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05-1421 (BLCK)
BUILDING & SAFETY DEPARTMENT Cwt P.O. BOX 1504 (760):777-7012 OFTt78-495 C"ALLE TAMPICO FAX (760) 777-701 1 LA'QUINTn, CALIFORNIA 92253 INSPECTION REQUESTS (760)'777-7153. BUILDING PERMIT ApplicationNumber 050.0.0.014-21� Date 4/15/0-5. Property -Address, . . . 81232 VICTORIA LN APN:764.,270-_999-138 -300234 - 'Application description WALL/FENCE Property.Zoning. _ MEDIUM HIGH DENSITY RES. 'Application 'valuation' 3895 Owner Contractor. ---------=-------- - - - --- r-- ., -.---- - `-� --. SHEA LA-QUINTA ":SHEA HOMES, INC. C/O JEFF MCQUEEN 81260 AVENUE 62 8800 N GAINEY,CENTER 350 LA;QUINTA CA 92253 SCOTTSDALE AZ 85,258 (76.0) 777-6.005 WCC: NTL UNION INS WC: 6436568 08/01./05 CSLB: 672285 06/,3.0./05 CCC: B ----------------------------------------------------------------------- "Permit WALL/FENCE PERMIT Additional desc .Permit.Fee. 63.00 Plan Check Fee',00 Issue Date Valuat"ion -3895 Qty Unit :Charge Per Extension BASE `FEE y w" -45. 00 2.00 9.0000 THOU t BLDG •2 001-25, 0.00 18:00 Special Notes and Comments 95 L.F. 6' GARDEN WALL, 95 L.F. 3' RETAINING WALL, BOTH ORCO'SYSTEM •s f' ' " y Fee summary. Charged. Paid Credited Due.' Permit -Fee Total 63.00 00 .00 63.00 Plan Check.Total .00 .00 .00 .00 Grand Total 63.00 .00 00 63.00 • i x �. P.O. Box 1504 • " VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QuINTA, CALIFORNIA 92253 4 4 a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: -05—)47,1 Date: Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: a /A Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Cie• and ss License i full force and effect. /� � A C 'cense Class_ 'cense No. ( jj J date S b 5 tractor_ 6SJ16F-tA OWNER -BUILDER DECLARATION I hereby affirm under penalty of 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, 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 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 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.). U I am exempt under Sec. . BA P.C. for this reason Date Owner WORKERS' 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. ave 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 sued. My workers' compensation m nce carrier 4 m pl �er �� . (,(IQ'�ji4 '1 #1 (--#Vicy Number �l 10X / _ I certify that, in the. performance of the work for which this i�issued, I s all not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 105APA 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. 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 / 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 Ouinta, 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 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 pon the above-mentio ed pro rty for inspect' rposes. ate 65 nature (Applicant or Agent): r , JCM Inspections 39725.Garand Lane Suite F Palm Desert` CA 92211.- 2211..IN S FEC TI QN S Phone: 760-345-5554' - Fax:. 