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05-5529 (SFD)4 P.O. BOX 1504 �VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/21/05 Application Number: 05-00005529 Owner: Property Address: 81820 GOLDEN STAR WY I✓ d SHEA LA QUINTA APN: 764-280-999-111 -300235- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETAC r 8800 N GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES /'EB % SCOTTSDALE, AZ 85258 Application valuation: 145707 Contractor: Applicant:rchitect or Engineer: r '"� SHEA. HOMES, INC. 81260 AVENUE 62 LA .QUINTA, CA 92253 C (760),777-6005 (� Lic. No.: 672285 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700 9) of Division 3 of the i ess and Prof ssionaI Code, and my License is in full force and effect. License las � 1P. License No:: 672285 15Ff Contractor ' / 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).: (_) 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 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 _ 1 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.). (_ 1 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 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. Yll 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 Number 1247619 I certify that, in the performance of th ork for which this permit is issued, I shall not employ any person in any manner so as to be m subject to the workers' compensation laws of California, �)I' d ree that, if I o becom s ject to the workers' compensation provisions of Section ab sh I h I with thoseprovisions. ppli 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. 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 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 thano informati is correct. I agree to comply with all city and ount ordinances and state laws relating to structio d hereby authorize representatives tlljSco my o'`el er upon the above-mentioned pro pection Date_:!)/- ' v gnature (Applicant or Agent): Application Number . . . . 05-00005529 ------ Structure Information PLAN 4210A W/CASITA MBR BOX BAY ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/LONG <=10 Other struct info CODE EDITION 2001 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 474.00 PATIO SQ FTG 318.00 NUMBER OF UNITS 1.00 --------------------------------------------- 1ST FLOOR SQUARE FOOTAGE ------------------------------- 1636.00 Permit . . . BUILDING PERMIT. Additional desc . Permit Fee . . . . 800.50 Plan Check Fee 520.33 Issue Date Valuation 145707 Expiration Date-. .6/19/06 Qty Unit Charge Per Extension BASE FEE 639.50 46.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 161.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 83.50 Plan Check Fee. 20.88 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 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 . . . . 81.74 Plan Check F.ee . 20.44 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/19/06 Qty Unit.Charge Per Extension BASE FEE 15.00 1636.00 :0350 ELEC NEW RES - 1 OR 2 FAMILY 57.26 474.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.48 LQPERMIT Application Number. 05-00005529 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 Permit PLUMBING Additional desc . Permit Fee . . . . 146.25 Plan Check Fee 36.56 Issue Date . . . . Valuation 0 Expiration Date 6/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000'EA PLB FI-XTURE 78.00 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 15.0000 EA PLB GAS METER 15.00 ------=------------------------------- Special Notes and Comments -------------------------------------- SFD - LOT 111, Plan 4210C, 1636 SF., INCLUDES CASITA (255 SF) & MBR BOX BAY (26 SF). ---------------------------------------------------------------------------- Other Fees . . . .. . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY -CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 52.03 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 14.57 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary ----------------- Charged ---------- Paid Credited ------ 7___ -7 -------- ---------- Due LQPERMIT Application Number. Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERMIT 05-00005529 1126.99 .00 .00 1126.99 598.21 .00 .00 598.21 3762.60 .00 .00 3762.60 5487.80 .00 .00 5487.80 STRUCTURAL JOB SITE OBSERVATION Project Name: _//'�% /fir: ` J, 01 LP STRUCTURAL Project Nu er: L%��fi✓�y� Observer. -1 `� /t� l�/°lcC/ Date of rvation: y �3� A visit to the project site was made on the above date to: O ❑ . Address specific elements of the work./ 0� nA r, �„ Assist the field personnel with complying with the intent of the str ction docuits. �� (_1/ ❑ Assist the field personnel with complying with the findings fr a previous s�u ral job site observation. l/ V 1 ❑ -� 'n At the time of our visit, work had progressed Address: Bldg. / Lot Number. Bldg. / Plan Type & Elevation: Pon _w► . ; . Foundation Trenched 0 Foundation Poured ,ems :ems 0 ' :Roof Sheathing Covered ❑ Roofing Material Stacked and Loadede� rx� { 0 Exterior Walls Covered 0 0 0 ❑ Interior Wall Covered 0 ❑ 0 0 0 Insulation Installed 0 0 0 0 0. Electrical, Mechanical, Plumbing Complete ❑ 0 ❑ 0 0 Final Framing Pick-ups Completed ❑ ❑ 0 0 0 Building Complete 0 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. ❑ Concerns brought to the attention of field personnel based on previous site observation made on have yet to be addressed. Comments f %.�-7'� ,yG c- % . cCi�r '3 .� �iYi/=ALU �% Please note: Our findings and recommendations may have other 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 i 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 professionalopinion by the engineer b ed on his or her best knowledge, information and belief. As such, it consists of nei r a arante nor a warrantee expressed or implied. Q Field Superintendent (third copy) Date: Client (second copy via mail) r Field Engineer (first copy) Date: -4r- /yr'75;% If you have any questions please contact our office: COSTA MESA,.CALIFORNIA Phone: 714-513-7500 Fax: 714-513-7555 ROSEVILLE, CALIFORNIA Phone: 9167774-7597 Fax: 916-774-7599 PLEASANTON, CALIFORNIA Phone: 925474-1180'. Fax: 9254671780 LAS VEGAS, NEVADA Phone: 702-740-5427. Fax: 702-740-543 f PHOEND{; ARIZONA Phone: 623-869-0607 Faz::623-869-0609 . . INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building at 81-820 GOLDEN STAR WAY, LOT -5111', 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: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 1 B TITLE: ACCOUNT REPRESENTIVE DATE:c • • 90/b0 39dd 6T8T0V609LT Eb:TZ Z00Z/b0/T0 JUN 27,_2006 20:19 BCI*TESTING, ri1 000-000-00000 ;:jjtj I I Page 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Paoe 1 of 81 CF -4R • C C182il ress - BuilderName 0 Golden Star ora Shea Homes, Inc. Contact Telephone Plan Number 4210 Casita HERS Rater Telephone Sample Group Number/ l of b (if applicable) William Henson 602-625-1994 26265/111 Compliance Method Prescri tivee c Certifying Signature Date Certificate Number June 27, 2006 CC3-1798366847 Firm: aci Testing HERS Provider:CdICERTS Street Address: 77-760 Country Club Drive ste I City/State/Zip:Palm Desert / CA / CO21 1 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 verification, I certify that the house identified un thw fumrn curnphes with the diagno^tic tested compliance requirement: as checked on thlr, forin. The HERS rater must check and verify that the new distribution system cry fully ducted and cuneet lepr, rs usei before a CF -414 rnAy he rrlea,ed on evriy 4r.i.LqA building, The ITERS rater must not release the CF -4R until a properly completed and signed CF --6R 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 plenum; o: 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: Maid Svstem NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Valuen 1 Enter Tested Leakage Flow in CFM: 66 2 Fan Flow: Calculated (Nominal Cooling Heating) or Measured Enter lotal Pan Flow In CFM: 1600 3Pass if Leakage Percentage : 6% 1100 z ( Line 1 / Line 2 )J: 4.130/a 1** Pas; 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 Syrlom or Altered Duct System for Duct System Alteration and/or Equipment Changc-Out, 6 Enter Reduction in Leakage for Altered Duct System ILine 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% ( 100 x ( Line 5 / Line 2 J): ! Past, Fad 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 -:- IS% 1 100 x ( Line 5 / Line 2 )l: _ Dass - Fail 10 Pass If Leakage to Outside Percentage •: ••• 101/4 ( 100 x ( Line 7 / Line 2 )]: . Pass i . Fail 11 Past' If Leakage Redualon Percentage = = 60% ( 100 x ( Line 6 / Lino 4 )J and Verification by Smoke Test and Visual Inspection -• Pass ,._. Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection : Pass i ; Fail Parra if Ona of Linos 49 through 912 pass Pass `. I all JUN 27,2006 20:19 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Addrens Builder Name • 81820 Golden Star Way Shea Homes, Inc, Hui&.ler Contact Telephone Plan Number 4210 Casita HFRS Rater Telephone Sample Group Number Lot P (if applicable.) • 0 William Henson 602-625-1994 26265 / iii Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature Firm: UCL resting Street Agtlrpss: 77-760 Country Club Drive ste I Date CertiFicate Number June 27, 2006 CC3-1798366847 I IERS Provider:CaICERTS City/State/Zip: Palm Desert / CA/ 92211 � — Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was L;� 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 diagnostic tested compliance ee.quirernents a:: chrr:ked on this• form. The HL -R5 rater must check and verify thirst the new dvAribution system is fully ducted and correct tape is UWd befOle d CF -4R may be released un every hi&Lgd building, The HERS rater mutt not release the CF -4R until a properly completed and signed CF•6R has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). Now 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 dud tape to seal leaks at dud connections. MINIMUM REOUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New Svstern NEW CONSTRUCTION surization Test Results (CFM 25 Pa) Measured Values ted Leakage Row in CFM: 30 Calculated (Nominal Cooling Heating) or Mr:asurnd taakage B00 al Fan Flow in CFM: Percentage •: 6% [ 100 x ( Line 1 / Line 2 )]; 3.75°h `J Pass 'Fail ALTERATIONS: Duct SVstetn 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 How In CFM: final Test of New Du<'t 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 it Applicable) 6 Entire New Duct System - Pas; if Leakage Percentage • - 6% [ 100 x ( Line 5 / Linc 2 )J. 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 Pass if Leakage Percentage <= is% r 100 x ( Line 5 / Line 2 )): Dass Fail 10 Pass if Leakage to Outside Percentage •: 10% ( 100 x ( Line 7/ Line 2 )J: 1 Pass i . Fail 11 Pass if Leakage Reduction Percentages 60%, [ 100 x ( Line 6 / Line 4 )] Nos hall and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection Pass i Fail Pass if One of Lines 49 through fi 12 pass Pass fail Page 15 Ji?N 27,2006 20:19 BCI*TESTING,ri1 000-000-00000 °o CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 9) CF -4R Project Address auddor Name 81820 Golden Star Way Shea Homes, Inc. Builder contact Tcicphonc Plin Numbcr 4210 Casita HERS Rater Telephone Sample Group Number/ Lot if (if applicable) William Henson 602-625-1994 26265/ 111 Compliance Method (Prescriptive) Climate Zone 15 _ eertdvina Sionature :,✓ ; ;; ./ /' Date Certificate Number Firm: Bfa resting Street Address: 77-760 Country Club Drive ste 1 June 27, 2006 CC3-1798366847 HERS Proviaer:CaICERTS City/State/Zip:Palm Desert / CA / 92211 Cooies to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was W 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 dia4nostic tested compliance requircments ac chcckrd on this forro. J The installer has provided a copy of the CF -6R (Instdlldlion Certif)<dle). THERMOSTATIC EXPANSION VALVE T'XV : Main 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. Main System HVAC SystPrn TXV :� pass ` Fail • Page 16 JUN 27,,2006 20:19• BCI*TESTING,'ri1 000-000-00000 Page 17 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -411 Project Address Builder Name 81820 Golden Star Way Shea Homes, Inc. 6rradar CortaCt Telephone Plan Number 4210 Casita HERS Rater Telephone Sample Group Number/ Lot # (if applicable) William Henson 602-625-1994 262651111 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature Dat; Cortihcato Number lily-E'y�/(Yti/ June 27, 2005 CC3-1798366847 Firm: ki(a lesting Ht:RS Provider:CaICERTS Street Address: 77-760 Country Club Drive ste I City/State/Zip:Palrri Desert / CA / 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT a The house was :"I 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 thri form eornplie; with the div nostic tested compliance requuomrnts a:: ehrc,krd on this form. The installer has prnvidrd a copy of the CF -6R (installation Certificate). .YKERMOSTATIC 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 installatlon of the specific equipment shall be verified. New System