13649 (SFD)Building Ave. Obr
—Address
Matt Mathews
Mailing 54-�945 Av6. obregon
Address
City zip Tel.
La Quinta., CA 1 92253, .564-1115-
C 0
dFatLI&ELIbm rporation
ApIr
.2V50, Someta Rdad
City p 9226,0 Tel.: 346-2840
Palm Deser.t., dk
State Lic. City
& Classif. 8 533670 Lic. # 1137.
Arct�, Engr�,,,
Designer Wr6i_'L.. Bieke
IV "H4 Street, Ste, 25 Tel
City P State
t fil 93301 Lic. #
LICENSED CONTRACTOR'S DECLARATION .
I hereby affirm that I aTJicensed under Provisions of Chapter 9 (commencing with Section
7000) of Division 3 of t0e _
effe6t :_Bus�iness and Professions Code nd my license is in full force and
PAT
-OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
.reason:, (Sec. 7031.5, Business, and Professions Code: Any city or: county which requires a
permit to construct, alter, improve, demolish, or repair any structure, I prior to its issuance also
requires the ap4licant for such permit to rile a signed statement that 6 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 Professioni Code, of that. he is exempt therefrom, and the basis.
for the alleged exemptloi)� Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civilpenalty ofnotmore than five hundreddollars ($500). 1
0 1, as owner of the property, or my employees with wages as their sole compensation, will
do t he 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.)
0 1, as owner of the property, am exclusively contracting, with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not 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.)
0 1 am exempt under Sec. _�B. & P.C. for this reason
"P.O. BOX 1504
e I gon 78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
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
0 Copy is filed with the city. 0 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 thp 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. If, 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 pe rmit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days. * i
I cer Illy 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 Address
City, State, Zip
No. 13649
BUILDING: TYPE CONST.r�'... OCC� GRP. R3,
A. I P. Number 774-294-067
Legal Description Lot'.7 Block 290
Project'Description
Sq. Ft- 1361s - No.
Size Stories
New 0 .,,AdZI-0 'Alter 0 Repair 0
No. Dw.
Units
eil:20 1.f. of 5'
garden wall,and 40 l.f. of 61
-pool periuit�s �,t:6,'be obtained s
Estimated Valuation, 494900
t
-Demolitioh b
.icth
14h
nd/or1,-'-L..
PEAMIT
BY: V
AMOUNT.-.,.
Plan C'hk'.' bep.
250.00
Plan Chk. Bal.
K
243.10
Const.
581.00
Mech. -
49;00.
Electrical
.120072
Plumbing
FINAL DATE
141z,.00
Issued by:
Grading
20.00
Driveway Enc.
-.00
Infrastructure
Validation:
lt874.0-4
Precise
Plat 1-
.25.00
TOTAL
3,312.51
\-�34062..051-
REMARKS
Q
I P / "I
ZONE:—
BY: V
Minimum Setback Distances:
Front Setback from Center Line
K
—Rear Setback from Rear Piop. Li n6
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
Date—Oermit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. @ $
UNITS
SLAB GRADE IA
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
FORMS
SEWE!!!=(
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. @
GAS(ROUGH)
METER LOOP
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SO. FT. @
GROUT
WATER HEATER
WALL SO. Fr. @
I
FINAL INSP.
DRINKING FOUNTAIN
SQ. FT. @
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED G RAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/4c
HOUSE SEWER
FINISH GRADING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT.FEE
PLUMB. FEE
SMIFEE I n
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE IA
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWE!!!=(
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS(ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BONDBEAM
WATER SYSTEM
GRADING
cu. yd.
$ -plus-x$-=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING?-Z-gq
ye -0
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALO
LATHING N/e
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTORS SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 17/11/94 1 Type of Permit I La Quinta
No. 112941 Permit # L
Owner Name Sunrose Corporation Log
N o. 54860 Street Avenida Obregon
city La Quinta Z 1 p 92253 Study Area
APN # I _:1 Tract # 1 ::1 Lot # Square Footage 11361
type of Development I Single Family Residence No. of units
Comments
At the present time, the Desert Sands Unified School District does not collect fees on
garages /c'a',rp,6rts, 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 X or $ 2,245.65 have been paid to D.S.U.S. D. for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By Sunrose Corporation Telephone 346-2840
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Vickie J. Durrett Payment Received'
Signature 0
Check �_N'. 5984
I all
." ol
Collector: Attach a copy of county or city plan check application form to district copy for all wai , vers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy Acc6unting
0 D r-�
E=ow No. 19600cortgnp R"Ngtod By
kQm+e' Fast Ammm Title tnwoonCu CwN
WHEN RECORDED MAIL M
Cq Matt P. Hatthaws
54-945 Obreson
La Quints. CA. 9WI
4-1
j
MAIL TAX STATEWNTSTO:
Same aa above
—,,Z�Y- 60-7 �—,
cc
u-
j1w
C;PM'6�AR Y YP-" SF F -R TAX S.. C;�.. .......
.. Can ' w.
--ra1TVtw0eI1w=.Q;-�e I P Awayed: 0 ',
Compuladant. W#o L-01=1 4nomnWanoes
ldmhh�v at orna of saw
Sig MUO of Dedwit or Apnt daterrnitkV lax—Fitm Nm*
GRANT DEED
FOR A VALUABLE CONSIOERATION, receipt 01whirh is harebyedamwiedg ad.
