Loading...
05-5528 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: �' ' (: �Qtda C05-00005528 81810 -GOLDEN STAR WY 764-280-999-112 -300235- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY -RES 210828 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED ^ 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 A�ect or Engineer: h9s'J CV5 114 ILC4,%; y- u ,48 U, QUA >F�Ntq EN MES , INC. VENUE 62 TA, CA 92253 777-6005 No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/21/05 -------------------------------------------------------\/ ------------- ------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700,0) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Lic s Clasi Li enseNo.: 672285 D� ontractor: � / T o 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 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 1, 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.). ( ) 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: 0 IPL LQPERMIT 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. 1_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 Poli umber 1247619 I certify that, in the performance of the o for which this permit is issued, I shall not employ any person in any s to beco a bject to the workers' compensation laws of California, LWppli agree tCanfi be me ect to the workers' compensation provisions of Section thsh hwith comply with those provisions. a$ t6! ' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES URTO 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 permi[ 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 issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. mh ve read this application and state th the above infor tion is correct. I agree to comply with all y rdinances and state laws relating to ' n con n, and hereby authorize representatives t t r upon the above-mentioned r inspecti n r oses. gnature (Applicant or Ag 1,— Application Number . . . . . 05-00005528 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 478.00 PATIO SQ FTG 178.00 NUMBER OF UNITS. 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2464.00 Permit . . BUILDING PERMIT Additional desc . Permit Fee 1028..00 Plan Check Fee 668.20 Issue Date Valuation . . . 210828 Expiration Date 6/19/06 Qty -Unit Charge Per Extension BASE FEE .639.50 111.00 3.5000 ------=--------------------------------------------------------------------- THOU BLDG 100,001-500,000 388.50 Permit . . . MECHANICAL Additional desc .. . Permit Fee . . . . 77.00 Plan Check Fee 19.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 110.80-, -- -Plan-Check Fee .. .27...70._ ,Issue Date Valuation 0 Expiration Date 6/19/06 Qty Unit Charge Per. Extension BASE FEE 15.00 2464.00 .0350 ELEC.NEW RES - 1 OR 2 FAMILY 86.24 478.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.56 LQPERMIT Application Number . . . . . 05-00005528 Permit . . . PLUMBING Additional desc . Permit Fee . . . . .165.00 Plan Check Fee 41.25 Issue Date . . . . Valuation 0 Expiration Date 6/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00' 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 ---------------------------------------------------------------------------- EA PLB GAS METER 15.00 Permit . . GRADING PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 6/19/06 Qty Unit Charge Per. Extension BASE FEE 15.00 ------------------------------------ 7 ----------------------------------------- Special Notes and Comments SFD - LOT 112,. PLAN 55150,2464 SF INCLUDES 290 SF GUEST SUITE, BOX BAY Q MBR -26 SF & NOOK -26 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS,, POOL, SPA OR DRIVE WAY APPROACH -------------------------- Other Fees ... -------------------------------------------------- . . . ART IN PUBLIC PLACES -RES 27.07 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER -'RES 480.00 ENERGY REVIEW FEE 66.82 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 21.08 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due LQPERMTT s tee► Application Number . . . . '. 