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0111-074 (SFD)l: LICENSED CONTRACTOR 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 Code, and my License is. in full force and effect. License # Lic. Class ...---Exp. Date 'S1834 B HIC ate Aignature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: (.) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section , B&RC. for this reason Date Signature of Owner 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 & policy no. are: Carrierl;l? i;�+, Policy No, (This section need not be completed if the permit valuation is for $100.00 or less). ( ) I certify that in the performance of the work for which this permit is issued, I shall not employ any personin any manner so -as to, become�,subject to the workers' compensation laws of California, ra d agree that1if`I should become subject to the workers' compensation pro'visions,.of"Section 3700 of the Labor Code, I shall forth ith comply with those"provlslon's ,Date: f `e ''7,VAPPlicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions a;id restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person ate whose request and for whose benefit work is performed under of�pursuant ion any permit issued as a result of this applicaton agrees to, & shall, indemnify, )t & hold harmless the City of La Quinta, its officers, agents and employeest, 2. Any permit issued as a result of this application becomes null' and void if . work is not commenced within 180 days from date of issuance cf sucli permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City,.a4nd State,.laws relating to the building I -- construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for iospection purposes. "'Signature (Owner/Agent)°�!� " ✓ Date' 7 BUILDING PERMIT PERMIT# Irs DATE, VALUATION LOT M11-074 TRACT JOB SITE APN ADDRESS %ori& . _),A Cygd.4p�.�'°�/wY OWNER CONTRACTOR/DESIGNER/EN (NEER Mod VALt S:• , LA Q1,721�d"S.�s(. Qk 92253 p yy {{ i IX 2387 USE OF PERMIT WGLL, SSS?1PARM 'j` DOES TIOT r dCR.>JM PCIOUSPA. OR Q3X'dMEWAAY BA -11150 INCOMP, 0 WAIIi.- tip` RUAINFHO, b' GARDEN, ORCO"'1 JTF--h$ TMOT CaMIMUCITION 1,50103 OF it UPIATIO PDXCH O:J�e.'IAOM.FtP.PORT 463.00 Be � & : : 'J17Fi 3I. f.f7.01Q 1.-f'' ESTI NIMP 11CONIF OF CG -T • ;a3't,IMON ",3CQ£bm PLAN CHECK .{moi, 101-00()^4",,9- 3 18 ssi l f'tll�%iFEl1`iEGl9J,ITZ 101-(?fu,4i4 000 $6000 1113 �iII�,IC�'aI�M.E? 101-s 00-4•2Y3.ON) $13.1.30 l>'f�&f ittJ Qll.Nt 51119r 101-000-419-000 THION0 MCiTHM ";35-1$.MIND 101-0001-243-0100 -01100 $9, 31 017.4.1421,40 FEF 101-000-4-23-000 $20.00 DINMIX)PER IMPACT PEP v,94*0 PRY,CQSQ✓ PLAN 1.01- YOO-443 -345 $100.00 ;>911� i310F091`1' 101-000+31.7-3 18 4250.06 - r, 0145TRUC°TIOR PEVA 101-000-418--000 �tS.2Q..50 :' i3B-' C:OMT`E��.�C'f.1tG:� ANI" PLAI�!•t":i.�i?..C.K. $3,4735.31 LUSS PRVI-PAIM FUM 4250.00 6 2001 TMAL PLWITT MS rfoir normo ®�ye�a9--- w7s ,�-•' RECEIPT DATE I BY r DATE FINALED INSPECTOR 4�, INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wali Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pooi'Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: LICENSED CONTRACTOR 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 Code, and my License is in full force and effect. License # Lic. Class Exp. Date '1818.3 4 13 RIC 07/3'.1 P—C Date Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot intended or offered for sale (Sec. 7044, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section' , B&P.