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SFD (11417)C Building Address 52--015111 Owner Coachella '4 T a ity/ 4 4Q�«rw P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Vly. House Coalition Address 45741 G Monroe St City Zip Tel. Indio 92201 347-3157 Contractor Owner/Builder Address City Izip State Lic. I City & Classif. Lic. # Arch., Engr., Designer Address Tel. Zip (State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the following reason: (Sec. 7031.5,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 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 thathe 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 penally 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.) 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.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date 7 Owner t �- ��"-�✓ 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.) PoVC, 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 it the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: 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 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 representatives of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant -Date- Mailing ateMailing Address City, State, Zip No. 11417 BUILDING: TYPE CONST. OCC: GRP. A.P. Number MWi;'?= 773-233-003 Legal Description Lot 24 Block 94 Project Description SFS Sq. Ft. Size 1351 No. No. Dw. Stories Units New ❑] Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does 11ot include block walls or Pool. Estimated Valuation $84,009.40 PERMIT AMOUNT Plan Chk. Dep.' Plan Chk. Bal. 484.33 Const. 572.00 Mech. 42.50 Electrical 121.03 Plumbing 138.00 S.M.I. 3.50 Grading 20.00 Driveway Enc. Infrastructure 1,802.88 Precise Plan , 25.00 TOTAL -tri .2 4 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL SO. FT. ® POR. SO. FT. ® GAR. SO. FT. ® CAR P. I SD. FT. WALL SO. 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 ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FOUND. REINF.L LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEWPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ®c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/a c SEWAGE DISPOSAL _$ SO.FT.GAR ® 3/ic HOUSE SEWER FRAMING o 1A l FINAL INSP. J_ 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 J gg UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ?"&R QjA1ft ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF.L GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE Z %✓4,� GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. 0'j2 -Plus-X$-=$ $ plus x$ _$ LUMBER GR. FINAL INSP. —CJl 71 FRAMING o 1A l FINAL INSP. J_ ROOFING 5'l� 3 L-0 Frewt'4,P 1� ' REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING R --o 3 L MESH INSULATION/SOUND g— FINISH GRADING FINAL INSPECTION„ CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL u'4 P.O. BOX 1504 APPLICATION ONLY Building��_ ©S� e Z�� 7&105 CALLE ESTADO Address / L1 LA QUINTA, CALIFORNIA 92253 Owner ��lL° �e��.K ('��►-%.L.I �ausin� �O/l-1�16Tte Mailing Address City Zip Tel. C.1 1 0 13V7 -3/s7 Contractor n so -,ole Lk I e H City State Lic.I City & Classif. Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _ SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,13usiness and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). G 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. it, 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.) C 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 dot such projects with a contractor(s) licensed pursuant to the -Contractor's License Law.) I am exempt under Sec. B. & P. or this reason Date r WORKERS' COMPENSATION DECLARATION 1 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 C 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 it the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thR 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, alter 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 Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip LDING: TYPE CONST. OCC. GRP. P. Number Legal Description Project DescriptionW(2 4,06x, ',7lJ11-A-L Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ I, L_ Estimated. Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M:I: Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 1/7/93 1 Type of Permit I La Quints No. 111952 Permit # Log Owner Name Coachella Valley Housing Coalition No. SEE Street BELOW City La Quinta Zip 92253 Study Area 112 APN # I I Tract # Lot # 0 Square Footage 112,736 Type of Development Single Family Residence I No. of units 10 Comments 52070 Madero; 52155,355 Navarro; 52447 Rubio: 52250 Obregon: 52865 Velasco (6 0 1222 sf) 520150 Mendoza 526(15950 Rubio. 52600 Martinez (4_Q 1__151 cf) At the present time, the Desert Sands Unified School District does not collect fees on garages/ carports, covered patios/ walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.58 x 12 736 or $ 20,122.88 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 City of La Quinta Telephone 564-2246 Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /exe d by rthur ' Payment Received , Signature ' Check 140. 3.4344 Collector. Aka/ch a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting VETERANS ADMINISTRATION, U.S.D,A, FARMERS HOME ADMINISTRATION, AND ' U.S. DEPARTMENT OF HOUSING AND UR13AN DEVELOPMENT Form Approved HOUSING FEDERAL HOUSING COMMISSIONER OMB No. 2602-0182 IExp. 11/30/831 Por accurotc register of carbon copies, form may be separated along above fold. Staple completed sheets together In original order. ® Proposed Construction DESCRIPTION OF MATERIALS No. _ _ (Tu be interred by HUD. VA or I''mllA) ❑ Under Construction Property address Various City La Quints, State CA. 92253 MortgagororSponsor Directors Mortgage Loan Corp. P.O. Box 1489 Riverside, CA. 925021 - iNamel IAtWMIJ Contractor or Builder Coachella Valley Housing Coalition Plaza I, 45-701 Monroe St.Suite G a. tV'IT=1 Indio, Ca. 92201,1,1rcui INSTRUCTIONS 1. For additional Information on how this form Is to be submitted, number of copies, eta., see the Instructions applicable to the HUD Application for required, than the minimum acceptable will be assumed. Work exceeding minimum requirements cannot be considered unless epeciflcally described. Mortgage Insurance, VA Request for Determination of Reasonapls Value, or FmHA Property Information and Appraisal Report, as the case may be, ' A. Include no alternates, "or equal" phrases, or contradictory Items. (Consideration of a request for acceptance of substitute rneterlele or equip. 2. Describe all materials and equipment to be used, whether or not shown on the drawings, by marking an X in each appropriate check -box and entering ment Is not thereby precluded.) 5. Include signatures required at the end of this form. the Information called for each space. If space Is Inadequate, anter "Sae mise," and describe under Item 27 or on an attached sheat. THE USE OF PAINT 6. The construction shall be completed In compliance with the related drawings and specifications, as amended during processing. The specifications CONTAINING MORE THAN THE PERCENTAGE OF LEAD BY WEIGHT PERMITTED BY LAW IS PROHIBITED. Include this Description of Materiels and the applicable Mlnlrpum Pr9perty 3. Work not specifically described or shown will not be considered unless Standards. 1. EXCAVATIONt Bearing foil, type Per soil report - Sandy Loam 2. FOUNDATIONS: Footings: concrete mix 5 Sack ; strength psi.2000 Reinforcing 2 #4 Bars Foundation wall: material ConcreteReinforcing Interior foundation wall: material Party foundation wall Columns. material and sizes Piers: material and reinforcing Girdcra: material and sizes Sills: material Basement entrance areaway Window areaways Waterproofing Footing drains Termite protection _Soil Poison by chernical spray with cert. Basementless space: ground cover ; in%ulation ; foundation vents Special foundations Rebar tie at paraQe door opening all concrete shall have compressive strength Additional information: Of 2000 lb. in 28 days. 3. CHIMNEYS: Material Galv. Dbl. wall Prefabricated (make and rats) ivent 4" Flue lining: material Ifeeler flue size Ott Fireplace flue siac Veno (materia/ and ntr): gas or oil heater ;water heater 3' Additional information: Galv. 4" 4. 