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05-5526 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: C0.5 0.0005526—a4 Property Address: 81845 GOLDEN STAR WY APN: 764-280-999-84 -300235- Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 170639 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DETACHED Applicant:,,rchitect or Engineer: 19 e- 6-519 Cbh -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION Ihereby affirm under penalty of per' that I am licensed under provisions of Chapter.9 (commencing with Section 700 9) of Division 3 of th 'ness and Pr fessionals Code, and my License is in full force and effect. License as . License No.: 672285 Date ontra 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 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 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: p< N LQPERMIT 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/21/05 ----------------------------------------------- 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 Number 1247619 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any mannerIsos to bec a subject tothe workers' compensation laws of California, d agree tht, if I s ecome bject to the workers' compensation provisions of Section 0of th labor Chall f hwith comply with those provisions. ate v o pplicant: 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 stniabove info ation is correct. I agree to comply with all city and c unt ordinances and state laws relang c nstr tion, and hereby authorize representatives of thi o ty t r upon the bove-mentiofor inspe ion purposes. I Da ture (Applicant or Application Number . .. . . . 05-00005526 LQPERMIT 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 Fee888.00 Plan Check Fee 577.20 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 Permit . . . MECHANICAL Additional desc . Permit Fee 70.50 Plan Check Fee 17.63 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 23.63 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 LQPERMIT 00.46 Application 00. 46 Application Number . . . . 05-00005526 Permit • • • PLUMBING Additional desc . Permit Fee . . . 152.25 Plan Check Fee 35.81 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 84, PLAN 4520C, 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 ---------------------------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER.- RES 480.00 ENERGY REVIEW FEE 57.72 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 DIF TRANSPORTATION _ RES 1666.00 Fee summary Charged Paid Credited Due LQPERMIT Application Number 05-00005526 --------------------------- Permit Fee Total 1220.28 -------------------- .00 ---------- .00 1220.28 Plan Check Total 654.27 .00 .00 654.27 Other Fee Total 3770.78 .00 .00 3770.78 Grand Total 5645.33 .00 .00 5645.33 BORM STRUCTURAL ENGINEERS STRUCTURAL JOB SITE.OBSERVATION L Project Name: 2IZ z1_2.`<f �_ �s' il�t/%j� Project Nu er: �%��/�� Observer: Date of rvation: -� A visit to the project site was made on the above date to: OIli �v v� ❑ . Address specific elements of the work. / p� L Assist the field personnel with complying with the intent of tZa truction dociiil�ts. ElAssist the field personnel with complying with the findings frreviouss ral job site observation. l/ qu V At the time of our visit, work had progressed to the point V V Qb �1 Phase: Phone: 916-774-7597 Address: PLEASANT -ON, CALIFORNIA Phone: 9251174-1180 Fax: 925467=1780 LAS VEGAS, NEVADA Phone: 702-740-5427. Bldg. / Lot.Number: PHOENIY, ARIZONA Phone: 623-869-0607 Fax::623-869-0609 . Bldg. / Plan Type & Elevation:. jiib Foundation Trenched Be Foundation Poured .0� ❑ :Roof Sheathing Covered Roofing Material Stacked and Loaded Bf �. 