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04-5227 (SFD)T4hf 4 4 Quha ). Box 1504 .4.95-CALLE TAMPICO IOUIN•TA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 .r Application Nr4er=i'� X04-_0-00.0.5-22-1- Date 6/29/04 Property�Address 81302 GOLDEN BARREL WY APN: 764 -270 -999 -103 -300233 - Application description . . . DWELLING - SINGLE FAMILY DETACHED' Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation . . . . 149793 , Owner ---------------------- SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE AZ 85258 Contractor r ------------ SHEA -HOMES , INC. 81260 AVENUE 62 LA QUINTA CA 92253' (760) 777-6005 Qty Unit Charge Per Extension 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/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 1:0.0 FIRST FLOOR SQ FTG 1685.00 ---------------------------------------------------------------------------- Permit . . . . . . .BUILDING PERMIT - Additional desc Permit'Fee . . . . 814.50 Plan Check Fee 529.43 Issue Date . . . . Valuation . . . . 149793 Qty Unit Charge Per Extension BASE FEE 639.50 50.00 3.5000 THOU BLDG 100,001-500,000 175.00 --------------------------------------------------------=------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 93.00 Plan Check Fee 23.25 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension P.O. Box 1504 • �� VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUtNTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 40 J`—ola Applicant: Applicant's Mailing Address: Date: Architect or Engineer's Address: No.: )I c L Z Gqu i BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm u nalty of perjury that I am licensed under provisi ns of Chapter 9 ( ncing with Section 7000) of Division 3 of the Business and Professionals Code, and my Lice e n full force and effect. ^ �� ,--license Class icense No. Dat �✓� iii Da�� ontractor ` v 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 contractor(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 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. I ave n will maintain wo ers' compensation ins rangy as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is A , issuad� workers' co ensati i�urance carie anli rr�e: et�l l� -olicy Number (_ IS _ I certify that, in the performance of the work for which this 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 th , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall I rthwith comply with those pJ�r-ovis^i`ot�ns. Date ApplicAL V 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, indemnity 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 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 certity that I have read this application and state that the above information is correct Agree to comply with all city and county ordinances and state laws relating to building constru tiioo�n,ind hereby authorize representatives of this county r upon mentioned property for inspection purposes. at� ture : (Applicant or Agent): P 9 ) Qty Unit Charge Per Extension BASE FEE 15.00 r Page 2 Application Number . . . . . 04-00005227 Date 6/29/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 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 . . . .15.06 Plan Check Fee 3.77 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY .04 1.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL .02 ---------- ------------------------------------------------------------------ Permit PLUMBING .Additional desc Permit Fee 128.25 Plan Check Fee 32.06 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE 60.00 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. 