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BLDG (0310-273) + RPL (06136) + SFD (06035)54695 Avenida Madero 0310-273 06136 06035 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 796459 I3 .£ I _ "ter •+. ' 06,130/2( Signature of OWNER-BUILDER+DECLAR 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&P.C. 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. (A) 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 S7h7 i n Policy No. 229-002356&2M (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' compensatOo provisions of Section 7 of the Labor Code, Ush'ail)forthwith comply with'4tiose provisioiJs ' Warning: Failure to secure Workers' Compensation coverage is unlawful and - shall subject an employer to criminal penalties and civil fines up to $100,000, in addition'to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws=relating to the building construction, and hereby authorize representa ives "of'this City to enter upon/ the above-mentioned property for -inspection .purp. s es. `` r Signature (Owner/Agent) Date' 7 BUILDING PERMIT PERMIT# DATE VALUATION LOT TRACT 10/27/PC JOB SITE APN ADDRESS s4xAx4 .Dmo OWNER CONTRACTOR / DESIGNER / EN (NEER JIM MCCIMMU BMSOX DEVEMOT40ST 54-695 Ait.E N',il AIS MYRO 44.306 N ESIQL "!'E Dia LA, ( LM -A CA 92253 DYDIAIST VVML CA 922 10' _ ;' - •' (760)773-4497 C-Sla MA -5 USE OF PERMIT Ol:'NI MA L BUILDING Til L.P. 5` fS.A.fti' I r WALi,1 f:Gi') 5'YS+. A114'COftlPp tJ$, (t953'. I.L / ELECTRIM C.`OND0'IT FOR VOLd,).A N LIOHTi% LANDSCAPE NEXT 'CO W.w WA11L 5 FT. WALL 70.0 LF E3S"I71ilIATEW COST Off` OO Nti'.YRd3'f;` TON 7: (Y'ry y y, y j' It+y,, yy y FEW JQf3j /7iLJtW{ 1170A '.iQcSjV 'A F RY . F3w/.A '. ..6yI 1j1,A.A j' ^t //' { y 1_,}9/ f+ly y {. CONST RIX l ION RE 101 • Vt t 4IDi-000 s oo A : U13-'i'OTI Tw twCa J T£tfTCdTS IvT ,1 1 PT. A3 C'"Eii<C $"7.00 LESS 1"RE-PAMIMM $0100 :. ry—Mm it''S DUE.Now $37.00 OCT 27 2003 CITY OF, LA QUINTA FINANCE DEPT. RECEIP TE `!BY DATE FINALED 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 Wail Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond le 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 Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final. COMMENTS: 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) Ti4 4 4 Q*& P.O. BOX 1504 APPLICATION ONLY Building [ / / 78-105 CALLE ESTADO Address ! - / A LA QUINTA, CALIFORNIA 92253 Owne Ln/ A IA/ t, -,q &4 /U- G` BUILDING: TYPE CONST -.00C. GRP. Mailing Address Z A.P. Number 77L —' & Z 06 (/ City Zip Ti5/_/ /11 /M 9z Z S 3 (O` 7 Legal Description Contractor , Project Description D CO Address 190 CityZip 'K t' Z 3 91 V a 7* State Lic. City _ & Classif. 8_/ y7 Y) Lic. # 13 7 Sq. Ft. p p No. No. Dw. Size Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ "Demolition ❑ Address Tel. City I Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION Z affirm that I am under provisions of Chapter 9 (commencing with Section 0 0g) of ivision 3 of B ness and P %fess" ns Code, and my license is in full force and effect- SIGNATUREDATE O ER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Busness and Professions Code: Any city or county which requires a permit to construct, alter, improve; demofrsh, 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 Contractors License Law, Chapter 9 (commencing with Section 7000) of DNision 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 peafty of not more than five hundred dollars (5500). ❑ 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, Bufsness 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 lint 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 propertywhobuilds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date -Owmer WORKERS' COMPENSATION DECLARATION 1 hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sermon