SFD (0206-180)LICENSED CONTRACTOR DECLARATION
I ilereby 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
675709 $3131103
Date t .Ici fLff� Signature of Contractor `a� � ' � (- `�� '%<N —
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Seca 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.
(i/) 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 AMMUN PYLOTEC' Policy No. VHROD5470
(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 9mploy 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 prov1. isions.
Date:f ^�V --Applicant "^�f'�a
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 theAirector 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.
P
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upori
the above-mentioned property for inspection purposes.
Signature (Own er/Agerit): 7` ��-'1+-^-- Date
BUILDING PERMIT PERMIT#
Cf2t7&M
DATE VALUATION (�[`� LOT TRACT
-7. f.3 .. _ �t , P ISVIJV i ', 28039-2
JOB SITE
ADDRESS %. - K.1 JVI { � P n F�{ y
APN 762_:JXJ.0J.9
OWNER
CONTRACTOR / DESIGNER / EN (NEER
SRI,%'t.:1W
:C.,KW70 HO iVING Jbrt''{i} RfTrfrlt H PAMAC 1i
l r�Ct,3t)�4T?6A1�c' 1 AdT�, SIX 200
1 IVEIMON OF:CiI2.Ht?.rc..'TO N
IRVINE rte. 92606
W --IM (--A. 92606
-p
(949)442.6199 CD L# 6r 35
USE OF PERMIT
SMIX!, 3.�Ahat.'`i' i CNC
WO ^ LO a f 1,9, 'PLAN PH, PERMIT DOYS NOT d1ro4;LUDE BLOCK
VIAL 1'004 SM, OR DRIVEWAYAPPROAWH
ICUSTOM MYNS`t'XUC, Iat4 4916,00 S
Pi75iO"Wri'o 811.00 SY
C' 1ARA.C1TYC-Ald<tPORT X50,00 SP
NOM T ) COST OF CC'?a'r;SO'R'1 MON
324,726.W
1�•.�t"9:�IIuT I"[ 9t?.l.4tl'll/UARV
CCNSTRU1 Ti'r N M 101-000.41'£ 400 S4AVIOR
PLAN C HWX VX9 $1,152.01
MIytyG•lMiG;'.!`ai, FRE $124,00
ELECTRICAL YFY_ 101 -000.420 -WO Vow
PLUMBING I -TE 101.000.419^000 X199175
S RONQ 14al'XIN M. t < RE;.4ITl 101-000-241-000
00-•241-000
ORAYaINO FFS 103-000-4123-01150 .0a
DEVEWPER IN9PACT nE
ART .11x1 PUBLIC: PLACES - iWellL 270-000445-000 SM L82
o
ty •s: ..
' SUB-YOTAL 001,111 'MUC1°CC>3,*J'.l D PLAN CH
�S,t3 iS:'1 i
TSS :11K84' 5 14- 5
$0.00
FIM wffr FEES VOR NOW
I I
2002
C17Y OF LAQUINTA
FINANCEDiEPT.
fBY
RECEIPT
DATE „
la
_"td
DATE F AL
2 Sa3
INSPE OR
01
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 p
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final 2 5 3
BLOCKWALL APPROVALb
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines _ p!19Heater
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 T Cf.
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors _
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Ducts) CF 4R
PROJECT INFORMATION
Project Title:
La Cala
Project Address:
La Quints
Builder Name:
Western Pacific Homes, Michelle Lopez
Voice # :
949.442.5199 x 4t92
Builder Contact:
John Ziernan
Voice # '
760-564-7555
Project ID * ;
28838.2
Sample Group 0:
Phase 4b
Lot #:
2019
Plan# — -
9-,
fAddmos;
81-108 MuIr field -Village
HERS INFORMATION -
~Scott
HERS Ramr:
Johnson— Jayme Carden
Certlfketlon to:
CCCSJ614037 CCNJC616167
HERS Firm:
Action Now
Voice t>! :
949.631-2274
Address:
2676 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider.