0 Exterior Walls Covered ❑ ❑ ❑ ❑ Interior Wall Covered 0 ❑ 0 0 0 Insulation Installed 0 0 ❑ 0 D. Electrical, Mechanical, Plumbing Complete 0 17 0 0 0 Final Framing Pick-ups Completed 0 ❑ 0 ❑ 0 Building Complete 0 0 ❑ 0 ❑ Based upon ouir visit: ❑ Refer to the attached field notes to be addressed by the construction personnel. ❑ Additional information will be sent from our office which will:n.eed 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, fi-aming 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,42 ,; :(/ Z?w ,7c- ! i✓ //'/L GI S% i c1/✓%/t'/1C/7J/� ckc /,Z:c 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 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 b ed on his or her best knowledge, ' information and belief. As such, it consists of nei r a uaranterrantee expressed or implied. Q Field Superintendent (third copy) c �. Date: Client (second copy via. mail) . 7 Field Engineer (first copy) Date: L ? If you have any questions please contact our office: COSTA MESA, CALIFORNIA Phone: 714-513-7500 Fax: 714-513-7555 ROSEVIL.LE, CALIFORNIA Phone: 916-774-7597 Fax: 916-774-7599. PLEASANT -ON, CALIFORNIA Phone: 9251174-1180 Fax: 925467=1780 LAS VEGAS, NEVADA Phone: 702-740-5427. Fax: 702-740-5431 PHOENIY, ARIZONA Phone: 623-869-0607 Fax::623-869-0609 . JUN 21,2006 16:04 BCI*TESTING,ri1 000-000-00000 o t Measured Value; CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address Builder Name 81845 Golden Star way Shea Homes, Inc. BullderContact Telephone Plan Number 1600 452_0 Casi_ta_ HERS Rater Telephone Sample Gro of 'f applicable) William Henson 602-625-1_9.94_ 26228 084 Com Dance Method (prescriptive) Climate Zone 15 Certifying Signature i i �•� J~� Date Certificate Number = lune 21, 2006 CC3-1798366810 _ Firm: DCI Testing HERS Provider. CaICERTS Street Address: 77-760 Country Club Drive Ste 1 City/State/Zip; Palm Desert / CA / 92211 0 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was la Tested r 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 requirements as checked on this form. I'he HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CFAR may be rCICdsed on every JultA 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 CV -15R (installation Certificate). 7 New Dislribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth harked, rubber adhesive duct tape is installed, mastic and drawbands 1rr ucrd In combination with cloth backed, rubber adhesive dud tape to seat leaks at duct connections, :VNrNIMUM REOUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main Svstem NEW CONSTRUCTION Duct Pressurization Test Results (CFM Cdr 25 Pa) Measured Value; 1 Enter Tested Leakage Flow in CFM: 75 2 Fan Flow: Calculated (Nominal Cooliny Heating) or'.. Measured Enter Total Fan Flow in CFM: 1600 3 Pass if Leakage Percentage •.:- 6% 100 x Line 1 /Line 2 9 9 l ( )J 4.69% r �V� Pass I I Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakdge 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 butt System or Altered Duct System for Dud System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Dud System [Line 4 - Line 5) - (Only if Applicable) 7 Enter Tested Leakage Row in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage .= 6% ( 100 x ( Line 5 / Line 2 )J: 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 it Leakage Percentage <= 15"In ( 100 x ( Line 5 / Line 2 )J: i^ Pass ^Fail 10 Pass if I:eakage to Outside Percentage •:= 10% J 100 x ( Line 7 / Line 2 )J: 17, Pass D Fall it Pass if Leakage Reduction Percentage > 60'/- ( 100 x ( Line 6 / Line 4 )j and Verification by Smoke Test and Visual Inspection �' past, r,_,' Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection Pass n Fail Pa*r if Ont. of Lint -.A #9 through # 12 pass Pass I Fail for 43 t.l Pa�Ll Page 2 JUN 21,2006 16:05 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of 8 CF -4R •Project Address _Builder Name ...�� 81845 Golden Star Way Shea Homes, Inc. BurderContact Plan Number 1� u 9 He RS Rater William F Method 4520 Casita Telephone 5.►mple Group Number/ Lot 0 (if applicable) 602-6ZS-1994 26228 / 084 Climate Zone 15 Date Certificate Number CC3-1798366810 Firm: RCI TestingHERS Provider.CaICERTS Street Address: //-160 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 IR Tested [ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic tenting and field verification, I certify that the house identified on this form complies with the diagnosttr. 