W-14- O'XMRN. an Unmarried Man and CLAUDE_H. MARTY.. an,
_unmarried -Woman,--as.Jo.1nt–Tenant9—
hereby GRANT(S) to
MATT P. MATTHEWS. an Unmarried Man
the real properly in the Chy of La Quints
cowity of Riverside Stale of Californe. dersaibed as
Lot 7 In Block 280 of Santa CArmelita at Vale La Quints UnIt 25. au per tnap recorded
in Book 19. Pagea 51 and 52 of maps, records of Riveraide County, California.
A -PH: 774-294-007
-ft P)ereb_,, .
.COPY of Ce
6�e or, . this
41Y.S Axjj�F�l
&I Ap4 7*1
-COAA- -'rrz
08led April 26. 1994
STATE OF CALIF (YtN,IA
rt Ak.
im
V
COUNTYOF --�Iversldc
On May 2, 1994
\./'VV
Mary K. Cook, a aotary
Pemft*uppeared 14. M. O'Hearn and Claude M.
Marty
kW0WWAAA4hW(fi, Prowd to me on II%a bouls of satisiao—tary'
evWance) lo be IM p"wA(s) wtiom mnu(o) Mis subscrIbed jo fha wk*
Iflarfulmat and acknuwWpd to rrw Ow b6&40w ekeww "7
MAW IL COOK
cow #96055
In A0611hok auth0itzed CapaWL-i). and Viat by AUJiAtwi�' I,
wonrnzk-c�
lure(s) on the frutrurneft the parzon(s) at the 051% upon baW of wilich
oymoc COUNN
jja**0j0jk 29.
cutod ft 62"or
=4K�ob
(Thh =a 1w of5cw nots1w wo
—MAIC TAX STATEMENTS AS DIRECTED ABOVE
rm
77
%
t .4
I J
%
' . 6)'M
J_
A,
%
Al
L Pko�b is, repr��ntational ci�li. See 68& 8( &';-b"f6r
m 2 , _,), . ' t
s
odel ons.
r , I
RESIDENTIAL ELECTRIC 2
JUCKILML&L
WAT
ER HEATERS
MODEL NUMBER: E52 Series ENERGY SAVER
R1 6.7
o Fused Ceramic Shield Tm applied under pressure and fired at I 600OF to
completely cover the tank interior. This provides a tough interior surface for storage
tanks and,maximum protection against the wearing effects of high volume and high
temperature hot water.
e 5 and 10 year limited tank warranfies available. The heavy gouge
steel is automatically formed, rolled, and welded to assure a continuous seam for
.glass lining. Each tank is triple tested to insure quality.
* Limited warranty on parts.
* 2" of polyurethane foam exceeds the insulating value of 5" of 1/2 16. density
fi erg ass insulation while giving extra jacket rigidity. Foam insulation saves fuel by
retarding heat loss.
• Anode rod for even distribution of protection against corrosion in tank interior.
• Immersed screw-in type elements promote direct heat transfer.
• T&P relief valve opening 114" NPT available top or side.
• Special intake dip tube carries cold water to bottom of tank eliminating
mixing of cold water with hot.
• Drain valve is both non-metallic and corrosion -proof.
• All water connections are '/d" NPI
• Heat traps included.
• Temperature control thermostat keeps water at desired temperature. Fcctory
installed energy cut off (ECO) prevents overheating.
o Many voltage and wattage combinations are available. 4500/4500 is
recommended and will be the wattage skipped. Heaters will be wired interlocking
(non -simultaneous) 240 Volt with 4500 watt elements, unless otherwise specified.
• Electrical junction box (for 1/2" and 114" conduit) far easy installation.
• _NAECA 1990 standards are met or exceeded.
• All electric water heaters are certified at 300 PSI test pressure, and 150
PSI working pressure.
o LIL listed and approved.
5 AND 10 YEAR LIMITED TANK WARRANTY
1 0 year models include incoloy elements, and
self cleaning feature.
T&P relief valve opening available top or side.
SPECIFICATIONS (dimensions shown in inches)
t
ArnericanO
Models
Gal.
(op.
GPH
Rec.
901 Rise
Jacket
Dia.
Hgt. to
Top of
Heater
Hgt. to
T&P
Opening
Approx.
Shipping
Weight
E52 -30H -045D Tall
30
20.7
18
46
46
85
E52 -40R-0450 Regular
40
20.7
20
4 8/4
48V4
103
E52 -50R-0450* Regular
50
20.7
22
471/4
47 V4
130
E52 -65H -045D Tall
65
20.7
22
60%
601/4
156
E52 -BOH -0450 Tall
80
203.
24
601/4
60%
183
E52-11 9R -045D Regular
119
... 20.7
28
62
62
305
Model numbers shown are for 5 year limited tank warranty. To order 10 year
limited tank warranty, change E52 to E 102. Change D to S in1nodel number to
order single element heater instead 16"T-d8uble element heater.'SingleS.5KW
medium density incoloy element available on 30 gallon tall model. Single 5.5KW
low density incoloy element available on all other models.
*Hand hole clean out available.
SAMPLE SPECIFICATION
Residential electric water heaters shall be Americane model
manufactured by SABH (U.S.) Water Heater Group, Inc. Heater shall have storage capacity of
gallons, and a recovery of - gallons per hour at a 90*F temperature rise.
Heaters shall be rated at - kilowatts, - volts, and - phase. Water heaters
shall be lined with a Fused.Ceramic Shield, and UL listed.
