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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 /•i •✓.<r. yri •i e•ar.: r>• -r: �: wr.•,.,�,.••,...vr..ar•i-r,+; i•v.Jnr.•..rnr.•:erni•a:/rwrrrrrvrr...v, �n:..�,crrr.^:w••r.vii �n��•%e�n•r. •..•r,�?-/rzai•/r%icy/r>rr�/:a•ra•n•iira•o•rr/r....r•,.-:.i n.r. /N.vs 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 0S- C, tF.P c'� . ` Cr �:c a r�n¢ ter• C� a c <• t v+�ot? �twc a?a.:. - �• c Q` >.t r•'r.,<-��c ,._ c+. �,.�aX� • nc. �] h co��+ -�r c, ,,,ac�1 (r�...�r., r �` A ` 4 t_c.•Mr`n ho ��l` 1 1 i t' 43 '! 1 P S Y� P,Vl V \ 3� .c. ,�\. t+i s i h c :. c� a 7 � '. c � r •t .{a . �J, ra. ka y � a r�• 't ,c� c�Y � t• —�C- -r-+�� ; SU-) C. Ab \n^� �. �t'+N(/�fr�.\ \h�AR� \fi�_�Ra� C-ra .?ar 1Q ;.a 6 -..-e n O A \ \ -" n C� "IG `wS 7 C1_ G3 e _ Q Q m{a V X n • l \.O IF � S � o� � a ♦. p Qrlit,i 4. t 4 c+ o i a �c\ �c s? o.n 1 G�'7\ cs t •t •, • o r�R+ of c7e-� J (' r 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: ack C. Millin ICC Ce 'fic tion No: 0842216-80 I - n ac Cotor's Representative: &Lq� Copy 1 JCM Inspections Copy 2 Project Superintendent v Copy 3 Governing Agency Page I of