11412 (SFD)Building 52-695 Rubio
Address
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Coachella Vly. House Coalition
Mailing
Address 45701 G Monroe St
City Zip Tel.
Indio 92201 347-3157
Contractor
owner/Builder
City jZip I Tel.:
State Lic.I City
& Classif. Lic. #
Designer
Address Tel.
City I
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 Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, atter, 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) or
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 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 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
ofproving. that he did not build or improve for the.purpose of sale.)
:j7 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 or 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 i � � 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 40 Company
-Q;Copy is filed with the city. 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of 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: d, after making this Certificate or 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 it work thereunder is suspended for 180 days.
1 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
No. 11412
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number M-313== SZX REXR 773--282--1122
Legal Description � �tT.s` r: 3 Z Lot 9 B1k:L F 5
Project Description SFD
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:
Sq. Ft.1351
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter❑ Repair ❑ Demolition ❑
Permit doe,
not include block walls
Or pool
Estimated Valuation
84,009.40
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
ARA 'IA
Const.
c'. ^t' 9 n n
Mech.-
Al r-11
Electrical
; a n I
Plumbing
11,42 n n
S.M.I.
a r4 A
Grading
n AA
Driveway Enc.
a Infrastructure
1 8117 _ R
Dy-,or+f ei:+-
TOTAL
3214.24
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. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
'
YARD SPKLR SYSTEM
POR. , SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
ROCK STORAGE
DRAINAGE PIPING
WALL SQ. FT.
DRINKING FOUNTAIN.
SQ. FT. @
REINF. STEEL
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER HEATER SERVICE
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
LUMBER GR.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP
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.
SO. 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
MESH
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 dmDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
121
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) /�O METER LOOP
!
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
yd
$ plus x$
c$
LUMBER GR.
FINAL INS . 3
FRAMING �
FINAL INSP
ROOFING
VENTILATION
3 -9t 3,k �
a l Ire .3 L�
i30 Hca +" a��a h
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION ,,#
t
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 1/7/93
No. 111952
Owner Name
DISTRICT
Type of Permit
Coachella Valley Housing Coalition
No. SEE Street BELOW
city La Quinta Zip 92253
La Quinta
Permit #
Log
Study Area 112
APN # Tract # Lot # 0 Square Footage 112,736
Type of Development I Single Family Residence. No. of units 10
Comments 52070 Madero: 52155,355. Navarro; 52447 Rubio; 52250 Obregon; 52865 Velasco
(6 Ca? 1,222 SO
g7n5n Mpndn7a� q)AQC C;f) Riihi , gi7F,fln MartinP7 (4 Cad 1151 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 /exed by rthur
Payment Received
Signature
deck No. 3.4344
Collector. AKach a copy of county or city plan check application form to district copy for allwaivers.
Embossed Original- Building Dept./Applicant C'opy - Applicant/Receipt Copy - Accounting
VETERANS ADMINISYRATION,.U.S.O.A. FARMERS HOME ADMINISTRATION, ANC
` U.S. DEPARTMENT1O0t,HOUSING ANO•URBAN5DE'VELOPMENT
HOUSING FEOERALAOUSING'COMMISSIONER.
I -or uccurale register of carbon copPies. form may be soparatod'alotig above
fold. Staple completed'sheels togcthor In origintil ordei.
®i Proposed Construction DESCROP TI®N OF MATERIALS No. -
(Tu be lnserred by HUD. FA orj-m11 IJ
Q Under Construction '
Property address Various Cit, La. Q u i n t a, Stats CA. 92253
-Mortgagor or`Sponsor Directors Mortgage Loan Corp. P.O. Bok 1489 Riverside,CA. 92502
......... l�Vamfl lAdJress) ,.
Contractor or Builder Coachella Valley Housing Coalition Plaza I, 45-701 Monroe St.Suite G.
I�•n,r► Indio, Ca. 922MIkI-1
INSTRUCTIONS
1. For additional Information on how this form Is to be submitted, number required, then the minimum acceptable will be assumedWork exceeding
of copies, oto., Na the Instructions applicable to the HUO Application for minimum requirements cannot tie considered union Specifically daaarlbod.
'Murtaage Insurance. VA Request for Determination of Rossonaple Value, or d. Include no -alternates, "or equal" phrases, or contradictory 'Items.
