04-3745 (SFD)P.O. Box 1504
78-49
�5 CALLE TAMPICO
OF'i•4�� ��
QUINT '�, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
Qty Unit Charge Per
BASE FEE
Extension
15.00
BUILDING PERMIT
Application Number
t04-0.0:0.0.374.5
Date 4/29/04
Property Address
57914 SANTA ROSA TR
APN:
762-240-013-32 -30487 -
Application description
DWELLING - SINGLE FAMILY
DETACHED
Property Zoning . . .
LOW DENSITY RESIDENTIAL
Application valuation
. . . . 179157
Owner
Contractor
SANTA ROSA DEV
GREYHAWK, INC.
40847 SANDPIPER CT
1603 TRASK ROAD
PALM DESERT
CA 92260 ENCINITAS
CA 92024
(760) 634-1031
WCC: NONE
WC: EXEMPT
08/31/05
CSLB: 798228
08/31/05
CCC: B
---------- ----------- -----
Structure Information -------------------------
Construction Type . .
. . . TYPE!V -.NON RATED
Occupancy Type
DWELLG/LODGING/CONG <=10
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
Other struct info .. .
. . . CODE EDITION
2001CBC
FIRE SPRINKLERS
NO
GARAGE SQ FTG
710.00
PATIO SQ FTG
610.00
NUMBER OF UNITS
1._00
--------------------
FIRST FLOOR SQ FTG
2747.00
---------
Permit . . .
-----------------------------------------------
BUILDING PERMIT
Additional desc
Permit Fee . . . .
891.50 Plan Check:Fee
144.87.
Issue Date . . . .
Valuation . .
. . 171191
Qty Unit Charge
Per
Extension
BASE'FEE
639.50
72.00 3.5000
THOU BLDG.100,001-500,000
252.00
--------------------------------------------=-------------------
Permit . . . . . .
MECHANICAL
------------
Additional desc
Permit Fee . . . .
114.50 Plan Check Fee
7.16
Issue Date . . . .
Valuation
0
Qty Unit Charge Per
BASE FEE
Extension
15.00
P.O. BOX 1504 •
VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Date: 3 "3
Applicant: ct ' ct or Engin r'
OCc,&y
Applicant's Mailing Address:
Architecf or Engineer' Ad fess:
1/4_
IDU r� =iJ AV— 701
4 L&A, IBJ ,(!Z-1 ciy_6z)
Lric. No.: 1q>5'9S
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty 11 perjury that I am licensed under provisions of Cha to 9 c encing with Section 7000) of Division 3 of the Business and Professionals
Cod ,and my Lic a is in full force and effect. Z
icense Class 1 License No. 7
Date 0'- Y (2-- h J
L
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).
U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , B.& P.C. for this reason
Date Owner.
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier Policy Number
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' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those p isio „/y/)
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
-6der's Name ` Q W,5 + �/1�4/0yJw/�_
Lender's Address A A X )_X %F J ` a 'S 61cn ' (& 1171D O—• `/
(ow
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application.
1. , Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the owner; and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information i ct. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county en n e bove-mentioned property for inspection purposes.
ignature (Applicant or Agent):
Page
2
Application
Number .
. .
. . 04-00003745 Date
4/29/04
Qty,
Unit Charge
Per
Extension
3.00
9.0000
EA
MECH FURNACE <=100K
27.00
3.00
9.0000
EA
MECH B/C <=3HP/100K BTU
27.00
6.00
6.5000
EA
MECH VENT FAN
39.00
1.00
-------
6.5000
EA
MECH EXHAUST HOOD
6.50
--------
Permit
-----------
. . . . .
---------------------------------------
ELEC-NEW RESIDENTIAL
-----------
Additional
desc
Permit Fee
125.35
Plan Check Fee
8.77
Issue Date
. . . .
Valuation
0
Qty
Unit Charge
Per
Extension
BASE FEE,
1.5.00
2747.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
96,.15
710.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
14*.20
Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
199.50
Plan Check Fee
12.47
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
20.00
6.0000
EA
PLB FIXTURE
120.00
1.00
15.0000
EA
PLB BUILDING SEWER
15.00
2.00
7.5000
EA
PLB WATER HEATER/VENT
15.00
1.00
3.0000
EA
PLB WATER INST/ALT/REP
3.00
1.00
9.0000
EA
PLB LAWN SPRINKLER SYSTEM
9.00
10.00
.'7500
EA
PLB GAS PIPE >=5
7.50
1.00
15.0000
EA
PLB GAS METER
15.00
Permit .