4IREPLACES: T1IM: ❑ solid fuel; ❑ gas -burning; ❑ circulator (mokr and rive) Ash dump and cleanout Fireplace: facing lining ; hearth ; mantel Additional information: S. EXTERIOR WALLS: Wood frame: wood rade, and cies D.F. #2 415 Felt g pe j� Corner bracing. Building paper or felt Sheathing thickness width ; ❑ solid; ❑ spaced " o. e.; ❑ diagonal; Siding grade ; type ; size exposure ; fastaning Shingle grade � �o ; type os ; size ; expure "; fastening Stucw 3 coats thickness 7�8 Lath Mesh Wire Z Pager Back ; weight 15 4 Masonry veneer Sills Lintcls Base Hashing Masonry: ❑ solid ❑ faced ❑ stuccoed; total wall thickness _ _.. facing thickness "; facing material Backup material ; thickness "; bonding Door sills Window sills Lintels Bae fWhing Interior surfaces: dampproofing, coats of furring Additional information: Exterior painting: material Ext. Latex ; number of coats. Gable wall construction; M same as main walls; ❑ other construction 6. FLOOR FRAMING: Joists: wood, grade, and species ; other ; bridging ; anchors Concrete slab: IM basement fluor; ❑ first floor; ground supportal; (] wit -supporting; mix 5 Sack thickness ( reinforcing 6/6 Wire Mesh ; insulation ; membrane 10 Mi_1 Poly Fill under slab: material Sandthickness 2" ;". Additional information: 7. SUBFLOORINOi (Describe underflooring for special floors under item T 1.) Material: grade and species ; size ; type Laid: ❑ first floor; ❑ second floor; ❑ attic sy. 11.; ❑ diagonal; ❑ right angles. Additional information: 8. FINISH FLOORING: (Wood only. Describe other finish flooring under item 21.) LOCATION I Roo.0 I Ga.Da I S►ar•JU jTHicx-.4sul WIDTH I BI.Du. P&PLa I FIHIrH First floor —11 Second floor Attic floor all. ft. Additional information: Previous edition may be used until supply is exhausted I DESCRIPTION OF MATERIALS 2 VA Form 28.1862 1119M FmHA 4��2 DESCRIPTION OF MATERIALS' 9. PARTITION FRAMING: Studs: wood, grade, and species D. F. #2 size and spacing 211 X 411 16110 . C Other Additional information: 10, CEILING FRAMING: Joists: wood, grade, and species Trusses Other Bridging Additional information: 11. ROOF FRAMINOt Rafters: wood, grade, and Species Trusses Roof trusses (see detail): grade and species Q. F. Additional information: See attached detail 12. ROOFING: Sheathing: wood, rade, and species 211 CD X Ply Or %/1611 Wafer Board ( olid C], spaced " o.c. Roofing CO c -Me grade sue 13 X16 type Underlay Felt weight or thickness 30# ; size ; fattening Nail Built-up roofing number of plies ; surfacing material Flashing: material Galv.Metal gage or weight 26 ❑ gravel stops; (] snow guards 11 Additional information: Overhang CC x Ply Sheeting 13. GUTTERS AND DOWNSPOUTS: Cutters: material gage or weight ; size shape Downspouts: material gage or weight size ; shape ; number Downspouts connected to: ❑ Storm sewer; ❑ sanitary sewer; [] dry -well. ❑ Splash blocks: material and size Additional information: 14. LATH AND PLASTER Lath ❑ walls, ❑ ceilings: material weight or thicknessi_ Plaster: coats ; finish Dry -wall (2g walls, (Z ceilings: material Gyp Brd- thickness__:'2_; finish Text Joint treatment Tape, Firewalls - 5/8 GvD Board - Natural Tape 15. DECORATING: (Point, wallpaper, etc.) Rooms I WALL FINISH K14TLRIAI. AVD APPLICATION I CLILINo FINISH MATLRIAL AND ArrucAmm Kitchen Lar -ex tnamel L Croats Bath s Other Dinnin Latex Enamel Coats Liv Bdrms Latex Emamel 2 Coats Additional information: Same 14. INTERIOR DOORS AND TRIM: Doors: type Hollow Core ; material Masonite1 3/8" thickness Door trim:. type S) i mli ne material Wood31t Ba,e: type Slimline ;material wood 12 Finish: doors latex Enamel i t :pa s ,size ; trim Other trim (stmt. I)•pr and location) -- Additional information. 