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 CP 4R may be released on every tested building. The HERS rater must not release the CFAR until a properly completed and signed CF -6R has been received for the sample and tested building,.. •1/ 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, iubbtr adhesive duct tape is installed, mastic and drawbands are used in combindtion with cloth backed tubber adhesive duct tape to seal leaks at dud connections. t 6fINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: New System NEW CONSTRUCTION Dust Pressurization lest Results (CFM (N 25 Pa) Measured Value, 1 Enter Tested Leakage Flow In CFM' 27 2 Fan Flow: Calculated (Nominal Cooling Heating) ne _ Measured Enter Total Fan Flow in CFM: 800 3 Paos if Leakage Percentage <:= 61h [ 100 x ( Line 1 / Line 2 )]: 3.38% I�ss Pa7ss ii fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage flow in CfM from t7-0: Pre -Test of Existing Dud System Prior to Dud System Alteration and/or Equipment Change -Out, 5 Enter Tested Leakage now in CFM; Fina( Text 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 - bine S) - (Only if Applicable) 7 Enter Tested Leakage How in CFM to Outside (Only if Applicable) 8 Entire New Duct System • Pass if Leakage Percentage •::: 6% ( 100 x ( Line S / Line 2 )): I i Pass IF 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 �= 10% 100 x Line 7 / Line 2 9 9 [ ( )1� I-- L ❑ Fall L_: Pass 11 Pass If Leakage Reduction Percentage =• 60% [ 100 x ( Line 6 / Line 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 F Pass n Fail Passe if One of Lines #9 through #12 pass ' ,pass r Fail LA `i Page 3 JUN 21,2006 16:05 BCI*TESTING,ri1 000-000-00000 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R 41 Project Address Builder Name 81843 Golden Star Way - Shea Homes, Inc. Builder contact reelephone Plan Number • HERS Rater William Henson Compliance Method (Pre 4520 Casita Telephone Sample Group Number/ Lot 4 (if applicahl.-) 602-625-1994 26228 / 084 :n tive) Climate Zone 15 / Date Certificate Number A._/ 3une 21, 2006 CC3-1798366810 _ Firm: BCI Testinq HERS Provider:Ca10ERTS Street Address: 77-760 Country Clut) Drive Ste 1 City/State/Zip:Palm Desert / CA / 92211 Conies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was RTested r 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), ✓THERMOSTATIC EXPANSION VALVE (TXV): 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 System TXV l� Pass (. : Fail Page 4 JUN 21,2006 16:05 BCI*TESTING,ri1 000-000-00000 Page 5 4 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8 CF -411 Project Address ouilder Name 81845 Golden Star Way Shea Homes, Inc. Builder Contar.t Telephone Plan Number 4520 QSita HERS Rater Telephone Sample Group Number/ Lot .# (if applicable) William Henson 602-625-1994 26228/ 084 Compliance Method prescrl live Climate Zone 15 Certifying Signature �, )) �j - Djte Certificate Number 3une 21� 2006 CC3-179836681.0 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 � Tested I '!Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and fiald verification, I certify that the house identified on this form cuinplies with the d�ipjp nostic tested compliance requirements as checked on this forth. 