04-5225 (SFD)BUILDING & SAFETY DEPARTMENT
=R -O. Box 1,5-0r (760) 777-7012
OF I '� ,788495 C-ALL.E'TAMPICO FAX (760) 777-7011
s . LA QUINTA, jCA'ILIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
ApplicationNumber . . . . . X0.4=-00005225Date 6/29/04
Property.Address . . . . . . 81273 GOLDEN BARREL WY
APN: 764-270-999-84 -300233-
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES
Application valuation . . 183161
Owner Contractor
SHEA LA QUINTA SHEA HOMES, INC.
C/O JEFF MCQUEEN 81260 AVENUE 62
8800 N GAINEY CENTER 350 LA QUINTA CA 92253
SCOTTSDALE AZ 85258 (760) 777-60'05
WCC: NTL UNION INS
WC: 7165833 08/01/04
CSLB: 672285 06/30/05
CCC: B
-------------------------- 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 456.00
PATIO SQ FTG 536.,00
NUMBER` OF -UNITS 1.00
FIRST FLOOR SQ FTG .2068.00
-------------------------------------------------------------------------
---
Permit . . . . . . .BUILDING PERMIT
Additional desc
Permit Fee 933.50 Plan Check Fee 606.78
Issue Date Valuation . . . . 183161
Qty Unit Charge Per Extension
BASE FEE 639.50
84.00 3.5000 THOU BLDG 100,001-500,000 294.00
-------------------------------------------=--------------------------------
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee . . . . 83.50 Plan Check Fee 20.88
Issue Date . . . . Valuation . . . . 0
Qty. Unit Charge Per Extension
P.O. Box 1504 • ��I�� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 041- Jr- o"� oZ s Date:
Applicant: chitect orjElg I dr- I: _40-ns4yrY
Applicant's Mailing Address: Architect or Engineer's Address:
ic. No.. /'W 2 �O -t
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under enalty of perjury that I am licensed under provisions of Chapter 9 (com"ricing with Section 7000) of Division 3 of the Business and Professionals
Lode, and my Lice s in full force and effect. /�YS
icense Class icense No.&
/Date 0 ctor{�+
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.).
U 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 oontrector(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. . BA P.C. for this reason
Date Owner
WORKERS' 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 tabor Code. for the performance
t� � of the work for which this permit is issued.
h. an II maintain wo ers' compensation insurance. as required b Section 3700 of the Labor Code, for the performance of the work for which this permit is
sued. �york�com� e�n•sation i ce ca" �C r
�er i I7iV'"� olicy Number I�MW V
I certify that, in the performance of the work for which his permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
fo with comply with those pro •si
ons
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.
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
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 Quints, 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 w 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.
I certify that I have read this application and state that the above in ormation is ce 1 agree to comply with all city and county ordinances and state laws relating to building
constru 'on, nd hereby authorize representatives of this coun upon a ve-mentioned
�prop+erty for inspection purposes.
�at� d
Signature (Applicant or Ag 4:'-'2v —
n
Application Number
. . . . . •04-00005225
Page 2
Date 6/29/04
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
4.00
6.5000
EA
MECH VENT FAN
26.00
1.00
6.5000
EA
MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit . . .
. . .
ELEC-NEW
RESIDENTIAL
Additional desc
Permit Fee
96.50 Plan Check Fee
24.13
Issue Date .
. . .
Valuation . . . .
0
Qty. Unit
Charge
Per
Extension
BASE FEE
15.00
2068.00
.0350
ELEC.NEW RES - 1 OR 2 FAMILY
72.38
456.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
9.12
----------------------------------------------------------------------------
Permit . . .
. . .
PLUMBING
Additional desc
Permit Fee .
. . .
153.00
Plan Check Fee
38.25
Issue Date
Valuation . . . .
0
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
3.0'0
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
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
Special Notes
and Comments
SFD - LOT 84, .PLAN
5505C,
2068 SF.
Page 3
Application Number . . . .
