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05-5483 (BLCK)1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: Ea5-000054831-z_,_ 81790 GOLDEN—STAR WY 764-280-999-114 -300235- WALL/FENCE MEDIUM HIGH DENSITY RES 8250 Tuvl 4 4 Q" Architect or Engineer: pts BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 79 00) of ivision 3 of the Busine and Profes 'o als Code, and my License is in full force and effect. Li e C License No.: 672285 Date. Con actor: 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 br 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.). (_) 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 contractorls) licensed pursuant to the Contractors' State License Law.). (_J 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 VOICE (760) 7.77-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/16/05 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 Numb 1247619 I certify that, in the perfor ance of the work r hich this permit is issued, I shall not employ any person in any manner so become s je to the workers' compensation laws of California, and agree that, if I bec me subj the workers' compensation provisions of Section of the Labor de, t I fort ith comply with those provisions. Date: plicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U 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 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 i uance of such permit, or cessation of work for 180 days will subject permit t cancellation. I certify that 6 have r d this application tate that the ab rmaiian is correct. I agree to comply with all city an ou ord' nces and state la s re to building cons on and hereby authorize representatives. of thi ro to r upon 'above- en ne roq�ty for ins coon purposes. D gnat IA t or Agent): Application Number . . . . . 05-00005483 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 108.00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 8250 Expiration Date 6/14/06 Qty Unit Charge Per. Extension BASE FEE 45.00 7.00 9.0000 THOU BLDG 2,001-25,000 63.00 ---------------------------------------------------------------------------- Special Notes and Comments 330 L.F. 6' GARDEN WALL, ORCO SYSTEM Fee summary - =---------------- Charged -------------------- Paid Credited ---------- Due Permit Fee Total 108.00 .00 ---------- .00 108.00 Plan Check Total .00 .00 .00 .00 Grand Total 108.00 .00 .00 108.00 LQPERMIT JUN 27;2006 20:17 BCI*TESTING,ri1 000-000-00000 i. CERTIF_I,CAT,E_OF FIELD VERIFICATION B DIAGNOSTIC TESTING (Page i of 8) CF -4R • 0 90 Golden Star Builder Name Shea Homes, Int: Plan Number 6420 Casita HERS Rater w Telephone Sample Group Number/ Lot * (rfapplicable) William Henson 602-625-1.994 26268./114 _ Compliance Method (Prescriptive) Ciimat Certifying Signature i_ / r nice Certificate Number Firm: DCI Testing _ Strept Address: 77-760 Country Club Dave ste 1 lune 27, 2006 CC3-1798366850 HERS Provider:CaICERTS City/State/zip: Palm Desert / CA / g2211 Copies to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 1Y Tested Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verrGLdtron, I certify that tho house identified on this form complies with the diagnostic tested compliance requirements as Checked on this, form. The ITERS rater must check and verify that the new distribution system is fully ducted and r:prrert tripe i5 used before a Cr -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -611 has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems.where cloth backed, rubber adhesive duct tape is installed, m4n!Lic end drawbands are used in combination with cloth backed rubber adlleslve duct Up,! to seal leaks at duct connections. '..,'IINiMUM REOUIREM>ENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main Svstein NEW CONSTRUCTION Duct Premwrl7atlon Te!:t Re.riltr. (r.FM 0 75 Pa) Measured value, 1 Enter 1'e,ted Leakage Flow in CFM: 44 2 Fan Flow: Calculated (Nominal . • Cooling • .. Heating) or , • Measured Enter 'rotal Fan How In (:f•M; 1400 .1 Pass if Leakage Percentage < 6% 1 100 x ( Line 1 / Line 2 )1: J. l4% [V�- pass I. • Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -611: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Tit of New Duct System or Aftered Duct System for Dud System Alteration and/or rquipmrnt Change -Out. 6 Enter Reduction In Lrdkdge for Altered Duct System (Line 4 - line 51 - (Only if Applicable) 7 Fnter 7o ited Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage <= 6'yo [ 100 x ( Line 5 / Line 2 )1: i . Pass L_ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pe55 if Leakage Percentage -: 15% 1 100 x ( Line 5 / Line 2 )): Pd5s Fail 10 Pass if Leakage to Outside Percentage • - 10% [ 100 x ( Line 7 / Line 2 )1:7 Pav, L.... Fail 11 Pass if Leakage Reduction Percentage'.