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05-5530 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: ' 05-00005530 Property Address: �- 81830 GOLDEN STAR WY APN: 764-280-999-110 -300235- Application description: DWELLING - SINGLE FAMILY Property Zoning: - MEDIUM HIGH DENSITY RES Application valuation: 170639 Applicant: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DETACHED /Arc_ hitector Engne�er�' Ccii. 2.uLtb i ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 006) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Licese lasst B License No.: 672285 aSe!' ontractor: 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 (5500).: (_ 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 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, 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; LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/21/05 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER SCOTTSDALE, AZ 85258 actor: A HOMES, INC. 60 AVENUE 62 QUINTA, CA 92253 60)777-6005 c. No.: 672285 350 ------------------ WORKER'S COMPENSATION DECLARATION 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. V'_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 Number 1247619 _ I certify that, in the performance of the work r which this permit is issued, I shall not employ any person in any mann so a o become s ct to the workers' compensation laws of California, and agree that, if a ome to the workers' compensation provisions of Section 3700 of the Lab r C e, I s II f. rthw i plywitb_Ihose provisions. - te: V� cant: �� 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 that the bove inf ation is correct. 1 agree to comply with all city and c unt ordinances and state laws relating t i co coon, and hereby authorize representatives of th�jg,Go ty t nt r port the above-mentioned o e j insp coon urposes. af? to—L)r "'S ture (Applicant or Agent): LQPERMIT Application Number . . . . . 05-00005530 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 576.00 PATIO SQ FTG 177.00 NUMBER OF UNITS 1.00 ' ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1943.00 Permit' BUILDING PERMIT Additional desc . Permit Fee . . . . 888.00 Plan Check Fee 144.30 Issue Date Valuation . . . . 170639 Expiration Date-. 6./19/06 Qty Unit Charge Per Extension BASE FEE 639.50 71.00 3.5000 ---------- : THOU BLDG 100,001-500,000 248.50 . . . MECHANICAL Additional desc . Permit Fee . . . . 70.50 Plan Check Fee 4.41 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 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit. . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee. 94.53 Plan Check Fee 5:91 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 1943.00 .0350 ELEC NEW RES -1 OR 2 FAMILY 68.01' 576.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 M 0 i Application Number . . 05-00005530 ------------------------------------- Permit . . . -------------------------------------- PLUMBING Additional desc . Permit Fee 152.25 Plan Check Fee 8.95 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/19/06 Qty Unit Charge Per - Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 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 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 ------------------"---------------------------------------------------------- Special Notes and Comments SFD - LOT 110, PLAN 4520B, 1943 SF/ 255 SF CASITA,BOX.BAY @ MBR -26 SF 4' GARAGE EXT - 88 SF.PERMIT DOES NOT INCLUDE BLOCK WALLS,POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTLIPLE ISSUANCE OF SAME PLAN TYPE - -----------------------7---------------------------------------------------- Other Fees . . . . . . . . .. ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 14.43 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 17.06 DIF STREET MAINT FAC -RES 67.00 LQPERMIT r Application Number . . . . . 05.-00005530 ------------=--------------------------------------------------------------- Other Fees . . . . . . . . . DIF TRANSPORTATION - RES' 1666.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1220.28 ---------- .00 -------------------- .00 1220.28 Plan Check Total 163.57 '.00 .00 163.57 Other Fee Total 3727.49 .00 .00 3727.49 Grand Total. 