04-00005225 Date
6/29/04
----------------------------------------------------------------------------
Special Notes and Comments
INCLUDED 247 SF. CASITA & 315
SF PATIO E
XT. PERMIT DOES NOT INCLUDE BLOCK
WALLS,
POOL, SPA OR DRIVEWAY APPROACH
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
ART IN PUBLIC PLACES -RES
.00
DI'F COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
60.68
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
18.31
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
---------------------------
Paid Credited
----------
Due
Permit Fee Total 1281.50
--------------------
.00 .00
1281.50
Plan Check Total 690.04
.00 .00
690.04
Other Fee Total 2483.99
.00 .00
2483.99
Grand Total 4455.53
.00 .00
4455.53
PREPARED
3/16/11,
10:08:42
INSPECTION HISTORY REPORT
PAGE 1
PROGRAM
BP521L
0/00/00
THRU 0/00/00
CITY OF
LA QUINTA
'
----------------------------------------------------------------------------------------------------------------------------.--------
APPLICATION
PROPERTY ADDRESS
APN
Alternate ID
- STRUCTR
------------------------------------------------------------------------------------------------------------------------------------
PERMIT
INSPECTION
RESULT DATE/STATUS
INSPECTOR
04 00005225
81273
GOLDEN BARREL WY
764-270-999-84 -300233--
000
000
B001
00
BUILDING PERMIT
125
0001
SLAB
9/08/04
APPROVED
GH
000
000
B001
00
BUILDING PERMIT
135
0001
ROOF NAIL
10/14/04
APPROVED
ST
000
000
A001
00
BUILDING PERMIT
140 .0001
OKAY TO WRAP
10/25/04
APPROVED
ST*
000
000
B001
00
BUILDING PERMIT
- 145
0001
FRAMING
- 10/28/04
APPROVED
ST '
000
000
B001
00
BUILDING PERMIT
150
0001
INSULATION
11/01/04
APPROVED _
ST
000
000
B001
00
BUILDING PERMIT
155
0001
LATH
11/05/04
APPROVED
ST
000
000
B001
00
BUILDING PERMIT
160
0001
DRYWALL NAIL -
11/05/04
APPROVED
ST
000'000
B001
00
BUILDING PERMIT
199
0001
FINAL
1/13/05
APPROVED
ST
000.000
E01
00
ELEC-NEW.RESIDENTIAL
310
0001
ROUGH ELECTRICAL
10/28/04
APPROVED
ST
000
000
E01
00
ELEC-NEW RESIDENTIAL
315
0001
TEMP USE OF PERMANENT
POW 12/22/04
APPROVED.
GH
000
000
E01
.00
ELEC-NEW RESIDENTIAL
399
0001
ELECTRICAL FINAL-
1/13/05
APPROVED
ST .
000
000
GP
00
GRADING PERMIT
197
0001
GRADINGFINAL-
1/13/05
APPROVED
ST
000
000
M01
00
MECHANICAL
405
0001
ROUGH MECHANICAL
10/28/04
APPROVED
ST '
000
000
M01
00
MECHANICAL
499
0001
MECHANICAL FINAL
1/13/05
APPROVED
ST -
' 000
000
P01
00
PLUMBING
200
0001
UNDERGROUND PLUMBING
9/03/04
APPROVED
GH
000
000'
P01
00
PLUMBING.
.230
0001
ROUGH PLUMBING
10/28/04
APPROVED
ST -
000
000
P01
00
PLUMBING
245
0001
SHOWER PAN
10/28/04
APPROVED
ST.
000
000
P01
00
PLUMBING
235
0001
GAS LINE / GAS TEST
12/06/04
APPROVED
GH '
.000
000 'P01
00
PLUMBING
299
0001
PLUMBING FINAL
1/13/05
APPROVED'
ST
0111,A?005 08:35 17603401819
PAGE 10/37
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I - i
INSULATION CERTIFICATE
This 1, to certify that insulation has been installed in conformance with the current energy
regula :ion, California Administrative Code, Title 24, State of California, in the building at
r 81-27�3 GOLDENBARRELWAY, LO`T 3064, PHASE 7B, LA QUINTA CA
CEILII IGS:
TYPE; SLOW' MANUFACTURER: Certainteed THICKNESS: R•-38
WALl,'Z
TYPE BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENE ;2AL CONTRACTOR: SHEA HOMES LICENSE #
r
s BY: TITLE: x
PARA;;ON S::HMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 r
BY: r�+;r TITLE: ACCOUNT REPRESENTIVE: DATE: > �7
f.
T•'I/nil3%/A' �•//'.'/.'I:F/M:V:%////Jl•%i/SY.://///.%'N//N//i/.%//!/.�I%�:/�//%.:•.Y.'/!y':,r,ll'/.•!: l'l.//: I!r/. I:%! ,.i,tr...ir.•�:.:/in: irir/i.^%i:r, %,irii•i/i:i//:/ii/ �/�./.%�:
wsY.!/7.r.:r:.bi/'•n.•i ./:v. v. a:or�<. Ir/I:'�.:�:m%V!•J:.rxiri.•r..mva.:ar.ti:•rtvi:�:vf'rvi?:%P/:mr+.`llliT..l.W.'9�:.T/.rYFJ:'/C/.Y:'11V:YYK:V:/I.:Y•:%:d:N'lI{�:�rsareY:•iX!...�;n•�,./:Y:•J.�••:V.`7:'1:'Y: 1:v:v.'.i i/r/:•i:•rri:+../i.