760-7123895.' %N S P IN -REINFORCED: CONCRETE .INSPECTIOU'REPORT '. " Dates: Noted Below Protect Name:: Project No: Trilogy @ La Quinta'- Shea Homes 02-1109 .. Project Address: City: 8.1-260 Avenue 62Q '. La Qulrita, CA IBC ElTrtle 24: Other: Client:: Sub -Contractor: Shea La Quinta, LLC:DCGCC General Contractor: Architect:. Structural Engineer:.:. Shea Homes Bassenian Lagoni Borm &Assoc,Inc/Suncoast.Post Tension'. LR Slump (inches):- Supplier.; 'Superior :Time Sampled: Mix Design:+ D83625P Time in Mixer (min..):' Specified Strength (PSI) ' 4000. Water Added @ 4obsite (gals.): n � Addmixture • `:POZZ 322N., Q ��---7 Concrete Temperature (0)::q. I Truck #: Ticket #:—� Ambient Air Tem erature: F : Field ID Markin — / p g: , Set A'- 4 cylinders Weather: . Unresolved Items: 0 None Q See Below, . Location of Sample: c, n Ole, -- 0 Q'No Samples Taken. Description of Work Inspected:'. :. Phase • Lot# (;a . Product' 3 :. _ Plan �d 1:).Received mill certifications for re'ba.r and tendons placed. 2) Typical exterior Footings including Garage Footings/Door (11,12,13/SDA), Tie Beams (20/SD-1);.Typical Interior footings/Rib including step (15,18/SD-1), SeyeriStrand Tendons (4;10,12,13,1'6/SD-1), Simpson Strong Walls (24/SDA), Anchor.Bolts and.Holdowns (6,7,8/SD-1), Pad Footings and additional. . rebarplaced:as.per these details'and as noted.on �� _ S ,,. �, r:aJ ►` n:Q _ �o ' Qje}tC: �j Also, typical details.2;`VSD-1. and Notes' on SW1 apply'.., Checked rebar,for grade,•,siie, placement; coverage and splices. Rebar and tendons. were' securely tied.andaupppded off tlie:earth..Accepted for concrete placement' . 1) The.placement of concrete for areas.noted above.except Garage Interior Footing and Slab on Grade..'Total'cubic yards placed:. approx A mechanical vibrator was used to consolidate the concrete, Approved #4 rebar slab dowels were placed @'18" o.c. 2) Molded 4 cylinders for compression tests with breaks_ at 7 days (1), 28 days (2) and one for holding purposes. 1)'The placement of concrete for Garage Interior Footings and Slab on Grade Total cubic yards placed: approx b .:Verified correct mix design: I hereby certify that I. have. inspected all of the above work,.unless otherwise noteo and io the b* t my ability.l have, found this work.to comply with'the;approyed , pecifications. applicable building laws: Final report:issued of project.completion:: Inspector:' Jack C.' Millin•.•ICC(Ceificatio ,No:0842216-80 Contractoei'Representative _ •.,,.s{: e'+y�, J'E 1:U.'al.� i+S>; .RG*il ✓'i r . _ 01 JCM Inspections 39725.Gar9nd`Lane Suite F' Palm. Desert CA 92211 INSPECTIONS Phone: 760-345-5554 : Fax: 760-772-3895 t:.N s p PRESTRESSED CONCRETE INSPECTIONREPORT Date: -7 -g7 -off Project Name: Project No: Trilogy @ La Quinta =Shea Homes- . 0271109 Project Address: City: �✓ IBC 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-Lagonr Borm'& Assoc*,lnc/Suncoast Post Tension. LP_ Weather:. Size and Type of Tendons: 1/2'.` Diameter'Seven Strand Stress -Relieved Tendons j Jack Machine:Calibration: Received Sheet from Sun Coast -Gage Pressure.in psi to Machine Load in kips : unresolve t'ems 6E) psi W 33.04 kips/33;000.lbs ,:None ❑.See Below. Calibration Date.': Machine # ` 0bg Phase'. to Lot# LA 13' � Product.3 plan (D $, —a�}. Description of Work. Inspected: Actual Elongation (in) :. Specified Complies within 7% +/` of specified elongation. Lot# Location Tendons ': Elongation (in) Reference 11h/SN7. Yes. No' Po' El _S Rl-` 0. Say n° ��oinrn3 oZ:- ©~:.. El n 3 1'cl c � Qr,-5, I EE . ❑ LJ: El AA , •E 1 I, o, o Sri � RL ❑ , KK ElAXs ) R' ❑ El I hMky certify that I have inspected all of the above work, unless otherwise noted, and to the best'of my ability I have found thismork to comply with the approved pecifications _applicable building.laws. Final report issued at prroject completion. Inspector: Jack C. Millin . ICC.,Certiffcation IN 10842216-89 : ; Coritractors Representative . Copy 1. JCM Inspections Copy 2 Project Superintendent Copy :3, -Governing Agency ; Page —L- of ; 41 M,Inspec ions r JC t 36725 Garand Lne Sulte ;F CA, Desert, '9212 ,y INSPECTIONS `; ' 'P ne:: 760-345-5664'.'1-;Tcx: '760-7.72-3895 p ho I•N:SPECT;IONS. ` '`COMPRESSION STRENGTH TEST. RESULTS w. •, "�°� ` - ` Client: Shea La Quinta,,LLC Date 9/25/05r Project: 'Trilogy @ L'a Quanta Shea Homes + •. ` r Project No 02=1109' .81-260Avenue62, ,ar ��. •' tt< a _r ". ti kLa Quinta;'CA,92274. Set ID, Structure. t - ti, :'" I , Age.,of,Tesf.'•CompressioiSi�ength� ,t .. JCM ID �'Locadon .. �` k' _ Date Catt Cylinder ID (days) �' ,{ (psi) Set'A . 'Phase 11C -Lot #4138 .'Slatiron Grade s `' 7 14 05 Concrete 273 552 { .Required psi: 4000 y 4 a Casita r 627", 1-7 z 2870 "628 ..� 28` t,•N ` " k4200(, J a29 ' 126. �} 4160' t •'CERTIFIED :G r 'JCM Inspections suppliesahe'service 3 of compression strength test results only ; { t s #.. • '�. Per ASTMC39 r '•. i } F .{•F f ' s"r 47Y. k' rpt• + l .. • r - � y" t. `t � .a6- fi t.Y ! r ` v'i. !. -.; a •. i. `.S 'W.A Biu k; ` .1 A M •, .x i ' `{ �- y � 41 41 r _ a r Pagel of,1 ` {- ♦ .c `x e < r rY' ., ';0CT'+25 2Q05 15,:46 BCI*TESTING,ril• 000-000-00000 Page 5 CaICERTS Certified Rating + October, 25 2005 •$1232 Victoria -Lane This Compliance rating is for the horde located at: , La Quinta CA, 92253 ' Certificate Number:; CC3- 1798351Z33 Date Inspected: October, 24 , I + 2005 , CalCERTS Rater William C , Henson . CC2004076 F Y HERS Analyst: N/A >< guilder/Developer: Shea • Homes, Inc. ` Trilogy 0 La . S Project: t + .�` Quinta•r_ n' •, , ,p k; Plan Name: `6505 - rc Lot Number: + Specifics about this home: General Information Bulldin •Envelo e ' Conditioned Floor Area: 3000 Square Feet Conditioned Volumes + 0 Cubic .Feet Front Orientation: N/A ' `Number of Stories• 1 ' ` Surface AreaR Pro osed Actual Value U Factor R Value Ul' " Factor . Heaung and Cooling Systems + Windows Heating Equipment: Furnace: 0.8• Cooling Equipment: AC: 12 Heating Equipment: Furnace: 0.8 Cooling Equipment: ACSplit: 12 . HVAC Air Distribution • Duct Location: Attic Duct Leakage Target: 6.0 - - Duct Insulation R -Value: 6' � . X TESTED (PAGE 1 OF 2) ` Air Infiltration =APPROVED AS PART OF SAMPLE GROUP Slower Door Target: 84.0 FIRM: BCI TESTING Water Heating S stem Pro osed ADDRESS: 77-760 COUNTRY CLUB DRIVE, SUITE I 'I QTY1I Size Fuel I EF Distribution PALM DESEERT, CA- 92211 • - 'PHONE_: 760-772.2964 - Water Heating f stem Actual TY ' Size Fuel I EF I Distribution Testis0 Results 1 CERTIFYM SIGNATURE DATE # • Main System HVAC System ested Duct Leakage: es - Passed ested Leakage Flow in CFM: 63 00cfm/ton x number of tons: 1400 Leaka a Percentage 100 x Test Leaka a/Fan Flow 3.9 Tested TXV: w Yes - Passed . Pro osad Actual orientation Area SHGCU " Value SHGC U Value Cooling Equipment: ACSplit: 12 . HVAC Air Distribution • Duct Location: Attic Duct Leakage Target: 6.0 - - Duct Insulation R -Value: 6' � . X TESTED (PAGE 1 OF 2) ` Air Infiltration =APPROVED AS PART OF SAMPLE GROUP Slower Door Target: 84.0 FIRM: BCI TESTING Water Heating S stem Pro osed ADDRESS: 77-760 COUNTRY CLUB DRIVE, SUITE I 'I QTY1I Size Fuel I EF Distribution PALM DESEERT, CA- 92211 • - 'PHONE_: 760-772.2964 - Water Heating f stem Actual TY ' Size Fuel I EF I Distribution Testis0 Results 1 CERTIFYM SIGNATURE DATE # • Main System HVAC System ested Duct Leakage: es - Passed ested Leakage Flow in CFM: 63 00cfm/ton x number of tons: 1400 Leaka a Percentage 100 x Test Leaka a/Fan Flow 3.9 Tested TXV: w Yes - Passed . + �+� WT1251,7,2005 15:46' BCI*TESTING,ri1' • 000-000-00000 k .Page 617 ermostatic Expansion Valve is installed and Access is provided for inspection. " Tested Duct Design Compliance;-* N/A' Tested Duct in Conditioned Space., N/A Tested Reduced Duct Surface Area:, N/A ' °' New System HVAC-S'stem > Tested Duct Leakage:, ' es - Passed Tested Leakage Flow in 'CFM: 71 00cfm/ton x number of tons. 16.00 ; Leakage Percenta` a 100 x Test Leaka a Fan Flow 4.4 ®st®d TXV: Yes - Passed Thermostatic Expansion Valve is Installed and Access is rovided for ins ectiorif .r ♦ asted Duct Design Coni fiance: NIA, ested Duct in Conditioned Space: N/A ested-Reduced Dud Surface Area: N/A, ested Infiltration Reduction Credit: N/A The energy efficiency rating of this home is determined using California Home Energy Rating System'(C•HERS) rules. The rating considers t- heating, cooling and water heating and assumes average weather, thermostit settings,` and quantltles of hot water for a typical household. *' ` Actual energy use wlll vary according to occupant bahavlor:;fhls Rating Cornpletlon Surnmary is provided,only after the featureslisted have ' a been verified and approved' by the CaICERTS Certified Rater shown above_ If,you have a concern or complaint regarding this report_ of the i 1 services used In obtaining it, you may contact: CaICERTS - Customer Service P.O. Box 6600, Folsom, CA 95763. I • - tar t ♦a / + if T At •. � + F �:� ,�,+:.-_ • ,til*:" •+ +. p � 3:� i - ♦ «':�: . , • ♦^i, (PAGE 2 OF 2), •+ ' ; • {g+t ` , s - r _ . ,, • PHASE Vc * ••a _ '7�^Y `4 ' - , • • .•7 R. r LOT, 1 ��+ w.•�', 'r- �i mai\ • � ► fx�J - .j. �: . + yrs.;. � "° d-, 'r ' !. '��,•'.. .a, o. � 1 r. +i t, �:' a`. a '�»�'`' - I •F� r •. Y ... • + , ` �{.r • i _ ♦f- ' , + _ 1 1 • y 1-r T.' , � _ '`k ~ 1 KFii4;y4 . 1. _. The energy efficiency rating of this home is determined using California Home Energy Rating System'(C•HERS) rules. The rating considers t- heating, cooling and water heating and assumes average weather, thermostit settings,` and quantltles of hot water for a typical household. *' ` Actual energy use wlll vary according to occupant bahavlor:;fhls Rating Cornpletlon Surnmary is provided,only after the featureslisted have ' a been verified and approved' by the CaICERTS Certified Rater shown above_ If,you have a concern or complaint regarding this report_ of the i 1 services used In obtaining it, you may contact: CaICERTS - Customer Service P.O. Box 6600, Folsom, CA 95763. I • - tar t ♦a / + if T At •. � + F �:� ,�,+:.-_ • ,til*:" •+ +. p � 3:� i - ♦ «':�: . , • ♦^i, (PAGE 2 OF 2), •+ ' ; • {g+t ` , s - r _ . ,, • PHASE Vc * ••a _ '7�^Y `4 ' - , • • .•7 R. r LOT, 1 ��+ w.•�', 'r- �i mai\ • � ► fx�J - .j. �: . + yrs.;. � "° d-, 'r ' !. '��,•'.. .a, o. � 1 r. +i t, �:' a`. a '�»�'`' - I •F� r •. Y ... • + , ` �{.r • i _ ♦f- ' , + _ 1 1 • y 1-r T.' , � _ '`k ~ 1 KFii4;y4 Conditioned Floor Area: 400 Square Feet Conditioned Volume: 0 Cubic Feet ,Front Orientation: .a . - ,N/A •.. v :� Nu b f St �. : T Surface Area ' -Pro osed ` 'L zorTJ25 `+2005 15:45 `BCI*TESTING, ril 000-000-00000 Page 1 ' , . , . U _Factor Duct Leakage Target: 6.0 ' 0 SHGC •Value SHGC1;1e - Ca ICE