need not be completed N the permit is for one hundred dollars (5100) valuation or less.) 1 certify that in the perforrnance of the work for which this permit is issued, I shall not employ any person in arty manner so as to become subject to the workers' Compensation Laws of California Date Owner N077CE TO APPLICANT: If, after making this certificate of Exemption you should become subject to the Nbrkers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or thfs 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 pe it is issued. (Sec. 3 _V Civil Code.)1 / Lenders Name_ l 4 i 0 f` f4rr //1 Lenders Address (-A//. ( This is a building permit when properly filled out, signed and validated, and is subject to expiration if 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 idpresentatives ,oI his`' city to enter the above• mentioned property for rinspectioonnnuurp&es. Signature of applir afiI pate Mailing Address City, State, Zip BUILDING DIVISION Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS AMOUNT 0 IV 110 a f- 1 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: CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 17 SQ. FT. ® TD $ SLAB GRADE UNITS BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK YARD SPKLR SYS -)EM FOUND. REINF. 2 ND FL. SQ. FT. METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE MOBILEHOME SVC. GROUT BAR SINK SERVICE POR.2—oo SQ. FT. ® BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ GAR. 14 Lf I SQ. FT. ® LUMBER GR. 1 IPOWEROUTLET FINAL INSP. ROOF DRAINS FINAL INSP. ROOFING DRAINAGE PIPING REMARKS: CARP. SO. FT. ® VENTILATION I WALL SQ. FT. O . FIREPLACE DRINKING FOUNTAIN SQ. FT. ® SPARK ARRESTOR URINAL GAR. FIREWALL ESTIMATED CONSTRUCTION VALUATION $ 0 -- LATHING WATER PIPING NOTE: Not to be used as property tax valuation MESH FLOOR DRAIN MECHANICAL FEES FINISH GRADING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN CERT. OCC. WASHER(AUTO)(DISH) APPLIANCE DRYER INSPECTOR'S SIGNATURES/INITIALS GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GARDEN WALL FINAL LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMIPERM 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. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL SQ.FT.GAR ® 3/,c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEECONST. FEE ELECT. FEE SMI FEE PLUMB. FEE 1. le -Z), STRUCTURE PLUMBING ELEC 1 to 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 INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Building Address 54--695 Madero Mailing Address Same City Zip Tel. La Quinta 92253 Contractor Roams Construction Address P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Desert 1111" 92260 1 lel. 346-2401 State Lic. City & Classif. 130434 1 Lic. # 67 Arch., Engr., Designer Address Tel. City IZip 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 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,Busiress and Professions Code: Any city or county which requires a pemut to construct. alter, Improve, demolish, or repair any structure, prior to its issuance also requinls the appbcant 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 appfcant to a c" penally of not more than rive 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 aid 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 inprove for the purpose of sale.) ❑ 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 cordractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & 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 ❑ 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 employ any person in any manner so as to become subject to the Workers' Compensation Laws of California Date Owner NOTICE TO APPLICANT: lf, 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 if work thereunder is suspended for 180 days. I certity that I have read this application and state that the above information is correct. 