05-00005528 Permit Fee Total 1395.80 .00 ..00 1395.80 Plan Check Total 756.40 .00 .00 756.40 Other Fee Total 3810:97 .00 .00 3810.97 Grand Total 5963.17 :00 .00 596.3.17 LQPEM11IT - • JCM Inspections • 39725 Garand Lane Suite F Ig I Palm Desert, CA 92211 vAlp INSPECTIONS kAphone: 760-345-5554 - Fax: 760-772-3895 I N S P E C T I O N S. EPDXY INSPECTION REPORT Date':L4— 'la Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: �✓ IBC 81-260 Avenue 62 La Quinta, CA Title 24 Client: Sub -Contractor: Shea La Quinta, LLC C_� �(Z.C11 Other: Generaf'Contractor: '^ Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi ® Anchor Bolts ❑ Rebar Weather: Epoxy Type:rn. ��•COt7 jSn n � L'. Unresolve Ite s: Epoxy Shelf Life: AJQQ `J'o0- ELNone /� Et ���,� y Hole Cle� � �,� g Method(s): O W C\ G��a n ` ., w , s c. " i� d� its` tics. �I. See Below Description of Work Inspected: .on A,,,� C \�r�a�`,� k -TT�� }� w� . \� r, �T�1rAl �i .ev'i acts\ a. nc_e ��1CQ, �+Jrn J�r�lc fact r y1 N,7 -@ '� d�� c...,, •"� e-' � < •� �=,_;-\.Yll`czrs...tit Oo v.�G�.•(� � n�l:e� ' -. O.' l' �_. ' . C rrr'! � c'r � b vJt,;1r Ga� t c•1t1� a o S 1 Q ,c t r� u -1 1� Ir► �3� o-ffi w 1 (^ ice.+ _ L'zy s I a n AO -kA a G r, - f SG Qom` _ OP>� Rsv. cr.:. �,�°l •.n`i /fit W\tltn"1 1vf L� C�. GC'P, I, J Work complies with written approval from Structural Engineer and ICBO Evaluation Report # rJ a 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: Jac C. Millin ICC Ce . 'fcation No:0842216=49 Contractor'srRepresentative: (\^ _� v/ 'I' 1 Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of • INSULATION CERTIFICATE This is to certify that insulation has beeninstalled in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building at 81-810 GOLDEN STAR WAY, LOT 51-12, PHASE 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: PARAG9Q,N SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: GEC°e%�'� TITLE: ACCOUNT REPRESENTIVE DATE: 45- '.50 662 t 0T mvd (INHOS NOE)dVd T.b$TLbE09LT „9b_.:80 9002/0E/50 Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _--j— of �_ JCM Inspections ' # 39725 Garand Lane Suite FZ i- Palm DesertCA 92211 4d"O"011 _�._ - TIONS 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: ❑✓ IBC 60-800 Trilogy Parkway La Quinta, CA [—]Title 24 Client: Sub-Contractor: Shea La Quinta, LLC DCCCC Other: General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults . Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Slump (inches): Supplier: Superior Weather: Time Sampled: q ; SMix Design: D83625P Time in Mixer (min.): Jed Specified Strength (PSI): 4000 Unresolved Items: Water Added @ Jobsite (gals.): t�� Addmixture: POZZ 322N one Concrete Temperature (F): Truck #: LA �c3— Ticket M-1-1 Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders ❑ See Below Location of Sample: \Cnb on 0kr? — CA, k c ❑ No Samples Taken r' D( n of Work Inspected: Phalfe `l'` Lot# Product an mo �Ga 3-(L4 -a(o — 1) Received mill certifications for rebar and tendons placed. 2) Typical exterior Footings including Garage Footings/Door (I1,12,13/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 andUHoldowns (6,7,8/SD-1), Pad Footings and additional rebar placed as per these details and as noted on .3 3 n C\-JX n n h�� �q ��p,- 90,0 k V� �� a IwZSs e D n o C.S, f G QQAC 00(n 0C)K_ Also, typical details 2, 3/SD-1 and Notes on SN-1 apply. Checked rebar for grade, size, placement, coverage and splices. Rebar and tendons were securely tied and supported off the earth. Accepted for concrete placement. 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx i 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. 3-V'o 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx 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. r _ Inspector: ack C. Millin ICC Certifi ation No: 0842216-80 Contr'�UQx_ s Reeepresent`jati el: ) A� - ract}o� ov) Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page _--j— of �_ JCM Inspections L1%39725 Garand Lane Suite F Palm Desert, CA 92211 ►` P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: 3-vZ Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: City: �✓ IBC 60-800 Trilogy Parkway La Quinta, CA Title 24 Client: Sub -Contractor: Shea La Quinta, LLC Sun Coast Tensioning Other: General Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons Weather: dVQr cst s Unresolved Items: Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips J L400 psi to 33.04 kips/33,000 lbs ®.None F-1 See Below Q Calibration Date: Machine#3$s c—IS-, p(t� Phase Lot# S I )Product a Plan S-1-3 is G $ 10 C oAik .cr c>\c W Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. Yees� No n n ❑ n r r%^ \ \ 1 ) �►U'� Eg�r 1:11 l �� LE _ ❑ t y f-? 