05-1904 (SFD)P.O. BOX 1504 VOICE (760) 777-7012
0 ;
78-495 CALLE TAMPICO \ • FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT �. INSPECTIONS (760) 777-71,53'.
- BUILDING PERMIT
Date: 5/20/05 .
Application Number: =05—O:.wner`.
Property Address: 81184 VICTORIA LNHEA LA QUINTA .
APN: 764-270-999-142 -300234- O JEFF MCQUEEN
Application description: ' DWELLING-- SINGLE-FAMILY DETACHED 00 N GAINEY CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES (�®5 TTSDALE, AZ 85258'
Application valuation: 127702
Applicant: rchitect or Engineer: ;.�j Of' 0 � S
SHEA HOMES, INC.
'// / Cf. �• ¢��P 81260 AVENUE 62
LA QUINTA, CA 92253
�
..�(760) 777.-6005
� -
'L <16 Lic. No.: 672285
LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION
I hereby affirm under'penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of,the Business and Professionals Code, and my License is in full forceandeffect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided -
License Class: B .License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the.work for which this permit is
issued.. ..
ate: U ontractor: CL 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
OWNER -BUILDER DECLARATION insurance carrier and policy -number are:
State License Law for the Carrier NTL U
1 hereby affirm under penalty of perjury, that I am exempt from the Contractor's SNION INS Policy Number 6436568
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
.construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, -
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that; if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3. of the Business and Professions Code) or 3700 of the Labor Code, I hall forthwith mply with those provisions. -
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ` S�
any applicant for a permit subjects the applicant to, a civil penalty of not more than five hundred dollars ($500).: Date:. icant:
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 " WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL -
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT•AN-EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN • - -
' improvements are not intended.or offered for sale. If; .however, the building or improvement is sold within SECTION.3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -
` - - 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.).- APPLICANT ACKNOWLEDGEMENT _
1 _ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is, hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License. Law does not'apply to an owner of conditions and restrictions set fnrth on this application.
property who builds or improves thereon; and who contracts for the projects with a contractor(s) licensed 1_- Each person upon whose behalf this application is made, each person'at whose request and for - -
pursuant to the, Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application,
• (_) I am exempt under Sec. , B.&P.C. for this reason - - - the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the Cityr
.. of La.Quinta, its officers, agents and employees for any actor omission relatedtothe work being -
performed under or following issuance of this permit. - _ -
Date: Owner. •.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 '
CONSTRUCTION LENDING AGENCY - - permit to cancellation. - -
hereby affirm under penalty ofperjurythat there is aconstruction lending agency for the performance of the - I certify that I' have read this application and state that the above,information is correct. I agree to comply, with all, y
work for which this permit is issued (Sec. 3097, Civ. -C.). - .. -city and county ordinances and state laws relating to building construction, and hereby aut riz r resentatives
Gender's Name: - r e mention property -
. gnature (Applicant or Agent) .
-of this county to enter fo p - on u
ate: 6
Lender's Address: - 4 /. - -
t
_......LQPERMIT
..
-Ap plication Number
Q5-00001'904
--
- -=-Structure,Iriformation
rSFD:4210A W/,BOX BAY, EXT GAR; EXT
,PAT - ---
_,
C
.. onstruct,ion Type
TYPE V =` ,NON .RATED.'.-
Occupancy Type,
'DWELLG/L6DGING/CONG:<=10
Other: struct info: .'
CODE EDITION 2001>--
BEDROOMS •�
3:00 .
FIRE SPRINKLERS.: .:.: NO,',
GARAGE SQ FTG:
_
557'.DO.
PATIO SQ FTG
391:00'..
NUMBER OF• UNITS _
-1.00 :-' `
1ST FLOOR SQUARE .FOOTAGE
1381.00"
-"Permit
BUILDING PERMIT
; ...
Additional desc .
`
Permit.Fee . . .
737.50 Plan Check Fee
479.38
"
Issue. Date__-
Valuation . . . .
127702
Expiration Date ..
11/15/05' -
Qty Unit Charge
,Per -
Ext ensibn-:.
•
BASE -FEE
639.50-
_28.00
28. 003.5000
;THOU :BLDG -100,001-500,000'.
