AR (05-0561) + RR (15801)77539 Avenida Madrugada
05-0561
15801
I
i tt
LAUG 1 1 ZO IGGI `iV
tltl
CITY OF LA [ [ TA 4
F91d,4kyCEDEPT. BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760),777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS"(760) 777-7153
BUILDING PERMIT
Application Number . . . . . 05-0.000.0561 Date 3/11/05
Property Address . . . . . . 77539 AVENIDA MADRUGADA
APN: 773-340-023-23 -14496
Application description . . . ADDITION - RESIDENTIAL
Property Zoning . . . LOW DENSITY RESIDENTIAL .
Application valuation . . . . 16000
Owner Contractor
— — — — — — — — — — — - — — — — — — — — — — — — -------- — — —0— — — — — — — — — — — — 9•a" `
TROTTA BARBARA H MILLS CUSTOM SERVICES
59 KISCO PARK DR 68525 RISUENO RAOD
MOUNT KISCO NY 10549 CATHEDRAL CITY ..CA -92234
=------ (760) 325-7028-. 4
WCC: STATE FUND
WC: 1744742 10/01/05
CSLB: 811832 08/31/06
CCC: B
=----- Structure. Information 72 SQ.FT ATRIUM ENCLOSER -----
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10
Flood Zone .. . . . . . NON -AO FLOOD ZONE
Other struct info . . . . .CODE EDITION 2001 CBC
FLOOD ZONE NO
1ST FLOOR SQUARE FOOTAGE 72.00
----------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
•OM1 -.
Additional desc
Permit Fee '171.00 Plan Check Fee 111.15
Issue Date Valuations, . . . . 16000 I
Qty Unit Charge Per Extension
BASE FEE 45.00
14.00 9.0000 THOU BLDG 2,001-25,000 126.00
----------------------------------------------------------------------------
Permit . . . . _ ELECT-- ADD/ALT/REM
Additional desc
Permit Fee . . . . 17.52 Plan Check Fee 4.38
Issue Date . . Valuation 0
-Qty Unit Charge Per Extension
BASE FEE 15.00
72.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 2.52
----------------------------------------------------------------------------
Permit . . . . MECHANICAL
Additional desc . . c
z
Permit Fee . . . . 24.00 Plan Check Fee x,6.00
Issue Date . . . . Valuation . . . . 0
Qty Unit Charge Per Extension
P.O. Box 1504 • / VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 6) 5- -as'i; % I Date: 8 'tl" ee'
Applicant:
Cc ✓ t e7a -
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Licenss in full force and effect. 1
License Class /' r Ty License No. E
Datev'/` *C5 Contractor
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 pen -nit to file a signets
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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date
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.
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.
STJ4T!' Myywworkers' ompensatioinsurance rnerFi ndpQlinbei an
Carrier ivi. -PolicyNumbar Z+y t
_ 1 certify that, in the performance of the work for which this permit is 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
Date 6' • o75' Applicant
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.).
Lenders Name
Lenders 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 Quinta, 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.
1 certify that I have read this application and state that the above info tion 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 cM%noneabove-mentioned property for inspection purposes.
Date B'l 0.) Signature (Applicant or Agent):
Application Number . . . . . 05-00000561
Page 2
Date 3/11/05
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00
----------------------------------------------------------------------------
Special Notes and Comments
72 SQ. FT. ATRIUM ENCLOSURE.3/11/05 10:4
6:33 AM JJOHNSON
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY REVIEW FEE il.12
STRONG MOTION (SMI) - RES 1.60
Fee summary Charged
Permit Fee Total 212.52
Plan Check Total 121.53
Other Fee Total 12.72
Grand Total 346.77
Paid Credited Due
---------- ---------- ----------
.00 .00 212.52
.00 .00 121.53
.00 .00 12.72
.00 .00 346.77
10/20/2004 WED 15:11 FAX 760 777 7112 Bldg & Safte9
Permit #
Qity of La Quinta
Bwlding aL Safety Division
P.O. Bax 1504, 78-495 Calle Tampico
Q U Quints, U 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
X Project Address —5a9 A. A,Dg( Owner's Name: 15, —rte —..-A
A. P. Number 3- -3 Y,p_
Legal Description: 4r- a3 [
X Contractor. M I LLS t
x Address: _ 5 1
PA7:-53
AM S •in: RA
X Cit,•, ST. zip: S b C4
i
A State Lic. u.: l I 3 2. C»y Lic" S:l0l57
Arch.. Engr-Designer 55
Address , 3 f o— l 12 l
City. ST.
