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04-4488 (SFD)� s BUILDING & SAFETY DEPARTMENT w4 P.O. Box 1504 (760).777-7012 c�M 78-495 CALLE TAMP ' OF' Ico FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number 04=000.04458 Date 6/02/04 Property Address 44750 VIA,CATALINA APN:. 604 -032=:999 -87 -305212 - Application description.. DWELLING - SINGLE FAMILY DETACHED. Property Zoning LOW DENSITY RESIDENTIAL Application valuation 169528 Owner Contractor. LENNAR-HOMES OF CALIFORNIA LENNAR HOMES OF CALIFORNIA INC 78401 HIGHWAY 111, STE C 78401 HIGHWAY 111, SUITE C LA QUINTA, CA LA QUINTA CA 92253 LA QUINTA CA 922.53: WCC: OLD'REPUBLIC IN WC: MWC10877600 11/•01/04 CSLB: 728102 09/30/04 CCC: B -------------=------------ Structure Information -------------------------- Construction Type . . . . TYPE V - NON RATED Occupancy Type DWELLG/LODGING/CONG�<=10 Flood Zone NON -AO FLOOD'ZONE Other struct info CODE EDITION 2001 CRC FIRE SPRINKLERSNO GARAGE SQ FTG 462..00 PATIO'SQ FTG 488.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2692.00 Permit BUILDING PERMIT Additional desc Permit Fee. 884.50 Plan Check Fee 574.93 Issue Date Valuation 169528 Qty Unit Charge Per. Extension BASE FEE 639.50 70.00 3.5000 THOU BLDG 100,001-500,000 245:00 -------------------------------------- Permit MECHANICAL Additional desc Permit Fee 83.50 Plan Check Fee 20.88 Issue Date Valuation ffFINANCE Qty Unit Charge. Per -- P.O. Box I SOA. �� 78-495 CALL$ TAMPICO VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 44FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 111 Application Number: 041' 4114 OVD Date: O� Applicant: Ar itect or Engineer: ApplicanIA t's Mailing Address: Architect or Engineer' Address: ADD f, i at4— -�A CA 19101 —7 -tic. No.: 31IL45 BUILDING PERMIT DECLARATIONS I herebyaffirm under LICENSED CONTRACTOR'S DECLARATION penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code. and my Licens is in full force and effect. /License Class -__—License No._ Date (D `Q (' Co�or I hereby affirm under penaltyof OWNER -BUILDER DECLARATION perjury that I am exempt from the Contractors' 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 Contractors' 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).): U I, as owner of the property, or my employees with wages as their sole compensation, wiil 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 or 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.). U 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.). U I am exempt under Sec. B.& P.C. for this reason Date - Owner I herebyaffirm under WORKERS' COMPENSATION DECLARATION 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 m I ss � o ers' compensatioin j r e cam r nd o f n bir je permit is mer I J Policy Number �il Bi�%7 _ I certify th t, in the performance of the work for which 4his permit is issued, I shall not employ an y person in any manner so tocome subject to the wo' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Saectionb37 of the Labor Code. rI kersshall forthwith comply with those provisions. Date `L AP P 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. I herebyaffirm under y perjury CONSTRUCTION LENDING AGENCY Penalty of a 'u that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lenders Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Buildingand Safe for a 1. Each Safety permit subject to the conditions and restrictions set forth on this application. 