FmHA Property Information and Appraisal Report, at- the case may be. (Consideration of a request for acceptance of substitute materlals or.equip•
2. Describe all materials and equipment to be used, whether or not shown Mont Is not therebyprecluded.) '
on the drawings, by marking on X in each appropriate check -box and entering 5. Include.slgnatures required at the and of this form.
the Information called for each space. If•speca Is Inadequate, enter "Sea misc." 6. The construction shall" be completed in compliance with tho' related
.and descrlbif under Item 27 or on an attached sheat. THE, USE OF PAINT drawings and: specifications, as amended during processing. The specifications
CONTAINING MORE THAN THE PERCENTAGE OF LEAD BY WEIGHT Include -this Description of Materials and the applicable Minlrlwm Prpporty
PERMITTED BY LAW IS PROHIBITED; Standards.
3, Work not specifically doscrlbed or shown will not be considered unless
1. EXCAVATION:
Bearing mail, type Per soil report - Sandy Loam
2. FOUNDATIONS: :
Footings: concrete mix 5 Sack ; strength psi 2000 Reinforcing 2 #4 Bars
Foundation wall: material Concrete Reinforcing
Interior foundation wall: material Party foundation wall
Columns. material and sizes Piers; material and reinforcing
Girders: material and sizes Sills: material
Bawinent entrance areaway Window areaways
Waterproofing Footing drains
Termite protection Soil Poison by chemical spray with cert.
Bssemeniless space: ground cover ; insulation ; foundation veno
Special foundations Rebar tie at garage door opening all concrete shall have compressive strength
Additional information: of 2000 lb. in 28 days.
• Form Approved
OMB No. 2502-0182 IExp. 11/30/831
3. CHIMNEYS:
Material Galv. Dbl. wall Prefabricated(rnokeand er�fJ Amivent 4"
Flue lining: material lfeater flue site 3tf Fireplace flue siae
_ t
Vents (malfrial and sitf/: gas or .oil heater water heater 3
Additional information: Galv. 4"
4.' FIREPLACUs
Tyjie: ❑ solid fuel; ❑ gas -burning; ❑ circulator (marif and ri;#) Ash dump and cleanout
Fireplace: facing lining ; hearth ; mantel
Additional information;
S. EXTERIOR WALLS:
Wood frame: wood grade, and species D.F. #2 Corner bracing. Building paper or felt #15 Felt
Sheathing thickness width ; ❑solid; ❑spaced " o. e.; ❑diagonal;
Siding grade type site ; exposure "; featoning
Shingly grade : type site ; exposure "; 4uening
Stu cw 3 coats ; thickness _ 7/8 Lath Mesh Wird / Pappr Rack ; weight1..2�1b
Masonry veneer Sills Linitis Bane flashing
Masonry: ❑ solid ❑ faced ❑ stuccoed; total wall thickness _ _.. "; facing thickness "; facing.matcrial
Backup material ;. thickness_"; bonding.'
Door sills Window sills Lintels Use flashing
Interior surfaces: dampproofing, coats of ; furring
Additional information:
Exterior painting: material Ext. Latex ; number of coal.
Gable wall construction: IN same as main walls; ❑ other construction —
6. FLOOR FRAMING:
Joists: wood, grade, and species ; other -- = ; bridging ; anchor
Concrete slab; IM basement fluor; ❑ first floor; M ground supported; ❑ wif-supporting; mix 5 Sack - ; thickness
reinforcing 6/6 Wire Mesh insulation; membrane 10 Mi,] PD Y�--
Fill under slab: material Sand ; thickness 211
". Additional information:
7. SUBFLOORINOt (Describi, undeMooring for w4cial floors under item 21.)
Material; grade and species ; size : typo
Laid: ❑ first floor; ❑ second ttoor; ❑ attic sq. ft.; ❑ diagonal; ❑ right angles. Additional information:
-8. FINISH FLOORING: (Wood only. Describe other finish flooring underitem 21.)
LoceTltr.r Rooves Ga.oa S►Lcnsa TItIC.x1. W.DT.t .1 D..tw. Peru
First floor
Second flow
Attic floor mi. ft.