- 60'%, [ 100 x ( Line 6 / Line 4 )1 and Verification by Smoke Test and Visual Inspection Pass :Fail 12 Pass if Sealing of all Accessible I eaks end Verification by Smoke Test and Visual Inspection I Pass I..1 rail Pans if One of Lines 99 through 1112 pass Pass Fail Page 2 JUN 27 2006 20:17 BCI*TESTING,ri1 000-000-00000 Page 3 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of 8) CF -411 Project Address Wilder Name is 81790 Golden Star way Shea Homes, Inc. Builder Contact T.+lephonn Plein Number 6420 Casita HERS Rater 7ckphone Sample Group Number / Lot # (if applicable) • • William Henson 602-_6.25-1994 26268 / 114 Climate Zone 15 Street Address LiCI I estinq ' 77-760 Country Club Drive ste I Cortificate Number CC3-1798366850 HERS Provider:Ca10ERTS City/State/ZIp:Palm Desert / CA / 97.7.1 l Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT 1'he house was !7 Tested ; Approved as hart of sarnple testing, but was not tested. Ams the ITERS rater providing diagnostic testing and field verification. I certify that the house identified on this. form complic; with the diagnostic tested compliance requirements as checked on this form. the fulls rater must check and verity that the new distribution system is fully ducted and correct tape is used before a CF -411 may be released on every tested building. The HERS rater must not release the CF -4R until a property completed and signed CF -6R has been received for the sample and tested buildings. V The installer has provided a copy of the CF -6R (Installation Certificate), New Distribution system is fully ducted (i.e., does not use building cavities as plenum: or platform returns in lieu of ducts). a_ New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are, used in combination with cloth backed rubber adhesive duct tape to real leaks at duct connection;. ! iMINIMUM REOUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New Svsram NEW CONSTRUCTION Duct Pressurization Test Results (CFM 0 2$ Pa) Measured Valuer, 1 Enter Tested Leakage Flow in CFM: 68 7 Fan Flow: Calculated (Nominal Cooling Heating) or Measured Enter Total Fan Flow in CFM: 1700 3 Pass if Leakage Percentage <:= 61yo 1 100 x ( Line I / Linc 2 )j: 5.67%" Pass L Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Pilot to Duct System Alteration and/or Equipment Change -out. S Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Chatlge-out, 6 Enter Reduction in I.egkogn for Altered Duct System (Line. 4 - Line 51 - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage -.= 6"/r. j 100 x ( Line 5 / Line 2 )]: . Pass Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage c= LS% i 100 x ( Line 5 / Llne 4 )]: Pass :Fail 10 Pass if Ltmkage to Outside Percentage •: 10% 1100 x ( Line 7 / Line 2 )l: ff I_- Pass i • Fail 11 Pass If Leakage Reduction Percentage >= 6n /, l 100 x ( Linc 6 / Line 4 )] and Verification by Smoke Test and Visual Inspectwn Pass Fail 12 Pass if Sealing of all Accessible Leaks and verifir.gtlon by Smoke Test and Visual Inspection i Pass ( Fail Pass if One of Lines #9 through 412 pass .Pass .-. Fail JUN 27,2006 20:17 BCI*TESTING,ril 000-000-00000 Page 4 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING(Page 1 of 3) CF -4R wr.0 n i Project Addreo Builder Name •81790 Golden Star Way Shea Homes, Inc. Builder Contact Telephone Plan Number 6420 Casita HERS Rater Telephone Sample Group Number/ Lot it (if applieabin) William Henson 602-625-1994 26268/ 114 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature �.• .�� Date Certificate Number June 27, 2006 CC3-1798366850 Firm: BCI Testing ' _ _ HERS Provider:CdICERTS Street Address: 77-760 Country Club Drive ste I City/State/Zip: Palm Desert / CA/ 92211 • 0 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was W Tested t.. Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on thy; form complies with thn diagnostic tested compliance requirements an checked nn this form. The HERS rater rmwt Check and verify that the new distribution system is fully ducted and correct tape a used br..furn n (;F-414 may be released on every tested building. The HERS tater must not release the CF -411 until a properly completed and signed CF•611 has been received for the sample and tested buildings. The installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). .� New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connection:, `V,MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New S stern NEW CONSTRUCTION Duct Pressurization Test Results (CFM (N 15 Ira) Measured Values I Enter Tested Leakage Flow in CFM: 27 7 Fan Flow: Calculated (Nominal • • Cooling - - Heating) or Measured 800 Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage <:= s'/r. 1 too x ( Line, I / Line 2 )J: 3.38% i� Pas, I :Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change. -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or I quipment Chahge-Out, 6 Enter Reduction in Leakaqe for AltemA Duct System (Lino 4 - Lino 5) - (Only if Applicable) 7 Enter Tested Leakage. How In (;FM to Outside (Only if Applicable) 8 Entire New Duct System • Pass if Leakage Percentage <:= 6% [ 100 x ( Line 5 / Line 2 )J, I - ya:= r had TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage •: . 