DISTRIBUTED BY
PRODUCTS OF
SABH WORLDWIDE WATER HEATER GROUP
PROUDLY MADE IN THE USA
Order entry, sales and service:
MOUNTAIN/PACIFIC TIME ZONE
Santa Fe Springs, CA
(800) 333-4109,
(310) 903-9523 fax
EASTERN/CENTRAL TIME ZONE
Johnson City, TN
(800) 621-8842
(615) 854-4025 fax
Dimensions and specifications subject to cho2,e ��ithout rigi . qe in
accordance with our policy of continuous pr uctimprovement.
- 0-TjLw.L-:LC=
WATER HEATERS
ARE2 3/93
51920 ave VALESCO
LA QUINTA, CALIFORNIA
PROJECT DESIGNER:'
SUNROSE CORPORATION
72-850 SOMMERA RD
PALM DESERT,CALIFORNIA
-2840
(619) 346,
REPORT PREPARED BY:
JOAN D. HACKER
JOHN H. HACKER & ASSOCIATES
4501 E. Sunny Dune Rd. Suite C
PALM SPRINGS, CALIFORNIA 92264
(619) 327-4565.
Job Number:
Date: 7/8/1994
The COMPLY 24 computer program has been used to perform the calculations
summarized in this compliance report. This program has approval and is
authorized by the,California Energy Commission for use with both the
Residential and Nonresidential Building Energy Efficiency Standards.
This program developed by Gabel Dodd Associates (510) 428-0803.
Table.of Contents for Title 24 Report
----------------------- --------------
Cover Page ................... ............. .............................
Table of Contents .................................... I ................... 2
Form CF -1R Certificate of Compliance: Residential .......... .......... 3
Form MF -1R Mandatory Measures Checklist: Residential ................. 5
,HVAC Zone & Space Loads Summary ...................................... 7
Form P -2R Point System Summary .......................................... 10'
CERTIFICATE.OF COMPLIANCE: Residential (part 1 of 2): CF -1R page 3 of 10
---------------------------------------------------------------------------
Project Name: SUNROSE CORPORATION Date: 1/8/1994
Address: 51920 ave VALESCO
LA QUINTA, CALIFORNIA IBuilding Permit No
Designer: SUNROSE CORPORATION
Checked by /'Date
Documentation: JOHN.H. HACKER & ASSOCIATES, ICOMPLY 24 User 2655
----------------------------------------------------- --------------
GENERAL INFORMATION
Compliance Method:
Climate Zone: .
Conditioned Floor Area:
Building Type:
Building Front Orientation:
Number of Dwelling Units:
Floor,Construction Type:
BUILDING SHELL INSULATION
Component
-----------------------
R-13 Wall w/111 BEAD
Solid Wood Door
R-38 Roof(R.38.2xl4.16)
Slab Perimeter w/R-0.0
Slab Perimeter w/R-0.0
FENESTRATION
Orient.. Area U -Val Type
Back
(N)
53.0
0.55
Double'
Right
(E)
33.0
0.45
Double
Right
(E)
20.0
0.55
Double
Front
(S)
82.0
0.55
Double
Left
(W)
10.2
0.55
Double
COMPLY 24 version 4.11
15
1360,.sqft
Single Fam Det
180 deg (S)
1
Slab on Grade
U -Value Location/Comments
------- ------------------------------------
0.064 WHOLE HOUSE
0.387 WHOLE HOUSE
.0.028 WHOLE HOUSE
0.900 WHOLE HOUSE
0.720 WHOLE HOUSE
Shading
Devices.
Frame
Interior
---------------
Exterior
---------------
OH
SF
Type
Light Blind
Standard
Bug
--
Scr Y
--
N
-----
Vinyl
Light Blind
Standard
Bug
Scr Y
N
Vinyl
Std Drape
Standard
Bug
Scr Y
N
Vinyl
Light Blind
Standard
Bug
Scr Y
N
Vinyl
Light Blind
Standard
Bug
Scr Y
N
Vinyl
THERMAL MASS Area Thick
Type Covering (sf) (in) Loc,ation/Description
--------------------- -------- ----- ----- ------------------------------
concrete, Heavyweight Exposed 400 ' 3.50 Slab on Grade
Concrete, Heavyweight Covered 960 3.50 Slab on Grade
CERTIFICATE OF
.m ---------------------------------------------------------------------------
COMPLIANCE: Residential (part 2 of 2)
CF -1R
page 4 of 10
Project Name:
SUNROSE CORPORATION
JDate:
1/8/1994
Documentation: JOHN H. HACKER & ASSOCIATES ICOMPLY 24.User' 2655
----------------------------------------------------- --------------
HVAC SYSTEMS Minimum Distrib Type Duct TStat
System Type Efficiency and Location RVal Type
----------- ---------- ---------------- ---- ------
PackHtPump 6.800 HSPF Ducts in ' Conditio N/A Set8ck
PackHtPump 12.000 SEER Ducts in Conditio 4.2 SetBck
Water
WATER HEATING SYSTEMS Heater
System Name Distribution Type Type
AMERICAN E52 SERIES Standard StorElec
AFUE
WATER HEATER -EQUIPMENT -DETAIL /Rec Rated
System Name System Type Eff Input
----------------------- ----------- ---- -----
AMERICAN E52 SERIES DomesticHW 0.999 40956
SPECIAL FEATURES/REMARKS
I
Location/comments
-----------------------
WHOLE HOUSE
No. Tank Ext..