IA002/002
Telephone: —'3.200 : ; ;, _ :`_ ._
F. tPFQjwlYpe(cirdnCO"):
ol MUction Type
State Lia Occupancy:
New Add'n Alter Repair DemoA Name of Cot =Person /AA 5 q" Ft: 12 Stories: SIE s thtits:
ii TekphOw x of Contact Person: a ts 0
Total Permit Fees
Imated Vaiue of Protea: I C—
APPLICANT:
DO NOT WRITE BELOW THIS LINE
a
Submittal
Req'd.
Ra'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check sabmined
Structural Cala.
Item Amount
Reviewed, ready for earrretions
Plan CYKk Depsrl
Tans Calcs.
Called Cotuatt Persw
Energy Cita.
a
Plan Chrek Balance
Plans jieked up 7 Constnetioa
Flood plain Plan
Pians resubmitted
l►IeNaaical
Gutting plat+
2" Review, ready for po
Z Electrical
Subeoatacw Lis;
Called Contact Pena
n
Plumbing
Gras[ Dad
Plans PKC MP
g S.11
H.O.A.Approval
Z
Ptas resubwiud /. 1
`"t Grading
IN HOUSE,
s' Review, ready for eoPlatn orislun<< Developer Impact Fee
°u ApprovalCalled
Contact Person iS
A.LP.P.
Pads. WILL Appy
Due of crush issue
Std•aol Fees
!+
Total Permit Fees
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https://aolsvc.travelocity.aol.com/glblchoice.ctl?SEQ=109607900442677409242004,... 9/24/2004
Date 3/16/05
No. 26992
Owner Barbara Trotta
Address 77539 Avenida Madrugada
City LaQuinta Zip 92253
Tract #
Type Residential Addition
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
APN #
Jurisdiction
Permit #
Study Area
No. of Units
BERMUDA DUNES r
Cr RANCHO MIRAGE d
INDIAN WELLS .
PALM DESERT .y
tP f,? LA QUINTA
VQ INDIO
773-340-023
La Quinta
1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 77539 Avenida Madrugada 72 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiosNvalkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 72 S.F. or $0.00 have been paid 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 Exempt - Richard Mills Check No.
Name on the check Telephone 250-1890
Funding Exempt
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Sharon MCGilvrey Payment Recd.
Over/Under
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original -Building Department/Applicant Copy - Applicant/Receipt Copy -Accounting
February 3, 2005
Mr. 'and Mrs. Trotta
77539 Avenida Madrugada
La Quinta, CA 92253
Re: Architectural Variance
Dear Mr. and Mrs. Trotta:
Your architectural request dated January 1, 2005 has been approved with the following stipulations:
• A $500, refundable deposit must be submitted with the Application.
• In order to guarantee uniformity and continuance of any. existing warranties held by the Association, the work
must be performed by the Association's Roofing Contractor, Westem'Pacific Roofing.,
• If the Owner chooses not to use the Association's. Roofing- Contractor, the Owner is
responsible for the service inspection fee, after the roof modification is completed. -
Additional roof area will be assessed a one-time fee of $5 per square foot or fraction thereof, for the new roof .
area, due and payable upon approval.
• Owner must provide a written 5 -year guarantee covering the new roof area and that portion of the old roof
within 6 feet of the junction with the new.
• All roof leaks within that area of the roof within the 5 year period will be the sole financial responsibility of the
Owner granted approval, his/her assign or successor Owner(s). Said written guarantee must.be delivered upon,
approval of the application. After the original guarantee has expired the maintenance of this additional roof will
'become the responsibility of the Association.
• Skylight installations and maintenance will be at the sole financial responsibility of the Owner.
• The. entrance doors must be compatible and uniformed, please provide a catalog or brochure.
• - Actual modification must conform to the plans and specifications submitted and approved.
• Competent and licensed professionals shall do all work in a workmanlike manner.
• All work is to be in compliance with local building codes and ordinances.
• All exterior stuccowork must be painted to match existing stucco (Dunn Edwards-Evershield `Bone White").
• All electrical wiring, if applicable, must be contained within approved conduit painted to match the surface it
contacts:
• Any damage to the common area resulting from this modification and its construction shall be repaired at the
Owner's expense.
• If a construction bin is rented through Waste Management it must be beige in color and stored, if possible, in the
garage. The construction bin must be kept locked. All construction debris is to be removed from the site by the
close of each day to maintain order and retain the aesthetics of the Santa Rosa Cove.
• 'Prior to the commencement of any work the contractor and their subcontractor(s) must provide the Association
proof of worker's comp, liability and auto insurance; naming the Association as additionally insured.
• Prior to the commencement of any work you or your contractor must provide the names of the scheduled
workmen to the security guards at the Mazatlan gate, (564-5414).
Prior to the commencement of any work your contractor must read and sign the Association's Contractor Rules,
which has been supplied to them.
Please contact the Association office once your modifications are complete. for a final inspection. A copy of the
approved variance will be mailed to you after the inspection. If you have any questions, please call.