15.000.0 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 r L Page 3 Application Number r. . . . . 04-00005227 Date 6/29/04 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 103, 1685 SF'PLAN 4520C.BAY Q MBR -23 SF, 88 SF GARAGE EXT. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL -OR DRIVEWAY . APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 52.94 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 14.97 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary --------------=-- Charged ---------- Paid Credited Due Permit Fee Total 1065.81 ------------------------------ .00 .00 1065.81 Plan Check Total 588.51 .00 .00 588.51 Other Fee Total 2472.91 .00 .00 2472.91 Grand Total 4127.23 .00 .00 4127.23 L .'l PAGE 04/37 :,•01/ 12005 08:35 17603401819 r r..; . Y'/ •: •:-.,.r•...r.:: �• res: r :r.rir: / /••:�' ^'%.ri'%r.`qV •Y•rrrry!'�%✓•/>'I%1I:r•�.: A^/'!Ta•%YYrY%/r: /••s-.:.rr�nv.�/nn•r..rr. i•!• •.•; n'r :r-n�/rr r�r� �r•�rvrty •r.• n�r„r�•r •ri: • .,..•r. rri• r n :c•r•:r INSULATION CERTIFICATE This it: to certify that insulation has been installed in conformance with the current energy regulal ion, California Administrative Code, Title 24, State of Califomia, in the building at 81-302 GOLDEN BARREL WAY, LOT 3103, PHASE 7B, LA OU114TA CA CEILII' IGS: TYPES BLOW MANUFACTURER: Certainteed THICKNESS: R-38 s % WALL::;: TYPE: SLOW MANUFACTURER: Certainteed THICKNESS: R-13 GENET:;AL CONTRACTOR: SHEA HOMES LICENSE # BY: , TITLE: PARR ION SC:HMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 IKCda'!GP BY: ! TITLE: ACCOUNT REPRESENTIVE DATE; rrr r.•n:n»«yrrii iiri/✓rr://d �r.•ri ins;'.•iiriirrvttir.•rrr'ri�irirnviirr,�r�• rr,<.;iv.•riu:..r,•i:�riwi if..�-rr / ir, iii/�.vrr, ir. �i.urr.vi�/r.• in•i ni.v/.wi.:,..: v./ r. :: •r .r..r ,. •- .. rr •r.•.'ar.��.•.•r:�ti.tr:•.•.r i.•yrrr. .r. is v.v /. .r. r, r.s .`.r:/:hrrr vi••r:7T.:'/"l:l.Y!•r.v. r.'^Y•.>•r.%.'K."..`Yi•..r...i•r.:"':<..ry-:.,.y.....'r.:..•>..: .r:•r:v..r•.. /. •. , INSULATION CERTIFICATE This • ti: certify that insulation has been installed in conformance with the current energy regulati I %,,�alifornia Administrative Code, Title 24, State of California, in the building CEILING: S: TYPE: 8.,.OW XMNFACTURER: WALLS: TYPE: !IATTS MAUNFA R CONT Certainteed TITL THICKNESS: Fi-38 THICKNESS: R-13 ;)I(SCHMID BUILDING PRODUCTS A MASC ompany LICENSE # 221517 TITLE: ACCOUNT REPRESENTI DA'rE: V.ri .9 i�:N.�rr�/r% YY/J'r%.yN✓r.91.�!!,%/.n/./.irlJJ7y'!/•:/X/1?•7,Y/ri///r•%//N:/i//l//yYI:/rr%//r•7/.rrr r/rr.. /. :.r,+y/r,`%yr r :rN /i.•r�••y.Y i/rr /i ri r✓rli .../. GENERV BY: PARAG BY: fF l /.. r:•ri rl.N •vN/ri'ri i!%?'r/s.7�1 CONT Certainteed TITL THICKNESS: Fi-38 THICKNESS: R-13 ;)I(SCHMID BUILDING PRODUCTS A MASC ompany LICENSE # 221517 TITLE: ACCOUNT REPRESENTI DA'rE: V.ri .9 i�:N.�rr�/r% YY/J'r%.yN✓r.91.�!!,%/.n/./.irlJJ7y'!/•:/X/1?•7,Y/ri///r•%//N:/i//l//yYI:/rr%//r•7/.rrr r/rr.. /. :.r,+y/r,`%yr r :rN /i.•r�••y.Y i/rr /i ri r✓rli .../. Installation Certificate: Residential . CF -6R Site Address a pA tz t6L % A'Y 1. BUILDER INFORMATION Shea Homes - Trilogy - .LaQuinta 81260 Ave. 62 La Quinta, CA .92253 INSTALLING CONTRACTOR: 2. PROJECT INFORMATION DISTRIBUTION TYP$ FIexible Ductwork in Attic and Between Floors DUCT OR PII'IN_ _G R - VALUE Flexible Ductwork Will have a R -Value of 4.2 or Better PERMIT # SUBDIVISION: Trilogy @ La Quinta CITY: La Quinta COUNTY: Riverside WEST YAC AIR CONDITIONING 1, 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 Eftieiency Standards for residential. buildings. 