in Energy Size -Insul
Sys Factor (gal). R -Val
--- ------ ----- -----
.1 0.92 50.0 16.7
Stdby Tank Pilot
Loss R -Val Light
----- ----- -----
0.:011 0.0 0
COMPLIANCE STATEMENT
This Certificate of Compliance lists the building features and performance
specifications needed to comply with Title 24, Parts 1 & 6 of the Califor-
nia Code of Regulations, and the administrative regulations to implement
them. -This certificate has been signed by.the individual with overall
design responsibility. When this certificate of compliance is submitted for
a single building plan to be built in multiple orientations, any'shading
feature that is varied is indicated in the Special Features/Remarks'section
DESIGNER or OWNER
(Per Business & Professions Code)
SUNROSE CORPORATION
72-850 SOMMERA RD
PALM DESERT,CALIFORNIA
(619) 346-2840 Lic #:
(signature)
ENFORCEMENT
Name:
Title:
Agency:_
Telephone:_
AGENCY
(date)
DOCUMENTATION AUTHOR
JOAN D. HACKER
JOHN H. HACKER & ASSOCIATES
4501 E. Sunny Dune Rd. Suite C
PALM SPRINGS, CALIFORNIA 92264
(619) 65
ature) (date)
(signature/stamp) (date)
MANDATORY MEASURES CHECKLIST (part 1 of 2) MF -1R page 5 of 10
---------------------------------------------------------------------------
Project Name: SUNROSE CORPORATION Date: 7/8/1994
Documentation: JOHN H. HACKER & ASSOCIATES ICOMPLY-24 User 2655
----------------------------------------------------- -------------------
NOTE: Lowrise residential buildings subject to the Standards must contain
these measures regardless of the compliance approach used. Items marked
with an asterisk (*) may be superseded by more stringent compliance
requirements listed on the Certificate of Compliance. When this checklist
is incorporated into the permit documents, the features noted shall be
considered by all parties as binding minimum component performance
specifications for the mandatory measures whether they are shown elsewhere
in the documents or on this checklist only.
BUILDING ENVELOPE MEASURES Enforcement
• sec. 150(a): Minimum R-19 ceiling insulation.
• Sec. 150(b): Loose fill insulation manufacturers
labeled R -Value.
• Sec. 150(c): Minimum R-13 wall insulation in framed walls
.(does not apply to exterior mass walls).
• Sec. 150(d)': Minimum R-13 raised floor insulation in framed
floors; Minimum R-8 in concrete raised floors.
• Sec. 150(l): Slab edge insulation - water absorption rate
no greater than 0.3%, water vapor transmission rate no
greater than 2.0 perm/inch.
• Sec. 118: Insulation specified or installed meets California
Energy Commission quality standards. Indicate Type & form.
• Sec. 116-117: Fenestration Products, Ext Doors & Infil/Exfil Controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit -air leakage.
b. Manufactured fenestration products have label w/certified U -Value
c. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
• Sec. 150(g): Vapor barriers mandatory in Climate Zones 14
and 16 only.
o.Sec. 150(f): Special infiltration barrier installed to
comply with Sec. 151 meets Commission quality standards.
o Sec. 150(e): Installation of Fireplaces, Decorative Gas
Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
MANDATORY MEASURES CHECKLIST (part 2 of 2) MF -1R page 6 of 10
---------------------------------------------------------------------------
Project Name: SUNROSE CORPORATION JDate: 7/8/1994
Documentation: JOHN H. HACKER & ASSOCIATES ICOMPLY 24 User 2655
---------------------------------------------------------------------------
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Enforcement
o.Sec. 110-13: HVAC equipment, water heaters, showerheads.
and faucets certified by the Commission.
o Sec. 150(i): Setback thermostat on all applicable
heating systems.
o Sec. 150(j): Pipe and Tank Insulation
1. Indirect hot water tanks (eg unfired storage tanks or
backup solar hot water tanks) have insulation blanket
(R-12 or greater) or combined interior/exterior insulation
(R-16 or greater).
2. First 5 feet of pipes closest to water heater -tank,
non -recirculation systems, insulated (R-4 or greater.
3. All buried or exposed piping insulated in recirculation
sections of hot water system.
4. Cooling system piping below 55 F insulated.
5. Piping insulated between heating source and indirect hot
water tank.
o Sec. 150(m) Ducts and Fans *
1. Ducts constructed, installed and sealed to comply with
UMC Sections 1002 and 1004; ducts insulated to a minimum
R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust systems have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
e ither automatic or readily accessible manually operated
dampers.
o Sec. 114:Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off
switch, weatherpro ' of operating instructions, no electric
resistance heating and no pilot light.
2. System is installed with:
a. At least 3611 pipe between filter and heater for future
solar heating.
b. Cover for outdoor pools or outdoor spas.
3.. Pool system has directional inlets and a circulation
pump time switch.
o Sec. 115: Gas-fired central furnace, pool heater, spa heater
or household cooking appliance have no continuously
burning pilot light. (Exception: Non -electrical cooking
appliance with pilot < 150 Btuh)
LIGHTING MEASURES
o Sec. 150(k): Lighting - 40 lumens/watt or greater for
general lighting in kitchens and rooms with water closets;
and recessed ceiling fixtures IC (insulation cover) approved.