5111.34 .00 .00 5111.34 LQPERMfr • JCM Inspections RfiJE�� • 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS 111'.k hone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS 4f W EPDXY INSPECTION REPORT Date:L)_ Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 ', J Project Address: City: 81-260 Avenue 62 La Quinta, CA Q✓ IBC Title 24 Other: Client: Sub -Contractor: Shea La Quinta, LLC 1�> (�..GCQ__ General 'Contractor: Architect: Structural Engineer: Shea Homes for Active Adults Bassenian Lagoni Borm & Associates, Inc./ Suncoast Post Tensi ® Anchor Bolts ❑ Rebar Epoxy Type: c r, �i ^� �� : : , �t { '• 1 f Jt . \ Epoxy Shelf Life:. , to . r7'� Hole Cleaning Method(s): C� o a ,� �'t❑See Weather: o,-\ Unresolve Ite s: None Below Description of Work Inspected:( !' \-�'�\� L C1 I 1' ;7`^ .. r^ \ n,. -I .f'1 " �•.. `� C'_ �? l >,�"'� e^;� �••.�lJ •�:C'Vt^.a_y.0 rcC.1^,...._ ;`!1;n'� `]�:t.\r_ trf�� rV•l'�1;! G;" �> - . �,. c, F• `� �L ���1� ��; *� �aJe :c (�'- Wit[ ^� �.' C n.t e C_ x'11\ail;'\ A A .._n r- n n r , : e t._:i� �� ro ir. , , i '� rt•.- �ri t r c. r— . j ri c1 —4rt[r Work complies with written approval from Structural Engineer and ICBO Evaluation Report # 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. Millin ICC Ce 'fcation, :0842216-49 Contractor's Representative: r 1 ! -/ 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 TMWOR C 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: 60-800 Triolgy Parkway La Quinta, CA ❑✓ IBC F-] 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,a nc> Supplier: Superior Time Sampled: $ ; y j p l, -n Mix Design: D83625P Time in Mixer (min.): (,� 0 Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): �� sl 2 Addmixture: POZZ 322N Concrete Temperature (F): "7a Truck M s93 Ticket #: g(p� Ambient Air Temperature (F): �l� Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: ®-None ❑ See Below Location of Sample: o.b o r1 C (I XQ, — rv1 ❑ No Samples Taken DA&tion of Work Inspected: Phase Lot# S/10 Product Plan � K30 CIT' AA P rnS�lt� rw 1) Received mill certifications for rebar and tendons placed. 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 on \ \ E 3 �y� c` �, fV 4�r'�RS �C� . CIL (O a-, 2Xr�si,�,, {, aatiC do,. W'��rllnu� e ns\mac �C'at7t�, 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. 3-'9,0-o(, 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx .no.— 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-"� -- o 6 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx (3 verified correct mix design. ter._ 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 Certifcat%nfNo:0842216-80 "sem c' . W� K- - Contractor's Reptesentativr: � �1�V qr'� Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page A of A 1 J.CM Inspections 9,1979 39725 Garand Lane Suite F M Palm Desert, CA 92211 T' P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS PRESTRESSED CONCRETE INSPECTION REPORT Date: -2 �oU 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 Weather: Size and Type of Tendons: 1/2" Diameter Seven Strand Stress -Relieved Tendons M UI!,V, AA n.� �. Unresolved Items: Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips ©None u psi to 33.04 kips/33,000 lbs `"" ❑ See Below Calibration Date: Machine # Phase Lot# S- D Product Plan �I ��O -0\C`Il�n W 0, Description of Work Inspected: Actual Elongation (in) Specified Complies within 7%n +/- of specified elongation. Lot # Location Tendons Elongation (in) Reference 11 h/SN2. - 5,110 Yes No „ r,r e,wl �, �� �� �.� r o— El J Eg- ❑ U _ 4"Aa . _ ' LTJ' ❑ 1 G? ❑ ApA — li o . � © El �� 7 E ❑ r. ' ❑"'- ❑ C 41c n e* / v ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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 Certifcatio No:0842216-89 Contractors Represen tive: C., Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of Q. JCM Inspections - 39725 Garand Lane Suite F 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: 5/30/06 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 # 5110 Slab on Grade 273.688 Great Room • Page 1 of 1 3-20-06 Concrete Required psi: 4000 3098 7 3070 3099 28 4300 3100 28 4240 CERTIFIED: GOLI 19 ep I V JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 ,PA. 27;2006 20:19 BCI*TESTINGrri1 000-000-00000 CERTIFICATE OF FIELD _VERIFICATION & DIAGNOSTIC TESTING (Page 1 i 8) P�aiti;QEk/_ Builder Name 30 Golden Star Wa _ Shea Homes, Inc. er �onb,rt Telephone Plan Number 4520 Casita Telephone Sample Group Number / Lot # (if applicable) William Henson 602-625-199.4__ 262.64 10_ Comoliance Method fPriemerivtivP.1 Firm: BCI Testing - - Street Address: • 77-760 Country club Drive. ste I Certificate Number CC3-1798366846 HERS Provider: Ca10ERTS City/State/Zip: Palm Desert/ (;:AA / 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING_ DEPARTMENT HERS RATER COMPLIAN_C_E STATEMENT The ftUu5e wias I.