1 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. 06136 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description Pool spa Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $13,300 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 93-60 Const 144.00 Mech. 24_00 Electrical 30.00 Plumbing 27.00 S.M.I. .91 Grading Driveway Enc. Infrastructure TOTAL S319,51 REMARKS .til --„1V I .i';,'i'1v i +-{r'•1 -'"t-~' ilii .J i. .a.. 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 8/7/89 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES, 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SQ. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN. SO 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 WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac 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 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 APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. V FINAL INSP. FRAMING FINAL INSP. ROOFING 15? P ✓ Uw ( / , G/_ J / j.} /; jV // , /J_ / S%, 'rte { 0 "" /V( REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL P.O. BOX 1504 Building Address 54-695 tiadero LA QUINTA CALIFORNIA 92253 Owner Mailing Address P.O. Box 1012 City Zip Tel. % Quixta 92253 564-5478 Contractor IOD Co. Address State Lic. City & Classif. B_1 397830 Lic. # 1375 Arch., Engr., Designer Address . Tel. City IZip I State Lic. # s 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 OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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, prior to its issuance also requires the applicant for such permit to Ne 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 app#cant to a civ# penaltyof 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 knproves thereon and who does such work himself or through his own employees, provided that such srprovements are not intended or offered for sale. If, however, the burning or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or inprove for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to corF 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.) ❑ 1 am exempt under Sec B. & 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 Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one hundred dollars (S 100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ anyperson in any manner so as to become subject to the Workers' Compensation Laws of California) Date --L rOwner 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.) r / 7 r , e Lenders Name Lenders Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certity 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,purppses. - - --- . Signature of applicant f Date--L- Mailing ate Mailing Address City, State, Zip No. 06035 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774-264--W6 Legal Description Project Description S.F.D. Sq. Ft. No. Size 1788 Stories No. Dw. Units Newer Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 99,001.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 292.35 Const. 639.531 Mech. 60..0 Electrical 119.90 Plumbing 160.50 S.M.I. 7.00 Grading 20.00 Driveway Enc. 20.00 Infrastructure 2190.67 Precise 25.00 TOTAL `, f✓" /f i'.. .t REMARKS l4 1 - ti#f 5it% {r YFi f.r I Iry 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 6--28-89 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING -FIEFS. 