HVAC ZONE HEATING & COOLING LOAD SUMMARY page 7 of 10
----------------------------------------------------------------------------
Project Nam . e: SUNROSE CORPORATION IDate:. 7/8/1994
Documentation: JOHN H. HACKER & ASSOCIATES COMPLY 24 User 2655
------------------- -----------------------------
-----------
HVAC ZONE DESCRIPTION
HVAC Zone Name:
Heating System Name:
Cooling System Name:
System Multiplier:
Fan Schedule:
Peak Load Method:
Relative Humidity:
SPACES IN THIS ZONE PEAK
-----------------------
WHOLE HOUSE (Jan 12am)
TOTAL SPACE LOAD
Duct Gains & Losses:
Ventilation: ( 0 CFM)
Return Air Lighting Gain
TOTAL SYSTEM LOAD
SYSTEM OUTPUT AT DESIGN CONDITIONS
WHOLE HOUSE
JANITROL Q2SC�-048C
Day Fans STD
COINCIDENT
50
COOLING
HEATING PEAK SENSIBLE LATENT
------- ---- -------- ------
24616 (Aug 2pm) 19829 -565
------- -------- ------
.24616 19829 -565
2462 1983
0 0 0
0
------- -------- ------
27078 21812 -565
34369 30912 11321
NOTE: The TOTAL SYSTEM LOAD shown represents the minimum size equipment
which will heat or cool this zone during the design conditions indicated.
These numbers include no safety -factor, and the HVAC contractor should
oversize by a reasonable margin to account for variations in weather
conditions and the pick-up capacity required to bring the zone to temper-
ature as a result of a setback thermostat. Those'responsible for final
equipment selection should note that Sensible and Latent Cooling'Loads are
indicated to allow for accurate comparison with manufacturer's output data.
RESIDENTIAL SPACE HEATING LOAD'SUMMARY page 8 of 10
---------------------------------------------------------------------------
Project Name: SUNROSE CORPORATION Date: 1/8/1994
Documentation:, -JOHN H. HACKER &.ASSOCIATES COMPLY 24 User 2655
-------------------------------------------------------------- ------------
Space Name: WHOLE HOUSE
Design Indoor Dry Bulb Temperature: 70 F
Design Outdoor Winter Dry Bulb Temperature:, 32 F
Design Temperature Difference-: 38 F
Conduction
-----------------------
Area
U -Value
TD
R-13 Wall w/111 BEAD
------
1177.8
x
-------
0.0639
x
----
38.0
Solid Wood Door
40.0
x
0.*3872
x'38.0
SOUTHWEST VINYL
(R)
53.0
x
0.5500
x
38.0
SOUTHWEST VINYL _(R)
33.0
x
0.4500
x
38.0
SOUTHWEST VINYL
(R)
20.0
x
0.5500-
x
38.0
SOUTHWEST VINYL
(R)
82.0
x
6.5500
x
38.0
SOUTHWEST VINYL
(R)
10.2
x
0.5500
x
38.0
R-38 Roof(R.38.2xl4.16)
1360.0
x
0.0284
x
38.0
Slab on Grade
Perim 50.0
x
42
Slab on Grade
Perim'= 150.0
x
42
Infiltration: 1.00 x 0.018 x 1360 sf x 8.0 ft x 1.00 -Ad x 38.0
TOTAL HOURLY HEAT LOSS FOR SPACE
Btu/hr
2858
589
1108
564
1714
213
1465
2075
6225
�*VJFA
24616
Heating AirFlow: 24616 Btu/hr / (1.07 x 35 F DeltaT)] 656 cfm
RESIDENTIAL SPACE COOLING LOAD SUMMARY page 9 of 10
---------------------------------------------------------------------------
Project Name: SUNROSE CORPORATION Date: 7/8/1994
Documentation: JOHN.H. HACKER & ASSOCIATES COMPLY 24 User 2655
----------------------------------------------------- --------------------
Space Name: WHOLE HOUSE
Design Indoor Dry Bulb Temperature: 78 F
Design Outdoor Summer Dry Bulb Temperature: 112 F
Design Temperature Difference: 34 F
Conduction
-----------------------
Area
U -Value
DETD
Btu/hr
R-13 Wall w/1" BEAD
- ------
1177.8
x
-------
0.0639 x
----
27.6
------
2076
Solid Wood Door
40.0
x
0.3872 x
27.6
427
SOUTHWEST VINYL
(R)
53.0
x
0.5500 x
34.0
991
SOUTHWEST VINYL
(R)
33.0
x
0.4�00 x
34.0
505
SOUTHWEST VINYL
(R)
20.0
k
0.5500 k
34.0
374
SOUTHWEST VINYL .(R)
82.0
x
0.5500 x
34.0--
1533
SOUTHWEST VINYL
(R)
10.2
x
0.5500 x
34.0
191
R-38 Roof(R.38.2xl4.16)
1360.0
x
0.0284 x
48.0
1851
Infiltration: 1.00
x 0.018
x 1360
sf x 8.0 ft x 1.00 AC x
34.0
6610
Shaded
Unshaded
Solar Gain
-----------------------
Orient.
Area SGF
Area -SGF
SC
SOUTHWEST VINYL
(R)
---------
North
---- ---
0.0 x 15
+
---- ---
53.0 x 15]
----
x 0.44
= 346
SOUTHWEST VINYL
(R)
East
7.5 x 15
+
12.5 x 73]
x 0.59
= 600
SOUTHWEST VINYL
(R)
East
7.4 x 15
+
25.6 x 73]
x 0.44
= 862
SOUTHWEST VINYL
(R)
South
82.0 x 15
+
0.0 x 32]
x 0.44
= 536
SOUTHWEST VINYL
(R)
West
3.8 x 15
+
6.4 x 73]
x 0.44
= 228
Internal Gain
Op Frac.
Area
Heat Gain
Conv.