HVAC System I XVI d pa ;s : tad 0 J,N.2.7,.2006 20:19 BCI*TESTING,ri1 000-000-00000 • C] r CERTIFICATE OF FIELD VERIFICATION $ DIAGNOSTIC TESTING (Pane 5 of 8) CF -4R Project Addrega Builder Namc 81820 Golden Star Way Shea Homes, Inc. Builder Contact Trlcphunc P/in Number 4210 Casita HERS Rater 7nlrphonr 5omp/e Group Number / Lot 4 (it applicable) William Henson _ 602-525-1994 26263 / 112 Compliance Method Prt99rr1 trvP.M ` Climate Lone is Certifying Signature n3tP CertlfjCafe Number, lune 27, 2006 CC3-1798366847 Firm: BCI Testing HERS Provider: 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 4/ Tested Approved as part of sample testing, but was not tested. A. the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ,V The installer has provided a copy of the CF -6R (Installation Certificate), 'NIGH EER AIR CONDITIONER: Main System Procedures for verification are available in RACK AODendix R1. 1 '110 Pass Fail EER values of installed system, match the CF -111 2 Pass hail For split systems, indoor coil is matched to outdoor col! 3 Pass !� Fail Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a pass Pass � Fail WHIGH EER AIR CONDITIONER: New System Procedures for verification are available in RACK Aonendix RI. 1 V Pass I Fail EER values of installed systems match the CF•111 Z '� 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 pass • • Pass I Fdil Page 18 JCM Inspections (� .39725 Garand Lane Suite F 1 Palm Desert, CA 92211 + P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-389 V;0e 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 �✓ 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): (� Supplier: Superior Time Sampled: 9 Mix Design: D83625P Time in Mixer (min.): S S Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): /n Addmixture: POZZ 322N Concrete Temperature (F): -� s Truck #:.3 o_ -)Ticket #"7:X7&1 Ambient Air Temperature (F): Cl Field ID Marking: Set A - 4 cylinders v Weather: Unresolved Items: ®None ❑ See Below Location of Sample: ,- �(- Ai c,,i E] No Samples Taken tion of Work Inspected: / Phase , t- Lot# Product Plan 14a 10c, �.�,�ca n ,cam ��c,� �►.� , 1) Received mill certifications for reba dons placed. 2) Typical exterior Footings including Garage Footing earns (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 on RTL tl� , 1XGL.. Gn_ � 1 , 610 -k 9-1A.&! 'a ',N 0 o P � t` n rs 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 , 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) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx f Verified correct mix design. __W_ 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: Jac Millin ICC Certification-NNo"%0842216-80 Contractor's-Representafve: . Aa Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 1 of JCM Inspections �`. 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:�� _p Project Name: Trilogy @ La Quinta - Shea Homes Project No: 02-1109 Project Address: City: 60-800 Trilogy Parkway La Quinta, CA �✓ IBC Title 24 Other: Client: Sub-Contractor: Shea La Quinta, LLC Sun Coast Tensioning General Contractor: Architect: Shea Homes for Active Adults 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 psi to 33.04 kips/33,000 lbs Calibration Date: Machine # - Phase 1 Lot# 5' l I Product Plan O �� %o' ODescription Weather: C) �eCCns Unresolved Items: [ None ❑ See Below of of Work Inspected: Actua'I-E ongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. t sri i Yes No ea c aQ�, 3 0' ❑ GMK u2 0-7 M- Q� � �fjc �i -�- � �' y , a � ©' ❑ ©- ❑ G� N _ S: HiQ.. I 0•-- El � d C.*'_ I LI 0R- ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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: Ja k C. Millin ICC Certificat on o: 0842216-89 Contracttir's�Representative: .. Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 I;CTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS COMPRESSION STRENGTH TEST RESULTS Client: Shea La Quinta, LLC Project: Trilogy @ La Quinta - Shea Homes 60-800 Triolgy Parkway La Quinta, CA 92253 Date: 5130106 Project No: 02-1109 Set ID Structure Age of Test Compression Strength JCM ID Location Date Cast Cylinder ID (days) (psi) Set A Phase 14A - Lot # 5111 Slab on Grade 3-15-06 Concrete 273-683 Kitchen Required psi: 4000 0 • Page 1 of 1 3014 7 4010 3015 28 5280 3016 28 5330 CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 M