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, indemnity and hold he the City of Le Quints, its officers, agents and employees for any act or omission related to the work being perforned under or following issuance ofthis . pernft 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 da cessation of work for 180 days will subject permit to cancellation. ymi from date of issuance of such permit or I certify that I have read this applicatiori and state that the above information is correct I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date f7 Signature (Applicant or Agent Page 2 Application Number 04-00004488 Date 6/02/04 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000.EA MECH FURNACE <='100K 18.00 2.00 9.00.00'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 . . . 118.46 Plan Check Fee 29.62 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2692.00 .0350 ELEC NEW RES - 1 OR 2'FAMILY ,94.22 462.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.24 Permit PLUMBING Additional desc Permit Fee 189..00 Plan Check Fee, 47.25 Issue Date Valuation . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 -6.0000 EA PLB FIXTURE 120.00 ° •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 4 .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 Qty 'Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------------------------------------ Special Notes and Comments SFD - LOT 87. PLAN 1Z. PERMIT DOES NOT Page 3 Application Number . . . 04-00004488 Date 6/02/04 Special Notes and -Comment's INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY.APPROACH. Other Fees `ART.IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER(- RES 366.00 ENERGY REVIEW FEE 57.49 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS./REC - RES. 502.00 STRONG MOTION (SMI) - RES 16.95 DIF STREET MAINT FAC -RES 15.00 t DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1290.46 00 .00 1290.46 Plan Check Total 672.68 .00• 00 672.68 Other Fee Total -.2479.44 .00 .00 2479.44 Grand Total 4442.58 .00 .00 4442.58 N 09 2.004 - I F LA QUINTA 0W6 & SA ETY DEPARTMENT FINA .. -7012 INSPECTION REQUEST LINE 777-7153 Owner LENNAR HOMES OF CALIFORNIA Contractor LENNAR HOMES OF CALIFORNIA Permit Number 04-4488 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS C44-750'VIA CATAL'INA--x SFD — LOT 87 PLAN IZ. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING /WASTE U/G ELECTRICAL / GROUNDING, FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF OKAY TO WRAP FRAMING COMBINATION • ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL. INSULATION ,COVER NO WORK UNTIL ABjPOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT 0 B SEWER CONNECTION - SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS. FOOTINGS/ STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL, INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL PUBLIC -WORKS DEPARTMENT O COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING yam,. d PREPARED 1/20/11, 10:43:00 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 - CITY OF LA QUINTA ------------------------------------------------------------------------------------------------------------------------------=------ APPLICATION PROPERTY ADDRESS APN Alternate ID STRUCTR -------------------- PERMIT — ------------)------------------------:------------------------------------------------------------------------- INSPECTION _ RESULT DATE/STATUS INSPECTOR 04__0-0004488 44750.VIACATALINA 604-032-999-87 -305212- 000 000 B001 00 BUILDING PERMIT 120 0001 FOOTINGS 6/23/04 APPROVED BG 000 000 B001 00 BUILDING PERMIT 125 0001 SLAB 6/23/04 APPROVED BG ' 000 000 B001 00 BUILDING PERMIT 135 0001 ROOF NAIL 9/02/04 APPROVED GS 000 000 B001 00 BUILDING PERMIT 140 0001 OKAY TO WRAP - 9/23/04 DISAPPROVED DC 000 000 B001 00 BUILDING PERMIT - 145 0001 FRAMING, .. 9/23/04 DISAPPROVED ,.' DC 000 000 B001 00 BUILDING PERMIT 140 0002 OKAY TO WRAP 9/•24/04 DISAPPROVED DC RES COMM: Corrections issued. • - - 000 000 B001 00 BUILDING PERMIT 140 0003 OKAY TO WRAP 9/27/04 APPROVED DC - 000 000 B001 00. BUILDING PERMIT 145 0002 FRAMING 9/29/04 DISAPPROVED DC - RES COMM: Frame combination correction notice issued. Re -inspection ` RES COMM: required prior to approval. 