&Aor this reason Date Signature of Owner 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 I erformance 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 & policy no. are: Carrier Policy No. 1~'a��ly�ts.lc (This section need not be completed if the permit valuation is for $100.00 or less). ( ) I certify that in the performance of the work for which this permit is issued, I shall 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: Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and. Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature (Owner/Agent) Date BUILDING PERMIT PERMIT# DATE VALUATION LOTTRACT JOB SITEAPN ADDRESS 54-330 ANA24�DA O.B.M G- S� 774-242,003 OWNER CONTRACTOR / DESIGNER / EN (NEER AMMC7N11MAi2.RO 1i.'�3C 93 WRAI-10,12MR ROAD PO WK 517 M109ALlyly CIA LA (3ts'X`!'A CIA 92233 -76c)4."-$422 CM6 .2.387 ` USE OF PERMIT 5MGM YNNMA" D"K51,124(34• I MAIFAMIT I: 090 ]."ftYP iNC.i'.Ur ?< PcOUS.j;A, OR Y.;t,,i'7#'M.AY ,A.PPRO.ACifiW.AlS` RYi.BA-1I150Ie'.O.1M00'lAi'AL1,T,RVAJW- 114%61 97 t�.O S ORCO M'f E•All TRACT C ONST18U TIOX 1,5,1.©p S 0ARA.00CA POR7 OF 6 Vl'. 'W7A-2 1,• 150.09 LiF FlInJiSV..JLKA+i o Vvoe 'Oil, V0NI 7�.J'.11itMi..70A 9511Sii7ma4/` PLAN Ct 1ECK:'T$'^'-1✓, 1 U1-6"1i';O.4 39-M $51114f, N19Cff.A WIC:.A L Fri 101-00042 i -Wo $60.00 ELVI iTIRICIA1 FU. 101 rC1M420.00(b $131.30 P1.9.1MY 0111Ct:ee 101-400-419-000. . $110.75 S'!'RONO MOTION rTV - RENSID 101-000-241-00P $9,19 Cht}2�Apa�tMO FRY, ! (a i SQ�iJ-X4°13-Qt�t3 V{ O.0�00 �y q �+ 9 f'RT+?;15ji; �1.,�?�3 11? 1 w�iQ(D-4d• i �3�:� �A U0.u4 FEE DEPOSIT 101-000-43:9-318 CMISTaRUC11,60141CI 10-1-000-418-000 Gh1.:si3 SUB -43 $3?1 .s�.n31 pp.��1r��:. � ��yy /0 '1 OTAL MMT T Ties l?)Z7b RECEIPT DATE BY ALJ. .a?/ INSPECTOR ,. INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck — Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final oZ BLOCKWALL AP ROVALS POOLS - SPAS steel Set Backs2 _ Electric Bond Footings _ Main Drain Bond Beam 3_25-0 2. lPt:�, 5T, Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines _ o 2- Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral���— Sewer Connection ��L� Pool Cover - Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fodures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power ot Final Utility Notice (Perm) �"EG COMMENTS: 1 Building o�� S Lf 3 o 4 I erir�..� i P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 owner, k Mailing • ! Address 'I J �) h'� �� C� Z / L. !�! '=+ r City Zip Tel. / CI.?, ( v c,- ZL *O � � CL.,l�I C Address --,S r city zlp(Z > 7G D State i. 7?( F3 V City 8 Classit.� Lic. # Arch., Engr., Designer Address Tel. City IZip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usiness and Professions Code: Any city or county which requires a „ permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of ` Division 3 of the Business and Professions Code, or that. he 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). I: 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does Such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of sale.) I I I, as owner of the property, am exclusively'conttacting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law doesnot apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) i7 1 am exempt under Sec. B. 8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company n Copy is liled with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the: permit is for one hundred dollars ($100) valuation or less.) •- I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT., d, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. 