17. WINDOWS: 1Vindows: typeS1 i rli ng make -Phi 1 i ng material Al t Im /811. , !r ;sash thickness DSB-SSB Glass: grade ; ❑ sash weights; ❑ balances, iypc head fla►hing Alum Trim: type material Weatherstripping: type Stripping Paint number coats Felt Screens: ❑ full; d half; typeAluln material Sturm sash, number ;numberep r Planscreen cloth material Saran Basement windows: tlpe material screens, number ;Storm sash, number Special windows Additional information: 18. ENTRANCES AND EXTERIOR DETAIL: Main entrance door: material -eta It t, 1 ;width �_ ; thickness 1✓.1L�? Frame: material Wood ,thickness 1s" entrance doors: materials C WOOd 11 1-321-32/4Other n width _ ; thickness �Frame: material Wood _ ; thicknessj--3Z4" liead flashing Weatherstripping: type. : saddles Screen doors: thickness "; number screen cloth material Sturm doors: thickness ", number Combination storm and screen doors: thickness __"; number.; screen cloth material Shutters: ❑ hinged; ❑ fixed. Railings , Attic louvers Exterior millwork: grade and slxcies Paint number coats Additional information: S1 i dp al t im Dnnr-lit to 1 nanr, 19. CABINETS AND INTERIOR DETAIL: Kitchen cabinets, wall units: material - Cak lineal feet of shelves - Plan ;shelf width 19"_ Base units: material 1]ak counter top -- Pl ae t i r edging PI s g g-- �r Back and ends lash P1,gg H � p Finish of cabinets �larni Gh ;number coats 2__ Medicine cabinets: make GrOLP ; model SI -r11491 Other cabinets and built-in furniture Additional information: 40. STAIRS: TRL'AW STAIR RIZLRs STRINUS Material I Thickness I Material I nkllness I Material I Size Basement Main Attic Disappearing: make and model numbL-r Additional information: 2 I IANURAIL I B%LLSrLRt Malrrial 1 Size I matrrial Sise ,1 .1: i• .y iii ♦ i, '21: "SPECIAL FLOORS AND WAINSCOT: Describe Carpet as listed in Certified Products Director LocAnoNTHLW1OLo WALL BAsa � UNOaanmos MATs.R1AL, Colon, Bowe, Sz:u, GAOL,.ETC. MATsa1AL MATuIAL MAMR1AL Kitchen ' Vinyl Ve a Arms trop p Bath Vinyl Ve a•Armstron Concrete . . an� Metal o Pa 2" <. . •• HUONT HaiolrT IN Stiowsas LOCATION MATLaIAL,'COLOR, BowLa, CAP. Situ, GAoz, ETC. AUGHT OVCR Tus • (FROM FLOUR) Bath Bathroom accessories ❑ Recessed; material ; number ; [ Attached; material Chrome ; number L Additional information: 11. PLUMBING; FIXTURL NUMRLR LOCATION I MALA Mrs's F•1XTuaa lorNTi►iCATION No. Slat Coloa Sink , siFIUMFAYA 0 VA WA � WMA M i Lavatory NOW Water clout KIM. I me] i Bathtub Shower over tub6 Stall �— •Lauiidry trays _ &[R G stain rod ❑ Door ❑ Shower pan. material' �+ Water supply: (R public; Q community system; ❑ individual (private) system.* _.......,.... Sewage deposal: ❑ public; ❑ community system; ❑ individual (private) system.* *Shaw and drscribs individual ryltrm in compbtr drtail In rrparair dra inp and rp ocalicru according to requirenunts. ,•_ House drain (inside): ❑ cast iron; ❑ tile; (4 other .ApS House sewer (outride): ❑ cart iron; ❑ tilt; ❑ other Water piping: ❑ galvanized steel; ® copper tubing, ❑ other Sill cocks, number Domestic water heater: type C;1 aSs 1 i nP c tnraoP ; make and model Amer AM40 ; heating capacity CLQ 'g3l " Sph. 100' rise. Storage tank: materiXlass[f teel ; capacity Lt(L gallons Gas service: Zj utility company; ❑ lig. pct. gas; ❑ other Gas piping; @ cooking; Q •howa heating Footing drains connected to; ❑ storm sewer; ❑ sanitary sower; ❑ dry well. Sump pump; make and model capacity ; discharges into 1.1. HUTINOt ... ❑ Hot water. ❑ Steam, ❑ Vapor. ❑ One -pipe system, ❑ Two -pipe quem. _ ❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model Radiant panel: ❑ floor; ❑ wall; ❑ ceiling. Panel coil: material ❑ Circulator. ❑ Rcturn pump. Make and model ; capacity gpm Boiler: make and model Output Btuh.; net rating Btuh Additional information: - Warm air: ❑ Gravity. - ® Forced. Type of system Furnace Duct material; supply Plastic :return alv Metal Insulation Fi hProl nsibickness 2" rl OUPida,_tljr intake Furnace: make and model Input 0 000 Biuh.i output ,479, 0 , —'Btuh Additional information: AC ❑ Space heater; ❑floor furnace; ❑ wall heater. Input Btuh.; output Btuh.; number ugito .,..,.