phase{{ Lot# 0 � I Product Plan 19t^6tA %C\, "�Sr1\fF� 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,Q il n , Q �,_ 1`, ,3,n Y a -AA (j) �. n \� r n h a• n n. J 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 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. - os - S1) 1)The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx 6 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 ContraZtY. Reppe entativ Copy 1 JCM Inspections Copy 2 Project Superintendent V Copy 3 Govem\Ning-Agency Page _L of f