- rested Approved as part of sarnple testing, but was not tested. As the HERS rater providing diagnostic tasting and field verification, I certify that the house identified on this form complies 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 CFAR may be released on every tested building. The HERS rater must not release the CF -4R until a properly rompletii-A and signed CF -6R has been received for the sample and tested buildings. The installer has provided d Copy of the CF -15R (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 rystenis 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 A duct connection!;. #4INIMUM REOUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System NEW CONSTRUCTION huct Prfs.utaaliJn Test kesults (CFM (N 25 Pa) MValues u s Vl 1 Enter Tested Leakage Flow in r.FM: 72 2 Fan Flow: r;arrulated (Nominal Coolinq . Iira,lrng) or Meae.ured 1600 Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage -:: 6% 1 100 x ( Line 1 / Line 2 )]: 4.50% � Pane I ...Fall ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 triter Irstrd Lrirkage 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 Equipment Change -Out. 6 Enter Rrdudlun in I rakaye for Altered Duct Systern [Linc 4 - Line 5) - (Only if Applicable) 7 Enter Iented Leakage Flow in CFM to Outside (Only if Applicable) 0 1 Entire New Duct System - Pass if Leakage Percentage <... 6% [ 100 x ( Line 5 / Line 2 )): ! pas: ; Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following tour Test or Verification Standards for compliance: 9 Pass If leakage Percentage <:= 15% [ 100 x ( Line 5 / Llne 2 )1: Pass Fail 10 Pass if Leakage to Outside Percentage •-= 10% 1 100 x ( Line 7 / Line 2 )]: I Pass .'Fall 11 Dass if Leakage Reduction Percentage >- 60% ( 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection I Pass ' . Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke rest and Visual Inspection I—: Pr,b ..; Fail Pass if One of Lines #9 through #12 pass Pass Fail C7 Page 19 SUN 27,2006 20:20 BCI*TESTING,ri1 000-000-00000 Page 20 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING .(Page 1 of 8) CF -4R ....,� .- Project Address Buildcr Name •81830 Golden Star Way Shea Homes, Inc. Builder Contact Telephone Plan Number 4520 Casita • 0 HERS Rater Telephone Sample Group Number/ Lot # (if applicable) William Henson 602-6251994 26264 / 110 CornplianrP Method (Prnsr_ryrbve?) C_limatp 7ona 15 CertifyiA7 ,!?nature✓ Date. C.'Prtrfirate Nurrher i frl;fes✓ June 27, 2006 CC3-1798366846 Firm: BCI Testing - HERS Provider:CalCERTS Street Address, 77-760 Country Club Drive ste I City/State/Zip, Palm Desert / CA / 92211 CODIes to: BUILDER. HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was r-;,. 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 tht diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verity 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 and tested bulldinq .. The installer has provided a copy of the CF -61Z (Installation Certificate). Now DlWibution system is fully ducted (i.e., docs 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 REOUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT! New Svstarn NEW CONSTRUCTION Duct Pressurization Test Results (CFM (D 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: 33 Z Fan Flow: Calculated (Nominal Cooling • Heating) or MeanurnA Enter Total Fan Flow in CPM: 800 3 vacs if leakage Percentage •t v 15% [ 100 x ( Linr- 1 / Line Z )J: 4.131/a 1'�O pass I • Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM front CF -6R: Pre -Test of Existing Dud System Prior to Duct System Alteration and/or Fquipment Change -Out, 5 Enter Tested Leakayr. Flow iii CFM: Findl 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 5J - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entite NCw Ducat System - Pass if Leakage Percentage •: 6% J 100 x ( Line 5 / Line 2 )J: F_: Pass r' 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 Dass if Leakage Percentage •_:= 1S%[ 100 Y( line. S/ Line Z )J: Pass , .. Fail 10 Pass if Leakage to Outside Percentage <- 10% L 100 x ( Line 7 / Line 2 )J: Pass Fail 11 Pass If Leakage Reduction Percentage :- 60% ( 100 x ( Line 6 / Line 4 )J and Verification by Smoke Test and Visual Inspection r Pass - -Fail 12 lPass if Sealing of all Accessible Leaks and Verification by Smoke Test and visual fngprction Pass .Fail Pass if One of Lines #9 through 912 pass r. Pass .