0 El \ • S n LJ— ❑ —M ❑ ©--- ❑ lo 14i El ' ❑�" ❑ 4 "Vol, — 2 "fir' ! r ! ❑ ❑ I certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability 1 have found this work to comply with the approved plans, specifications applicable building laws. Final report issued at project completion. Mi Inspector: Jackllin ICC Certificatibn oM842216-89 Contracto - s Representative: //"'), n' Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page __L of JCM Inspections 39725 Garand Lane Suite F LJ _ Palm Desert, CA 92211 f_ Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Date: 5/30106 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 # 5112 Slab on Grade 273-684 Kitchen • is Page 1 of 1 3-15-06 Concrete Required psi: 4000 3010 7 4600 3011 28 5890 3012 28 5840 CERTIFIED: � Q'- jNU� I JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 JUN 27,2006 20:18 • to L� BCI*TESTING,ri1 000-000-00000 LD_VERIFICATION 8r DIAGNOSTIC TESTING (Page 1 of 8 Sudder Name I I� CF -4R 181810 Golden Star Way AfShea Homes, Inc. Builder Contact mosoolF, Telephone Plan Number 5515 Casita HERS Rater Telephone Sample Group Number/ Lot,# (if applicable) William Henson 602-625-1994 26266/ 112 Compliance Method Pre5cri tiye ' Cairn Certifying Signature. Dile Ceitificate Number 3une 27, 2006 CC34798366848 Firm: RCI Testrr)g HERS Provider;CaICERTS Street Address; //-/60 Country Club Drive ste 1 City./State/Zip:Palm Desert / CA / 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was J Tested . --.Approved as part of sample testing, but was not tested. As the HERS rater providing diagno 011 fe-ting and field verification, t certify that the house identified on this form complier. with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify 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 properly completed dnd signed CF -6R has been received for the sample and tented buildings. 1% The installer has provided a copy of the CF -6R (Installation Certificate), J 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 connections. :...MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Marr) System NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: 96 2 Fan Flow: Calculated (Nominal 'Cooling Heating) or Measured 2000 tntcr lotal Fan How in CFM: 3 Paw, If Leakegr. Percentage a:= 611/o f 100 x ( Line 1 / Line 2 )J: 4.901h PA.,:, 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 tqurpment Change -Out. 5 Enter Tested Leakage Flow in CFM: Fina) Tact of New Duct System or Altered Ducl Sy:tem for Dunt System Alteration and/or Equipment Change -Out. 6 Enlei Reduction In Leakage for Altered Duct System (Line 4 - Line 5) - (Only if Apdhcable) 7 Frites Tested Leakage Row in CFM to Outside (Only if Applicable) B Entire New Duct System - Pass if Leakage Percentage < 6% ( 100 x ( Line 5 / Line X )J: i . Pass i . 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 Ledkdye Percenldyu <- 15% i 100 x ( Line 5 / Line 2 )l: Pass Fail 10 Pass if Leakage to Outside Percentage <:- 10% J 100 x ( Line 7 / Line 2 )J: i Pass Fail 11 Pass If Leakage Reductlon Percentage = 60% 1 100 x ( Lind 6 / Line 4 P Pass Fail and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection i.. Pass r . Fail Pass If one of Lines V9 through if12 pass ^ : Pass :.- Fail Page 9 JUN 27,2006 20:18 BCI*TESTING,ri1 000-000-00000 Page 10 • 0 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address Builder Name 81810 Golden Star W Builder Conterct __ Shea Homes, Inc. Telephone Plan Numlxr 5515 Casita _ HERS Rater Telephones Sample. Group Number / Lot 4 (if applicable) William Hanson 602-625-1994 26266 / 112 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature -. ,> i _// Date Certificate Number /V�'y',,F' ---, lune 27, 2006 CC3-1798366848 Firm: BCI Testing t ERS Provider :CaICERTS Street Address: 77-760 Country Club Drive Ste. I City/State/Lip:Palrn Desert / CA / 922tl CODIeS to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was V Tested . Approvpd 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 dlegnusliC trsted compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed Cf' -6R has been received for the sample end tested buildings, V The installer has provided a copy of the CF -6R (Installation Certificate), V New Distribution