-----------------------
Lighting
--------
1.00
------
x 1360.0
---------
x
0.200 x
-----
3.413
928
Equipment
1.00
x 1360.0
x
0.100 x
3.413
464
Occupants
1.00
x 1360.0
x
225
333
919
TOTAL HOURLY
SENSIBLE HEAT
GAIN FOR SPACE
19829
Latent Gain
Op Frac.
Area
Heat Gain
Conv.'
Btu/hr
-----------------------
Equipment
--------
1.00
------
x 1360.0 ''
---------
x
0.000 x
-----
3.413
------
0
Occupants
1.00
x 1360.0
x
225
333
919
Infiltration: 1.00
x 0.018
x- 1360
sf x 8.0 ft
x 1.00 AC x--7.0
"1362
TOTAL HOURLY LATENT HEAT
GAIN FOR SPACE
-565
Cooling AirFlow:
19829 Btu/hr
/ [1.07 x
23-F
DeltaT)]
804
cfm,
POINT SYSTEM SUMMARY P -2R page 10 of 10,
--------------------------------------------------------------------------
Project Namei: SUNROSE CORPORATION Date: 7/8/1994
Documentation: JOHN H. HACKER & ASSOCIATES I.COMPLY 24 Us . er 2655
------------------------------------------------------ --------------------
BUILDING DATA
------------- -
Conditioned Floor Area 1360 sqft Number of Stories, 1
4 1
Points
0
2
_> 0
Orientation
-----------
Area
Glass
SCORE CARD
Measure
-------
Eff
-------------------------
1.
Roof Insulation
6.0284
(U -Value)
2.
Wall Insulation.
0.0639
(U -Value)
3.
Raised Floor Insulation
0.0000
(U -Value)
3a.
Controlled.Vent Crawlspace
0.0
(R -Value)
4.
Slab Edge insulation
0.7650
(f2.factor)_
5.
Infiltration
Standard
3.4
6.
Glass Heat Loss
0.53
14.6%
7.
Fenestration Heat Gain.
SC
0a.4
Points
0
2
_> 0
Orientation
-----------
Area
Glass
Open
Eff
SER
North
-----
53.0
-------
3.9
x
0.68-=
-----
2.7
-----
0.64
1,
East
53.0
3.9
x
0.62 =
2.4
0_66
-1
-South
.82.0
6.0
x
'0.57 =
3.4
0.48
-1
West
10.2
0.8
x
0.58 =
0a.4
0.59
4
Skylight
0.0
0.0
x
0.00 =
0.00
0
8. Interior Thermal Mass 2.62,
9. Exterior Wall Mass 0.00
10. Heating System
Zonal Control: No
11. Cooling System'
12. Water Heating
2
3
Sum 1-6
1
.0.
Sum 7-9
Point Total:
4
2
15
-21
3
PROPOSED CONSTRUCTION ASSEMBLY ENV -3 page of
-------------------------- !--7 ------------ ----------------------------------
Project Name:
qhNR
..1bate: 6/23/1994
Documentation: JOHN H. HACKER,& ASSOCIATES COMPLY 24 User 2655.
------------------------------------------------ --------------------
COMPONENT DESCRIPTION Assembly Name: R-13 Wall -w/111 psbeads
-------------------------------
--------------------------
Sketch of Construction Assembly
i
ASSEMBLY U -VALUE
Assembly Type: Wall
Assembly Tilt: 90 deg (Vertical)
Framing Material:, Wood
Framing Spacing: 10. C.
Framing Percent: 15.0 1%
Absorptivity; 0.70
Roughness: Stucco, Wood Shingles . ) .
ADJUSTMENT FOR FRAMING
(1 /18.25) x (0.85) + (1 / 8.71) x (0.15)
Weight: 5.6 lb/sqft
Heat Capacity: 1.56
0.064
TOTAL U -VALUE 0.064
TOTAL R -VALUE 15.67
Th
R-Valud
Construction Components
-------------------------------------------------------------------------
Fr (in)
Cavity
Frame
Outside Air Film
0.,17
0.17
1. Stucco
0.180'
0.04
0.04
2. Membrane, Vapor-Permeabl6 Felt
0.010
0.06
0.06
3. Insulation', PolyStyrene, Molded Beads
1.000
3.85
3.85
4. Insulation, Mineral Fiber R-13
3.500
13'.00
3.46
5. Gypsum or Plaster Board
0 .500
.0.45
0.45
6.
7.
8.
9.
Inside Air Film
--------------------------------------------------------------------
.0.68
0.68
Unadjusted
R -Values
---------
18.25
8'.71
ADJUSTMENT FOR FRAMING
(1 /18.25) x (0.85) + (1 / 8.71) x (0.15)
Weight: 5.6 lb/sqft
Heat Capacity: 1.56
0.064
TOTAL U -VALUE 0.064
TOTAL R -VALUE 15.67
April 13, 2001
P.O. Box 1504
78-495 CALLE TAMPICO CITY OF I.A 01 IINTA (7 6 0) 7 7 7 - 7 0 0 0
LA QUINTA, CALIFORNIA 92253 (TDD) (760) 777-1227
APR 16 RECI]
BUILDnvG,-%N1; SAFETY
Mr. Matt P. Mathews -
54860 Avenida Obregon
La Quinta, CA 92253
SUBJECT: iCPAKCEL_MERqE9_2001-385; APN's 774-294-007, 008, 009
Dear Mr. Mathews:
The Community Development Department has reviewed the above referenced application, and
provides this letter to advise.you of its approval. Enclosed is your original draft grant deed form
(to be notarized and recorded), along an approved copy, and approved Exhibits A and B. These
items must be filed for recordation by Rive ' rside County, along with a copy of your existing deeds
to the property. A copy of the revised, recorded grant deed must be submitted to the Community
Development Department along with any future permit application(s).