98.00'
Permit, . `. . . . . .
MECHANICAL
.'Additional-desc—
-,
Permit-Fee ".
65.50 Plan Check Fee :.
16;38
Issue Date
Valuation.
0
Expiration Date
11/1.5/05
Qty Unit Charge
Per
Extension
V
BASE FEE
15.00
,1:00 9.0000
EA`. MECH FURNACE <=100K
9.00
1.00 9.0.000
EA MECH B/C <=3HP/100K BTU
9.00 ,
4.00 6.5000
4.bb-6.5000
EA .MECH VENT FAN'
'26.00
.EA MECH EXHAUST HOOD
6.50 .
Permit , . . .
ELEC-NEW:.-RESIDENTIAL
Additional desc .
PermitFee.74:48.
P1an.Check Fee
18.62
Issue Date ..
_ Valuation'
0
Expiration Date
11/T5/05
Qty- Unit Charge
Per -
Extension
BASE FEE , ,
15-.-00
1381.00 0350
.
ELEC NEW RES.'- 1'OR 2 FAMILY
48.34
557.00: Ono,
- ---------.- - - - - - -- - -r - - -
ELEC GARAGE OR NON-RESIDENTIAL
- - - -.- 7 ---------------------------------
'11.14
----------
Permit - : :. `:- :: .::.
PLUMBING
07
_ LQPERMIT.
I
APPlcation Number 05-00001904.
J
Permit . . PLUMBING
- .
dditional desc_.-. ..
Permit Fee . :.. :. 122 :25, Pian Check Fee '.
30.56
• Issue:Date Valuation_
0
Expiration- Date ~11/15/05 .
Qty .' Unit Charge Per =
Extension
BASE FEE
15.00 :.
-9.00; 6:0000 EA' PLB FIXTURE
54.00•
1.00 15.0;000 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':
'Issue -Date Valuation
0
Expiration Date 11/-15/05
.
'Qty'- ,Unit' Charge Per
Extension
BASE_ FEE
; 15.00
Special. Notes_ and Comments
SFD,- Plan 4210A Lot 142 (1381 sqft)
• w/box bay (2 6 'sqft),-ext. garage • (8 3
sqft) & patio ext. (177 sqft) Permit
- does .not include block wall, pool 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
47.94
DIF FIRE•-PROTECTION-RES
97.00
GRADING PLAN CHECK FEE
00
DIF LIBRARIES - RES
2.25.00 _
DIF,PARK'MAINT FAC_ - RES
5.00
-
DIF PARKS/REC RES
502.00 .
STRONG MOTION (SMI) -. RES
12:77 r
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION' --RES.
1098.00
t Fee•,,summary, Charged Paid Credited
Due
Permit Fee Total.. A14.73., 00 :00'
101.4.73,
- Plan Check'Total'.•_. 544.94 .00 .00
544.94 -
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APP1ication Number '�
05'-0000190}4
1
other ;Fee/Total"X2465..71.`
00
X00 2465 71.,--,,i
-
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Grand Total 4025.38
00•
00 4025 38
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' PRED 3/16/11,
.
1
.0:57:53 INSPECTIONHISTORY REPORT
-
'-PAGE 1.
PROGRAM' BP521L
'-.
' 0/00/00 THRU 0/00/00
-
-
_
�. CITY OFLA. QUINTA.
-------- ----
APPLICATION
------ --------- --- - ----- ---
PROPERTY ADDRESS.:.
---- ----.
- '• AM `.
------
-- -- -- -- - ---
:. - r,, -,-
--------------- ------ -----
�" ' Alternate'ID-
- -
_' _
STRUCTR
PERMIT
' '.-
.INSPECTION ^, "
',RESULT-DATE/STATUS
- INSPECTOR '.
05`00001904
"81184
VICTORIA' LN.
764-270-999=142- -300234-
'000 000
8001
00
BUILDING PERMIT
,100'
0001
SETBACKS-
7/.08/05
APPROVED.`-
GH -
.. ,. 000 000
8001
00
•BUILDING PERMIT , --
4.120
0001
FOOTINGS
•.7/08/05'
-APPROVED -
GH -
- .000 000
13001-00
BUILDING PERMIT
- 125..0001
SLAB'
.;,7/08/05
APPROVED ..--.