system is fully ducted (i,e., does not use building cavities as plenums or platform returns in lieu of ducts). New *ystnms where. cloth backrd, 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 connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New Svstem NEW CONSTRUCTION buct Pressurization Test Results (CFM 0 2S Pa) Measured Values 1 Enter Tested Leakage Flow in CFM; 33 2 Fan Flow: Calculated (Nominal Cooling Heating) or Measured 800 Enter Total Fan Flow in CFM; 3 Pas; if Lcakage Percentage — 6`% 1 I00 x ( 1 ine t / Line 2 )J: 4.130/4 Pass 'Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CPM hvili 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 Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [Line 4 •• Line 5] - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside: (Only if Applicable) R Entire. New Duct System - Pass if Leakage Percentage <= 6% [ 100 x ( Line 5 / Line 2 )): Pass :_.i 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 •: 15% [ 100 x ( Line 5 / Line 2 )]: Pass '._'Fail 10 Pass if Leakage to Outside Percentage c•= 100/n [ 100 x ( Line 7 / Line 2 )J: . Pass . Fail I1 Pass If Leakage Reduction Percentage = - 6U% [ 100 x ( Line 6 / Line 4 )) pass Fail and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection t. :Pass i Fait Pass if One of Lines #9 through 412 pass Pass rail JUN 27,2006 20:18 BCI*TESTING,ri1 000-000-00000 Page 11 CERTIFICATE OF FIELD VERIFICATION DIAGNOSTIC TESTING (Page 3-4 of 8) CF -411 Project Address IBuilder Name 81810 Golden Star Way Shea Homes, Inc. Builder Contac Tel%Pnonr. Plon Numbrr 5515 Casita HERS Rater Telephone Sample Group Number / Lot V (fl applicable) William Henson 602-625-1994 26266/ 112 Com liance Method (prescriptive) Climate -Zone 15 Certifying Signature / / Date Certificate Number ��,�o�Cy/�/ June 27, 2006_ C_C3-1798366848 ll Firm; BCl Testa - H� RS Provider:CalCERTS Street Address: 77-760 Country Club unve ste 1 ^ City/State/Zip:Palm Desert / CA / 92211 Coples 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 tcsting and fir.ld vt,.h itttlon, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked an this form. ' 1/ The installer has provided a copy of the CF -GR (Installation Certificate). THERMOSTATIC EXPANSION VALVE TXV : New System Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. New System HVAC System TXV W Pass ! Fail 0 JUN 27,2006 20:18 BCI*TESTING,ri1 •000-000-00000 Page 12 CERTIFICATE OF FIELD VERIFICATION DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R i nrr Project Address -.. _-.. ., , Builder Name ' 81810 Golden Star Way _ Shea Homes, Inc. Guilder Contact Te1cphone Plan Number 5515 Casita HMS Hater - Telephone Sample Group Number/ Lot ft (if applicable) William Henson 602-525-_1994 26266/112 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature y nste Number _ ` i //n ''�, lune 27, 2006 CC3-98366848 •�,.4.( / `i. CYC_— 17 Firm: BC1 Testing I1LRS ProvidP.r:CaICERTS Street Address: 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 WTested : Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the hous* identified on this form complies with the ' diagnostic tested compliance requirement.; as checked on this form. Tho instdiler has provided a copy of the CF -611 (Installation Certificate). '7 r'THERMOSTATIC EXPANSION VALVE TXV : Main S stern Access is provided for inspection. The procedure shall consist of visual vetification that the TXV is installed on the system and installation of the specific equipment shall be verified. Main System HVAC System TXV pass ^ Fail • CJ JUN 27,2006 20:19 BCI*TESTING,ri1 000-000-00000 Page 13 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -4R Prolect Addncs:,, Builder Name •81810 Golden Star Way Shea homes, Inc. Builder Contact Telephone Plan Number 5515 CaSita HERS Rater Telephone Sample Group Number/ Iof fi (if;ropdcrb/e•1 William Henson 602-625-1994 26266/ 112 Compliance Method (Prescriptive) w Climate Zone 15 Certifying Signature Date Certificate Number June 27, 2006 CC3-1798366848 Firm: LILI festing HERS Provider;CaICERTS Street Address: 77-760 Country Club Drive ste I City/State/Zip: Palm Desert / CA / 92211 40 0 Copies 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 venficA ion, 1 certify that the houo<; identified on this, form complies with the diagnostic tested