'Please be aware that, as the property owner, it is your responsibility to record these documents.
The City cannot file them for recordation on your behalf as we do not have any ownership interest
in the property. The Riverside County Recorder's office can be reached at 909-486-7000.
Enclosed is a letter to the County Recorder verifying approval of the merger by the City, and
requesting its recordation.
There are utility agencies which may have easements affected by this approval. The City has
approved this merger based on zoning compliance and correctness of the property descriptions.
Any potential conflicts with recorded utility easements should be investigated prior to any
construction. By execution of this approval, the applicant agrees to indemnify, defend, and hold
harmless the City of La Quinta from any legal claim or litigation arising out of the City's approval
of this parcel merger.
If you have any questions,. please contact me at 760-777-7069.
Very truly yours,
JERRY HERMAN
COMMUNITY DEVELOPMENT DIRECTOR
Wallace Nesbit
Associate Planner
WN/wn
encl.
C: _Add ressJile;. 54860 -Avenida Obregon (Building & Safety
File—; P--6rcel Merger 2001-385
CAWrkgrp\Letters\mgr2001 38 5.wpd
P.O. Box 1504
78-495 CALLE TAMPICO (7 60) 7 7 7 -7 000
LA QUINTA, CALIFORNIA 9225.3 (TDD) (760) 777-1227
April 13, 2001
rn"nt Parorrier
7
County of Riverside
P. 0. Box 751
Riverside, CA 92502-0751
SUBJECT: RECORDING OF PARCEL MERGER 2001-385
To Whom It Concerns:
The City of La Quinta has approved the above referenced Parcel Merger. Please allow
its recording as presented by the Applicant.,
Should you have any questions, please call me at (760) 77.7-7069.
Very truly yours,
JERRY HERMAN
COMMUNITY DEVELOPMENT DEPARTMENT
Al�� A/-'<—� -
Wallace Nesbit
Associate Planner
WN/wn
c: File; Parcel Merger 2001-385
4
EXH'IB IT A
CERTIFICATE OF PARCEL MERGER N1?-z0e06_7'-
Record Owners
Existing Parcels
Assessor Parcel Numbers
Ka t -EP Mathews
774-294-ob7-2
-------
774-294-008-3
7 -294-009-4
74
Legal Deacr ' iption of Merged Parcel
tots 7,8,9 of block 280 of Santa Carmelita unit-#25,'as per map
therof, recorded in the.office of t.he-Recorder of Riverside
County, in.pages 50 and 51 of book 19'of-maps.
PARCEL MERGER. No. 000 1 3 e S
APPROVED BY CITY OF LA OUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
BY 41) IviSil F_ -DATE YA-KA1
Exhibit
EXH IS IT -B
CERTIFICATE OF-PA-RCEL MERGER NO..Zg-s,
5 5
( 4C Z7
1(37 X
0,
U.
.�o
Z
-4 W
0 : .
QQ CQ cc
W
W
W
H
. CL
/00 a.
0.23Ac. 30
2
t/q
3'.0 @
Al 12
rl
00 71.ql
DEPARTMENT USE ONLY
Record Owner /f-*tf T7 *0* 1 T I h - Is Certificate of Oarcel merger No.��1-36S- is
et.oAvt,-sa� 0,utcv,-j hereby approved
Address By
MappreparedBy Cir'y of i.A 2v"'ZA
Address 20 &Z-14 'Sb!f IA Q-,IrA 9Z'&S'-? Tltl oe '0
D:
Area,Dlsl
SITE PLAN
CERTI FI CATE" OF PARCEL MERGER NO.136,15--i
Apo—,
ie,)6 V15 Oki's Q
30 307
r4
I -or 7
---------------
PARCELMERGERNO. 2-ool-30S-
LOT LINE ADJUSTMENT No.
APPROVED BY CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPA�TMENT
BY 1", 'k -2-s -2 " 71 DATE 4/Pjr /0
Exhibit 5" `rl `21"
Record Owner 0, -IR. ^44-rr Af-"" Ff-JS
Address "rq&PO Av%-,-w0-4'00-d0"1%00
MapPreparedBy $-Ae.%j
Addre
Scale: MOME
Aamasoes Parcel No, ?-jp�q. Z 9 y -
RECORDING REOUESTED BY
AND WHEN RECORDED MAIL THIS DEED AND, UNLESS
OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO:
r
NAME �Iatt P. Mathews
STREET . 54860 Avenida Obregon
ADDRESS La Quinta, CA 92253
CITY
STATE
ZIP
L
Title Order No. . . Escrow No.
PARCEL MERGER No. -2-20) - 3 es -
LOT LINE ADJUSTMENT No
APPROVED BY CITY OF LA OUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
By W, AdIF-J- P, I I— DATE 1 41 /13 A
Exhibit
SPACE ABOVE THIS LINE FOR RECORDER'S USE
' i � '2"W NNNS� IS �;'Zfjfo MR S S � ;R0 ?9"511 DOCUMENTARY TRANSFER TAX $
GRANT DEED D computed on full value of property conveyed, or
D computed on full value less liens and
encumbrances remaining at time of sale.
SIGNATURE OF DECLARANT OR AGENT DETERMINING TAX FIRM NAME
FOR VALUABLE CONSIDERATION, receipt of which is acknowledged, I (We), Matt P. Mathews, an Unmarried Man
JNAMI OF GUNTM(s))
grant to
all that real property situated in the City of
Ri-verside
"Ilan"
(N4ME OF GRANTEES)
La Quj'nta
(or in an unincorporated area of)
California
County, State of , desc*ribed as follows linsert legal description):
Lots 7,8,9, of block 280 of Santa Carmelita unit #25, as per map therof,
recorded in the Office of the Recorder of Riverside County, in pages
50 and 51 of book 19 of.-m'aps...
THIS GRANT DEED' REFLECTS PARCEL MERGER NO-.-.;001--39SS- AS APPROVED BY THE
CITY OF LA Q7jINTA.
Assessor's parcel No.
Executed on April
STATE OF
COUNTY OF
On before me,
personally appeared
774-294-007; 008; 009
2
1 2001 , at
(NAmErrrnE, I.E.'JAKE DOE. NOTARY Pumx*)
La Quinta, California.
(CITY AND STATE)
personally known to me (or proved to me on the basis of satisfactory e�fidence) to be the person(s) whose
name(s) is/are subscribed to thewithin instrument and acknowledged t6 me that he/she/they executed the
same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal
(SHVIATURE) MEAU
Matt F. Mathews 54860 Avenida Obregon
MAIL TAX STATEMENT TO: La Quinta, CA 92253
Before you use this form, fill in all blanks. and make whatever changes are appropriate and necessary to �our p6rticular transaction. consult
a lawyer if you doubt the form's fitness for your purpose and use. Wolcotts makes no representation or warranty, express or implied, with
respect to the merchantability or fitness of this form for an intended use or purpose.
WOLCOTTS FORM 778 -rev. 7-99
GRANT DEED - (price class 3A) 7 67775 39778 9
0 1000 %AIr%I rr%TTQ r-nQMq mr
RIGHT THUMBPRINT fOptional)
X
X
0
0
CAPACITY CLAIMED BY SIGNEIR(S)
• INDIVIDUALgS)
• CORPORAT
OFFICERS
. (TITLES)
• PARTNER(S) 0 LIMITED
0 GENERAL
• ATTORNEY IN FACT
• TRUSTEE(S)
0 GUARDIAN/CONSERVATOR
0 OTHER
SIGNER IS REPRESENTING:
(NAME OF PERSONIS) OR ENTITY(IES)):
9
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL THIS DEED AND, UNLESS
OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO:
r
NAME Matt P- Mathews
STREET 54860 Avenida Obregon
ADDRESS La Quinta, CA 92253
CITY
STATE
ZIP
L
Title Order No.
Escrow No.
Ll
SPACE ABOVE THIS LINE FOR
USE
DOCUMENTARY TRANSFER TAX$ - I
GRANT DEED 0 computed on full value of property conveyed, or
0 computed on full value less liens and
encumbrances remaining at time of sale.
I SIGNATURE OF DEcLARANT oR AGENT DETERMINING TAX FiRm NAME
FOR VALUABLE CONSIDERATION, receipt of which is acknowledged, I (We), Matt P. Mathews, an Unmarried Man
(NAME OF GRANToAM)
Matt: P. Mgthews, aL� th]Lmarried Man.
grant to
(144ME OF GRANTEES)
all that real property situated in the City of La. Quinta (or in an unincorporated area of)
RivPr.qi,c1P ra 1 i'f nrn T;;
County, State of
described as follows (insert legal description):
Lots 7,8,q, of block 280 of Santa Carmelita unit #25, as per -map therof,
recorded in the Office of the Recorder of Riverside County, in pages
50 and 51 of book 19 ofmaps.-..
THIS GRANT DEED' REFLECTS PARCEL MERGER NO..;V01-31SS- AS APPROVED BY THE
CITY OF LA QTjINTA.
�ssessors parcel No. 774-294-007; 00.8; 009
Executed on April 2 2001 at
STATE OF
COUNTY OF
On before me,
(NAmErrrme, I.E.'JANE DOE. NOTARY PUBUO
personally appeared
La Quinta, California.
(CITY AND STATE)
personally known to me (or proved to me on the basis of satisfactory e�idenc e) to be the personis) whose
name(s) is/are subscribed to thewithin instrument and acknowledged t6 me that he/she/they executed the
same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
(SIGNATURE) (SEAU
Matt P. Mathews 54860 Avenida Obregon
MAIL TAX STATEMENT TO:
La Quinta, CA. 92253
RIGHT THUMBPRINT (Optional)
it
X
0
CAPACITY CLAIMED BY SIGNER(S)
• INDIVIDUALAS)
• CORPORATE
OFFICERS
(TITLES)
• PARTNER(S) 0 LIMITED
0 GENERAL
• ATTORNEY IN FACT
• TRUSTEE(S)
• GUARDIAN/CONSERVATOR
• OTHER
Before you use this form, fill in all blanks, and make whatever changes are appropriate and necessary to your particular transaction. Consult
a lawyer if you doubt the form's fitness for your purpose and use. Wolcotts makes no representation or warranty, express or implied,.with SIGNER IS REPRESENTING:
respect to the merchantability or fitness of this form for an intended use or purpose. (NAME OF PERSON(S) oR ENTITY(IES)):
WOLCOTTS FORM 778 - rev. 7-99
GRANT DEED - (price class 3A)
0 1999 WOLCOTTS FORMS, INC. 7 67775 39778 9