1ST FL. SQ. FT. ® $ UNITS dm -SLAB GRADEq— ' ( ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SO. FT. FORMS EWER OR SE I Lae- ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. I SO. FT. ® FINAL INSP. WALL SO. FT. ® WATER SYSTEM DRINKING FOUNTAIN GRADING cu. yd. $ plus x$ _$ LUMBER GR. URINAL SO FT ® FRAMING /0T`g_/ FINAL INSP. 6 /1 ESTIMATED CONSTRUCTION VALUATION $ ROOFING WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FIRE ZONE ROOFING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED THIN 6 LAUNDRY TRAY AIR HANDLING UNIT CFM MESH KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB GARDEN WALL FINAL SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11% c SEWAGE DISPOSAL SQ.FT.GAR ® Tic HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEEMECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR r t ETBACK - /- Q GROUND PLUMBI UNDERGROUND A.C. UNIT COLL. AREA - dm -SLAB GRADEq— ' ( ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS EWER OR SE I Lae- 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. fI TO FRAMING /0T`g_/ FINAL INSP. 6 /1 ROOFING / ` // i _ ) tO GL-./. tz / 7 ///22/a C REMARKS VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THIN 6 MESH y 6NSULATIONISOUND //-to/- - -FINISH FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL t Desert Sands Unified School District CERTIFICATION OF PAYMENT OF q.A SCHOOL FACILITY FEES QO-1 NOTICE: THIS DOCUMENT CANNOT T0: City o E a DQUuPnE,aCATEQt Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 DATE: 'dam l 0 E(00 This is to rtify that developer of which is located at 0 , within this District, has aid school facility fees imposed pursuant to the authorit genera b overnme t Code ti 5 0 0 i the.amo nt It (//pp cov ring a total of square feet of residential or ( ) industrial/commerciAl'cTpVplopment and that building permits for this footage in this development may now be issued by your jurisdiction. 11-% 0 L, D &AA12B D for MESEMT SDS UNIFIEDSCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 Date: Received From: 6/'-KAZ 0,814 4, COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL A4/C/ 5"Jgq'7 N2-26671 2CU71 (pY Date: Address: 4az2- !E: A 9,;ws Account No. ( ? D 652 13 07,,16 1I , O. 0 Lot(s) Tract S C 6 .7- 7 _5cPuj CC; 51-6-7,57 IwAbf-& O G.A. Code ❑ Meter(s) $ ❑ Service(s) ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) ❑ Meter Surcharge Qpo anitation Capacity Charge C5 ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge _ ❑ Uncollected Account - Name ❑ Inspection Fee -Tract - Fee - ❑ Plan Check Fees Water / Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other I TOTAL Remarks: ❑Copy to: Cash Check 4' ► {/ Money Order Water Service ^ f Cashier CVWD-438 (8188) ( IIu.E ur nGlll(:Ul I MAI. c;ummisslui,ILIt nyu tV : L1 S ii MUNSURES Ing -617 Ilay IIG• 11%lite ll-IZ Cv11v11e) l ii ,, CA 9ZZJG E. LEON SI'AI;GY IL""I; iIu-.tn )n,,ILS U WAUACF. Sigia t n1•r.uSHo l.n CLUIEN 1 nr rvEMS 1 E sum K bENCIAI'L"Il' 5 t W'ic U / • l UUItES5 f ` . Z 2 5- 3 TELUTI tui c ( 1 1 ` V Z Y Dear Develvperr Ager tevlew your lalltlsca lril t) ,lalls• tell Irla7' t1.l0 Willuyilsif`iasu sti.tuttlulls viola tivll of: (yuaCs111tille l(Iis t .wilml lli_ ICU, e d 0 occur a: lid they cll[[er [tun I'laltt Il letlul llsledlids uL[lce must e IlotlEie(i 11111ndlateIy. ectLl lld iesetvllly "le le Cvecllella Valley's nest-[>t:ee envirvnl llt. lllaudc you Lor i tot y Et ngi:icuJ.tuira l Caunls vlier s ul [ ice ccs 111d10 ulld Kivetslde UL[ ice Z 0 N E 15 T I T L E 2 4 C O M P L I A N C E P A C K A G E Dave's Air Conditioning 52-101 Industrial Way Coachella,Calif. 