CHEERS
Voice # :
818-407-1500
HERS Address:
9400 Topango Canyon Blvd, Chatsworth, CA 91311
HERS RATER COMPLIANCE STATEMENT
r x j T-24 Compliance Credit was Taken for Tight Ducts
Tito 'house was:
Tested MApproved as a part of sample, but was not tested
x The Inbtaller has provk1ed a copy of CF -6R
Air Distribution System is Fully Ducted (sheetmetal, ductboard or flex duct)
Where Goth backed rug)txir 20hesive duct tape is installed, mastic and orawbends are used in Combination v0h
cloth backed, rubber adhesive duct tape to seal leaks at the connections.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic LPakaVCFA
Testing Results (Maximum 696 Duet Leakege)
CFA Leak Max Tested Leak
System o
Indicate the Maxanurn ws E Duct Leakage and the C41CUlation used:
0.7 x Floor Area x (0.08) for Climate Zone 8 througn 15
0.5 x Floor Area x (0.08) for Climate Zones 1 through 7 8 16
400 x (Cooling Capacity In Nominal Tons) z (0.06)
21,7 x (Heating Capacity in Thousands of Output BTU par hour) x (O.c6)
Other
DUR Pressurization Test Results (CFM ® 26 PA)
100Y Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fail (Pass a 6% or Lou) Paas a 7
System [::D of
Indicate the maximum a Owe la Dud Leakage and the calculation used:
0.7 x Floor Area x (0.06) for timate Zone 8 through 15
0.5 x Floor Area x (0.08) for Climate Zones 1 through 7 6 16
400 x (Cooling Capacity in Nominal Tons) x (0.08)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.08)
Other
u Pressurization Test Results (CFM IQ 25 PA)
100 x Test Leakage / Fan Flow = % Leakage
Check Box for Pass or Fall (Pass = 6% or Leos) paw
Fall
System = of �
Indieate the ma mum allowable Duct Leakage and the ealculsaion used:
0.7 x Floor Area x (0.06) for Clienote Zone 8 through 15
0.5 x Floor Area x (0.08) for Climate Zones 1 through 7 8r 18
400 x (Cooling Capeft in Nominal Tons) x (0.08)
221..e7rx (Heating Capacity in Thousands of Output BTU per hour) x (0.05)
CM
Pressurization Test Results (CFM ® 25 PA)
100 x Test Leakage / Fan Flow = % Leakage
Check Box far PA6a Or Fail (Pase�P% or Less) /j Pis a
Raters Certifying Signature ds r,_ c fyN✓ �_ Date I t7 -Q
F2001.02 (3-02) Action Now T-24CF4RT0maao.xis
HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 1 z1f 2 CF -6R
;Ile Address: e 1 l ,--, t,�t� `/ 1;� v/ei"'464".5 Permit Number.
Tract Numbei. 2P���',g�-Z Plan #:
Lot Number. M
An nstaration certificate k required to by posted at the building site or made evalitle for all appropriate Inspections,
alter i-^)rr+pletinn of final lnspKtion., a copy must be provided to the Suildir'ag Departmont (upon request) and the building
cwier at rrcupency, per ,;(--!ion 10.103(0).
PVAG SYSTEMS:
FleStin,j Equipment
c.,rn r:Fr. Mfr Nsrne
# of Efficlency Duci Healing He t��•^,
Identicle (AFUE, etc.) Location Duct Load capscity
Type anodel Name S stems (>= CF -1 R) (attic. etc. R -value 6?U 1 Hr ETIJ 1 Hr)
d M
4 U6 9 YA AAJJ 3'
-r �- e _ .%G�...