GH -
.."''. 000 000'
B001.
00
BUILDING. PERMIT - - ,..
- •. 135.
0001
ROOF. -NAIL .; `-
8/08/05
APPROVED -
-. GH -
000 000
8001
00
BUILDING- PERMIT : • ,
-' 140
0001
GRAY TO WRAP-"
8/16/OS
APPROVED >
- GH .. "
00.0 ,000;
B001�
00
BUILDING PERMIT
,145
0001
-FRAMING; '•..
8/23/05
APPROVED,
GH
000,000
B001
00
BUILDING PERMIT ' -
,'., 150
.0001.
INSULATION , a
8/26/05.
APPROVED
GH -
_000.000
B001
00
BUILDING PERMIT ..-
:_- 155
0001
LATH
8/30/05"APPROVED
- GH
' 000 000.
8001
00
BUILDING PERMIT -
.160•
'0001.
DRYWALL. NAIL -.
- 8/30/05
APPROVED
-' -GH
. -- - 000¢.000
8001.
00
BUILDING PERMIT
r .900
0002:_COMMUNItY'/-DEVELOPMENT
FIN10/26/05'APPROVED
- GH _.
000 •000
B001�00.
BUILDING PERMIT _
910 ''0001
PUBLIC WORKS FINAL -
_ 10/26/05
,APPROVED
GH p"
006 000
8001
00
BUILDING PERMIT
�'�199'
0001,FINAL
10/26/05
APPROVED ,"
GH•:
,., 000 000-.
E01-
00-
ELEC-NEW .RESIDENTIAL -
315,
"0001-TEMP`•USE
OF PERMANENT
POW.- '7/21/05
APPROVED •"
", ... TM
-- 000 000
E01
00_ELEC-NEW
RESIDENTIAL -
- 310,.
0001'ROUGH
ELECTRICAL
8/23/05
APPROVED
- - GH
.000 000
EO 1,
00
ELEC-NEW RESIDENTIAL -
399
0061
ELECTRICAL,FINAL.
10/26/05
APPROVED
- GH -
. 000 000
GP
00
GRADING PERMIT,,
' 197
'0601
'GRADING FINAL-
10/26/05
APPROVED
• - 0001,000-
`MO1
00
MECHANICAL
.' -.405.'
0001,
ROUGH MECHANICAL -
8/23/05
APPROVED
.. GH _
"000 000
M01'
00
MECHANICAL ',
'' � 499
0001'MECHANICAL
FINALS
10/26'/05'APPROVED
GH. -
000 000
PO1
00
PLUMBING "•
"" . '210
0001-SEWER'CONNECTION
'
--6/28/05.APPROVED
-GH.
_. 000 000"
POP'
60
PLUMBING
'- +- 20D
0.001'-UNDERGROUND,PLUMBING
6/28/05
APPROVED..
"GH.
-060 060:'
P01'"00'PLUMBING"
.230
0001
ROUGH -PLUMBING -
.."8/23/05"APPROVED
-
- 'GE .'.
,. •. 000 000
"'.POf
00'PLUMBING•
-, .. -245
0001
SHOWER PAN ..
8/23/05
-APPROVED .,
- GH ... -
- '000 000
P01-
90
PLUMBING .
'"- .. 235
.0001
GAS. LINE -/.GAS. -TEST ''
9/20/05
APPROVED. ;.
- :GH
000,000
,' P01�
00.
PLUMBING -. ..
- ,299
0001
PLUMBING FINAL --
10/26/05'APPR6VED-
GH -
-•
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Ca10ERTS Certified Rating ,' '� ,October, 13 2005 ,
x
3:
�-88�4- toria LanThis Coffipliance rating is for the honie located at La Quinta CA 92253
• . Certificate, Number.