92236 Telephone: 619-390-5509 License: 264767 (C-20) C O N T E N T S Form ---------------------------- ------ Point System Summary P -2R Thermal Mass Worksheet WS -1R Certificate Of Compliance CR -1R Heating & Cooling Load Calculation N/A Mandatory Measures Checklist MF -1R Insulation Certificate Appliance Certificate No. Sheets 1 1 2 2 1 1 1 ------------ 1-1 Project Information: Type :Single Family Detached 1 Story Enforcement Agency Owner :Dan Featheringill Name: ---------------------- Address :La n'uinta, CA. Agcy: ---------------------- Permit ##: Tel##:______________________ Data Loc:Palm Springs, Ca. Appr:---------------------- FOUNT SYSTEM SUMMARY: CLIMATE ----------------------------------------------------------------------------------------- ZONE 15 P -2R !:''i,oic:ct-: Dean Feat•heringi:ll Residence Date: I 6-89 (--- a Quint•a, CA. BUILDING DATA: ' 't:c r itis - 1 Glass Area %Glass Conditioned l=1;,or Area -='1762 North 56 2 F:locw Type= Slab '_:lab Area= 1762 East. 44 .,.5 l}n:i.t• Type: Sirigle Family Detached (:'_.FC)) -;.-Juth 4Ci 2.3 C I Addition Alone West: 72 4.1 C 1 E::<:i.st•ing Bui 1 :Iing !-3ky1 i,fit-,t. I 1 E::<:ist•irig Plus --------------------------------------------------------------------------------------------- Addition T. ..... t:a1 21:: 1:;:.c:} S C O R E C A R D I Measures Point Scores R -Value U -Value 1 . Ceiling 'I'nsulat': i• Ir'1 _;ii i ._. Wall. Insulation if _ . Iiaised 7:nsu:lat•ir.,n. Ci i) C} 4. Slalr- Edge Insula•t•7.C,ll S. 11-1f i lt.rat.i In Standard c_i Gla -:is He Ekt. I....C.:15S> Dout_)Iea C} _ Sum(1-6)= 1 7. SHADING ! Gl-ass .ti}C Ef f % Glass (::_hade Open) b. East 2 C1 f Y ,y - _ }. 1 ' 2 f } _ C. '_.0ut•hX c} i7 1.75 0 ,j . Wes; t• Z.1- x } .'I .Y e. '31-:: y.1. i.'_ti •t: 0.0 x i i 77 SHADING % Ci1z:tss S(.-, f % G1ass a . 1\1 t 1..., :3.2 x C} . F, a-.= :_ . 1 C} i ) c . ---ju't h 2 . _ x Ci , 6C. - •1 .50 i i } .J. West. 4 . 1 x 0.66 2.70 -f, o e. :*I<:y1ight• ii.Ci x 0.66 - i).t_}C} c} = . Ii t•eric r 1t-ierriial Mass 5. :U (u'l't• t'lzass/C:FA) 4 E::<:'ter• i.,_Ir Wall M:Rss C i . Oc) C t_;<:t• Wal l Mass) C} Sum(7-1 O)= -3 1 1 Hc!at: ing System [(n uc t Ins= -'R-- 6 .: , ' .E i;. t. Duc t• Ef f . Ef f SE C,.l.l'l at I_C . i C 0.7:=: x 0 fir.'i = 0,c'_0 12. Cor -ding System SEER Duct Eff . E-ffect.ive D u c •t• I n ::R— F_•, . _. 9.S 0.81 •`_peer• Loc. in attic --- -- --- ----- — ------- ------10. 10.Ciii x .81 = 8.1 12 1 =.. Water Heating TYFE Credit % G NONE C) Point Goal .............. = 0 Point Total this package = C) Point System Summary Revised Murch 1988 THERMAL MASS WORKSHEET: CLIMATE ZONE 15 ------------------------------------------------------------ Project: Dan Featheringill Residence Address: La Quinta, CA. ------------------------------------------------------------ INTERIOR THERMAL MASS WS -1R Date: 3-16-89 Option (AL)) is used t;, ccrripute Mass Capacity. The program allows l -W s ':a r' .i. . t.: •-t :L n i:. -.,f ti ie riil::is •t• c oriirin:?n r,i<i-tss c c ri pl anent s , each with a I : n - W i 1.1 T SIC -i i as de sc r i tied in Table 4 -8a,4 -8b and 1 -able 4 -< • •n C= ages 4- F; and 4-27 of the Energy Contserv<::tt•ii_jIl Manurt1. Rrtvi'.3t_:d Pard "1 '1988. C:rec:I:i-t• fcr other rilc:tss-'i ccxll— pont_n•t•s will require rt,anual computation anti revisions tcj this docuriit:l -t— Interior Mass Calculation and Dass Type Description: Type 1 (Wass Floor Area UIMC Area Area Mass % Description ------ ---- ! X 4. 6 ----- _ _ 1 05 / ----- ------ 1 762 = q.6( i ----------------------------------- :"".5 inch e::•::posed c, f Tiled Slat... ... . Type 2 Mass Floor Area UIMC ------ ---- Area ----- Area Mass % ----- ------ Description ----------------------------------- Total Type 1 Mass = 460 % Total Type 2 Mass = D % Program Uses ...... = 125 % Program Uses = 0 % ----------------------------- EXTERIOR WALL THERMAL MASS Description conver•Itic--') Al l ca.l is Interior Mass/CFA from table 4-7: 5.3 ---------------------------------------- Opaque Exterior Wall Area Mass Factor 11:.1 X c ,r c7 0.0 Total Opaque Total Wall Area ----- --------------- 0.0 Div.by 11:31 Thermal Mass Worksheet Total ---, 0.0 Exterior Wall Mass 0.00 Revised March 1988 ZONE 15 CERTIFICATE OF COMPLIANCE: Residential CF -1R Pr• iject: Dan