150/o ( 100 x ( Line 5 / Line 2 )I: Pass Fail 10 Pass If I eakage to Outside Percentage <_ 10% ( 100 x ( Line 7 / Line 2 )J: i Pass ! ' Fall 11 Pass if Leakage Reduction Percentage 7 60% [ 100 X ( Line 6 / Line 4 )J Pats ^.^ Fall and Verification by Smoke Test and Visual Innpertlon 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke'rest and Visudl Inspection Pass Fail Pais if on�r of Lintas 99 throuyh #12 puss F ss ! Fail JUN 27,2006 20:17 BCI*TESTING,ri1 000-000-00000 Page 5 (4 1 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R • Project Addrew' guilder Name -- 82790 Golden Star Way Shea Homes, Inc. Builder Contact Telephone Plan Number 6420 Casita HERS Rater Telephone Sample Group Number/ Cot A (if applicable) William Henson 602-625-1994 26268/114 Compliance Methoo (Prescriptive) Climate Zone 15 Certifying Signature Paic Certificate Number dune 27, 2006 CC3-1798366850 Firm: kiCl festin r`r�— HERS Provider.CaICERTS �r Street Address; 77-760 Country Club Urlve ste I City/State/Zip; Palm Desert / CA/ 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was 1001 Tested;: Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identifi„d on thit, form complico with the di_d�nostic twAud cumplidnQU ruQulrernents is checked on thls.form. �� The installer has provided a copy of the CF -6R (Installation Certificate). Access is provided for inspection. The procedure shall consist of visual verification that the 1XV is installed on the system and installation of the specific eauioment shall be verified, New System HVAC System TXVI pas 'rail • JUN 27,2006 20:18 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R Project Addre^v Builder Name •81790 Golden Star Way _ _ Shea Homes, Inc. Builder Cont4t.1 relephw,r Plan Number 6420 Casita HERS Rater Telephone f3rnple Group Number/ Lot (if appheable) William Henson _ _ 602.625.1994. 26268 / 114_ Compliance Method Prescriptive) -� _ Climate Zone 15 Certifyinv Sipnafurr . % / • nate Curti ictte Number June 27, 2006 CC3-1798366850 Frrm: BCI Testing HERS Provider:CalCERTS Street Address: 77-76Q Country Cluti Drive ste I City/State/Lip:Palm Desert / CA / 92211 Conics to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was ` ; Tested Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the din nostic tested compliance requirements as checked on this farm. The installer has provided a copy of the CF 6R (Installation Certificate). -.-HERMOSTATIC EXPANSION VALVE TXV : New System Access is provided for- inspection. The procedure shall consist of visual verification that the TXV is installed on the systertl and installation of the specific equipmerit Shall be verified. New Systerri HVAC System TXV [Vpass 1 : Fail Page 6 JUN 21,2006 20:18 BCI*TESTING,ril 000-000-00000 Page 7 CERTIFICATE OF FIELD VERIFICATION K DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R Project Address Builder Name •81790 Golden Star Way Shea Homes, Inc. 6uilderContact Telephone Plan Number 6420 Casita HERS Rater 'Telephone Sample Cmt/p Number/ Lot .0 ird applicable) William Henson 602.625-1994 26268/114 Compliance Method (Prescriptive) Climate Zone 15 CertifyingSignature Date Certificate Number June 27, 2006 CC3-1798366850 Firm: KiTesting HERS ProvideRCaICERTS '_street Addy-Psq: 77-760 Country Club Drive ste I' City/state/Zip,.Palm Desert / CA / 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was i� Tested i . Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on lhrn form complies with the di�aQnootic tested complian<e requirements as checked on this form. d. The installer has provided a copy of the CF -6R (Installation Certificate). !�THERHOSTATIC EXPANSION VALVE (TXV): Main system Access is provided for inspection. The procedure shall Consist of visual Vol-ification that the TXV Is installed on the system and installation of the specific equipment shall be verified. Main System HVAC System TXV W pass . Fail • 'JUN 27,2006 20:18 BCI*TESTING,ri1 000-000-00000 Page 8 " CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -4R Project Address , Builder Name • 81790 Golden Star Way Shea Homes, Inc. Builder Contact TOcphvric Plan Number 6420 Casita HERS Rarer 7elephone Sample Group Number/ Lot 4 (if applicable) William Henson 502-625-1994 26268/ 114 Compliance Method CPresi:Tptive) Climate Zone 15 Certifying Signature �,,r �f �; � Date Certificate Number June 27, 2006 CC3=1798366850 Firm: BCI Testing HERS Provider;CaICERTS Street Address: 77-760 Country Club Drive ste I City/State/Zip:Palm Desert / CA / 92211 0 • CoDles to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was :�7iTested t.~ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this Nun complre, with the diagnostic. tested compliance requirements m checked on thl•', form. The inr..t411r.r lid!. piuvided a cup of the CF 6R [netalldtwn Certifuate . . HIGH EER AIR CONDITIONER: Main System Prnredure•: f„ .0,4—hdn arc evmlah(r. en RACM. Annendir Rr. 1 lJ Pass ! Fail [ER values of installed-y.tems match the Cr -IR " Z 1'v�* Pass 1 : Fail For split systems, indoor coil is, matched to outdoor roil 3 L.. Pass '.� Fad Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a pass 1V Pass 1 : Fail '!THIGH EER AIR CONDITIONER: New System Drrrodevac fr vorifirafion are availahla in RACM Annan Air Rf Pass I..; Fait FFR value, of installed systems match the Cf -1R Z Pass i : Fail For split systems, indoor roil is matched to outdoor Coll 3 t Pass Fail Time Delay Relay Verified (If Required) Yes to I and 2; and 3 (If Required) is a pass ; PaSs I I Fail i"0111IGH EER AIR CONDITIONER: New System O—filrac fnr—ifira,inn aro availahla in aAPM Ann—A- Qf 1 11!0. Pass Fail EER values of installed system!: match the CF -1R 2 ? Pass Fail For split systems, indoor coil is matched to outdoor coil 3 ' Pass Fail Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a pw4 17 Pa55 7, Fail t • / INSULATION CERTIFICATE This is to certify that insulation has been install6din conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building at 81 -790 GOLDEN STAR WAY, LOT;:519 RHASE 14A, LA QUINTA, CA CEILINGS: TYPE: BLOW MANUFACTURER: Cocoon THICKNESS: R-38 WALLS: TYPE:BATTS MANUFACTURER: Borate THICKNESS. W-13 GENERAL CONTRACTOR- SHEA HOMES_ LICENSE # BY: TITLE: PARAGON SCHMID BUILD GPRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: Z T * 3!DVd TVBTLV609LT 9t7:80 900Z',/06/90 JCM Inspections Y • 39725 Garand Lane Suite F 4� / 11 _ I Palm Desert, CA 92211 E c T I O N S 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: 60-800 Trilogy Parkway La Quinta, CA E 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): ,c:;C"17 Supplier: Superior Time Sampled: to 1 m Mix Design: D83625P Time in Mixer (min.): s- Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): 0 n Addmixture: POZZ 322N Concrete Temperature (F): Truck #: 99 6 Ticket #: -1(030 Ambient Air Temperature (F): �� Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: ©None See Below Location of Sample: ❑ No Samples Taken tion of Work Inspected: ase' Lot#Product 3' Ian G ` C) &:' '�XTO rrc VV)o.M 3-9-0(0 1) Received mill certifications for rebar and tendons placed. Y^, 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 onRT-;;L� r\ �, �/ i n n IA ca_ co, 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. 3— O _t 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. —1 -oCa 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx s Verified correct mix design. I 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 Q' c, , V _ . Contract"�r's Repres /n tive: r -a /7"/1'/ -/ Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _�_ of _� t _ ' E C TIONS JCM Inspections 39725 Garand Lane Suite FJ:M� Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: 60-800 Trilogy Parkway 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: Bassenian Lagoni Structural Engineer: 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 S;7q Cy3 psi to 33.04 kips/33,000 lbs Calibration Date: Machine #,SSG Phase 14NLot# S Product3 Plan (D a Q $1 19 C) Weather: Unresolved Items: [.None ❑ See Below Description of Work Inspected: Lot # Location Specified Tendons Elongation (in) Actual Eton ation (in) Complies within 7% +/- of specified elongation. Reference 11 h/SN2. -r- i Yes No ❑ El .]u•�e, � �\��3 Crag ��.. ve�c � ❑ o .1;. a aAq, o-- ❑ 1E El ap r9n-- 'Y ©— ❑ M Q L EET' ❑ 9, C' 1 -�-3 a- . 0 "' D" ❑ ©L ❑ ie„ S s y [E- ❑ cc s, c� -- � � s i'� ©---- ❑ � V C► r © ❑ 1 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 :Millin ICC Certifica io Q- . No: $42216-89 'tive: Contractor's Repr7/4 � G� //-) ;�4r „ ItCopy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _I of JCM Inspections 39725 Garand Lane Suite F , ZLI A Palm Desert, CA 92211 E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: $/30/06 Project: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 60-800 Triolgy Parkway La Quinta, CA 92253 Set ID Structure Age of Test Compression Strength JCM ID Location Date Cast Cylinder ID (days) (psi) Set A Phase 14A - Lot # 5114 Slab on Grade 3-10-06 Concrete 273-679 Kitchen Required psi: 4000 2947 7 4120 2948 28 5490 2949 28 5440 CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 • • Page 1 of 1