Additional information:
Previous edition may be used until supply is exhausted I DESCRIPTION OF MATERIALS
HUD -92W5 (6-79)
VA Form 28.1852 Fwm FmHA 424.2
i
DESCRIPTION OF MATERIALS
9. PARTITION FRAMING:
Studs: wood, rade, and species D,. F. #2 rite and 211 x 11 16ito. c
g PK pacing `i V Other
Additional information:
10. CEILING FRAMING:
Joists. wood, grade, and Species Trusses Other Bridging
Additional information:
11. ROOF FRAMING:
Raflere wood, grade, and species Trusses Roof trusses (see detail): grade and species D.F.
Additional information: See attached detail
12. ROOFING:
Sheathing:wood rade, and cies 211.CD x Ply or 7/16". 14afer Board
Pe � solid; ❑spaced " o.c.
Roofing COIIC-�1'le ;.grade ;sue 13'x16 type
Underlay Felt weight or'thickness . 30# ; size fastening Nail
Built-up roofing number of plies surfacing material
Flashing: material Galv. Metal —;.gage gage or weight 26 ❑gravel stops;,[]
-11snow guards
Additional information: Overhang Y. CC x P1V Sheeting
13. GUTTERS AND DOWNSPOUTS:
Gutters: 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 thickness T— Plaster: coati finish
Dry -wall M walls, IN ceilings: material 'Gyp Brd• thickncu 2 finish Text
Joint treatment Tape. Firewalls - 5/811 G D Board - Natural Tape
15. DECORATING: (Point, .wallpoper, otc.)
RooNs WALL FINISH Ml0%Ttal1kl. Anu'A►►LICATION CtILINo FINISH MATtaIAL AND A►►UCATION
Kitchen Latex Enamel"2 Coats . Same
Bath Same'
Other Dinning Latex Enamel Coats Same• _
Liv Bdrms Latex Emamel 2 Coats Same _
Additional information:
16. INTERIOR DOORS AND TRIM:
Hol
Doors. type 1o
STAIN
TaL•,.U/
RISLRS
STAINur
Material I Thickneu I Material I nicknen I Material.. I . Size
IlAvua..IL I BuLsrtxs
Material Size --I} at Size
Basement
MainAttic
Disappearing: make and model numbL-r
Additional information:
2
W Core
;material Masonite 1 3/8"
` thickness
Done trim: t Slimline
type material Wood 3 "
Bare: q•px Slimline ;material .wood , r;te 12
Finish: doors Latex te_x Enam l Con f s
trim
Other trim (lima, !gyp and larohon)
Additional information.
17.
WINDOWS:
%Vindows: type C1 i rli no make -Phi
ter.
1 i nc ;material Al 1 tm ; sash thickness
DSB-SSB
Glass: grade ; ❑ sash <wcights;
❑ balances,, type head flashing Alum
Trim: type material
Paint number coats
Weatherstripping: type Stripping
material Felt Storm rash, number..
Screens: ❑ full; d half, type -Alum-
numberep r PI Noreen cloth material Saran
Basement windows: type material screens, number ;Storm sash, number
Special windows
Additional information:
18.
ENTRANCES AND EXTERIOR DETAIL:
Main entrance door:. niaterial Metal1'
l._..2L
; widlli'�_ ; thickness 4 II Frame;, material 1a00d thickness 1,.Z"
Other entrance doors: materials/C wood
„
width ; thickness L -3A it Frame: material WOOd _ ; thickness l -3L411
licad flashing
1VeaJierstrip.ping: type : saddles
Screen doors: thickness "; number
screen cloth material Sturm Joon: thickness ", number
Combination storm and screen doors thickness __";
number ; screen cloth material
Shutters. ❑ hinged; ❑ fixed. Railings
, Attie louvers
Exterior millwork: grade and species
Paint number coats
Additional information: s1 i rlP a l t im Driar-est
to 1 nano
19.
CABINETS AND INTERIOR DETAIL:
Kitchen cabinets, wall units: material
lineal feet of shelves _ P1 An ; shelf width 19 11
Base units: material flak
ed
; eounter'top --t 1dSt 1C - 'gingS t 1C
Back and end splash _Pl esti �
Finish of cabinets _-V irrj ch.; nuts' coats 2_—
Medicine cabinets: make GrntP
; model. Stril491
Other cabinets and built-in furniture
Additional information:
20.