Very truly yours,
Christina Enriquez
Association Manager
On Behalf of the Architectural Committee
THE SANTA ROSA COVE ASSOCIATION
49-991 Eisenhower Drive
La Quinta, California 92253
(760) 777-7621
Fax: (76o) 777-7622
Mailing Address:
Post Office Box 12920
SANTA ROSA COVE ASSOCIATION Palm.Desert,California 92255
Oct I !J U4 U'/: JUa
4
FROM Santa Rosa Cove
Eleonora Laub
FAX NO. :760-564-8418
345-0530
5,?. 03 2004 09* 43PM PI
D&W.
-71
Lmg Ad&m - r
. —to i I
to") —95 - 3- ID
Odw Fbow 0
FOR SUBSTANTIAL MODIFICATIONS. I.E. ROOM ADDITIONS. ROOF EXTENSIONS. ANY
MODFICA71ON REQUIRING PROFESSIONAL DRAWINGS - AND/M BLUEPRINTS. Olt ANY
SUBSTAWIAL CHANOE MUIRING CEkTAIN DESTRUCTION OF EXISTING COMMON AREA
SUCH AS SKyLCWa INSTALLATION AND pATIO LTMSIONS, THE FOLLOWING FEE
SCHEDULE SHALL APPLY:
s . SOO REFUNDABLE DEPOSIT MADE PAYABLE TO THE SANTA ROSA COVE ASSOCIATION
FOR ANY AND ALL EXPOM 0XURRED BY THE ASSOCIATION DURING
CONSTRUCTION/MODIFICATION AND/OR FOR THE USE OF A CONSULTANT DUPING THE
APPROVAL PROCESS THROUGH COMPLETION AND 6SIGN OFF". BALANCE OF DEPOSIT
WILL BE RETURNED UPON RECEIPT OF ALL CUMENTATION COMPLETION FROM THE
CITY OF LA (WINTA AND TW FINAL INDOSPECTION MADE OF By THE ARCHrMCFLIRAL
CoMbffrrEE OR A REPRESENTATIVE TfIEREOF-
7T Muw:o 'k v TZ-0-FAUK
MOI)IRCATM IS OL alMaD AND APPROVAL IS REQUESTED FOR THE ARCINTECMIRAL
VARIANCE LISTED ABOVE. I HAVE SUPPLIED ALL NECESSARY DRAWINGS AND/OR
RENDERD40S, FOR' THE PROPOSED MODIFICATION INCLUDING HUT NOT LB41TED TO.
LOCATION. DD&NSION, COLOR AND MATERIALS AND ANY AND ALL OTHER
REQUIREMENTS AS OUTLINED IN THE ADOPTED ARCHITECTURAL GUIDELINES OF THE
SANTA ROSA COVE ASSOCIATION AND/OR ANY OTHER REQUIREMENTS OR
SPECJFICA11TONS AS OUTLINED BY THE ASSOCIATION AND MAY BE ATTACIIED TO AND A
PART OF TICS APPLICATION.
P.3
Oct lb U4 U'7: 38a
FOW :Santa Rosa Cove
Eleancra Laub
FAX NO. :760-564-8419
345-0538
Sep• 03 2004 09:44AM P2
[ UNDERSTAND
AS.SOCIA71ON REQUIRES ME TO USE%ONLY _NSWAND:IN''TARED
#.TLS- -----D HAVE ATTACHED A COPY OF THOSE LICENSES AND CERTIFICATES
o
OF -INSURANCE+ INCLUDING BUT NOT LW= TO CoMpREHENSIVE BROAD FORM
LIABILITY, OWNEQ NON -OWNED AND HIRED AUTO, AND WORKER'S COMPENSATION. OF
THE CONTRACTOR I HAVE HIRED AND ANY AND ALL WKONTRACTORS•
I UNDERSTAND I AI
AM RESPONSIBLE FOR OBTAINING ANY AND".I0 PERNIIT - AS REQUIRED
BY 'THE E Cnyl d'" tXl Ql1IIUT- R AND Wim- SUPPLY A COPY OF THESE PERMITS TO THF
- I UNDERSTAND I, AS THE HOMEOWNER, AM
RESPONSIBLEFOR ANY AND ALL ACTIONS AND AC77VITIES, vacH ARE !'ERFORml). B
MY CONTRACTOR AND H INHER EMPLOYEES OR SUBCONTRACTORS. I UNDER.S3AND
THAT I. AND NOT MY CONTRACTOR. AM TO INTMACE WM THE CON[MITTEE AND THE
ASSOCIATION UNLESS OTHER ARRANGEMENTS ARE MADE IN ADVANCE. ANY AND ALL
DAMAGE TO ANY PORTION OF THE COMMON AREA. INCLUDING BUT NOT LIMITED TO
TIRE SLI$ COMWON AREA. ANDfOR BUILDING STRUCTURES WILL BE REPAIRED AT
MY EXPENSE. I AGREE TO START CONSTRUCTIOWMOMCATION wnwN 30 DAYS OF
RECEIPT OF APPROVAL FROM THE COMMITTEE AID WILL COMn2'lE,ALL ACTIVITIES
WITHIN 180 DAYS OF_THAT APPROVAL. I UNDERSTAND mom TIME To
TII , aIQ.L~REQtIIIRE;i1 .cL'T[a 1,kQ ONGOING CONSTRtJC ION AND AGREE THAT MY
CONRRI►CTOR/AGENT (S) AND I WI:L COOPERA i'B FRILLY WI [N 11! INSPECTOR.