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 city to enter the above- mentioned property for inspection purposes. Signature of applicant —Date— Mailing ateMailing Address City, State, Zip APPLICATION ONLY /1[k BUILDING: TY�P7E'C}ONST. 3 F o OCC. GRP. . D A'•P. Number / // C/ 1� Li GI 03 Legal Description `' f S l� -2 6 (v % Project Description If� ,2 co Sq. Ft. �� No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Qhr.401P : BA 1 Estimated Valuation PERMIT AMOUNT _ - 1 Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical M Plumbing S.M.I. v Grading Driveway Enc. Infrastructure O �� OF •C� �I. TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Notice: Document Cannot Be Duplicated Date 12/26/01 No. 22783 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE APN #. 774-242-003 Jurisdiction La Quinta Owner NameAnthony Marro Permit # 0111-074 No. 54330 Street Avenida Obregon Log # City La Quinta Zip 92253 Study Area . Tract # BLK 266 Lot # . 5 _ Square Footage 1501 Type of Development Single Family Residence No. of units 1 Comments At the; present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 2.05 X 1,501 or $ 3,077.05' the property listed above and that building pen -nits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By OC/Wells Fargo - Michael Brauckmann Telephone 250_-5151 Name on the check ? c43 w By Dr. Doris Wilson Superintendent's t Fee collected /exempted by Juanita Green Payment Received $3,077.05 Check No. 0737703101 Signature , NOTICE:Pursuant of Ast bly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run frhe date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the Di )(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant , Copy - Applicant/Receipt Copy - Accounting Sir All )3 r 33 RDING R.EQ,Uf $TEU BY EN REcoPLStb-RETURN To"'' ionv'j. Manu Lt au, C- flaF Marro Vrangler'Roadl i. -Valley, CA 93065 [i.: TAX -TAT:EN-4FNTS`j'0: jony J. 'Marro & Gloria F. Marro Vrarlqfler Road-, ii Valley,I., CA 9PO65 ,Ak'ss essor's Parcel Number; 774242003. 00C as20I "5'' 05/15/2001 0'@A Fee:6,110 Page If I - RacordecIn Off sial ROCC.d% County of Rverelda Gary Assessor, County y lark & Recc�40r IIlIllfllllillll�llll�l�,li IIIIIIIIlI�I��II!!IlIIIIII QUITCIA It X14 DEE D thtundersigned cl�(Jares that the documentary transfer tax -i's $0,00 computedlon full value of property coinveyed: OR compuwdion full value less value of liens and 6nCLFnbr2Inc s remaining at time of sale. inincorporated area (X) City of La Quinta, and *T1 i$ conveyance is a bona ride gift, and the Grantor received nothi u : rn. Rev -n u 0 11930. 1 :n ret and Ta�a0 o FO LA. VALUAB4. E CONSIDERATION, Receipt of Which is hereby acknowledged, V1 GINIA V-11 KAMM, an Lini-narried woman, hereby remises, releases and fJrever quitclaims to ANTHOM J; PRO and GORIA F. MARRO husband and wife as joint tenants, the following ddscribed real pro le.et., in thy, n,tYjCjf J�.-j Qjj;qjtf1' County of Rirergi4e. S !t.1te nf LOT 5, BLOCK 266, OF SANTA CARMEUTA U " KE ORDED IN THE OFFICE OF THE RECORDER OF RIVIRSIDE COUNTI0- PAGE 44-45 OF .00T 19 OF ;0IAPS. [)tit ski vlirlo7a"'Pick ` ` T TE, OF CALIKKNIA W N'TY'0F before me Un 24,. the undersigned, a Notary Public in and for said Countyand stale persona-ly appeared 'Viiiinla Piek )-.43AC proved to tate on the basis of satisfactotv evidence to �e the pnon Whose ioaii; ;-3 Subs lbed,to the Withir> instrument, and acknowledged to me that she.execoted the her authorized!capacity, And chat by same in e her S iiature oto the instrument the person, or the entity upon behalf of which the p6rson acted. executed the Instrument. 'wil, ESS my hand a�j official seal. CLAUDE R. MULaN LV t.'.' Cornml�Won # 12.43455 i Notary. ftbric 4 wfcirrM KOT 'R%' PUBLIC Vontura 4ounly, `. 