STAIRS:
STAIN
TaL•,.U/
RISLRS
STAINur
Material I Thickneu I Material I nicknen I Material.. I . Size
IlAvua..IL I BuLsrtxs
Material Size --I} at Size
Basement
MainAttic
Disappearing: make and model numbL-r
Additional information:
2
�.
„ ,t'i`p � �,,.,• �,:-:::-::.,,;
21:"SPECIAL"IFLOORS AND WAINSCOT: Describe Car et os listed in Certi ied Products Director
.. , . ..
. .... ..: lOGT10N N$LL110LD
MATIatAL,.Cotoa;'Bowsa, Sala,`'Gwos,:ETc .., MATIauL ,
Vinyl -Vega Armstron •
Vinyl Ve a 'Armstron
Bath .. .- .. .MP fn I
w Metal
Pa2 tethane rDet' us len•" Q
.. _ w r in.(,�r&.4o,r wMAtgrti+r�r ri+ i
n.. ..
WALL BAas,.,,, i,.Ummannoa'
MATIaIAL' • MArumi. '. .
.nnnr rp r p
Te s.s- '.a
srd111111t
HucHr'• HuoNr.IN SNowLas
LOCATION MATIRtAL, i4LOR, BOROLR, r,.A1. $IL$a, GAOL, ETC., Lla1GNT OvaR Tus (FRom FLOOR)
Bath
Bathroom accessories: ❑ Recessed; material ; number ; [ Attached; material Chrome number 4
Additional Information:
22. PLUMBING:
FIXTURL Nuuma LOCATION MAX$ MrR*a FIXTURL IDINT1F1CAT10N No. Slag -• COLOR
... Sink'.1 Kit -
32 x 21
Lavatory
In tre al Marble
Water.eloset 2 Baths Elger 091-0100
Bathtub
Shower over, tubes , .
Stall shower&
Laundry trays: .
0(R Curtain rod . ,6❑ Door ❑ Shower pan:.material_
Water supply: [R public; ❑ community system; ❑ individual.. (private) system.*
Sewage disposal: ❑ public; ❑ community system;.❑ individual .(private) system.* .....—
... *Shaw and dejeribi individual .7jum in templets dztail in uparatr drawings and spfcifuvia.0 according to ►zQuirrmrntr. .........
w,.
House drain (inside): ❑ cast iron; ❑ tile; q other Ane House acwcr. (outside): ❑ Cast iron; ❑ tile; ❑ other
Water piping: -0 Galvanized steel; ®copper tubing, ❑ Sill cocks, number
oal
Domestic water heater: type (tel aSS l i no c tnrn&Pmake ake and model Amer AM40 ;heating opacity
gph. 100' rise. Storage tank: materiaNlass/Steel_ ; capacity..,(tn gallons
Gas service: Ej utility company; ❑ liq. pet. gas; ❑ other Gas piping: ) cooping;. j;ho4".~hoating
Footing drains connected to: ❑ storm sewer; ❑ sanitary sower; ❑ dry well. Sump pump; make and model
; capacity ; discharges into
23. HIATOGt .
. ❑ Hot water. ❑ Steam... ❑ Vapor. ❑ One pipe. system. ❑ Two -pipe system. _
❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model w
_ Radiant panel: ❑ floor;. [I. wall; ❑ ceiling. Panel coil: material
❑.Circulator. ❑ Return pump. Make.and model ; Capacity gprn
Boiler:. make and model Output •Btuh.i net .ratingBtuh
Additional information: -
Warm air: ❑ Gravity. ® Forced. Type of system Furnace:..,
Duct material: supply Plastic ":'return alv Metal Insulation Fih,-rolaswcknc" 21_': •f'l. id0:,.tt intake
Furnace: make' and model rl_arp•D (J G v6—� % input �QQQ Btuh ; outputQ 8tuh
Additional information: AC
❑ Space heater; ❑ floor furnace; ❑ wall heater. Input Btuh.; output Stub.. aurrthrr uw,;4,...�..�.,,.�.�.
Make, model 'Additional information:'
Controls. make and types TadP IT1R Ai i f nmq fir rinrlr �,i fh Roel, C
.-Additional information:
Fuel: ❑ Coal; ❑ oil; 13 gas; ❑ liq• pct. gas; ❑ elastic; ❑ other ; storage .capacity . y
Additional -information:
Firing equipment fumishod separately: ❑ Gas burner, conversion typo. ❑ Stoker: hopper feed ❑; bin feed ❑.