17983 50980 r -�
n '}•z Date Inspect d: i �S '� �. October, 13a
j K . 2005:
e#Y4.L • CaICERTS Rater: r g William" y
fA ',°'•' 1rF'if Y Y i ��j `y„'” s * `•1 �` �' 'T. .<j' ,+h s. +
Y'"� . � k � �f 1'. , : •� � "Henson
CC2004076
♦ Y M1", •f }y'°'r' HERS r/Developer Analyst: i �t r 1 • f e w .r N)A � � f . y ,; • 7 .. ,y ..� +e x r +�,f • # M ` V. ' ..
i r"M � '. fy,..• +- • A - T ' • i Y y ; .: r ,. .. •'' ' r^u
' Shea
of " BuildeY r; r
r '' Homes, •Inc: f �! "� £ F • { f
r " r. • }:' ,t • �' Trilogy @ ` ► ► 14� ��: f s ;:
Project: - a w
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�x , t ,. ,..., , •_ La Quinta
' 420Pan ae a
+
I<' Lot Number.' ., F' ` r' r 142
G oe•
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•
x : Specifics'about this home
qr� General•InformationBuildin Envelo e
.; r,-
r = Conditioned Floor Area 1500 Square Feet .1
�r t,,.,Conditioned Volume;•' r: 0•Cubic Feet
=FrontOrieritation: - �''N/A ^ , ;, „•,`
Surface
Area
Pro osed i
n Actual'. -
w R r= UR,-
Value ~Factor
''
Value
. ,U
Factor
Number of Stories . 1 ,
t`.t
" - Windows , ....,
�''Hequt g,and Cooling Systems i `
Heating Equipment: Fuinace: 0.8 _ a
'..,*,,,Cooling Equipments :� 'r .. AC:, 12 ; '
'
Proposed,
;Actual.
Duct Location: " ' { " L Attic
+�+..
"r �'~
U •
-Duct.Leakage,Target: , + 5 6:0
x y"
Orientation
Area
•4t'f
FIRM:. .TESTING
SHGC
"
Value
SHGC
Value
it HVAC:Air Dish ibutlon d t'
TESTED, r (PAGE 1 OF 2)�
D , c•.,
Duct Location: " ' { " L Attic
+�+..
"r �'~
v , APPROVED AS PART OF SAMPLE GROUP .• *� ,
-Duct.Leakage,Target: , + 5 6:0
Duct Insulation,.R-Value.,' 6 >�„ »S
it,
' r BCI ,.
•4t'f
FIRM:. .TESTING
ADDRESS: '77-760 COUNTRY CLUB DRIVE, SUITE I
Air Infiltration , a t
) ,•. PALM DESEERT, CA 92211 r is
' Blower Door Target: ti`, f +� '96.0
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.. PHONE 760-772-2954
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'Testing Results,
Main System HVAC System
Tested Duct Leaks e:-
IYes -= Passed
Tested Leakage Flow in CFM: 76
• r� '' complaint regarding this report of the services used in obtaining it you may contact: CaICERTSa Customer Service P.O. Box 6600, Folsom, CA 95763. ' • r 'y 4 ° c
00cfm/ton x number of tons: 1600
Leakage Percentage -(100 x Test Leakage/Fan Flow)
4.O �'
1
ested TXV: `L
Yes -Passed
Thermostatic Expansion Valve is.installed and ,
ccess'ls provided for inspection.- ,
•• • '
Tested Duct Design Com liance:
N/A
Tested Duct in Conditioned Space:
N/A
Tested Reduced Duct Surface
i
; NIA r
rea: ' ; ' t -
ested InMration`Reduction
'♦
N/A
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-, ' .Theenergy efficiency rating of this home is determined using California Home Energy Rating System'(C-HERS) rules. The rating considers heating, cooling and water heating ,
and assumes average weather; thermostat settings, andquantities of hot water for a typical household. Actual energy use will vary according to occupant behavior. This Rating ..,
• Completion Summary' is provided only after the features listed have been verified and approved by the CaICERTS Certified Rater shown above. If you have a concern or
• r� '' complaint regarding this report of the services used in obtaining it you may contact: CaICERTSa Customer Service P.O. Box 6600, Folsom, CA 95763. ' • r 'y 4 ° c
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PHASE
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JCM Inspections
39725 Garand Lane Suite F
Palm Desert, 6A 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSF
REINFORCED CONCRETE INSPECTION REPORT Dates: Noted Below
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address: City:
ZIBC
81-260 Avenue 62 La Quinta, CA
❑ Title 24
Client: Sub -Contractor:
Shea La Quinta, LLC DCCCC
Other:
General Contractor: Architect: Structural Engineer:
Shea Homes Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
Slump (inches): Supplier: Superior
Weather:
Time Sampled:Mix Design: D83625P
Time in Mixer (min.): '!7C) Specified Strength (PSI): 4000
Unresolved Items:
Water Added @ J obsite (gals.): Addmixture: 322N
_POZZ
None
Concrete Temperature (F): Truck #: 3611 Ticket #-7JSa_a<0
Ambient Air Temperature (F): Field ID Marking: Set A-4,cylinders
E] see Below
Location of Sample: ' r.