10 39Vd S*Anq, NCI -1-13CIAd r 9l7VTL9Z8T8 10 :8T TOOZ/fZ/80 W, OE OP I UAF .�A .-A-L 'PUM A LCCPY 6CN* A LNC)HCMG QUITCIA It X14 DEE D thtundersigned cl�(Jares that the documentary transfer tax -i's $0,00 computedlon full value of property coinveyed: OR compuwdion full value less value of liens and 6nCLFnbr2Inc s remaining at time of sale. inincorporated area (X) City of La Quinta, and *T1 i$ conveyance is a bona ride gift, and the Grantor received nothi u : rn. Rev -n u 0 11930. 1 :n ret and Ta�a0 o FO LA. VALUAB4. E CONSIDERATION, Receipt of Which is hereby acknowledged, V1 GINIA V-11 KAMM, an Lini-narried woman, hereby remises, releases and fJrever quitclaims to ANTHOM J; PRO and GORIA F. MARRO husband and wife as joint tenants, the following ddscribed real pro le.et., in thy, n,tYjCjf J�.-j Qjj;qjtf1' County of Rirergi4e. S !t.1te nf LOT 5, BLOCK 266, OF SANTA CARMEUTA U " KE ORDED IN THE OFFICE OF THE RECORDER OF RIVIRSIDE COUNTI0- PAGE 44-45 OF .00T 19 OF ;0IAPS. [)tit ski vlirlo7a"'Pick ` ` T TE, OF CALIKKNIA W N'TY'0F before me Un 24,. the undersigned, a Notary Public in and for said Countyand stale persona-ly appeared 'Viiiinla Piek )-.43AC proved to tate on the basis of satisfactotv evidence to �e the pnon Whose ioaii; ;-3 Subs lbed,to the Withir> instrument, and acknowledged to me that she.execoted the her authorized!capacity, And chat by same in e her S iiature oto the instrument the person, or the entity upon behalf of which the p6rson acted. executed the Instrument. 'wil, ESS my hand a�j official seal. CLAUDE R. MULaN LV t.'.' Cornml�Won # 12.43455 i Notary. ftbric 4 wfcirrM KOT 'R%' PUBLIC Vontura 4ounly, `. 10 39Vd S*Anq, NCI -1-13CIAd r 9l7VTL9Z8T8 10 :8T TOOZ/fZ/80 W, L T. R. A. 020 - 0/5 020 - 062 020- 050 020- 069 020- 076 20 020-089 A 5 s9 -50"V- + U z� CALLE 2� z� m qq } 9 FL83��� BoYJ %RA C -o 3 024S.23 Ac=2 /2 TRA 0. 062 22@ S 3 'IAS /4 �0 3 5 3 3 t� V�5 2/ ® 4'1' 4 0 /Q 4 b20 5O /(v 5�y� o5/ 0 242 RA 020 -Gs ��j- 4 J l8 /g ,'b'�S Q TRA 7 0 � ,5 _ �� ~ 020- 050 � 54I '/-/° h i 0.34Ac.-fie-41 �� Q 7R:. 020.06? 16 O 9 a� _ 9 TRA 020- 069 l4 22 ,G O oo r�eddo /CC .o o c /3 // h 23 /2 / a, " /2 Op 4 ?- /2 �. :� 0 79 4 .} env •q R 524 �.o/ �.Q (Z O O 2� 7." 23 /3 ��O 5�' 22 O rR.A O2O • ✓7O ® 3 �Lp LrI 2/ 30 TRA OPO -069 4 c5 TP.A 020-062 TRA 020-089 '� 20 ® /6 5w 5 J �. /B,�• TRA 020 - OB9 / 7 IZ5 0./84 "vr 43 N..0 -R4 01?C - G7E n X017 o. /ate O 44 .j TRA 050 /8a• /5 O Z/ /0 o Do lee 2/ O o I M CALLS 24" s a 260 a E + c 6' 27 CARMEL/%A AT VALE LA OWNTA UN/7-NO.24 MB 19144-45 DATA: L.L.A. 87-033 MERG. 87- GS t UN/;r NO. 26 MB 20/50 B -o67 PM B99 _//6 P,v B9_//4 PM 89-115 PM 89-117 L LA £9- 057 89-086 l tr 7! 3c 30 02 Lk / 2 Lk5 L 1 -a � Q 601 3o 130 9TRA 0 - O o I M CALLS 24" s a 260 a E + c 6' 27 CARMEL/%A AT VALE LA OWNTA UN/7-NO.24 MB 19144-45 DATA: L.L.A. 87-033 MERG. 87- GS t UN/;r NO. 26 MB 20/50 B -o67 PM B99 _//6 P,v B9_//4 PM 89-115 PM 89-117 L LA £9- 057 89-086 l RC DISTRICT - PLANNING REVIEW FORM This form is to be used by CD.D staff for review of single family dwellings in the RC (Cove Residential) District per Section 9.50.090.of the Zoning Code. Its purpose is to determine: 1) that the proposed house design does not duplicate the same architectural style of any house within 200 feet of the applicant, and/or 2) if there is a need for the applicant to file for Master Design Guidelines. If the applicant does need to file a Master Design Guideline, please transmitted this information to the Building and Safety Department as part of your correction list. Please attach additional explanations as necessary. APPLICANT Brauckmann Inc. SITE ADDRESS 54-330 Avenida -Obregon APN 774- 242 - 003 LEGAL: LOT 5 CASE NO.: 2001-581 BLOCK 266 UNIT _ S.C.