Featl'ieririgill Residence Date: _3-16-s_'=a AddreL:>s: La Quirit•a, CO. GENERAL INFORMATION Tcit•al C ndit:ionec-i Fl cir• Area; 1762 sq. ft BUILDING TYPE: 1 '_.'tory L <:I Single Family Detached) L- I Single Family Attached C I Multi-•Fariiil.y('less than 4 stories) C I A d d i t i n Alc,ne C I E::<:ist•ing Building C I E%.::i,..:sting F'1!as Addition Frorit• Entry Or:i.en't•z.1ti in : East Nuir(lbe r ----If Dwelling Units: 1 h . i i t 1' (.: 1'l °, 't• 1" ld (_ 't': i i i 1 1 'Type 1a b 11'.1 f :i. 1 't. r a t i 0 n C G n 1" {, l ` t• c`t ll d cl l' d BUILDING SHELL INSULATION C;c riipc1nt.nt. Insulatic,n -Type R--Va 1 Ue Wall 1'a Roof :: 0 F 1. r (-f GLAZING Glazing Area Glass Type Orient. (sf) ` ingle/1)00 _,.1e Nor't•hi 56.0 Double sc,u t•hi 40. () Double East. 44.0 ID, 1ul_j 1 e = F:: y 1. i. t•t: i a. i a r)ouh:;1 e Lcicat•ion. or Coriiments Frame Walls Ty ,icaI.... Raised Floor(Typical') Iriter ior E::•::t•erior Overhang Framing type Type Bl incl Type 'Sc rer_n Y/N Metal /Wood THERMAL MASS Type Covering 'Type Arra Thick:ness L-1--icat•ioi-i/Description -:- : - i ('I.:: i. t c I ie ri , bath, e t: c .: i• b/C::••:1-!x_!sed Mass ( sf t (-inchess. E;<:po sed/t.i :Led Interior 1762 :3.5 Certificate of Compliance Page 1 of 2 Revised March 1988 ZONE 15 CERTIFICATE OF COMPLIANCE: ^ ' -------------------------------------------------------------- HOT Residential CF -IR _______________ Project Title: Dan Featheringill Residence Date: 3-16-89 Project _______________________________________________________________________________ Address: La Quinta' CA. HVAC SYSTEMS ~ Type Minimum Duct Furnace Efficiency Location Duct Output Manufacturer/Model# Heat Pmp _________ (Se,Seer,Hspf) _____________ (attic etc) R -Val __________ _______ (Btuh) (or approved equal) AirCond Seer10.00% attic 6.3 _______ 36000 ------------------------------- __________________________Air Day and Night/5428NX036 Furnace _________ Se 0.73% _____________ attic 6.3 80000btuDay and Night/542gnx080 _________ Maximum _____________ Furnace Heating __________ _______ __________ _______ Output 64000 btu _______ _______ btuh ___________________________ __________________________ ---------------------------- H0T WATER SYSTEMS System Type Tank Manufacturer/Model# (storage'gas) Capacity (or approved equal) Special Feature(s) _____________ _________ _______________________ ------------------------------ Storage ____________________________Storage Gas N/A Gal. N/A/N/A _____________ _________ _______________________ ------------------------------ ------------- _________________________________________ _________ _______________________ _____________________________ SPECIAL FEATURES AND REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2' Subchapter 4, Article l of the California Administration code. This certificate has been signed by the individual with overall design res- ponsibility and the building owner' who shall retain a copy of it and trans- mit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations' all building conservation features which vary are indicated in the Special Features/Remarks Section. DESIGNER Name Title/Firm _________________________ Address ... -------------------------- Telephone ________________________Telephone -_________________________ Licence # :_________________________ Signature _________________________ DOCUMENTATION AUTHOR Name :------------------------- Title/Firm:_________________________ Address. . . :_________________________ _________________________ Telephone Signature ------------------------- ------------------------- Telephone _________________________ BUILDING OWNER Name :_________________________ Title/Firm:_________________________ Address...:_________________________ _________________________ Telephone :_________________________ Signature :_________________________ ENFORCEMENT AGENCY Name Agency _________________________ Telephone _________________________ Signature :_________________________ _______________________________________________________________________________ Dave's Air Conditioning Heating Equipment 52-101 Industrial Way Sizing Compliance Coachella,Calif. 