Gr - r f: i
t
(:poving Frluinrnent
# of Efficiency Duct coaling Cyjhry
c.., .... rFr ro,.sn.r Mfr N.— iderdlcle (SEER. etc.) Location Cuct Load Cayxity
effieiont than that ;pr,,�ified in the codiTlcate of COMPkanC-P (1-21M L;I,-SK) 91.10mn180 rOf COMPNsnce Miff ura LrierUr
E fficlznry Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for
ra:lufacuirec dev ces from the Appliance EH o Part 6}, where applicable, �f�f}Heating A{Cgi0y rInc.tnr,
:q""nature, . ifla nstai ing u 5con ra or ICO.,'Jame
OR General Contractor (Co. Name) OR Omer
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT
Duct Diagnostic i-eakage Testing Results (Maximum 6% Duct Leakage)
CFA'
System F:T] ofr`1
i -dictate the malcrmUm al an -a a OUot Leakage and the calculation used:
0 7 x F bier A,'ua x (0:06) for Climate Zone 8 through 15
0.5 x F k)o Area x (0,06) for Climate Zones 1 Through 7 & 16
400 x (:tooling Capacity in Nominal Tons) x (0.06)
1.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06)
measured Fan Flaw X.06
u uc •P:pssurb:ation Test Resij�s fZa529'PAj"^�
100 x Test t-aakage / Fan Flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass t at
T-24 Cotnpliance Credit was Taken for TXVTX•/ was ir,sta
',ysterr [:�] of
Inclrcale the maxnnum al owa Duct Leakage and the calculation used:
0.7 x Floor Area z (0.o6) for Clhtlats tone 8 through 15
0.5 x Flory' Area x (0.06) for Climate Zones 1 thmwh 7 & 16
400 x (Cooling Capacity in Nominal Tons) x (0,06)
Uiu-'Pressuei2ation
21.7 a (Heating Capacity in Thousands of Output BTU er hour) x (0.06)
Measure< Fan Flow , Test R s
100 x i est Leakage / Fan Flay = % LeaXalgW
ChFck Boy for Pass or Fa4 (Pass 6% or Less) Pass 1
=T-24 Crxnpliance Credit was Taken for TXV TXV was Installer)
PATE"
F2001.01 (4.02) Action Now.T-24CF6-R'!T0&TXV macro _
tTO 'd Wd4T ISO ZO/LZ/ZT T3Z4ZS9tT—' -•k!V V I --H ?1�43a11
HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page? of 2 CF -6R
Site Address: 8-1105- M Ur 1 t, vt LI—A &7 F Permit Number:
Tract dumber: 2.15e3i5-7- Plan 9: 2
Lct Number: /q
System r-,741 of
Indicate the maX1rnurn .1owa a Duct Leakage and the cstulatlon used:
0.7 x Floor Area x (0.06) to Climate Zone 8 through 15
10.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 18
`1 400 x (Cooling Capacity in Nominal Tons) x (0.06)
11.1 x (Heating Caoxity In Thousands of Output 5TU per hour) x Am)
f Measurod ran Flow
,7oi Pressurization I est Results tL�j
100 x Test Lea-..trgr: I Fen Flow •_ % Leakage
Check Sox lo! 'ass or Fail (Pass - 6`Yo or Less)
-T-24 Canpliance Credit wo5 Taken (or TXV
. }sI�
tem J of �]
Indicate the maximum allati�able Duct Leakage and the calculation Used:
0.7 x Ftoor Area x (0.06) for Climate Zone 8 through 18
0.5 e Floor Area x (0.08) fw Climate Zones 1 through 7 & 16
400 x !Cooling Capacity in Nominal Tons) x (0.06)
21.7 x (Heating Capacity in Thousands of Output BTU ppr hour) x (0.06)
Measured I=an Flow
b6,Ei=rssurization Test ResulisTGFM p_ 2
100 r Tes! Leakage 1 Fan Flow = % Leakage
Check Box or Pass or Fail (Pass = 8% or Less)
Z�T-24 :wnFita!+c:e C alh wax Taken for TXV
5yst?m [ of
the r;oximam elh�+.'eblo Curt Leakaga and the eoleulOtlon used:
j� 0.7 x Floor Area x (O.Of) for Climate Zone 8 through 15
0.5 x Floor Area x (0.08) for Climate Zones 1 through 7 & 16
40O x (•;oolir q Caoagy in Nominal Tons) x (0.06)
21.7 x (Heating Capacity in Thousands of Output BTU per four) x (0.08)
Measured Fein Fkm
u_ct Prp-�..surization Test Res*vits ZZIFIVI @ 25 PAI
100 % Test Leake I Fan Flow - % Leakage
heck Sox for Pass or Fail (Pass = 6% or Less)
r� T-24 Compliance Credit was Taken for TXV
In,ticate the miXlmum of owa a Duct Leakage and the calculation used:.