M ADDITION, I UNDERSTAND THAT} AI;L COW( S (REQUIRED HY' TT CIlYOF
LA QUINTA AND NOT REFLECT ;&IN'"THTE ORIGIIiAt; Al+PieOVH y ARCIIIiECivRAL
VARIANCER1 M BE REPORTED TO ME ASSOCIATION IMMEDIATELY.
• i • • s • • 1 • i • • ` • --
I HAVE IN wnm A CHECK (S) IN TIIE AINOUNT (S) OF:
I HAV"EAD, UNDERSTAND AND AGREE TO COMPLY WrilI THE ABOVE.
Data
COrf_TRAC70ft -r
®/t 93✓Z-
Mail: THE SANTA ROSA COVE ASSOCIATION -or- Mend Deliver. SRC Assoc=Doa Of5m
Go Albet AwodaUm Mmgpmad 49-991 Eisenhower
Poet Office BOXif 12920 La QuhM CA 92253
Patin Desert, California 9=55
p.2
Oct 19 04 07:38a Eleonora Laub 345-0538 P.1
OO'1 :Santa Rosa Cove FAX 41 :760-564-8418 Sep. 03 2004 08:45AM P3
THE -SANTA RWA COVE ASSOCU noN
ARCiUMCTURAL Gt>m LVM
C. CONTRACTOR'S JOHSM RULES
Woeting haus: All opetatiaas shsU. without exception, be conducted within the following
time periods as follows:
oceubw I- *z.,%% April 3dh _ --
Mmday t ougl► IYtdry^T:00 imL- Wt30 P
Wby la ttutwgh Sept®ber 304
l mdoy daw4 kt Ftider...6:00 am. to 7:00 p.m.
Saardsys: am elm to 5-00 p.w.
Sondays/Houdays. NONE
2. Wasj W snarl awry photo idmtifiatian, i.e., driver's License, an thea persons at all times It
is recommended that workers wear umifams err T-Shfib ideatifyiog tbdr company. Shirts
must be worn at all times. .
3. Contrarian working or prwid ns a rvioes on Association ptropeatty sbali mt " $ 0 ! residads
to inpry or cause property damage from cesafo pMcftM All work is to be conducted with
complete pr wmon and regetd for the Association's Common Areas amd the ntsidmte
property and possessions Any damage dat might occur is to be immedi"y reported to
Association Mmagonent
4. No deco min equdpmmt salt as rattles, TVs, CD playt:ts, da are permitted as the job site,
wi& rine a xcepdon of ` waDde-talkies." pa8m and cellular phmes.
S. Contrsetor and a upleyee vehicles parked an the sired shalt be parked in the direcd o of
WaML parked vehicles shall ad block aooees to mailbmces. fire hyd =I% golf att paths.
driveways, roadways, atoms to oeigJtborirtg mils, er msa bmcex iWaricas ire petnifYetl Lo
N.
paRlr ep dtrvt;vrajws Vebecks troy be pwW m the greet is it& of such unci. Trucks a
cAhv'ri e6icks resembling commercid vides we not allowed to tem m with the
Association complex ovrmigbi.
6. Ali eaeetreetor employees will keep tads, equ q mod and work arm clan and orderly with ail
eonshtuctim mat Wkb stockpiled neatly. nutria# the oatuse of constrnaioe. abwatim or
nepatrs, tbmdi stud swap timber with protruding nails and all debris shalt be kept reasonably
danced frons wta k merm penagewnys and stwa m and stroked halditJg.s or adwr stnuctaues
and ,job4w shoo be kept alas_ C naauetIM mattriads sad ego4=M dWI trot block any
seem way. Construction debris and hath skald be removed from the sac at the cad of each
working day. Use of the rosidewW trob contamn for consiructum debris a strictly
prohibited. 140 trash dusapmm are to remain of -site ova+►ot =b= approved by
Association Ma unmeot
Combusbble debris sasm slated wW& the bud&g or structure shall be removed promptly
&zM the course of wort. All debris, rubbisk cad wastes"be removed from Association
property and properly disposed of at authorized waste disposal areas.