92236 Point System 264767 (C-20) ------------------------------------------------------- Job No. . : 1 Project. ::tingle, Family Detached 1 :tory Structure Owner :Dan Feather ingi..11 Address Ka Quii"ita, CA. Orientation :East. METHOD: AS HRAE Load Calculation Manual l ------------------------------------------------------- 619-398-5589 Date: 3-16-89 ------------ HOURLY HEAT LOSS: Total Conditioned Floor Area= 176 Site Information: Inside Design Temperature . ........ ..... _ 0ut<side Design Temperature ... . . . . . . .... . = Design Temperature Difference (TD): For Standard Assemblies ..................................... For Floor Over Vented Unheated Space ..................... I . . CONDUCTIVE HEAT LOSS: Description of Assembly Area ---------------------------------- ---- lab: R-- 0 0 Inches 167 (ft.) 9 Ceiling: R- 30 7 1 762 X Wall : I:;._- ZED 1436 X N Glazing; Double SFS X S Glazing; Double 40 X E Glazing; Double 44 X W Glazing; Double 72 X Skylight ; Double 0 X -------------------------------------- Infiltration: -------------------------------------Infi1tration: 1762 X 8 X 0.50 U -Value TD X 4. 0. 035 X 9 0.065 1 X 39 tj . Esti X 39 0.650 X :39 0.650 X 39 0.650 X 39 0.650 X 39 Subtotal ---------------- X 0.018 X 39 70. 0 F 31 . 0 1- 0.0 F T9. 5 F Btu/hr. 7014 _405 - 4948 Duct Heat Loss: 0.1s X 23128 - 34613 Total Hourly Heat Loss 26597 Maximum Btu/hr : 1 .:= X 26597 + (1 0 X 1 762)) = 5748 ------------------------------------------------------------------------------ M I IN I MUM HEATING EQUIPMENT OUTPUT: 26597 (Btu/hr) MAXIMUM HEATIBNG EQUIPMEtNT OUTPUT: .57482 (Btu/hr) ------------------------------------------------------------------------------ Heating Equipment Sizing Dave's Air Conditioning, Cooling Equipment 52-101 Industrial Way Sizing Compliance Coachella,Calif. 92236 Point System 264767 (C-20) 619-398-5589 ------------------------------------------------------------------------------- Project :Single Family Detached 1 Story Structure Owner :Dan f=eats. er ing i 1 l Address :La Quinta, CA. (a1':Le-''lt.r4t: _ n :East METH"O" ; HISHRAE Load Calculation Manual Date: 3-16-89 ---=--------------------------------------------------------------------------- HOURLY HEAT GAIN: Total Conditioned Floor Area= 176 Site Information:; Inside Design Temperature . ... . .. ... ... . ... . . .. . .. . . .. . . .. . .= 78.0 F Outside Design Temperature .................................= 112.0 F Daily Temperature Swing ....................................= 34.0 F Design Equivalent Temperature Differences: (TDeq) Standard Temperature Difference . . . . ... . . ... . . . .... . .. . . .. . - 34.0 F For Frame Walls and Doors .... ......................... .. ...= 28.0 F For Masonry Walls ............ .............................= 21.0 F ForFloor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 20.0 F For Ceiling and Roof ...................................... = 49.0 F CONDUCTIVE HEAT GAIN: Description of Assembly Area -------------------------------- ---- Ceiling: R..... 30 Wall : R- 1' N Glazing, Double Glazing Double E Glazing Double W Glazing Double Skylight. Double SOLAR HEAT GAIN: Description of Assembly ____ N Glazing Doub1e S Glazing Double_ E Glazing Double W Glazing Double Skylight Double 1 762 1343 66 40 44 7': 0 U -Value --------- TD Btu/hr. X 0.036 X X ----- --------- 49.0 - 3022 x 0.065 44 X 28.0 2445 X 0.650 3474 X 34.0 - 1238 X 0.650 0.0 X 34.0 - 884 X 0.650 Solar X 34.0 = 97 X 0.650 X 34.0 -._ 1 S91 X 0.650 X 34.0 - o , Subtotal = 10152 Area W.F. Btu/hr. S6.0 X 30 -------- = 1680' 40.0 X 44 - 1 760 44.0 X 79 3474 72.0 x 79 sops 0.0 X 79 = 0 Net Solar Heat Gain 12604. Infiltration: 1762 X 8 X 0.50 X 0.018 X 34 - 431:= Internal Heat. Gain..... ....... 