❑ No Samples Taken
Description of Work Inspected: Phasel 1. Lot# 141' H� Product I Plan L4a)0
1) Received mill certifications for rebar and tendons placed.
2) Typical exterior Footings including Garage Footings/Door (I1,12,13/SD-1), Tie Beams (20/SD-1), Typical Interior Footings/Rib including step (15,18/SD-1),
Seven Strand Tendons (4,10,12,13,16/SD-1); Simpson Strong Walls (24/SD-1), Anchor Bolts and Holdowns (6,7,8/SD-1), Pad Footings and additional
rebar placed as per these, details and as noted on s 14
% 01 -IL zm&4- W�^Anw -e_ Win
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.
ga
1) The placement of concrete for areas noted above except Garage Interior Footing and Slab on Grade. Total cubic yards placed: approx —7 0-
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 Verified correct mix'design.
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\Q. Millin ICC Ceriflcationr�NdY)0842216-80
Contractors Represetativ
Ole C_'
14.Zf"
Copy 1 JCM Inspections Copy 2 , Project superintendent Copy 3 Governing Agency Page Of
-
JCM Inspections
39725•,Garandlane•Suite F
Palm Desert, CA 92211
-I
INSPECTIONS
Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
PRESTRESSED CONCRETE INSPECTION REPORT
Project Name:
Project No:
Trilogy @ La Quinta - Shea'Homes '
02-1109
Project Address:
City:
IBC
Q✓
81-260 Avenue 62
La Quinta, CA
Title 24
Client:.
Sub-Contractor: •.
Shea La Quinta, LLC
Sun Coast Tensioning
Other:
General Contractor:
Architect: Structural Engineer:
Shea Homes -
Bassenian.Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
•
Size and•Type of Tendons: 1/2" Diameter Seven Strand Stress-Relieved Tendons
We they:
�o ,� r 6 u
Jack Machine Calibration: Received Sheet from Sun Coast-Gage Pressure in psi to Machine Load in kips
Unresolved Items:
RL None
S tjnc) psi to 33.04 kips/33,000 lbs .
❑ See Below
Calibration Date: Machine # -2���_
Phase gLot# LAI H Product
Plany.
Description of Work Inspected:.
Actual Elongation (in)
Specified . Complies within 7% +/- of specified elongation.
Lot # Location
Tendons Elongation (in) Reference 11h/SN2.
n
Yes
No .
`
ay"
19
El
El
El
El
El
❑.
❑
❑
❑
❑
❑
El
El
❑
.❑
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, specifcations _applicable building laws. Final report issued at project completion.
O�
t
Inspector: Jack C. Millin ICC Certification Mo:0842216-89
Contractor's Representativ!,.
cI"
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of ,
I
10/10/2005 •13'!16 FAX PARAGONPSCHIMIO i - l000s/UU`.1
` 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
81-184 VICTORIA LANE, LOT 4142, PHASE 115,.LA QUINTA, CA
•CEILINGS:
TYPE: BLOW MANUFACTURER' Certainteed THICKNESS: R-38
"„ • WALLS: -. ', r , • . ' s • . A , '�. s � • • • r .. „ .�
TYPE: BLOW .MANUFACTURER: Certaint®ed THICKNESS:A R-13
a ,+•, ,, . , ' . ' • - 'ti's � r. �::
GENERAL CONTRACTOR: SHEA HOMES; LICENSE #'
w , BY a' '` TITLE <. .,
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 k ; t
'" t BY: TITLE: ACCOUNT REPRESENTIVE y DATE: 'L)
J �J
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41