Oct 19 04 07:39a Eleonora Laub 345-0538 p.4
FIRM: Santa Rosa Cove FAX NO. : 760-564-8418 Sep. 03 2004 lam: 45AM P4
g, AWjoining street setts w idtin s ressattable diiMM of the job site must be kept clean at all
times. Street creat adljoioing fie Jab site arc to be waabW dean as needed darotg the
.slit~eek. phot to doss of wode On friday, the street A&H be washed, and A nub adleccod
and deposited in trade cors.
9. Cattsumption of alcoholic beverages, controlled substances or iftcO drttgs is strictly
proiubited and is cause for immc that ranoval flan the property.
10. AH oorteramor rmpktyoa will drive vd*la and equipment with caution m Association
property. MA)a mm spL'w m AssocWiao sr►e" is 23 mpi. Where sti m arecongested
or visim is limited. peooee ' with mifm at a sane rate Of speed and be vtautadfAul for pooplr,
slow moving golf ow% vehicles or equipment. Contractor 899 Wert if contractor.
oontracter's empWyoM Mots. employees, invitees. ew- aro determined (in
the sole discretion of rhe Association) to be is violation of California Vehide Cedes and/or
the Aasoeia a's Rules and Rqplatiams eontratxof's f m.ahall be reduced by s100.00 per
msimce. C=VgcW further qV= that far [r pemod mfrmbous. AssocUbm may
I I , w endy bar any odmuhW violator froom dnvmg ee the prapaeias.
11. All ooub-a for and subemtraaeor m►ployeea shalt Perform is oOrnpWnoe with SH applicable
bun, rules, repdatioas and atandardr6 iocltding thine inued under the OoaipariorW Safety
ad HaM Aa of 1970 (OSHA), iaaohtdmg arty additkm or ammdmeats.
12. Workers shall not we =7 raidwes patio for baxh and/or break paiods. Workers shag not
use 66 pooh, pool arras or reams taut areas.
13. Bathroom boilitim located at the Sarna Raw Cove's Guardhouse are available for use by
vrorkars, (Manday through Ptidgr 7-00 am. to 3:00 pm.)
14. Contractors and thea employees shag provide their own pesmal drinking water wd d" not
» ti = any resident's hose bibs.
1 S. No petit we allowed to wcamptmy workers.
I ad—ledge dw I have fad the above; understand and agree to damply with due feregaing
Contractor's Jobsite Rules.
rl
-7-7 s 39 hyD, M&
Name of Owner and SRC Address I I
TITLE 24
Energy Conservation
Standards Compliance Report
TROTTA ADDITION
77539 AVE. MADRUGADA
LA QUINTA
oFFIct- I(OPY
November 17, 2004 • Job Number: 24745A
Prepared For. -
RICHARD MILLS, GENERAL CONTRACTOR
68525 RISUENO ROAD
CATHEDRAL CITY, CA 92234
TELEPHONE (760) 250-1890
Madlin
Eof LA C pE T.
I'V8, SAFEN
BUIL p P ROv D
ON
FOR CONSTCT'
enterprises
TTVVVVV
Catherine M. Madlin, Certified Energy Analyst
Post Office Box 1443 Y Palm Springs, CA 92263
760-322-5004 / 323-3644 (fax)
E-mail: CMadlin@aol.com
Madlin
S
enteipfises
Catherine M. Madlin, Certified Energy Analyst Y 760-322-5004 / 323-3644 (fax) .......
Title 24 Energy Conservation Standards
Compliance Report
This proposed project has been reviewed for compliance with the 2001 State of California
Energy Conservation Standards, Title 24, by Madlin's Enterprises. The building design
described in this compliance portfolio is in conformance with the standards as outlined in
the attached compliance forms and documentation.
Date: November 17, 2004
Job Number: 24745A
Prepared For: RICHARD MILLS, GENERAL CONTRACTOR
Owner's Name: TROTTA
Project Name: TROTTA ADDITION
Project Location: 77539 AVE. MADRUGADA - LA QUINTA
Method of Compliance: PRESCRIPTIVE APPROACH ADDITION < 100 SQFT.
Certified Energy Analyst
Catherine M. Madlin
NR 98-90-544
14 R 98-90-144
• Post Office Box 1443 v Palm Springs, Ca 92263 v
Madlin's
enterprises
Catherine M. Madluz, Certified Eizergy Analyst v 760-322-5004 / 323-3644 (fax) ...... v
Title 24 Compliance Forms
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 or 3) CF -1R
TROTTA ADDITION 24745A 11/15/04
Project Title Madlin's Job No.