3. HEATING INFORMATION HEATING MANUFACT HEATING UNIT ACTUAL M. I•IEATING EQUIP HEATING EQUIP. MAKE MODEL # AFUE CAPACITY LOAD Furnace Lennox G40UH4813-090X 80% 88000 80% _ 4. COOLING INFORMATION COOLING MANUFACT COMPRESSOR ACTUAL EFF: COOLING EQUIP. COOLING EQUIP. MAKE MODEL # SEER CAPACITY LOAD A/C Lennox 13ACC-048 12 The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(b) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection. 6.THERMOSTATIC EXPANSION VALVE (TXV): Thermostatic Expansion Valve (or Comrnision approved equivalent) is installed and access is provided .for. inspection. Yes n No 7 N/A.L 6. SUBMITTED BX DATE: Signature Zlnst�aing HVAC Contractor 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 Project: Trilogy @ La Quinta - Shea Homes 81-260 Avenue 62 La Quinta, CA 92274 Set ID Structure JCM ID Locadon Date: 11/14/04 Project No: 02-1109 Age of Test Compression Strength Date Cast Cylinder ID (days) (psi) Set A Phase 7B - Lot # 3103 Slab on Grade 9-30-04 Concrete 273364 Kitchen Required psi: 4000 7827 7 3420 7828 28 4820 7829 28 T CERTIFIED: Page 1 of 1 4GWdspections 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 N S P E C T I O N S PRESTRESSED CONCRETE INSPECTION REPORT Date: Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: 81-260 Avenue 62 La Quinta, CA [,7] IBC Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC Sun Coast Tensioning General Contractor: Architect: Structural Engineer: Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP 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 .s qno psi to 33.04 kips/33,000 lbs Calibration Date: Machine# ta-ID Phase _e, Lot# 3 Product Plan `7 G $ 3c G o t J^ n {moo f f'r W Weather: SLz Unresolved Item S None ❑ See Below Description of Work Inspected: Specified Lot # Location Tendons Elongation (in) Actual Elongation (in) L+0 *310Z Clan kio', 'T0rQ✓1CQ, ilk, -Jloa— P O _1. Go ac.Qww! L �,\x \ pyt{��i /ct 1 c, /� a 4- 'CI nne L Gnrer p Tt- +I CA S`tl-Ste—S r nn - .Z cc. t' 3 v� n N orwn L vI 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. ICC Ce ifitio0:0842216-89 Inspector: Jac . Millin ICC tL A- . Contra is Re ntati e: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page —4 of a 91�k AM INSPECTIONS JCM Inspections 39725 Garand Lane Suite F ^ Palm Desert, CA 92211 LIM Phone: 760-345-5554 - Fax: 760-772-3895 I N S P E C T I O 1 S REINFORCED CONCRETE INSPECTION REPORT. Date: �_ I Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 81-260 Avenue 62 City: La Quinta, CA Title 24 AWS Q UBC Other: File # F� D 1.1 App# E] D 1.4 Other Client: Sub -Contractor: Shea La Quinta, LLC DCCCC Cteneral Contractor: Shea Homes Architect: Bassenian Lagoni Structural Engineer: Borm & Assoc,lnc/Suncoast Post Tension LP Slump (inches): Time Sampled: Time in Mixer (min.): Water Added @ Jobsite (gals.): Concrete Temperature (F): Ambient Air Temperature (F): Supplier: Mix Design: Specified Strength (PSI): Addmixture: Truck #: Field ID Marking: Ticket #: Weather: Unresolved Items: © None E] See Below Location of Sample: c, „ Sa r• c , o ' „ „ �. ` c „� r t `` f r�.