0.7 x Floor Area x (0.06) for Climate Zone 6 through 15
0,6 x Floor Area x (0.06) for Climate zones 1 through 7 & 16
400 x (Cooling Capacity in Nominal Tons) x (0,06)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x(0.06)
Measured Fan Flory
-,,e5jsurizalion Test Renu s
100 K •Piot Leakage / Fan Flow= % Leexage
Che -,k Box for Pass or Fail (Pass = 5% or Less)
U r.24 Compliance Credit Y*s Taken for TXV
X .06
X .06
X .06
TXV was
I AV was
TXV was
TXV was
I. ti,a undersigned, "Ify that the above diagnostic test results and the work 1 performed associated with the test($) is'
,n conformance with the maquvements for compliance credit. (The budder shall provide the HERS provider a copy of the
CF E: signed by the builder employees or sot> -contractors certifying that diagnostic testing and installation meet the
rrc;jirxnerts for compliance credit.)
hedli Ileatlir�ct and Air G ondlflon;nigtn:
Rst't s — signature, a e nsrt ailing u cur: ractor (Go . amc O
',Janie)
General Contractor (Co.
Merformad
CC ^Y T.,: Building Department
HERS Provider (if applicable)
Building Owner at Occupzncy
S -risible Load 1.
Cooling' 2.
3.
PAGE 2
sT0 'd wdLT 1eo Z0: GT?ZT T9ZLZ89tTG -A!V 6 leaH ',163all
Corporate Officer Nft
P.O. Box 462890Phone: (760) 737-8888
Escondido, CA 92046 FAX: (760) 737-0350
License # 663581
WESTERN PACIFIC HOUSING
LA' QUINTA
7.60-564-7022 (FAX)
1-6-03
Attn: JOHN,
Roofing on "LEGENDS na, P.G.A. WEST" Ph 4B
Mayer Roofing has supplied and installed " 19 " O'hagin cloaked roof vents , on lot # 2019
at 81-105 Muirfield Villiage, Tile vents have been installed per manufacturers
specifications.
Note: Exact vent locations are determined by builder
RESPECTFULLY SUBMITTED
SCOTT BEECHAM
OPERATIONS MANAGER
Mayer Roofing, Inc.
Page 1 of 1
558 Library Street . San Fernando, CA 91340 193 Orange Street . Riverside, CA 92502
(818) 838-6064 . FAX (818) 838-4493 (909) 782-0601 FAX (909) 782-0804
WESTERN INSULATION, L.P.
4211 Latham Street, Riverside, California 92501
Tel. (909) 686-8760 Fax (909) 686-8786
INSULATION CERTIFICATE
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
TRACT: LA CALA
LOT #: 19
SITE ADDRESS: 81-105 MUIRFIELD VILLAGE - LA QUINTA CA.
---------------------------
EXTERIOR WALLS: BA TTS
MANUFACTURER: KNAUF THICKNESS: 6 3/4" R- VALUE: R-19
CEILINGS: BATTS
MANUFACTURER: JOHNS MANVILLE THICKNESS: 11" R- VALUE: R-30
GENERAL CONTRACTOR: WESTERN PACIFIC HOUSING
BY:
TITLE:
DATE:
INSULATION O TRACTOR: WESTERN INSULATION, L.P.
LICENSE NUMBE : 794484
BY:
TITLE: PRODUC ION AAN GER
DATE: NOVEM ER 1, 002
11 uts, uz iihiI rrt.a �," •
00V as E002 j.e;S7pM CVUSo FHCIt_ITIES " • 7fi039t~i224
Coacgen-g`Vauey Unified School District
F.O. Box 847, Thermal, CA 92274
(760) 395-5909 - Fax (760) 398-1224
` A
projoet battle= _
owner's Nome
Project Addr¢sti
Prop-ct: Desaript
Tbm sort:: Dtttrtct C:s tint y
DEVEiLOPHii FEES P� :'t1D
ij'.lL QMR v.3Wr, WV{L Yup wKt'tat ':
DNYL• otSCL3t'r�,1lt:i. r.