RTS.'Certified'Ratin9 October; 25"2005' ' }Air Infiltration. _ This Compliance rating is for the home located j at:, ; { 81232 victoria Lane :.La Quints CA, 92253 ' BlowerpoorTarget: 48.0 `- '� °M ,a. • ' 4 =AP OF 5 p '» . PROVED AS PART AMPLE aR�U *, 'Certificate Number: r .' CC3- ,� ���' 1798351237 �"')6 : 7� Date Inspected. z October, 7.4 'wl Ca10ERT5. Rater. ; 2005 William y,� •: - HERS Analyst: Henson 040 N/A _� . ► . �. �. ? Builder/Developer: Shea A T.w - ' y Homes, Tnc. Trilogy,@ La Project; Quintsta _ Lot Number 1.38-� / y +; • F , Specifics about this home: PHONE: 760-772-295b. Generallnformation 011ding Envelope Conditioned Floor Area: 400 Square Feet Conditioned Volume: 0 Cubic Feet ,Front Orientation: .a . - ,N/A •.. v :� Nu b f St �. : T Surface Area ' -Pro osed ` Actual R; Value U Factor R Value: U _Factor 1 K i m aro odes. • 1 _ � ' H49' eating and Cooling Systems Windows - Heating Equipment: furnace: 0•8 Cooling Equipment: At; 12 Main System HVAC System Tested . Dud Leakage- IYes - Passed Tested Leakage Flow in. CFM: 48 4 t•.. . 00cfm/ton x number of tons::800 Leakage -Percents e' 100 x Test Leakage Fan Flow 6.0' Tested TXV:` ' `: < ' Yes -Passed, ermostatic Expansion Valve is,installed and Access is provided for inspection. - 12 Ly '4�.•+ �. .. �': _ �'. •; Y�' ,, HVAC Air Distribution Pro osed Actual Orientation Area- Attic U Duct Leakage Target: 6.0 ' 0 SHGC •Value SHGC1;1e e. ' Main System HVAC System Tested . Dud Leakage- IYes - Passed Tested Leakage Flow in. CFM: 48 4 t•.. . 00cfm/ton x number of tons::800 Leakage -Percents e' 100 x Test Leakage Fan Flow 6.0' Tested TXV:` ' `: < ' Yes -Passed, ermostatic Expansion Valve is,installed and Access is provided for inspection. - 12 Ly '4�.•+ �. .. �': _ �'. •; Y�' ,, HVAC Air Distribution 't Duct Location: , Attic Duct Leakage Target: 6.0 ' 0 Duct Insulation It -Value.: 6 e. ' ' }Air Infiltration. _ t : ` , x X TESTED (PAGE 1 bF 2) a• BlowerpoorTarget: 48.0 `- '� °M ,a. • ' 4 =AP OF 5 p '» . PROVED AS PART AMPLE aR�U , Water Heating S stem Pro osed `" FIRM: ` _ BCI .TESTING 4L + ,5 Size 'I Fuel I EF Distribution .. ADCR553:. 77-760 COUNTRY CLUB DRIVE, SUITS I .: _ L n PALM DESEERT, CA. 92211 <, • Water Heating S stem Actual i . v. TY -Size Fuel I EF I Distribution PHONE: 760-772-295b. ,.. Testin •Results, ti• / . / ,! f t /^ , • . Main System HVAC System Tested . Dud Leakage- IYes - Passed Tested Leakage Flow in. CFM: 48 4 t•.. . 00cfm/ton x number of tons::800 Leakage -Percents e' 100 x Test Leakage Fan Flow 6.0' Tested TXV:` ' `: < ' Yes -Passed, ermostatic Expansion Valve is,installed and Access is provided for inspection. - 12 Ly '4�.•+ �. .. �': _ �'. •; Y�' ,, '•OCT 5;,?005 15:45 'BCI*TESTING,ril'+ .,000-000-00000 *. Page 2 .. i• ~' Tested Duct Design Compliance- --N/A a. _.Y• ested Duct in Conditi4nad S acie: " N/A "+ Tested Reduced Duct Surface Area: N/A 4 T Tested Infiltration, Reduction Credit: •" j' The energy efficlency 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, and quantities 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 bacA verified and approved by the CaICERTS. Certified Rater shown.above. If you have a concern or complaint regarding this report of the •, services used in obtaining it, you may contact: CaICERTS - Customer Service P.O. Box 6600, Folsom, CA 95763. r T 41 . e v , _ '� .r }r' � ,"_ ., �' fir:.} '•y (PAGE 2 OF 2) LUI 12VG4tJ(11_ r'