I•
INSULATION CERTIFICATE r
Th o certify that insulation. has been installed in conformance with the current ever '
regulati;CaliFornia Administrative Code, Title 24, State of California, in they buil - ocated
CEII_IN 3S: f
TYPE: :►LOW MAU CTURER: Certa' ed THICKNESS: R-38
r
W�
TYPE: BATT) M FACTURER: C inteed THICKNESS: R-13
GENEF AL CO
BY:
r,.
LICENSE #
PARA.:530N SC;HMID BUILDING PRODUCTS A MASCO Company ENISE # 221517 ol
a
f•
BY: TITLE: ACCOUNT REPRESENTIVE DATE:
s
%,y � A!iY•. i'/.�l/l.•Y%TiJ?/•%Yq.. �:N%11I.W.N„•P!/.%7/Y%Y%:/7//Yl%1/1.0IYY7•%Y.H'.71"/.�'✓i%i.I1'w:M4.�✓.�%1//J7XlY!//%I%1%7.'N/Y/Y%/17%7W%7!/YJ% :a./lA./It!/7.Oh Nyr//ri./�/+'/+.%y7/7//N/Jr/..i/s /s rrJr/i
Installation Certificate: Residential , CF -6R
Site Address
81-2T3 Golden Barrel Way
1. BUILDER INFORMATION
Shea Homes - Trilogy - LaQuinta
81260 Ave_ 62
La Quinta, CA 92253
INSTALLING CONTRACTOR
2. PROJECT INFORMATION
DISTRIBUTION
T.XPE
Flexible Ductwork
in Attic and
Between Floors
DUCT OR PIPING- R -
VALUE
Flexible Ductwork
Will have a R -Value
of 4.2 or Better
PERMIT #
SUBDIVISION: Trilogy A La Quinta
CITY: La Quinta
COUNTY: Riverside
WEST PAC AIR CONDITIONING
I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment
installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In
addition, Ihave verified that the equipment is equivalent to or more efficient than the equipment specified on the
Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards .for
residential buildings.
3. BEATING INFORMATION
HEATING NIANUFACT HEATING UNIT ACTUAL EFF. HEATING EQUIP HEATING
EQUIP, MAKE MODEL # AFUE CAPACITY "LOAD
Furnace Lennox 80UHG4/5X-100 80%
80%
4. COOLING INFORMATION
COOLING M.ANUFACT COMPRESSOR ACTUAL EFF.
EQUIP. MADE MODEL # SEER
A/C Lennox 1.3ACC-060 12
100000
COOLING EQUIP COOLING
CAPACITY LOAD
The building design heat loss and design beat gain rate have been determined using a method specified in Section
150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection.
6-TI-IERMOSTATIC EXPANSION VALVE ('TXV):
Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection,
Yes D No 0 N/A � ]
6. SUBMITTED B .
DATE:Z
Signature Installing HVAC Contractor
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211 :1 �Rn
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 I NS P E C T I O N S
COMPRESSION STRENGTH TEST RESULTS
Client: Shea La Quinta, LLC Date: 11/14/04
Project: Trilogy @ La Quinta - Shea Homes
Project No: 02-1109
81-260 Avenue 62
La Quinta, CA 92274-
2274Set
SetID
Structure
Age of Test
Compression Strength
JCM ID
Location
Date Cast Cylinder ID
(days)
(psi)
Set A
Phase 7B - Lot # 3084 Slab on Grade
9-9-04
Concrete
273-365
GmatRoom
Required psi: 4000
7631
7
2700
7632
28
3880
'612--73' 6006-) -) 9p lle'E 4- VV A `
7633
28
3900
7634
56
41 3�\
CERTIFIED:C
JC"spections 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:-a`7..ot
Project Name:
Trilogy @ La Quinta - Shea Homes
Project No:
02-1109
Project Address:
81-260 Avenue 62
City:
La Quinta, CA
Z✓ IBC
Title 24
Other:
Client: Sub-Contractor:
Shea La Quinta, LLC Sun Coast Tensioning
General Contractor:
Shea Homes
Architect: Structural Engineer:
Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Size and Type of Tendons:
Jack Machine Calibration:
Calibration Date:
Phase Lot# 3o%
1/2" Diameter Seven Strand Stress-Relieved Tendons
Received Sheet from Sun Coast-Gage Pressure in psi to Machine Load in kips
Sym psi to 33.04 kips/33,000 lbs
Machine# SU `�t-o�3-Q�
Product a Plan
Weather:
Unresolved Ite s:
§4.None
See Below.