. . . . .
GRADING PERMIT
Additional
desc
Permit Fee
15.00 Plan Check Fee
.00
Issue Date
. . . .
Valuation
0
Qty
Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE,
15.00
Special Notes and Comments
SFD - LOT
32, PLAN 2/CT.PERMIT
DOES NOT.
Page 3
Application Number
----------------------------------------------------------------------------
04-0.0003745
Date
4/29/04
Special Notes and
Comments
INCLUDE BLOCK WALLS,
POOL, SPA
OR,
DRIVEWAY APPROACH.
75% REDUCTION TO,PLAN
CHECK FEE DUE TO MULTIPLE ISSUANCE
OF
SAME PLAN TYPE
-----------------------------------------------------------------------------
Other Fees . . .
.
ART
IN PUBLIC PLACES -RES
.00
DIF
COMMUNITY CENTERS -RES
97.00
DIF
CIVIC CENTER - RES
366.00
ENERGY`REVIEW FEE
14.49
DIF
FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
DIF
LIBRARIES - RES
225.00
DIF
PARK MAINT FAC - RES
6.00
DIF
PARKS/REC - RES
502.00
STRONG MOTION.(SMI) - RES
17.11
DIF
STREET MAINT FAC -RES
15.00
DIF
TRANSPORTATION = RES
1098.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1345.85
.00 .00
1345.85
Plan Check Total
173.27
.00 .00
173.27
Other Fee Total
2437.60
00 00
2437.60
Grand Total
3956.72
.00 .00
3956.72
Sent By: AMPAM-LDI;
909 340 9688; May -12-05 8:47; Page 5
iNRTATI ATION CERTIFICATE CY-6K .
57-914 Santa Rosa Trail
Site Address
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form
is required; however, use of this form to provide the information is options.) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per section 10-103(b).
HVAC SYSTEMS:
Healing Equipment
Equip. Type
# of
Efficiency
Duct
Duct or
Heating
Heating
(pkg. heat CEC Certified Mfr, Make &
identical
(AFUE,etc.)'
Location
Piping
Load
Capacity
pump, etc.) Model Number
Systems
[aCF-I R value]
(attic, etc.)
R -value
(Btu/hr)
(BTU/Hr)
FAU CARRIER 58STX110122
_
1
80.0%
ATTIC
R4.2
110,000
FAU CARRIER 59STX090116
1
80.0°ib
ATTIC
R4.2
90,000
Cooling Equipment
Equip. Type
# of
Effecieney
Duct
Cooling
Cooling
(pkg. heat CEC Certified Compressor Unit
Identical
(SEER, etc)-
Location
Duct
Load
Capacity
pum% etc.) Mfr. Name and Model Number
Systems
[ICF -1 R valuel
(attic, etc.)
R -value
(Btu/hr)
(BTU/Hr)
A/C COND. CARRIER 39BRC06WO
1
12
ATTIC
R-4.2
60,000
A/C COND. CARRIER 38BRC048000
1
12
ATTIC
R-4.2
48,000
12! reads greater than or equal to.
1, the undersigned, verify that the equipment listed above is: 1) is the actual equipment installed, (2) equivalent to or more efficient than that specified in the
certificate of compliance (Form CF -I R) submitted for compliance with the Energy Efficiency Standards for residential buildings and (3) equipment that meets
or exceeds nate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), when applicable.
AMPAM LD1 Mechanical.
Jennifer 5/11/2005 HVAC Subcontractor (Co. Name)
OR General Contractor OR Owner
WATER HEATING SYSTEMS:
Water CEC Certified Distribution If Recir- Rated input Tank Efficiency Standby External
Heater Mfr Name & Type (Std, culation, # of Identical (kW or Volume (EF, RE) Loss (%) Insulation R -
Type/# Model Number point -of -Use) • Control Type Systems Stu/hr) (gallons) value
FAUCETS tit SHOWER HEADS:
All faucets and showerheads installed are listed in the Commisions Directory of Certified Faucets and Showerheads,
pursuant to Title -24, Part 6, Subchapter 2, Section 111.
1, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds
the requirements of the Appliance Efficiency Standards. In addition, l have verified that the equipment is equivalent to or more efficient than the equipment
specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings.