77-539 AVE. MADRUGADA, LA QUINTA
Project Address
Catherine M. Madlin, Madlin's Enterprises (760) 322-5004
Documentation Author Telephone
Prescriptive Package - Addition <100 sq.ft. . 15
Compliance Method (Package or Computer) Climate Zone
Date
Field Check / Date
GENERAL INFORMATION
Total Conditioned Floor Area 68 sq.ft. Average Ceiling Height:
Conditioned Slab Floor Area 68 sq.ft.
Building Type: Single Family ✓ Addition
i
Multi -Family Existing -Plus -Addition
Front Orientation: North / South / East / West / t Orientations
Number of Stories: 1
Number of Dwelling Units:
Floor Construction Type: Slab Raised Floor
RADIANT BARRIER (required in climate zones 2, 4, 8-15) Required for this submittal: NO -Add <100 sgft
BUILDING ENVELOPE INSULATION .
Component
Type
Frame Type Cavity Sheathing Total R -Value Assembly Location/Comments
Insulation Insulation U -Factor
R -Value R -Value
Wall
Wall
Roof
Wd R-30 R-30
Roof
Floor
Floor
Slab Edge
FENESTRATION
Fenestration Orientation Area Fenestration Fenestration Exterior Overhangs/Fins
#/Type/Pos. (sq.ft.) U -Factor SHGC Shading
Front
Front
Left
Left
Rear
Rear
Right
Right
Skylight NA 1.5 0.48 0.37 NA NA
Solatube 14"
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 or 3) CF -1R
TROTTA ADDITION 24745A 11/15/04
Madlin's Job No.
HVAC SYSTEMS
Date
Heating Equipment Type
Minimum Distribution Duct or Piping R Thermostat Heat Pump
Efficiency Type & Value Type Configuration
(AFUE / Location
HSPF)
Existing Equipment
NA xtg Extq Extq NA
Tank Capacity
Energy
Factor or RE
External Tank
Insulation R- Value
Existing Equip.
Cooling Equipment Type
Minimum Distribution Duct or Piping R Thermostat Heat Pump
Efficiency Type & Value Type Configuration
(SEER) Location
Existing Equipment
NA Extg Extg Extg NA
Tank Capacity
Energy
Factor or RE
External Tank
Insulation R- Value
Existing Equip.
SEALED DUCT'S and TXVs (or Alternative Measures
❑ Sealed ducts
❑ TXVs or Commission Approved Equivalent, readily accessible
OR
❑ Alternative to Sealed Ducts and TXVs (See Package C or D Alternative Package Features)
Climate Zone Window SHGC Window U -Factor SEER Heatin
WATER HEATING SYSTEMS
Water Heater
Type
Distribution
Type
Number of
Systems
Rated Input
(kW or Btu/hr)
Tank Capacity
Energy
Factor or RE
External Tank
Insulation R- Value
Existing Equip.
NA
NA
NA
NA
NA
NA
i i
i
i i
i i
SPECIAL FEATURES:
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 or 3) CF -1R
TROTTA ADDITION 24745A 11/15/04
Project Title Madlin's Job No. Date
REMARKS BY DOCUMENTATION AUTHOR:
The values and materials used in this compliance portfolio are the minimum required to show compliance with
Title 24 Energy Efficiency Standards. The owner may (at his/her option) install better materials without additional
compliance calculations.
Due to the small size of the proposed addition, a HVAC load calculations is not included in this compliance report.
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24, Part 1 and 6 of the California Code of Regulations, and the administrative regulations to implement
them. This certificate has been signed by the individual with overall design responsibility. The undersigned
recognize that compliance using duct sealing and TXVs (or Commission approved equivalent) requires installer
testing and certification and field verification by an approved HERS rater.
Desianer or Owner
Name:
RICHARD C. MILLS
Title/Firm:
General Building Contractor
Address:
68525 Risueno Road
City, State, Zip:
Cathedral City, CA 92234
Telephone:
(760) 250-1890 (cell)
Licen #:
B 811832
a
a-aV•C>-5
Signature
Date
Enforcement Agency
Name:
Title:
Agency:
Telephone:
Signature/Stamp
Date
Documentation Author
Name: Catherine M. Madlin
Certified Energy Analyst
Title/Firm: Madlin's Enterprises
Address: P.O. Box 1443
City, State,.Zip: Palm Springs, CA 92263-1443
Telephone: (760) 322-5004
11/15/2004
Signature Date
Certified Eneegy Analyst
Catherine M. Madlin
NR 98-90-544
r r R 98-90-144
rr
C A 0 E C
California Association of Building Energy Comltnnis
Madlin-'s
enterprises
Catherine M. Madfh% Certified Energy Analyst • 760-322-5004 / 323-3644 (fax) - - - - - - -
TABLE 7-1: PRESCRIPTIVE COMPLIANCE OF ADDITIONS
SUMMARY OF SECTION 152(a)l REQUIREMENTS OF THE STANDARDS
COMPONENT
<100 FT
PROPOSED.