000 000 B001 00 BUILDING PERMIT 145 0003 FRAMING 9/30/04DISAPPROVED a DC RES.COMM: Corrections issued 9/29/04 incomplete to approve. 000 000 B001 00 BUILDING PERMIT. 145 0004 FRAMING, 10/04/04 APPROVED ST • 000 000-. B001.00 BUILDING PERMIT 150 0001,INSULATION 10/07/04 APPROVED ST .. 000 000. B001,00 BUILDING PERMIT 155 0001 LATH 10/11/04 APPROVED., DC 000`000 B001.00 BUILDING PERMIT 160 0001 DRYWALL NAIL - 10/12/04 APPROVED DC' .,000000 B001 00 BUILDING PERMIT - 199 0001 FINAL 11/22/04 CANCELLED TM, 000 000 E01 00 ELEC-NEW RESIDENTIAL .310 0001 ROUGH ELECTRICAL , 9/23'/04 DISAPPROVED. DC , ' 000 000 'E01 00 ELEC-NEW RESIDENTIAL -".310 0002 ROUGH ELECTRICAL 9/29/04 DISAPPROVED - DC RES COMM: -Frame combination correction. notice,issued. Re -inspection ". RES COMM.: required prior to approval. " - 000 000 E01 00 ELEC-NEW RESIDENTIAL 310 0003 ROUGH ELECTRICAL -9/30/04 DISAPPROVED DC' RES COMM: Corrections issued 9/29/04 incomplete to approve. • 000 000 E01 '00 ELEC-NEW RESIDENTIAL .310 0004 ROUGH ELECTRICAL_ .10/04/04 -APPROVED, -ST •000 000 E01 00 ELEC-NEW RESIDENTIAL 315" 0001 TEMP USE.OF PERMANENT /.315 POW 11/09/04 CANCELLED.. - 'TM ' 000 l 000 E01 00 ELEC-NEW-RESIDENTIAL 0002 TEMP USE OF PERMANENT POW 11/12/04 APPROVED - TM 000 000 E01 00 ELEC-NEW RESIDENTIAL 399 0001 ELECTRICAL FINAL 11/22/04 CANCELLED TM 000 000 GP 00 GRADING PERMIT 197 0001 GRADING FINAL - 11/22/04 CANCELLED TM PREPARED 1/20/11, 10:43:00 INSPECTION HISTORY REPORT PAGE 2 _ PROGRAM BP521L -0/00/00 THRU 0/00/00 _ - ' CITY OF LA QUINTA ----------------------------------------------------------------------------------------------- APPLICATION PROPERTY ADDRESS APN Alternate ID " - STRUCTR 'PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR 04 00004488 CONTINUED 000 000 MO1 00 MECHANICAL •, 405 0001 ROUGH MECHANICAL 9/23/04 DISAPPROVED - DC 000 000 M01 00 MECHANICAL 405 0002 ROUGH MECHANICAL 9/29/04 DISAPPROVED DC - RES COMM: Frame combination correction notice issued. Reinspection RES COMM: required prior to approval. 000 000 M01 00 MECHANICAL - 405 0003 ROUGH MECHANICAL 9/30/04 DISAPPROVED -, DC - .. RES COMM: Corrections issued 9/29/04 incomplete to approve. - 000 000 M01 00 MECHANICAL 405' 0004 -ROUGH MECHANICAL 10/04/04 APPROVED - ST ' 000 000 M01 00 MECHANICAL 499 0001 MECHANICAL FINAL 11/22/04 -CANCELLED TM ' - 000 000 P01 00 PLUMBING 200 ,0001 UNDERGROUND PLUMBING 6/21/04 APPROVED - BG' 000 000 P01 00 PLUMBING .. 210 .0001 SEWER CONNECTION 9/08/04. DISAPPROVED GS - - .000 000 P0.1 00 PLUMBING - :230 0001 ROUGH PLUMBING 9/23/04 DISAPPROVED DC ".000 000 -P01 00 PLUMBING .. ,; 245 0001 SHOWER PAN 9/23/04 DISAPPROVED DC - 000 000 P01 00' PLUMBING - - 230 ,0002 ROUGH .PLUMBING 9/29/04 DISAPPROVED DC RES COMM: Frame combination correction notice issued. Re -inspection RES COMM: required prior to approval. • .000 000 . P01' 00 PLUMBING - 245 "0002 SHOWER PAN 9/29/04 DISAPPROVED .: DC. - ' - -RES COMM: Frame combination correction notice issued. Re -inspection RES COMM: required prior to approval. 000 000 P01 00 PLUMBING' 230, 0003 ROUGH PLUMBING 9/30/04 DISAPPROVED DC "• _ RES COMM: Corrections issued 9/29/04 incomplete -to approve . - - - - - .•.000 000 P01 00 PLUMBING .- 245 0003'SHOWER PAN , 9/30/04 APPROVED DC 000 000, P01 00"'PLUMBING - .230 0004 ROUGH PLUMBING.,- •x•10/04/04 -APPROVED .� ."�. ST-. 000 000 PO1 00 PLUMBING ...- 235 0001 GASLINE / 'GAS -TEST - 10/21/04 APPROVED -..DC - - " 000 000 P01. 00 .PLUMBING - -210 :0002, SEWER CONNECTION _ 11/22/04 -APPROVED,_ .TM " 000 000 P01 00 PLUMBING " " - 299 0,001 PLUMBING FINAL 11/22/04' -CANCELLED TM Certificate of Insulation Your Home has been insulated with CertainTeed Fiberglass Insulation products, which are designed for today's safety standards and tornorrow s enemy requirements. Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated with fire -retardant chemicals that will likely lose their effectiveness over time. Il has not been treated with chemicals ftt can wrr ode wiring or metal. Fiberglass will not absorb moisture nor will it settle over time as may other insulation materials. This also certifies that CertainTeed Fiber Glass Itmulation has been professionally installed in this home to provide the follo-A ng thermal performance: Job Lame: La Quirita,Del Oro Tract: 30521 Phase: 3 Lot #_: 87 Plan: 1Z Address: 44-760 Via Catalina, La Uinta CA Roof Ceiling: R-30 Blown Overhangs: Knee Walls: Party Walls: Exterior Walls: R-13 Unfaccd Batts (2) Latera Casits Exterior: Garage !Falls: Interior malls: i�'aUs (Noted) S ontr r:. O Ins ata n Co., Inc 0 V' sa �a 9 0 ( -6070 Liceme #465709 Signed Conchita OrtiZ, SecretarylTreasurer—or R. Scott.lenkins, 'resident--or-- Lou Merola, Director of Operations Officer R- means resistance to heat flow. The higher the R- value, the greater the insulating power. Ask your builder for the fact sheet on R- values. Keep this certificate with your other valued papers. If you ever sell this home, this certificate should be passed on to the buyer. 'y t ERGY• CA86C PO. Box 621 PhiFax (760) 564.2044 Rancho Mlraee. CA 92270 Celle (7601 250.1832 Email: nFsnuRG ®AeL-CQM CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R _ LA CUINTA DEL ORO PH 3 itl��d Project Title Date 44-960 VL4 CATATLINA LA OCINTA, CA. 92253. A FNNAR HIM" Builder Name roI C OSjASTENADA 7t10di78 PLAN 1 2 UNITS Builder Contact _ Telephone Plan Number ALAN WEAVER 7604MO- N vamp 2 HERS r Telephone Sample Group Number BCCNAWt8322S 11-15-46 87-2 Certifying Signature Date . Sample Lot Number Firm- DESERT ENERGY SERVICES LLC HERS Provider. CHEERS Street Address: P-0- BOX 621 CitylStatefZip: RANCHO 111 RAGE, CA. 9WO Copies to, Builder, HERS Provider , HERS RATER COMPLIANCE STATEMENT The house was: ❑ Tested Approved as part of sample testing but was not tested As the HERS rater providing diagnostic besting and fietd,venfication, I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. ❑ The Installer has Provided a copy of CF -611 (Installation Certificate. ❑ Distribution system is fully dueted(Le., does not use building cavities as plenums or platform returns in lieu of ducts) ❑ 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 leeks at dud connections. . ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT, •Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) � Measured Duct Pressurization Test Results (CFM @ 2S Pa) Values Test Leakage Flow in CFM ~ if fan flow is caleUiated as 40pcfmlton x number of tons enter calculated value We s If faa flow is measured enter measured value here Leakage percentage (100 x Test LeakagOFan Flow) ,= _ D D Check Box for )Pass of Fail (Pass=6°A or less) - Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes El No Thermostatic Expansion Valve is installed' and Access is ` ❑ provided for inspection 00 "39Vd DIA83S A983N3 183SM ` t,0eZt,9999L L9:61 b08Z/91/11 PMERGY PO- Box 611 PrdFax (760) 594-2044 Rancho Mirega, CA 92276 rron: (7601 260-1862 Emall: DESNIRG :CO ` CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page I of 7) CF -4R LALRNTA DEL ORO PH 3Dat1 8'J'w Project Title ' 47-750 VIA CATATLINA LA QUINTA, CA. 92253 roINA 5SL�ASTENADA Builder Name 760-5iT6.6968 CASI'CA t UWIfTS Builder Contact Telephone Plan.Number ALAN WEAVER 7604880-itiiO4 CAMI! 2 HERS ter Telephone Sample Group Number , _ 6=NIAW183226 11-15--04 87-2 Certifying Signature Date Sample Lot Number Firm: DESERT ENERGY SERVICES LLC HERS Provider. CHEERS Street Address: P.O. BOX 627 City/State2ip: RANCHO MIRAGE, CA. 82270 Copies to: Builder, HERS Provider s , HERS RATER COMPLIANCE STATEMENT The house