1�/ 'The installer has provided a copy of the CF -6R (Installation Certificate). :HIGH EER AIR CONDITIONER: Main System Orocedurres G�-r onrllleapnn aro available in RACM dnnAndir RT_ • 0 YIHIGH EER AIR CONDITIONER: New System Procedeirea !or verification ata available in RACK Appendix RI. 1�7�Pass 1 Pass i Fail EER values of installed systems match the CF- 1R 2 LSI Pass 2 Pass I Fail For split system,, indoor coil is matched to outdoor coil 371 Pas! 3 L.., Pass M Fail Time Delay Relay Verified (If Required) Yes to -1 and 2; and 3 (If Required) Ina Passr-P Pass ;Fail • 0 YIHIGH EER AIR CONDITIONER: New System Procedeirea !or verification ata available in RACK Appendix RI. 1�7�Pass Fait EER values of installed Systems match the CF 1R 2 LSI Pass I,,1 Fail For split systems, indoor coil is matched to outdoor coil 371 Pas! 1V // I Fail Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (It Required) is a pasts _. Pass . Fail L. c � T) H 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 81-845 GOLDEN STAR WAY, LOT45084,-PHASE 14A, LA QUINTA, CA CEILINGS: TYPE: BLOW THICKNESS: R-38 T MANUFACTURER: Cocoon WALLS: TYPE: BATTS MANUFACTURER: Borate THICKNESS: W-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221617 TITLE; ACCOUNT REPRESENTIVE DATE: '595epb �j 0 90/C0 39Vd 6T8T0VC09LT CV:Tz zooz/vo/To _ c , i'JCM Inspections" 4 39725 Garand Lane Suite F `t Palm Desert, CA 922117 IP E C T I O N S Phone: 760-345-5554 -Tax: 760-772-3895 INSPECTIONS r REINFORCED CONCRETE INSPECTION REPORT Dates: Noted Below Project Name: Project No: Trilogy @ La Quinta - Shea Homes 02-1109 Project Address: f City: - � 60-800 Trilogy Parkway La Quinta, CA ❑✓ IBC []Title 24 Other: Client: 'c.. A; e'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 r Slump (inches): �� nO -,Supplier: Superior Time Sampled: t r7 ; 10 O Mix Design: D83625P Time in Mixer (min.): Specified Strength (PSI): 4000 Water Added @ Jobsite (gals.): I r) Addmixture: POZZ 322N Concrete Temperature (F): --� c� Truck #:a� Ticket #-IS y I Ambient Air Temperature (F): Field ID Marking: Set A - 4 cylinders Weather: Unresolved Items: ®-None ❑ See Below Location of Sample: �`wb p,.N ❑ No Samples Taken D tion of Work Inspected: Phase 1 Lomat# S!Q$ 4 Product Plan Ga oc" I O CT,,\Ae' (lc // _& Will -- r f710 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/SDA), 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 v 3 \,Q nn � C _ icS. k- (:;a A o . J ��r,�;�.�n � o do W'►c��,`J �'mc�S er ��f;i�c�a�l 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 off the earth. Accepted for concrete placement. supported -3--s—C)6 1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx q 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. C 1) The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx ♦J_ 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 Cerfi catioirimpi 0842216-80 I C-1. Contract r'so Represen77/w Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 • Governing Agency Page of Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page --I— of 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 PRESTRESSED CONCRETE INSPECTION REPORT Date: —U" Project Name: Project 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 u r1 n unresolved Items: Jack Machine Calibration: Received Sheet from Sun Coast -Gage Pressure in psi to Machine Load in kips None oo psi to 33.04 kips/33,000 lbs ❑ See Below Calibration Date: Machine # 38 -1!;;- a _ 1 S--O(a Phase ILA NLot# 60' 1, � Product, Plan G�4 C)G I& Description of Work Inspected: Actual Elongation (in) Specified Complies within 7% +/- of specified elongation. Lot # Location , Tendons Elongation (in) Reference 11 h/SN2. Yes No LJ c o rn�� LA Or e—c. c n, �PiC� lQ a u ❑ S t kk 1 N ®— ❑ CIrA :4 �rr – Vtaeo �- k�-� I a . l -. 0— ❑ ❑ ❑ ❑ ❑ I ❑ ❑ ❑ ❑ is y certify that 1 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 Certificatio No:0842216-89 'tib 7� �,X Contractors Re%14k C_ I V�wv'__ Ifpresen '��/Aj�; I Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page --I— of JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 I 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 Project: Trilogy @ La Quinta - Shea Homes 60-800 Triolgy Parkway La Quinta, CA 92253 Date: 5/30/06 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 # 5084 Slab on Grade 3-8-06 Concrete 273-681 Kitchen Required psi: 4000 2950 7 3000 2951 28 4240 2952 28 4300 CERTIFIED: JCM Inspections supplies the service of compression strength test results only. Per ASTMC39 • • Page 1 of 1