�....._. Make, model Additional information: Controls make and types Tad P LIT1 R Ai t t nm t i r r 1 nr, l� j ,i f-14 a r L k. - Additaral information: Fuel: ❑ Coal; ❑ oil; t3 gas; ❑ liq. pet. gas; ❑ electric; ❑ other ; storages capacity . Additional information: Firing equipment furnished separately: ❑ Gas burner, conversion type. ❑ Stoker: hopper fad ❑; bin Toed ❑ - -, Oil burner: ❑ pressure atomizing; ❑ vaporizing Make and model Control Additional information: Electric hating"system: type Input watts; Q volts; output._... —Brut Additional information: Ventilating equipment: attic fan, make and model ; capacity cbt kitchen exhaust fan, make and model Range Fair Hood+7 snPPri fa/n� 1-1R�S55 Other hating, ventilating, or cooling uippment . �Vy� - L 11.V .D.• V 4 /4,T 0 'V a C4 — �O / L lvck $_ 44. UAMC WIRIN(h a Service. ❑ overhead; ® underground. Panel: ❑ fuse box; Gkeircuit•brcaker; makeRrgan t A IT's J 2 5 No. eitcuiu.l.l Wiring: ❑ conduit: ❑ armored cable; (X) nonmetallic cable; ❑ knob and tube; ❑ other - Special outlets: ❑ range; ❑ water heater; ❑ other AIrnnrl fa Doorbell. ❑ Chimes. Push-button locationsFront door Additional information: _ 25..UGHTING FIXTURES: Total number of fixtures 16 Total allowance for fixtures. typical installation, i 400 Nontypical installation -- - Additional information: DESCRIPTION Of MATERIAI DESCRIPTION OF MATERIALS 26. INSULATION: I.00AT"Al TNIxrmu MATLRIAL, Tv►t, AND N11(twO for 1N6TAtA-ATlQN VAPOR BARRItR Roof Ceiling 1211 — t is wall 3-Y' R-13 Fiber2lass Batts Floor 27. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere( or use to provide additional information where the space provided was inadequate. Always reference by item number to correspond to numbering used on this form.) HARDWARE: (make, material, and finish.) Kwikset B lair Brass SPECIAL EQUIPMENT: (State material or make, model and quantity. Include only equipment and appliances which are accept. able by local low, custom and applicable FHA standards. Do not include items which, by established custom, are supplied by occupant and removed when he vacates premises or chattles prohibited by law from becoming realty.) PORCHES: TERRACES: GARAGO: SPP Plan WALKS AND DRIVEWAYS: Driveway:'width 161- base materialConcrete 41' „ thicfeess surfacing material ; thickness Front walk: width 3 ; material Concrete thickness 4 . Service walk: width ; material ; thickness Steps: material treads—"; risers—". Cheek walls OTHER ONSM IMPROVEMENTS: (Sperlfj a/I ei1err0r OMl(e IlrrprOt'elllen(s not described r1jcwhere,,rlrc1udln8_IterrU Such Or URUrUOt gradin(, dralnere-structures, re(ainiNg IINtIIJ, fPaty, nciliegl— and e(ntslry structures.) 6' Wood Fence kront yard automatic sprin ers - LANDSCAPING, PLANTING, AND FINISH GRADING:per 4145. 1, Rev 1, Appd ix 8 Topsoil " thick: ❑ frontard; (:)side yards; ❑ rear yard to feet behind main building. Lawns (#rv", sodded, a jprigged): front yard "2%46 C-2 sick yards ❑ rear yard Planting:as speeifil•d and shown on drawings; ❑ as fullows; Stade trees, deciduous. " caliper. Evcrgrnn trees, ' to B & B: Low flowering trees, deciduous, to Evergreen shrubs. ' to ' a& B. High -growing shrubs, deciduous, ' to ---�- Vines, 2 -year Medium -growing shrubs, deciduous, ' to _ �_ �_�q LA, Low -growing shrubs, deciduous, ' to ' IDatmnlawnorr,—This exhibit shaU be identified by the signature of the builder, or sponsor/ and/or the proposed mortgagor if the latter is known at the time of application. Date- / A Signature Signaturey 4 HUD -92005 (6-70) VA Form 20.1852 Form FmH� 424.2 ,A of :1! g -Ilk t r. 14a 'Uffita -of This Certihcaie issued pursuant to the reqqiremehts of Section 306 -of the; Uniform Building Code certifying that at the time of issuance this structure Was in compliance with the various ordinances of the City regulating building construction or use. For the following. I Use Classification VN Group R3 Type Construction Fire Zone Coachella Valley Ownerof Building HqUSiLng r_n;; I i t i 19a Address Indio, I -A 91101 City eye Lonnie Day Dots.. December 6, 1993 Building Official "T IN A. CONSPICUOUi, I'LACE BUILDING ADDRESS 52-050 Avenida Mendoza % Single Family Dwelling 11417 -Bldg. Permit No. i. Z SR Use Zone 45-701 Monroe Street, Suite G