COMPLY?
Insulation: Ceiling
R-19
R-30
Yes
Insulation: Walls
R-13
NA - No Exterior Walls
Yes
Insulation: Floor
R-19
NA
Yes
Radiant Barrier at Roof
Not Required
Not Required
Yes
Fenestration: U -Value
0.75
0.48
Yes
Fenestration: % of CFA
<50 Sq. Ft.
1.10 Sq. Ft.
Yes
Glazing Shading: All Orientations
0.40
0.37
Yes
Space Heating Cooling
Minimum Efficiencies
No Electric Strip Heating
Existing
Equipment
Yes
HVAC TX Valve
Required on Split Systems
Existing Equipment
Yes
HVAC Duct Testing
Required
Existing Ductwork
Yes
Water Heatin - No Increase or Chane
N/A
Existing Equipment
Yes
Water Heater Replacement: No Increase
See Table 7-2NA
Yes
Water Heater Increase in Number
See Table 7-2
NA
Yes
ALLOWED GLAZING
ADDITION GLAZING
50 square feet or less
SIZE
AREA
14"x14" Solatube
1.10
SPECIAL NOTES
TOTAL PROPOSED
1.10
TOTAL ALLOWED
50
COMPLIANCE?
Yes
Madlin's Job No. 24745A
Project Name: Mills./ Trotta Addition
Madlin 's
enterprises
Catherine M. Madlin, Certified Energy Analyst v 760-322-5004 / 323-3644 (fax) v v v v v v v
Manufacturer's Specifications
Search Results
t -_T._-_- ___-__..- '1
'Certified Product Directory
_ __Manufactueer__.,, Product Nam(-
Solatube International, Inc. Solatube Tubular Skylights
Key:
1) 2 values for U -Factor, SHGC, and VT indicates Res/Non-Res ratings.
2) * indicates that Certified SHGC/VT values are available from the Manufacturer.
8 records were returned.
Page 1 of 1
Key:
1) 2 values for U -Factor, SHGC, and VT indicates Res/Non-Res ratings.
2) * indicates that Certified SHGC/VT values are available from the Manufacturer.
http://cpd.nfrc.orgIPublicSearch ShowDetails.asp?Line_id=6530&MfrID=812&ProductTyl 11/15/2004
Mr,"
Product
Frame/Sash
Glazing
lata-L/Internal
Gap
Spacer
U-
Condensation
CPD Number
code
Type
layer
Film (Surface)
Widths)
Type
Fill
Grids
Dividers
Tint
-Factor
SHGC
VT
P..esistanre
Aluminum /
---
-
STU-K-1-00005
STI -8
none
2
0.44000
N
Air
N
0.42
0.40
0.00
Aluminum /
STU-K-1-00005-00001
STI -9
none
2
10.44000
N
IAlr
N
1
1 0.42
0.40
10.00
Aluminum /
STU-K-1-00005-00002
STI -10
none
2
0.44000
N
Air
N
0.42
0.40
0.00
Aluminum /
STU-K-1-00005-00003
STI -11
none
2
0.44000
N
Air
N.
0.42
0.40
0.00
Aluminum /
STU-K-1-00006
STI -12
none
2
0.44000
N
Air
N
0.48
0.37
0.00
Aluminum /
STU-K-1-00006-00001
STI -13
none
2
0.44000
N
Air
N
0.48
0.37
0.00
Aluminum /
STU-K-1-00006-00002
STI -14
none
2
0.44000
N
Air
N
0.48
0.37
0.00
Aluminum /
STU-K-1-00006-00003
STI -15
none
2
0.44000
N
Air
N
0.48
0.37
0.00
Key:
1) 2 values for U -Factor, SHGC, and VT indicates Res/Non-Res ratings.
2) * indicates that Certified SHGC/VT values are available from the Manufacturer.
http://cpd.nfrc.orgIPublicSearch ShowDetails.asp?Line_id=6530&MfrID=812&ProductTyl 11/15/2004
Solatube - The Miracle Skylight - Daylighting for Everyday Living Page 1 of 2
• Products I Dealer Locator Company I Customer Support I Technical Resources I Sho4!r
United StE
Solatube® Performance
To determine an initial estimate of Solatube products required to daylight a
space, use the relative light output specifications for the Solatube products as
compared to the light output of the electrical lighting fixtures used in the space
being daylit.
Dealer Quick :Searct
Relative Light Electric Lamp and
Product Output Fixture
(lumens)
Approximately equal to
21" (530mm) Open 13,900 Avg. the mean light output of
Ceiling Solatube (b) Lumens (a) Up to 0.6 - 40OW High Bay
(SolaMaster Series) 20,800 Metal Halide Fixtures.