� c o E] No Samples Taken Description of Work Inspected 1- 3i � (` y 1Ante—. R AS mk n c n I -,r, t e� 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. Inspector: Ja k C, Millin ICC Certffic ton No: 0842216-80 C... , .. Cont ctor's Representative: 2n I Copy 1 JCM Inspections Copy 2 Project Superintendent C/ \QJpy 3 Governing Agency Page --A of 1 IJCM Inspections T -o M% 39725 Garand Lane Suite F -4-Palm Desert, 'CAS 92211 I I N S P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTION'S REINFORCED CONCRETE INSPECTION REPORT Date: q _3aD Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: 81-260 Avenue 62 La Quinta, CA Title 24 AWS Q UBC Other: Fife # F] D 1.1 App# E] 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: ,'-'>U f 't c i r-, Time Sampled: —i 0', Mix Design: 'b % Time in Mixer (min.): S-0 Specified Strength (PSI): L4 n O p Water Added @ Jobsite (gals.): )0 Addmixture: n`C7_EZ Concrete Temperature (F): '$ !� Truck #: t••, 9D Ticket #--Iq,—VRC Ambient Air Temperature (F):'3$ Field ID Marking: _ L1 c.y� , Weather: `t no Unresolve s: None See Below Location of Sample: E] No Samples Taken t 1 Description of Work InspectedR�q , j _11 �� t•"`� L ,n,, Q26(y Y s n o� a r t o c -V f A ri it, tom. n r X C f i 8 C t- A G. C n rns -i �' r 1 r , Q & ro K%S. \_Q-vp*-1r (Ci^_- '''1``1-- / :•+•�- , t I. 4 � S1 A:. DC ri M.1 k, XC C CSR ( f� � AO�+�� • c,• S I R\] a A �S r Cit C.. •Q X C � x� LYQ r n - C. t .•+ t�LA SCO• C..PX`fc1SiA.l r� �o� Wtt�nel�..�C �; r•r ht't1�H'l. 1h�r� t'x1.� ��, In r�� G-�J(.,Y... YhCc1►rtV\1C� �r1\�C4, Ir VJOil1S°� VU Cr) els, r,kiAXQ r)nrC • y 1Q 17 V, ctc nrN or't..,n genT Act'4r\Ir �•�..GC �" vAC', cr. r� ro\►?yU�[.�... inn �ap�T f\^�.l�r h 0, t)I�C Qin�nr cSC-M,�+�l' �lo\k r0 Lc 0 c- ks. ofane-,rice;S'�, AC�V,� A" � -1�� 5��i cel 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 rgject completion. r Inspector: Jack C. illin ICC Certificaf to'n o: 842216-80 Contractor's Representative: Copy 1 JCM Inspec` o`ns j Copy 2 Project Superintendent / CoGoverning Agency Page _L of Copy 1 JCM Inspections Copy 2 Project Superintendent Copy Governing Agency Page --Aof 1 i V i JCM Inspections 39725 Garand Lane Suite F I 1 Palm Desert, CA 92211 INSPECTIONS Phone: 760-3`45-5554 - Fax: 760-772-3895 INSPECTIONS REINFORCED CONCRETE INSPECTION REPORT Date: 9-019-04 Project Name: ! ; " Project No: Trilogy @ La Quinta - Shea Homes r 02-1109 Project Address: City: Title 24 AWS F✓ UBC Other: 81-260 Avenue 62 La Quinta, CA File # App# D 1.1 D 1.4 Client: Sub -Contractor: r Shea La Quinta, LLC DCCCC EJ Other General Contractor: I Architect: Structural Engineer: Shea Homes Bassenian Lagoni '' Borm & Assoc,lnc/Suncoast Post Tension LP • Slump (inches): Supplier: Weather: Time Sampled: Mix Design: Ung _ Unresolved -It s: 3 Time in Mixer (min.): Specified Strength (PSI): Water Added @ Jobsite (gals.): Addmixture: None Concrete Temperature (F): Truck #: Ticket #: Ambient Air Temperature (F):Field ID Marking: E] See Below Location of Sample: No Samples Taken Description of Work Inspected. c . i—A* 3ina RrnA', k D. Y '. � p'� Q R� l [ r- nwl •. f- i' r.1�.T r � Cit�1 M r.�C�n{ G '1 Q C11-1 ♦ \r c r r..�c cnrr,; ���� �: , , S� r1 Rl.\t\ 1nc� F�. L1l-1fn �. , � G � � � ., � r r «n c G: �FpSC�/ 1 !+'.� t V f �^3r� R���i �1 yye /�'''�$� / L? r r C' Q� L.7C (� �rSl 1 e1 [� . A t s'.. "'J [' 1' ' r� r � f 1 .n. ... F r c� k a Q , - r• -C C. (� ] n 1 Gr 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. Inspector: Jack C, llin ICC Certifica�ti 2216.80 Con ctor's epresentativ®: Io\nry Copy 1 JCM Inspections Copy 2 Project Superintendent Copy Governing Agency Page --Aof 1 i V i