@V.L.Q. CHECK AND APPROVED BY: ` Michele Rambo DATE: Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive Secretary maintains a log book to track applications and assign case numbers. REQUIRED ITEM Y N COMMENT/CORRECTION Verify legal and APN.information Consistent with MDG on file (as' applicable MDG filing required (5 filings since 9/3/98) �I{A Architectural variety within 200 feet of the surrounding area: Colors Materials Architectural design features �NZ OEVO��eM p�EO �5 Other Requirements: INSTALLATION CERTIFICATE A 3 of 8 DUCT LEAKAGE AND DESIGN DIAGNOSTICS ELDUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity �6 in Thousands of Btu/hr, enter calculated value here !a If fan flow is measured, enter measured value here _ T_ Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) .= 1, 47 Pass if leakage'fraciion <_ 0.06 ❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed 'Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: 0 Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual •Inspection of Duct Connections ❑ THERMOSTATIC EXPANSION VALVE (TXV) CF -6R �-- ❑ Pass , Fail Pass Fail 0 -yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection El Yes is a pass Pass Fail ❑ DUCT DESIGN 1 • ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. /1 / 2. ❑ Yes ❑ No TXV is installed or Fan flow has. been verified. If no TXV, verified fan flow matches design from CF -1R. Measured Fan Flow"= ❑ ❑ Yes for both 1 and 2 is a Pass Pass Fail ❑ I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] �- ests Signature, Date Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name), COPY TO: Building. Department HERS Provider (if applicable) Building Owner at Occupancy January 4, 2001 0• CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING Project Title 541 r 33y Project Addr ss Builder Contact Telephone eflvhlo 21Y- 72.3 HERS Rater Telephone Firm: Street Address: Copies to: Builder, HERS Provider CF -4R Date //� .rpt //� i✓�!� vl.%.1�4� w �h L Builder Name Plan Number Sample Group Number HERS Provider City/State/Zip: ample House Number J. -c, •t gs'SdC/4Z� Z4� err �z2�s 3 HERS RATER COMPLIANCE STATEMENT The house was: ®--Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. 0 -'Distribution system is fully'ducted (i.e., 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 duct tape to seal leaks at duct 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 @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cfm/ton x number of tons enter l calculated value here b If fan flow is measured enter measured value here b - Leakage Percentage (100 x Test Leakage/Fan Flow) 37 Al Check Box for Pass or Fail (Pass=6% or less) ❑ Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection Yes is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1 R and design on plan. 2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1 R. Measured Fan Flow = Yes for both 1 and 2 is a Pass 9L ❑ Pass Fail ❑ ❑ Pass Fail Certificate of Occupancy City of La Quinta BuildingSafety and Department This Certificate issued pursuant. to the requirements of Section 709 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the follow" inga BUILDING ADDRESS: 54-330 AVENIDA OBREGON Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0111-074 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RC , Owner of. Building:' ANTHONY MARRO Address: 93 WRANGLER ROAD City: SIMI VALLEY, CA By: RICHARD KIRKLAND Date- 05-07-02 Building Official POST IN A CONSPICUOUS PLACE