was: ❑ Tested JA Approved as part of sample testing but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. ❑ The installer has provided a copy of CF -6R (trlstallation Certificate. ❑ Distribution system. is fully ducted(Le., does fiat use building cavities as plenums or platform rums In lieu of ducts) Q Where doth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seat leaks at dud connections. r ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM 0 ;5 P8) ~.. values * Test Leakage Flow in CFM If fan flow is calculated as 40ocfmRon x number of tons enter calculated value here If fan now is measured enter measured value here Leakage percentage (100'x Test Leakage/Fan Flow) _ ❑ ❑ Check Box for Fars or Fail (Pass=6% of less) p Fail ❑ THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ❑.No Thermostatic Expansion Valve is installed and Access is ❑ O provided for inspection E0 3DVd DIA83S A983N3 183S3Q - t7b0ZC9909L L9:61 000Z/91/11 Southwest Inspection and Fasting,. enc. 10826 South Norwalk Blvd., Santa- Fe Springs, CA 90670 ,(562)r�t� -..(714) 526-8441 • Fax (562)'946-0026 REGISTERED ��1S� CARS S DAILY REPORT SWIT Job N9. Date TYPE OF INSPECTION REQUIRED 154einforced Concrete Post Tensioned Concrete ❑ Reinforced Masonry ❑ Structural Steel Assembly ❑ Fire Proofing ❑ Asphalt ❑ Quality Control ❑ Other Job Address / / /city Job Name - Permit No. Issued By Type of StructureArchitect / Material Description(type, grade, source) / � Engineer E Contractor / Inspector(s) Narne Subcontractor , TESTS PERFORMED TYPE OF SAMPLE SLUMPPf QUANTITY IN SET REMARKS ON SAMPLES /ADDITIONAL INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC. OF I '677.r - � _ 3 °� ; � 7 W1 F tjIA / F -L' J 'V 6 C I r ,. y.G 0&1 Gl - 7 jt:-�(VLOIJAZr- CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE ❑ PAGE OF I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATION5, AND APPLICABLE S CTIONS OF THI GOVERNING BUILDING LAWS. SIGNAf-- EE O�STERE SPECTOR SPECIALTY N0. -��AGEN(!/CY TIME IN I TIME OUT REG. HOURS I O.T. HOURS I CYLINDERS e All inspections based on a minimum of 4 hours and over 4 hour • 8 hour minimum. In ddition, any inspel ion exte ding p s; noon h0u: ',Vill be an 9 hour. minimu Approved by r's�.._--•----__.. Project Superintendent Southwest lnspecnon alitu xv CA 90670 i=v 10826 South Norwalk Blvd., Santa Fe Springs, -2 0 •- (714r526-8441 • Fax (562) 946-0026 7 S?� VW SWITJobNo. Date REGISTERED INSPECTOR 'S DAILY REP RT❑ structural steel Assembly Quality Control TYPE OF [3Reinforced Concrete Fire ProofingOther INSPECTION ❑ Post Tensioned Concrete 0 Asphalt REQUIRED ❑ Reinforced Masonry qq e�1 i City Job Address v Irk 4/1 . . �. �� 7 Permit No. Issued By Job Name e k Gla O� 1 Architect Type of Structure ')i Engineer Material Description (typ . grade. source) Contractor In 0-1,fi Subcontractor Insp ctor(s) Name ��~` TESTS PERFORMED SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES TYPE OF SAMPLE PROBLEMS, PROGRESS EMARKS INSPECTION S MARY — INCCLUD S INFORMATION ABOUT- AMOUNTS OF MATERIAL PLACED OR WORK PER, TEST SAMPLES TAKEN, WORK FORMED, NUM ER TYPE &RIDENT. NO'S OF IN TEST SAMPLES TAKEN: STRUCT. CONNECTIO S (WELD MADE H.T BOLTS TORQUED) CHECKED, E I� .� •� 'G L CONTINUED ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED O.T. HOURS CYLINDERS TIME IN TIME OUT REG. HOURS WORK UNLESS OTHERWIS NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND AP (CABLE SECTIO S OFOVERNING BUILDING LAWS. 8 hour THE 1 V All inspection based on a minimum of 4:hours and over 4 hours �1 minimum. In ition, any i s esti n ex ending past noon hour will bean 8 hour minimu SIGNATURE OF REGISTE ED ECTOR (� �� 01 2,l I � Approved by roject Supe tendent SPECIALTY NO: AGENCY WHITE OFFICE COPY, CANARY ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD 10B SITE COPY