Signature, Date
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
RCR COMPANIES '
Plumbing Subcontractor (Co. Name)
OR General Contractor OR Owner
05/11/2005 08:48 951-686-8786 WESTERN INSULATION PAGE 03/17
we
RBS
I'D
4211 Latham Street - Riverside, California 92501 • Phone: (909) 686-8760 • Fax: (909) 686-8786
License # 794484
CF6R 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/PHASE: SANTA ROSA TRAILS / PHASE 1
LOT 32
SITE ADDRESS: 67-914 SANTA ROSA TRAILS — LA OINTA, CA
CEILINGS:
BLOWN INSULATION
MANUFACTURER:
GREENFIBER
THICKNESS:
10.3"
R- VALUE: R-38
CEILINGS:
BATTS
MANUFACTURER:
KNAUF
THICKNESS:
12"
R- VALUE: R-38
CEILINGS:
BATTS
MANUFACTURER:
KNAUF
THICKNESS:
6'/4
R- VALUE: R-19
INTERIOR WALLS:
BATTS
MANUFACTURER:
KNAUF
THICKNESS:
3 %z"
R—VALUE. R-11
GENERAL CONTRACTOR: GREYHAWK HOMES
BY:
TITLE:
DATE:
INSULA ON CONTRACTOR: WESTERN INSULATION, L.P.
LICENSE NUMBER: 794484
BY:J�'
TITLE: PRODUCTI AGER
DATE: MAY 11, 2005
a/all
�- Certificate of Occupancy
O O
U -ot 4 Qum&
_. (rx�ouitv44
GAOF9w5 Buildin & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
`
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
C
BUILDING ADDRESS: 57-914 SANTA ROSA TRAILS
4 4
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-3745
k
Occupancy Group: R3 Type of Construction: V-N Land Use Zone: RL
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a,
f
f
p
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Owner of Building: SANTA ROSA DEVELOPMENT Address: 40847 SANDPIPER CT.
S
7
City, ST, ZIP: PALM DESERT, CA 92260
By: STEVE TRAXEL
----^ Date: APRIL 1, 2005
!
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SPECIFICATIONSt _ 2 Co o
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HYPE (9 D \ �3- J� -- SIZE 1� x , -� rte- n
SURFACE AREA OF POOL
PERIMETER DEPTHS MN. , MAX. S r O
. SPA SPECIFICATIONS ELECTRICAL Ld
SIZE �— X — SQ, FT. BY LENGTH ft > Q
SPA DAM WALL WIDTH ` TIME CLOCK_ SUB PANEL L,J Q Z
NO. OF JETS NO, OF LIGHTS IN POOL .
J
LIGHT 1(10 "j BOOSTER PUMP OUTSIDE G.F.I. LIGHTS �_ G.F.I. QUTLET ry <
CA. AQUA AIR -BAR AND BLOWER EXTRA SWITCH FOR SPA LIGHTC! U LL -
BLOWER
BLOWER ONLY BLANK OUTLETS Z Q
RAND SPA SP1II.WAYS MOTOR BOOSTER Q L'iU
SPECIAL NOTES BLOWER CLEANER Z O
in Z
EXCAVATION C� MISC. O CIN
=
ACCESS FROM COPING AND TILE CC U
ELEVATION COPING WHITE
DEEP END RAMP COPING SPECIAL
FENCE REMOVED BY TILL TYPE
FENCE TYPETILE TRIM MASTIC
TRASH REMOVAL LOADS 6" R.B.B. SL 12" R.B.B. _13..18" R.8.8.
CONCRETE REMOVAL LOADS MISC•
TREE REMOVAL BY
STUMP REMOVAL BY
DIRT PAD DECKING J
o
6" R.B.B. _112" R.B.B. X3.18" R.B.B. _ ft. BY UP TO �
WALKOUT/MISC. FINISH , COLOR O
ROCK PACK EXPANSION JOINTS n
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78-341 DARBY RD BERMUDA DUNES,CA,92203 SHEET
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HEATER 1%. SIZE Is-
MASTIC FOOTING
STEEL
STEPS TYPE
I
EXPANSIVE SOIL
CANTILEVER
EQUIP. WALL TYPE 1t. X ft
6" R.B.B. _Jt 12" R.B.S._1 18" R.B.B. ft
DECK DRAINS CURB CORE
a
SURCHARGE DEEP END RAMP
DECOD DRAIN DIVING BOARD JIG
B
SKIMMER TYPE
LOVESEAT INSIDE ft, OUTSIDE
PATIO STRAPS AND FOOTING NO,
7
SPA WALL WIDTH In OTHER In
SLIDE INSTALLTION
w
WALL DOWEL/MISC.