- hail JUN 27,,2006 20:20 BCI*TESTING,ri1 000-000-00000 Page 21 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R Protect Address Builder Name •81830 Golden Star Way _ Shea Homes, Inc. 9uildCr Cunlacf --� lelephunr P/,tn Nurnber • • •• 4520 Casita _ HERS Ratar Telephone Samplo Group Nunibnr/ lot 0 (of ,applicab)e) William Hanson 602-62s-1994 26264 / 110 Compliance Method (Prescriptive) Climate Zone 15 Certifying Signature X Date Certificate Number June 27, 2006 CC3-1798366846 Firm: BCI Testing HERS Provider:Ca10ERT5 Street Address: /i-/60 Country Club Drive ste 1 _ _ City/State/Zip:Pal m Desert / CA/ 92211 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was %04 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 this form complies with the dia nostic tested compliance requirements as checked on this 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 TXV is installed on the system and installation of the specific equipment shall be verified. Main System -HVAC System TXV!� Dass !•-, Fail E 0 JUN •27, 2006 20:20 BCI*TESTING, ri1 000-000-00000 Page 22 CERTIFICATE OF FIELD VERIFICATION DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R err • Project Addres -�..- - Builder Name 81830 Golden Star Way` Shea Homes, Inc. Builder Cantnct Telephone Flan Number 4520 Casita HERS Rater TelephanP Sample arnup NumberI Lot V (d applicable) William Henson 602-625-1994 26264/ 110 Compliance method (Prescriptive) Climate Zone 15 Certifying Signature , ,� /' Date Certificate Number 3une 27, 2006 CC3-1798366846 Firm: BCI Testing - HERS Pfovider;Ca10ERTS 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 'rhe house was m" _rested i Approved as part of sample testing, but was not tested. R•. the iirRS rater providing dlagnostic testing and field verification, I certify that the house identified on•this form complies with the die nostic tested compliance requirements as chocked on this form. The installer has provided a copy of the Cr -6R (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 TXVJ lVopass '•.. Fail • 0 J[,N;27,2006.20:20 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION 8e DIAGNOSTIC TESTING (Page 5 of 8) CF -4R •Project Address Bulldcr Namc 81830 Golden Star Way Shea Homes, Inc. Builder Contact Telephone Plan Number 4520 Casita HERS Rater Telephone Sample Group Number/ Lot 4 (it applicable) William Henson 602-625-1994 26264/ 110 Compliance Method (Prescriptive) Climate Zone is Certifvina Sianaturr.•// / Date Certificate Number • 0 Firm: BCI Testing Street Address: 77-760 Country Club Drive Ste f June 27, 2006 CC3-1798366846 .HERS Provider:CalCERTS City/State/2ip:Palm r)esP.rt/ CA/ 92)11 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was d' Tested ; ;Approved as part of sample testing, but was not tested. As the tIERS rater providing diagnostic telling and field verificatabn, I ceilify that the house identified on this form complies with the dia nostic tested compliance requirements as checked on this form, V The installer has provided a copy of the CF -611 (Installation Certificate). i HIGH EER AIR CONDITIONER: Main System Procedures for verification are available in RACM Appendix RI. 1 IF Pass "-7. Fail EER values of installed systems match the CF -IR 2 '� Pass Fail 1 -or split systems, indoor coil is matched to outdoor coil 3 r Pass Fq Fail Time Delay Relay Verified (It Required) i Yes to 1 and 2; and 3 (If Required) is a pass Pass i ' Fail '.?..HIGH EER AIR CONDITIONER: New System Procedures for verification are available in RACM, Appendix RI. 1 :"e Pass 1 fail EER values of installed systems match the CF -111 Z Pass t . Fail For split systems, indoor coil is matched to outdoor coil 3 r 'Pass IFail Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a pass I....: Pass : Fail Page 23 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Tide 24, State of California, in the building at 81-830 GOLDEN STAR WAY, ,LOT 61 -10 --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: PARAG SCHMID BUI ING PRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: 15 • Z0 39dd GIMOS N09dVd ... Tb8TLVE09LT 9V:80 900Z/0E/90