compliance requirements as chocked on this form. I�/ The in-Aallrr ha, provided o ropy n(the r.F-r+R (in'tallotioe Croifiratr) i NIGH EER AIR CONDITIONER: Main System Procedures for verification are available in RACM, Appendix Rl. 1 ; Pr -c i • Fail EER values of installed systems match the CF 1R 2 Pass r Fail for split systems. indoor coil i, matched to outdoor coil 3 F ":Pass W Fail Time Delay Relay Verified (If Required) IF Yes to I and 2; and 3 (If Required) is a pas „! Pass Fail .Z;HIGH EER AIR CONDITIONER: New System Procedures for verification are available in RACM, A endix Rl. 1 �a Pass i ^ Fail EER values of installed systems match the CF -1R 2 LR Pass I ._ Fail For split systems, indoor coil is matched to outdoor coil 3 i Pass !� Fail Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a pass 171 Pass L7' Fail BORM lei q STRUCTURAL ENGINEERS STRUCTURAL JOB SITE OBSERVATION t/�J Project Name: �62 1% /�i �f-as'J/�t/%i� ProjVrva rr Observer. li/�'c`lZ, Date ofn: A visit to the project site was made on the above date to: 0Ili �v� ❑ . Address specific elements of the work Assist the field personnel with complying with the intent of the structton docur Iv ts. �� („� 13Assist the field personnel with complying with the findings fr a previous sprat job site observation. `J V At the time of our visit, work had progressed to the poin \00� Phase: f� Address: Bldg. / Lot Number: .,/45 Bldg. / Plan Type & Elevation: - Foundation Trenched C� se'' 0 Foundation Poured ,6� Pf ,! 0 :Roof Sheathing Covered �/ e>! � �. ❑ Roofing Material Stacked and Loaded0 Exterior Walls Covered Pf 0 0 0 ❑ Interior Wall Covered 0 ❑ 0 0 0 Insulation Installed 0 0 ❑ 0 0. Electrical, Mechanical, Plumbing Complete 0 0 0 0 0 Final Framing Pick-ups Completed 0 0 0 ❑ 0 Building Complete ❑ 0 0 0 0 Based upon our"visit: ❑ .Refer to the attached field notes to be addressed by the construction personnel. ❑ Additional information will be sent from our office which will'need to be addressed by the construction personnel. It is our opinion that this building is being constructed in general. conformance with the intent of the construction documents prepared by our office. ❑ Site Observation ceased, framing was not at a stage of completion in which site observation could be performed. O Concerns brought to the attention of field personnel based on previous site observation made on have yet to be addressed. Comments;, y%Y CRI61i1elICIZK Please note: Our findings and recommendations may haveother than structural ramifications which we have not addressed. Be advised that changes to the construction. documents need approval of the building official. Our firm is not authorized to act as the .Owner's agent. Our findings shall not be construed as authorizing.the expenditure of additional funds. Site Observation was made only to determine general conformance with the intent of the construction documents. Observation was made of those portions of the work which would best represent the intent of the construction documents, not each and. every element of the work Site observation did not include review, approval or observation of; among other items: 1. The contractors safety precautions, procedures, designs, methods or techniques. 2." Any shoring, scaffolding, underpinning, temporary retaining of excavations, or any other erection methods or temporary bracing. 3: Any soils at the site, their adequacy to support the building, expansiveness, or any other soil related conditions.. 4. Any drainage courses or devises of a temporary nature or as a permanent part of the structure, including roof and floor slopes, drains and pipes. The findings of this observation are understood to be an expression of professional opinion by the engineer information and belief As such, it consists of nei r a arantnor a warrantee expressed or implied. 1 Field Superintendent (third copy) v Client (second copy via, mail) . Field Engineer (first copy) If you have any questions please contact our office. COSTA MESA,, CALIFORNIA Phone: •714-513-7500 ROSEVILLE, CALIFORNIA Phone: 916-774-7597 PLEASANTON, CALIFORNIA Phone: 925474-1180 LAS VEGAS, NEVADA. Phone: 702-740-5427. PHOENIX, ARIZONA Phone: 623-869-0607 Fax: 7147-513-7555 Fax: 916=774-7599 Fax :9254674780 Fax: 702-740-5431 Fax::623-869-0609 on his or her best knowledge,