Oil burner: ❑ pressure atomizing; ❑ vaporising
Make and model Control
Additional information:
Y Electric heating'system: type Input watt$; Q volts; Output&cel
Additional information: ;>
....
Ventilating equipment: attic � fan, make and model
'-kitchen exhaust fan. make and model Range Fair Hood+2 -Speen fan PA3555-
Othcr heating, ventilating. or cooling uipment', *47 p -
t!'d,va., u�� a U2c�9'li�L /zCtB Ao ��
24. �crac WIRINtii' ...
�L:,•;
No. eirctdu
Service; ❑ overhead; ® underground. ..Panel: C3fuse box; (W eircuit•breaker; make Rey a n t AMP's ;.2; No.
Wiring: ❑ conduit: ❑ armored able; ❑ nonmetallic cable; ❑ knob and tube; ❑ other
Special outlets: ❑ range; ❑ water heater; ❑ other Alrnurl
Doorbell, ❑ Chimes. Push-button locationsFront door - Additional information:
15. , LIGHTING, HXTURES; 16
Total number of fixtures Total allowance for fixtures. typical installation, f 400
Nontypical installation - -
Additiunal information:
3 DEWUPTION Of AMTERIAI
:DESCRIPTION OF MATERIALS
26. INSULATION:
LOCATION T"wamLu .MATLRIAI�-`TY►@, Ar.o I\elrNVO ISI INIT�LLATION� VArOR ItARRIIa
Roof
Ceiling u - is
Wan
Floor
27. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items notishown elsewhere► or vis to provide
additional information where the space provided was inad
used on this form.) equate. Always reference by item number to correspond to numbering
HARDWARE: (make, material, and finish.)
Kwikset Be -lair Brass
SPECIAL EQUIPMENT: (State material -or make, model -and quantity. Include onlr;oquipmon► and appliances which are accept•
able by local law, custom and applicable FHA s►ondardr.' Do not include diems 'wlilch, by established custom, are supplied by
occupant and removed when he vo6otei'promises.or chotflos`prohibitod by law from becoming".realty.) -
Ki trhen ranRp C'a1'nri r RT C14 S
PORCHES:
TERRACES:
GARAGN:
_SPP Plan
WALKS AND DRIVEWAYS:
rr
Driveway -width 16,--; base materislConcrete thic gess 4 "; surlacing material ; thickness "
Front walk: width 3 material Collcrete thickness 4 Service walk; width ;material ;thickness "
Steps: material treads `
, ;risen -Cheek walls
OTHER OHM IMPROVEMENTS:.
(Sped y aN estrrier smite iinp►otvrrlrn(i not deJrribrd a/rrwAe►e, In(/adln` Itenss fueA as unuJual gradlni, drainage Jtru►tUrts, witimin� 11/a(/l, JfRh, r/IIIn6J,
and orJns/ry Jtrrctrrn. )
6Wood Fence
kront yard automatic sprinkiers
LAMDSCAPIMG, PLANTING, AND FINISH GRADING:per 4145.1, Rev 1, Appel ix 8
Topsoil-" thick; ❑ frontard. ❑.side yards; [3 r' yard to fen behind main building.
Lawns (Judd, added, a sprigged): front yard C c ,77 ; Mside yards ❑ rvar yard
Planting:as sprcifild and shown on drawings; ❑ as fullows:
Shade trees, deciduous. _"'caliper. Evergreen trees. to.__', B bt B'
Low flowering trees, deciduous, ' to Evergreen shrubs. ' to B tk B.
High -growing shrubs, deciduous,' to Vince, 2•year
Medium growing shrubs, deciduous, ' to .Og / /! r*,� T .Ts- da
Low -growing shrubs,. deciduous,' ' to -
•- --
IoarmneArtoN.—Thi@ exhibit shall be identified by the signature of the builder, or epoosor j and/or the proposed mortgagor if the latter in
known at the time of application.
Date / A / Signature
Signature
4
HUD -92006 (6-791
VA Form 28.1852 Form FmH,A 424=2
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NOTE: .,ALL GRADZNG.SiIALL BE-COMPLETED.ZN
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COACHELLA VALLEY HOUSING COALITION
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- - S:ITY OF-LA NTA.
ZNDIO, CALIFORNIA 92201
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