T -BARS DECK DOWELS
MASONRY (-�
FENCING
0
LL_
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COPING TYPE ` '
to BUILDING & SAVt
PLANTER WALL
11 F®R Ci N I i t� Jt
12
PLUMBING
TYPE ft. X ft
0
FILTER SIZE
CAP BACK UP WALL
0A RIV EL-I.PEGTIGN FEE OF
POOL PUMP (i SIZE
FOOTINGS R.B.B. FACING
MISC'
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78-341 DARBY RD BERMUDA DUNES,CA,92203 SHEET
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OF
HEATER 1%. SIZE Is-
FlREPIT TYPE 9ZE
NO. QUANTITY MATERIAL DESCRIPTION
1
BOOSTER PUMP
EQUIP. WALL TYPE 1t. X ft
S
4
a
5
B
SKIMMER TYPE
7
w
8 CI
FENCING
0
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to BUILDING & SAVt
10
11 F®R Ci N I i t� Jt
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CARETAKER II! OF HEADS
0
0A RIV EL-I.PEGTIGN FEE OF
WILLBECHARGED 1 iPROVED
PLANS 1{ V GARD ARE NOT ON
MISC'
THE SITE FOR A SCHEDULED
OTHER CLEANER STUB ONLY
FILL LINE Z4 SLIDE LINEPLASTER
P -TRAP _1i BACK WASH TO
[36'VT- SPA
GAS LINE STUBS
LIGHTS'PDOL
FOUNTAINS/SPRAYHEADS
ROPE RINGS EYEBALLS REQUIRED
a
^
�l
LIGHTS IN POOL _ IN SPA % 0 0 �(
COLOR NAME TILE
CARETAKER AQUA AIR BAR
HYDROSTATIC VALVE
STUB SET EQUIPMENT
SPECIAL EQUIPMENT
SOLAR RUN
DIVING BOARD SIZE
SAWCUT AUGER
MODEL COLOR
MISC.
SLIDE SIZE
a
GUNITE
MODEL COLO
a.
(�
GUNITE INSPECTION REQUIRED: YES V NO
POOL COVER SOLAR HTG•: YES NO
ROPE RINGS GRAB RAILS
FENCING
OWNER SHALL MEET ALL LOCAL CODE REOUIREME14TS
DEEP END RAMP
PRIOR TO PREPLASTER INSPECTION
6" R.B.B. 1 12" R.B.B. fL 18" R.B.B. ft.
OTHER
LOVESEAT EXTENDED 2nd STEP
O
rm
NOTCHED BOND BEAM
COPING CANTILEVER
NOTCHED SPA DAM WALL
SAP DAM WALL WIDTH
v�
OWNER RESPONSIBILITIES
d
OWNER TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
i�
(2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF LOCAL
�
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED
(4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS,
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
rj
PRIOR TO PREPLASTER INSPECTION
M46
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT US RUBBER HOSE)
I
(7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY
N
I
USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW.
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a
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE.
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SIGNATURE(S) DALE
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78-341 DARBY RD BERMUDA DUNES,CA,92203 SHEET
Bust (760) 880-2203 Fax, (760) 360-6725 License# 624647
OF
FINISH SCHEDULE
NO. QUANTITY MATERIAL DESCRIPTION
1
2
3
S
4
a
5
B
7
8 CI
0
LL_
Q
•..�
to BUILDING & SAVt
10
11 F®R Ci N I i t� Jt
12
REVISIONS DATE — 'Y —
Delta Dote By D hange
0
0A RIV EL-I.PEGTIGN FEE OF
WILLBECHARGED 1 iPROVED
PLANS 1{ V GARD ARE NOT ON
THE SITE FOR A SCHEDULED
i EXTIEFFIFINT V-)
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Z F,
A DIVISION OF' CASA VERDE LANDSCAPE
78-341 DARBY RD BERMUDA DUNES,CA,92203 SHEET
Bust (760) 880-2203 Fax, (760) 360-6725 License# 624647
OF