Description of Work Inspected:
Lot # Location
Specified V .r
Tendons Elongation (in) Actual Elongation (in)
� c
�A f-3o%
nc'u- 1 Is-0
�ctaC
3�
�. • aloe.`, ,
rn.;y etC-�y r.
r
J /moi
(�-�
.e-k�riw
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. Finalreportissued at project completion. - .
Inspector: yack C. Millin ICC - e ifi�tion No:0842216=89
Contra or's Rrepr en ti .e.
Copy 1 JCM Inspections py 2 Project Superintendent Copy 3 Governing Agency Page --I of L
JCM Inspections
39725 Garand Lane Suite F
l Palm Desert, CA 92211 ,6,
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
REIN FORCED.CONCRETE INSPECTION REPORT Date: 9 -I's -o4
Project Name: i.„� Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:
81-260 Avenue 62 La Quinta, CA
Title 24 AWS M✓ UBC Other:
File # ❑ D 1.1
App# ❑ D 1.4
EJ Other
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
General Contractor: Architect: Structural Engineer:
Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Slump (inches): Supplier:
Time Sampled: Mix Design:
Time in Mixer (min.): Specified Strength (PSI):
Water Added @ Jobsite (gals.): Addmixture:
Concrete Temperature (F): Truck #: Ticket #:
Ambient Air Temperature (F): Field ID Marking:
Weather:
�u►r,c1
Unresolve It ms:
None
®
F -I See Below
Location of Sample:(—*" nr Gn
1 A n C..� aPe n� No Samples Taken
Description of Work Inspected:� �e, r}//^' t.n —X [z
•. n� f t,�C Dn t. 1
RR �
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: JacC. Millin ICC Certificatio : A842216-80
Contr tor' ep entative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _Aof
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211 P n
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
REINFORCED CONCRETE INSPECTION REPORT. Date: pq
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:
81-260 Avenue 62 La Quinta, CA
❑Title 24 AWS QUBC Other:
File # ❑ D 1.1
App# ❑ D 1.4
❑ Other
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
General Contractor: Architect: Structural Engineer:
Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Slump (Inches): Supplier: tt ����
Time Sampled: { Q Mix Design: Qg
Time in Mixer (min.): Specified Strength (PSI):
Water Added @ Jobsite (gals.): �.. AddmixtureRl.,2
Concrete Temperature (F): Q'k Truck #: Ticket #`JLJQG�
Ambient Air Temperature (F): Field ID Marking: o U—j
P
Weather:
c
urn
Unresolve tems:
None
❑See Below
,r^
Location of Sample: ,� ,, f r% �t e . ...,.,-�
N . , ❑ No Samples Taken
Description of Work Inspecte it, 4 3oe LAQ oC l V \G
�. AC',-, orcn
Y
(� C) {�� nn
-_X� n a� rc-?t �-. Con c r o C.. �ee E+ (i r c�. o_
n c. r1 Q\ �� Ne- GW.eI. lfxrta. 0%s�- cAe_ Fxcco `ar4e
r, A . ..Scc. NO_ r. t, a(��r �`►GS, E, o� c(a� k1AT. +5�, ,t t
`
me nnn\c�1 �'ii t<.,�• vJaSu�.e.�.l is cean�,.�tri� e
�r' t 1
a. ZVI. r s . S ��•� f1S f�,a t. �. C !) fit. 0 rsl (`�'Tr 0. A�-. t1r.• 4, 0, l-. r)tl.�
a^
1 hereby certify that 1 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: ack C. Millin ICC Ce 'ficati N 0842216-80
Contr tor' presentative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page __Aof J_
6Lu::. :Yi.;
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS J`. `,Phone: 760-345-5554 - Fax: 760-772-3895
INSPECT I ON S
REINFORCED CONCRETE INSPECTION REPORT. Date: _ Z-04
Project Name:
Trilogy @ La Quinta - Shea Homes
Project No:
02-1109
Project Address: City:
81-260 Avenue 62 La Quinta, CA
Title 24
File #
App#
AWS Q UBC Other:
F_� D 1.1
EJ D 1.4
E] Other
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
General Contractor: Architect: Structural Engineer:
Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Slump (inches): Supplier:
Time Sampled: Mix Design:
Time In Mixer (min.): Specified Strength (PSI):
Water Added @ Jobsite (gals.): Addmixture:
Concrete Temperature (F): Truck #: Ticket #:
Ambient Air Temperature (F): Field ID Marking:
Wea here
o�
Unresolved—hems:
None
See Below
Location of Sample:
No Samples Taken
Description of Work InspecteA`_1n"lC, S
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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.
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Inspector: ack C. Millin ICC Ce 'fic tion No: 0842216-80
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Cotor's Representative:
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