CxaTzJzCA•r F OF COMI' .LANCE
(CaUtornio Jd. ac tion Cods 11620)
a No. �4._g. 44:6199
n�
u u -may �.9 I'at !1't:--
Ap?q:...: e.Bt ---
. asl _-XX Ce mvrtiai
-type a(Deymlepwant: etc![
W r Arta: ~� ,
wftbet and
Cordiivatfon of AppLiC � � had=7 mpr"soff` ts that he/she i$�tDuthot�2edtW ehgn on betel f t1 t towner/devolapet s 'his ssatezn�at
•.utdes patsal+y of perJttty
Dated: _____ - $6iAr;ttlte; . ____..r._ �__ �__ _—� •.._. _ _�--
l Raw•'. ••'iw as v,r air 7'1' W• lt'af illi ARat! />rttia! vldr%••al aaa R* ar •91s i.•baaaMa••.•aa
s c nal, IS �Wi9'H ONE �F HE FALTLmwaraGc�oiacarE a1 j� RAY Ep:Err'�a wltl. BE SATISFIED n•
project AEreetnastt Ettlt UM9 Not Subject to Vol;
Edoesdion Cede Gov. Code 1 tllyetyeent
!'riot to t/11t37
17620 699.9s Approvel
Note.__
>efuenber ofSq.irt��;� _ �1 ,.���-a t]f;�3•
Amotuttper Sq.Ft. S Myi°mien ��et;trtent-�i11:-Z17f-� T --
Amount Collected
Building Permit Application-Ceenpl4ttd: VOI ND
by; Caren hL Cit bgli - --
Asst. Swpt.. 9oatiusate SQ:1V- /
�7=liftcateisauedby: Marcela Valdez - Si6asduc; %n �r Y-
�� er
RZZYM-911M FLEA 6" or
'vadnn 66olti of the veverntawet CA& ass& -Nd try •'►risibly Silt %Upttl ttQkatl"a Ja Other
u 1 n C0711>aa ttew i it■ klaytt prow � � �tua Datict eo .
b rind to rritretehe Ittpottltp! M
fAu }reject apttltssR. !3 tt+e:lfenoot poymoat oe reboot fees �' eptlO kA or�tiaa rtIi010 of tiiwrnpttre+itLlwdM'rand tt+rr PPIi+AMo'aw, t1Yt Notltt shall
that Fwa ttad (U t6t asmunt or die Lotti. 'yhertfore, Iv w-uOr rat7p of Ltd t!at, t per 44011c!met at
serve w edtl" you that ttw %t -dtt prututt parivd to rliyrd to tnteh Fan or the vs%ft thoraco$ comawnt" WWI rite iU
Se grawta
to t
any other rrgairrmroaW All daarlbt/ In iet+tyoa ebt110 sf Lias GovtraM=t endo AAditkedly, tko amtuot pf � fit$ inppsod 1■ to lerein ret forth. wA=•Cher
p>.yablo at Litt} date or in whatt Yr 10 pe%t print lNfTlcs tar$ Cnstlivota ACkli trpaary. An N tha!$flar, ow tip days ettrrt4 on Me date htritSt• Thla
Ctyabieati of Comptlartee is �ol>d forsidrty �) da;%rn:m tht datesttstttoDte. 3toeoaetsn viitt Aanly for 000d caHei Et 4cfermtaetl hb the School
I)ictrlct and op m three (3} u+ri$ tatatzasteas real he Rrrnlani At sack tt w ar this Carlitiuterarap 1[ a twi}ding J181`11119k$a riot Dems'.asntd far the prvi�r.
;bat is the WNW of this Ct:rriflcatt, ttrt twatr "(d ba reiu trwd all 1140 that nlra pritl to ob&eiD roti Cor>sfle►ie ttCt mpl►e°09/30072
MV .� �rry�et/devtba/csrti f iwty of corrtOutO
Certificate of Occupancy
City of La Quinta
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 109 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:
BUILDING ADDRESS:
Use Classification:
Occupancy Group:
SINGLE FAMILY DWELLING
81-105 MUIRFIELD VILLAGE
R-3 Type of Construction: VN
Owner of Building: SRHI, LLC
Building Official
Bldg. Permit No.: 0206-180
Land Use Zone: RL
Address: 16940 VON KARMAN AVE, STE 200
City: IRVINE, CA 92606
By: DANIEL P. CRAWFORD JR.
Date: 2/5/03
POST IN A CONSPICUOUS PLACE