3000........................ Total Heat. Gain...... 30069 Duct Heat Gain: 0.10 X 300613 - 3007 Total Sensible Hourly Heat. Gain = 33076 Latent Load: SENSIBLE COOLING LOAD: TOTAL SENSIBLE COOLING LOAD + LATENT LOAD: -----------------------------------4------ Cooling Equipment Sizing 0.20 X 33076 - 6615 --------------------------------- 33076 (Btu/hr) 39691 (Btu/hr)= 3.3 Tons --------------------------------- ZONE 15 MANDATORY MEASURES CHECKLIST: ------------------------------------------- F'roject•: Dar'! FeatJ'-lerirlgill Residence Address-,: l._a Quint; --A, CA. Residential ------------------------------- MF=1R Date: 3-16-89 NOTE: U-wrlse residential bt.d].1t:1ings subject to the =%'t•c{1"1dards fl'tus't• contain these --S regardless p flik cirnUl'E-'= 1'f,'' cel', ,;,!f the c ril 17.allC = ciJJi'or::tL:1-t Used. 1t:ef11 s rlicil'I•:C:'d 6+.':Lt•h'1 till ast•i::,risk: (*) rtiay be Superseded by rtic-ire Stringent cortipliance requirements listed on the Cert:ificztte of Ccimpl.lance. When tI-tic-2 cher_h:::I.i.s:.i't:• is iilcorporz.-kt•ed into the permit documents, the features ncjted shall be considered by all parties at bin,.1ii"Ug r1i1171iri1LAIT1 c: rill. C,nellt• tit: rfii1,rlical"ice sE-ec if J.cc:4ti--en's f 1' 't•h-te tla.ndctt•!.1"y nieasures whether they are shown elsewhere in the di CUriients or cin this ch-tec.:list .x,111, y . D E S C R I P T I O N Designer Enforcement :1Min:imurfl Ceilir1g Insulation .............. - L_o, ise E::'i 1 :l Insu1at•i,xi ................... = NA *Minimum Wall 11-1s u l Et• i C 1-1 ................. = 1 'D C l C ] ' ,Ia-b Edge Insulat•ion..... ' ......= NR C ] C ] I'yl='e Irlst.dIi::tt•ion used ....................= Ba't•t• V.=tp,_,r Ba -r1' iel............................. = NR C ] I ] 1.11f i 1 trat•ion ............................ = Standard C ] C designed t• 1 ini:i.'t: leak:a,ae = Yes C ] C ! Doc_;rs/Wi.ndows:; cert':i.fied....... ..........= Yes C 1 C D,-,ors/Windows weatlierpr,_„ fed, caulked et•c= Yes C ] C ] I n f i 1. t•1'at: i.on BarI-it_I. .... .. ......... .... - NR C C ] Fireplace metal or Glass closable dC,,,rs . = NA Fi.rej-.)l tce air in't•al•::e with rA ip °c control= NA C ] C ] F:i. i,eplace flue dart -,per and cont•.rril ....... = NA '-:pac..e c 6ditioning equipment sizing ..... = See Calcs, C ] C ] ' -t•back: T1- ier'ritrDst•at:• ren hea't•il'1g syst'•enis... = Yes C ] C 3%Duct:•s inst :t.11ed per Char.. -)ter 101 1'376 UMC= Yes> C 7 C s ] pace 1 -seating has ignition devices ......= Yes C ] C Water Heaters, HVAC etc . C:EC certified. = Yes C 7 C WateI, Heater Insul<-tt•ion Blank.e't.......... = Yes Wiat:•eI, Heater II-ISUlat•ic -1l R -Value ......... = Yes C C ] WtateI, Heater pipes i.nsulated............= Yes C ] C ] ';wirli t=ool heater has cin/cff switch ......= NA S_wil'ft Pool weat:hprf inst.r. . plate htr = NA C I L ] Swirli Poo I plurtibeed t:.,_, a11ow for sa,_,Ia1' .... = NA L': ] L- ] Swiss Pool equip 75% th-lerrlial of f is iency. .. = NA C ] C ] '-wird Por;,l. Cover and t irtie clock . . . . . . . = NF's L ] L ] Lighting in k::i't•ct-len/Maths ='.5 luritens.. .= Yes C ] f_ ] Gas appal. iances equipped with igniters ... _= Yes C ] C ] Appliances/lamp ballasts C:EC cerci f ied .. = Yes C ] C ] APPLIANCES: Refrigerat•'-ir Manufacturer: N/A r°l,_,de1# N/A Freezer Mant..Jir.tct:•urer .....: N/A Mode I#h N/A Mode I## ,J- g I. ------------------------------------------------------------------------------------------------ Mandatory Measures Checklist Revised December 1988