(c)
(SolaMaster Approximately equal to
21" (530mm) Series) 13,500 usable light output of 2
Suspended/Hard fixtures, each using (3)
Ceiling Solatube (b) Avg. Lumens (b) F032T8 fluorescent
Up to 20,500 lamps. (d)
(Brighten Up Approximately equal to
14" (350mm) Series) 6,000 usable light output of 1
Solatube (a) Avg. Lumens (b) fixture using (3) F032T8
Up to 9,100 fluorescent lamps. (d)
(Brighten Up Approximately equal to
10" (250mm) Series) 3,000 (3) 18W quad -tube
Solatube (a) Avg. Lumens (b) compact fluorescent
Up to 4,600 lamps. (d)
a. Solatube relative light output based upon 30" (750mm) tube run for the
21" (530mm) Open Ceiling SolaMaster product. Maximum and average values
achieved over the peak 2,400 annual daylight hours for San Diego, California
TMY2 Weather Data.
b. Solatube relative light output based upon 6' (1.829m) tube run for
10" (250mm) & 14" (350mm) Brighten Up and 21" (530mm) Suspended Ceiling
SolaMaster products. Maximum and average values achieved over the peak 2,400
annual daylight hours for San Diego, California TMY2 Weather Data
c. Assuming a typical high -bay fixture efficiency of 90% and a mean lamp lumen
output of 25,000 lumens.
d. Assuming a typical• loss factor of 0.75, excluding additional efficiency losses.
0 To find light output for other areas, click here.
Enter your postal code and click your
a Solatube Dealers
e Solar Star Dealers
Residential Links
<< Return to Residential Ma
a Brighten Up® Seri
m SolaMaster@ Serie
a Solar Star®
m Options
iz Accessories
o Solatube Performanc.
(xinyo_I:Y;n n"i:IOUL:e I: dnn!'nMI. Inc. ?ne 0.1u aUn Shv.ghM :c`:F.:u!<m the
'J+ade zadnl 0 "i"L , ekY1!2r„a er.J tn;ar W."Ind Yu^ Inn' tmd Snidtui'e
.inaWn.. a+nue: a:'n;elh w-ike • t ,
Copyright 2004. Solatube International, Inc. Search: ]
Site Designed by FirsttNeb Media.
hnp://www.solatube.com/res_perfon-nance—Chart.php 11/15/2004
Tennis Club.'
-Eisenhower Dr.
NOT TO EXACT SCALL
Tm mAp is wDm To mm°"«DEvaoPmE?ff
IN GENERAL AND MAY NOT WRESI 'T UNITS. STREETS.
Goty couM ETC. ACCMTMY. St WXT TO CHANGE
Santa Ro sa Cove
,
FINE HOMES AT LA QUINTA RESORT'
—)p
i' aetrugada P.O. BOX 1504 No. 15841
Building 77-569 r Egg o 549 r 539 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner y
Santa Rosa Cove SS.O. A.
Mailing BUILDING: TYPE CONST. OCC. GRP.
Address 510107 Calle 0a4xaca %
A.P. Number
City Quints
Zip 92253
Tel.
Legal Description
Description Install new Holy urethane foam
Contractor $rj,TB:tit UniversalProject
Address
roof and coating over exsistinq built up
3462 La Campana
Plan Chk. Dep.
roof.
citvaim iprings
ZIP 93260
Te - 320-6022
Mech.
State Lic.
& Classif. 366357
City
Lic. # 2293
Sq. Ft. No. No. Dw.
Size Stories Units
Arrh Fnnr
Designer
Address I Tel.
CityI Zip I State I
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 Businessland Professions Code, and my license is in full force and
effect. .f
r'iY`<' -' . i s -..rte •w r .. i+ ' Yr
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,Business and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to Its issuance also
requires the applicant for such permit to rile a signed statement that he Is licensed pursuant to
the provisions or 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, 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.)
O I, 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) jlcensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
X,
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 4b. 4 Company i<! *
Er Copy is filed with the city. ❑ 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 thg work for which this permit is issued, I shall not
emplo fany person in any manner so as to become subject to the Workers' Compensation
Law of California.
e —Owner 1,
NOTICE TO APPLICANT. IT, atter 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.
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.
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 appl
Mailing Address_
City, State, Zip_
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop.NLine
Side Street Setback from'Center Line
Side Setback from.Property Line
FINAL DATE INSPECTOR
Issued by: Date -1 Permits
Validated by: \\
Validation:
Estimated Valuation
$18,531.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
$30.00
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
$30.00
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop.NLine
Side Street Setback from'Center Line
Side Setback from.Property Line
FINAL DATE INSPECTOR
Issued by: Date -1 Permits
Validated by: \\
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. '@ $
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SO, FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
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
SO.FT.GAR ® 3/4c
HOUSE SEWER
REMARKS:
VENTILATION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ' ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
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.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION 3 3
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL