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0205-250 (SFD)` LICENSED CONTRACTOR DECLARATION • a ~� 4 - I hereby affirm urider penalty of perjury that I am licensed under provisions of •� Chapter 9 (commencing with Section X000) of Division 3 of the Business and W Professionals Code, and my License is in full force and effect. ch License # Lic. Class / Exp. Date LLJ 6134410 Q' i OX l P_ Z t— /Date Z -AY � Signature of Contractor ,��/� O ' - f J U C:) OWNER -BUILDER DECLARATION W w I hereby affirm under penalty of perjury that I am exempt from the Contractor's ~ a License Law for the following reason: Z( ) 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). cY) () I am exempt under Section B&P.C. for this reason NDate * Signature of Owner Orn Q WORKER'S COMPENSATION DECLARATION IL o �. Cr I hereby affirm under penalty of perjury one of the following declarations: U-) < O () 1 have and will maintain a certificate of consent to self -insure for workers' X LU compensation, as provided for by Section 3700 of the Labor Code, for the O �:Q performance of the work for which this permit is issued. CO I:Q U ( ) I have and will maintain workers' compensation insurance, as required by ,0,,- Section 3700 of the Labor Code, for the performance of the work for which this Hpermit is issued. My workers' compensation insurance carrier & policy no. are: r Z Carrier ' ,E IIT Policy No. ob r- C) Q (This section need not be completed if the permit valuation is for $100.00 or less). " O 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 f,0- rthwith comply with thoseeprovisions. Date: IIf4" Applicant C` �,rr�""•"°". Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in �5 addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to ` any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit. issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building l ` construction, and hereby authorize representatives of this City to enter upon ij '-the above-mentioned property for inspe •tion purposes. e.: { Signature (Owner/Agent) � Date '• BUILDING PERMIT PERMIT# .t DATE VALUATION LOTTRACT +} S413,974A 30 2"67 •.,F s JOB SITE r / ADDRESS 52— 'IV) DEL GUM, DMVE, APN OWNER CONTRACTOR / DESIGNER / EN (NEER , TONY z OCKWOOD, RUDSOW %0�3:+�P.2YlC%%O11T pill i.►v Makr CA 922.12 5215 USE OF PERMIT I 446 SIX. SM -'LOT 50. D'ff1;,�ti1T C1Cxts�'PIi�T 1N�LUi3 EitdJC1� WALL% POOL, SIVA Oft DRIVEWa' Y APPTaOACH CUSTOM F.y.+XV6b,i.R,UC 1014 "fyG.mou S ' PC112C1HIPATIO 1,791.00. it 13Ak•2.a"aQVICARPOR.T '764.00 OS' -, )KRIMAMW CogOF Cs?SITN3MJN 13,74AO PRO1rl FRE 9UYghRY CONS`.4 RUC's 101 3BIZ l ol-000-.4 3 8-fyw S1,7J, S0 Pd. Kt ? Cr? kX :.Y,; rFS, 102-000-439-311a s t,m ab ME z:°HA1d3(Wx A7,14 1011.000.421.000 SM11150 Y1,W'rr3NCAL FEF, 101-000-420-000 P1;UMMOMil 103-000-419-000 STIa'.€ -NO MOTHON FEE • R,&HD 101-000-2-41-$i O 541.40 sA&DMG F F: 101-('ct30.4p-00 tors. ,y 0l VM' OPER IMPAC"r r PRECISE PLAN 101 -00 0' 443.345 8100.00 Ae Y 114 PUBLIC MACES .Raw .2'3d-coo-44-s-wo $534.94 F'r��%:►1�P0�•1`I' 101-000.439.2%1 E1,9mOA 2TRUCT109 AM) PLAN CHEIICK PRE -PAW 1;XF-9 -M,000.00 FEBMINI 0 4 2003 UAL P=YMC RN' DUE Rtav CITY OF Baa r r.yr LA QUINTA FINANCE DEPT. / r" J RECEIPT DATE 2/11 BY �' DA AL INSPECTO _> INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING `APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade i I Return Air Steel Combustion Air Roof Deck Exhaust Fans O. K. to Wrap Framing ,� F.A.U. Compressor Insulation Q - 51rr Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall E>"erior Lath D Drywall - Int. Lath / Q Final Final POOLS - SPAS BLOCKWALL APPROVALS 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 Water Piping ��_G� _ //l -�/ Heater Final Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral_ Pool Cover Sewer Connection / �, c<- ej Encapsulation Gas Piping Gas Test _ Q Y�- Appliances Final COMMENTS: T' / 131-oG,(�7 (,j 4 j C� 4 7 - Q l atM�Ok-�,, 7, -a -j 4-/-/ �� 63 ��,� n� �`'� AC44A S7u� .6N 6ACC" r ga- _""'-'1 15,JC, ft*w4 —1ev 10 , 5Adev o S,pr4r,41__ --ff // C eY A G G G (U hti S SX-eA,L "Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground 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) "�—�/ CITY OF LA QUINTA SUB -CONTRACTOR LAST ghsaj 44lSlxal,' J J013 ADDRESS 3Z-8Z�3" T�4�r= L,�t/� PERMIT NUMBER OWNER Cl,IUr'� 4°Gifu4, e4ftL BUILDER This form shall be posted on the job with the Buildi[Ig Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building: Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade Classification / Contr. r. acto :.,. State::Contractor;s:L�cense:::. ' Workers .Compensation Insurance . < City Busuiess`.L,cense::.. Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date (e.g. A, B, C-81 (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) (xxxx) (xx/xx/xx) EARTHWORK'(C742): , ACU ,(&,a4(,L Zn/C, C - l Z ' SQZG� 30 02 SS C Fin�D 6 CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road Date 1/31/03 La Quinta, CA 92253 No. 24101 (760) 771-8515 Owner Tony Lockwood Address 50645 Grand Traverse Avenue City La Quinta Zip 92253 Tract # 28867 Type Single Family Residence Lot # Unit 1 50 Unit 2 Unit 3 Unit 4 Unit 5 Comments No. Street 52700 Del Gato Drive S.F. 4816 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 4�J��FtEDsc�o o Q BERMUDA DUNES r RANCHO MIRAGE (� r INDIAN WELLS PALM DESERT ,y V LA QUINTA 4INDIO `^ O J J APN # 769-180-020 Jurisdiction La Quinta Permit # Study Area No. of Units 1 Lot # , No. Street S.F. 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 (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that 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 Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 4,816 S.F. or $10,306.24 have been paid 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 CC/Wells Fargo Bank - Ken Hudson Check No. 0072503170 Name on the check Telephone Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Monica Guillen $10,306.24 $0.00 Payment Recd Over/Under Signature L!`/ NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original-.Building''l epartment/Applicant Copy - Applicant/Receipt Copy - Accounting YOUNG ENGINEERING SERVICES 47-159 Youngs Lane, Indio Ca 92201 Phone: (760) 342-9214 Fax: (760) 342-6164 August 26, 2002 Tom Hartung Building & Safety City of La Quinta RE.Lockwood Residence, La Ouinta Dear Tom, We have reviewed the truss layout and calculations for the above residence and find it to be in general conformance with the design intended. If you have any questions please call. YOUNG ENGINEERING SERVICES 47-159 Youngs Lane, Indio Ca 92201 Phone: (760) 342-9214 Fax: (760) 342-6164 August 26, 2002 Tom Hartung Building & Safety. City of La Quinta RE. -Lockwood Residence, La Quinta Dear Tom, We have reviewed the truss layout and calculations for the above residence and find it to be in general conformance with the design intended. 'If you have any questions please call. J Qp10��•SS/Q `"yl Exp. ORs 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 # LLicc..TiClass Exp. Date 63;;20 B1 -HC i2r Ii2C Date Signature of Contractor 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 (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. ( ) I have and wily 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 EXEMPT Policy No. (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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant 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 representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature (Owner/Agent) Date PERMIT # BUILDING PERMIT � 0205-250 DATE VALUATION $4413,974.40 LOT S0 TRACT 28867 JOB SITE ADDRESS 52-700 DEL GATO DRIVE APN - -769-180-020 OWNER CONTRACTOR/DESIGNER/ENGINEER TONY LO C -WOOD ' HUDSON CONSTRUCTION 50-645 GRAND TRAVERSE AVE, 77-622 COUNTRY CLUB DR #N! LA QUINTA CA 92253 PA M DESERT CA 92211 (760)345.5154 CBL# 5285 USE OF PERMIT SINGLE FAf9-Y DWELLING' 4816 S.F. SFD - LOT 50. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH CUSTOM CONSTRUCTION 4,816.00 SF oL ST. PORCH/PATIO 1,792.00 SF GARAGEICARPORT 77.00 SF E-FrUklATED COST OF CONMUCITON 413,974.40 PERMIT FEE SUMMARY CONSTRUCTION FEE 101-000-418-000 $1,738.50 PLAN CHECK FEE 101-000-439-318 $1,442.66 . MECHANICAL FEE 101-000.421-000 $184.50 ELECTRICAL FEE 101-000-420-000 $302.34 PLUMBING FEE 101-000-419-000 $312.50 STRONG MOTION FEE - RESID 101-000-241-000 $41.40 GRADING FEE 101-000-423-000 $15.00 DEVELOPER IMPACT FEE $2,405.00 PRECISE PLAN 101-000-441-345 $100.00 ART IN PUBLIC PLACES - RESIL 270-000-445-000 $534.44 FEE DEPOSIT 101-000-439-318 -51,000.00 SUF3-TOTAL CONSTRUCTION AND PLAN CHECK $7,077.04 LESS PRE -PAID FEES -$1,000.00 TOTAL PE10M FEES DLIE NOW $6,077.04 RECEIPT DATE BY DATE FINALED INSPECTOR REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED O REINFORCED CONCRETETRUCT. STEEL ASSEMBLY O 0 ST TENSIONED ❑ ROE NFORCED MASONRY RETE O FIRE HPROOFING ALTHER JOB LOCATION _ 9 Q^ U Q To � ^ A ^ %vL1 u `k� /PERMIT REPORT SEQUENCE NO. TYPE gM TUBE ,/7 ■� NO. DAT 1 O� DAV OF WEEK MA TERIALJESCRIPTION .Z � ✓ - `�� ARCHITECT I j,(�� HRS. CHARGED F--"? D dry A'w- ENGINEER O V tlk- ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL`� SUB _ q [ - CONTRACTOR ov` CONTRACTOR �I..�J` M1 r • �P S� � � �S �/4� 4k u Goss U.T. ---t-mvs p. CV -'-- 44,103 60c, 1r, e- L'4 co —(A e V-Tq IL 10 3 COPY SENT TO CLIENT O CON MED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. l� V TU E OF REGISTERED IN CTO t 2� a ��. �7S DAT F R PORT REGISTER NUMRFR * "C w + r f t ISO J� liSPECIAL INSPECTION SERVICE, REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjooi Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED p REINFORCED CONCRETE TRUCT. STEEL ASSEMBLY ❑ O POST TENSIONED CONCRETE ASPHALT p OTHER O REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCA -7 00 0-e4� 1,P, Q'u �N.� '�`wO� REPORT SEQUENCE NO. TVYY5 FrZ TUBE Lo 0 PERMIT NO. OATS '� DAY OF WEEK MATERIAL DESCRIPTION w / ,N1 (o ARCHITE T qr N$ o bJ INS MRS. CHARGED �r(TN ' (o% EN I E u tw D • ` ASSISTANTS HRS. CHARGED INSPECTION GENERAL SUB DATE CONTRACTOR Kej& t4 U& CONTRACTOR L V4 V wtQAe� A-%Aok - T6FS.SGM e>v --ckA l.A-W J S L) \ �- G.L. COPY SENT TO CLIENT O CONTIN D ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT 1 HAVE INSPECTED TO THE BEST OF M1 KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SN Ti 2 OF REGISTE�E,COTOF�� ATE &f REPORT REGISTER NUMRFR CHEERS Page 2 of 7 4 i Jam¢ Builder: Hudson Construction Project: Lockwood Date of Test: 2-3-2004 Model/Plan #: Main House Lot # / Dwelling Unit:ll Location or Mailing Address: 152-700 Del Gato City, State ZipCode: I LaQuinta j, ^California] 92253 System Number: I of 1 4,731 The house was: (D Tested 0 Approved as part of a sample You can override this value for each Measure below. Tested Duct Leakage @ Tested) Approved as part of a sample R Pass i Test Leakage Flow in CFM [ j Duct Leakage Testing Method: 400 cfm/ton x number of tons 21.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) 0 Climate zones 8-15: 0.07.x Floor Area 0 Climate zones 1-7 & 16: 0.05 x Floor Area 0 Fan flow if measured in the field Leakage Percentage (1'00*Test Leakage/Fan Flow) 14.0 Thermostatic Tested 0 Approved as part of a sample Expansion Valve R Pass http://www.cheersregistry.org/admin/contractsequences.php?f=ESR&LinklD=2643&LinkType... 2/4/2004 CHEERS Note: this is the official CEC CF -4R. Only those Measures which require verification need to be completed. Certificate of Field Verification and Diagnostic Testing (CF -411) Project: Date: Lockwood 12-3-2004 j Address: Builder I Owner: 52-700 Del Gato Hudson Construction LaQuirita, CA 92253 Lot # I Dwelling Unit: 1 , Plan Number: Main House HERS Rater: HERS Provider: CHEERS Address: System Number: House Square Footage: 4 1 o 4 11102 HERS Rater Compliance Statement This house was: This test was: Tested 0 Approved as part of sample testing but was not 0 an Initial test 0 a Retest tested Page 3 of 7 Rl The installer has provided a copy of CF -6R (Installation Certificate). 0 Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). 0 Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. Date 12-4-2004 Certifying Signature Minimum Requirements for Duct Leakage Reduction Compliance Credit Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Duct Pressurization Test Results (CFM @ 25 Pa) Test Leakage Flow in CFM. Calculation Method: 400 cfm/ton x number of tons 021.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) 0 Climate zones 8-15: 0.07 x Floor Area 0 Climate zones 1-7 & 16: 0.05 x Floor Area 0 Fan flow if measured in the field Measured Results 48 http://www.cheersregistry.org/admin/contractsequences.php?f=ESR&LinklD=2643&LinkType... 2/4/2004 CHEERS Page 4 of 7 Leakage Percentage (100 x Test Leakage / Measured Result) = I4:0 I Pass Minimum Requirements for Duct Design Compliance Credit Yes from both tests below is a Pass. 1. ACCA Manual D Design requirements have been met (rater has verified that actual installation complies with CFAR and design on plan). 0 Yes @ No 2. TXV is installed or Fan flow has been verified. If no TXV, verified fan flow complies with design of ACCA Manual D Calculations. Q Yes 0 No Measured Fan Flow: _ - I Pass Thermostatic Expansion Valve (TXV) Thermostatic Expansion Valve is installed and access is provided for inspection. Pass Refrigerant Charge and Airflow Measurement Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # I I Outdoor Unit Make Location Outdoor Unit Model Cooling Capacity Date of Verification Date of Refrigerant Gauge Calibration Date of Thermocouple Calibration I 1 BTU/hr (must be checked monthly) ( (must be checked monthly) Standard Charge and Airflow Measurement (outdoor air dry-bulb 55°F and above): Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55°F rater shall return to verify charge and airflow at a time when temperature is 55°F or greater. A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge and airflow measurement documented. 0 Yes O No Measured Temperatures Value Supply (evaporator leaving) air dry-bulb temperature - (Tsupply,db) �F Return (evaporator entering) air dry-bulb temperature I i (Treturn, db) l . - .. F Return (evaporator entering) air wet -bulb temperature iOF (Treturn, wb) Evaporator saturation temperature (Tevaporator, sat) (°F Suction line temperature (Tsuction, db) - OF Condenser (entering) air dry-bulb temperature (Tcondenser, �— of db) Superheat Charge Method Calculations for Refrigerant Value http://www.cheersregistry.org/admin/contractsequences.php?f=ESR&LinklD=2643&LinkType... 2/4/2004 CHEERS.- Page 2 of 7 A Builder: Hudson Construction Project: Lockwood ' Date of Test: 12-3-2004 j Model/Plan #: Main House Lot # / Dwelling Unit:! 1 Location or Mailing Address: X52-700 Del Gato City, State ZipCode: I LaQuinta California ®+� 92253 System Number: 3_ — of�4 The house was: 0 Tested 0 Approved as part of a sample You can override this value for each Measure below. Tested Duct Leakage Tested O Approved as part of a sample Pass Test Leakage Flow in CFM (51 Duct Leakage Testing Method: 400 cfm/ton x number of tons 0 21.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) O Climate zones 8-15: 0.07 x Floor Area 0 Climate zones 1-7 & 16: 0.05 x Floor Area 0 Fan flow if measured in the field Leakage Percentage (I00*Test Leakage/Fan Flow) I4.3 Thermostatic Q Tested 0 Approved as part of a sample Expansion Valve 0 Pass http://www.cheersregistry.org/admin/contractsequences.php?f=ESR&Link[D=2643&LinkType... 2/4/2004 CHEERS Note: this is the official CEC CF -4R. Only those Measures which require verification need to be completed. Certificate of Field Verification and Diagnostic Testing (CF -411) Project: Lockwood Address: 52-700 Del Gato LaQuinta, CA 92253 Lot # / Dwelling Unit: `1 Plan Number: Main House HERS Rater: Address System Number: 3 of 4 HERS Rater Compliance Statement This house was: Tested 0 Approved as part of sample testing but was not tested Date: 2-3-2004 Builder / Owner: Hudson Construction HERS Provider: CHEERS House Square Footage: 11102 f 1 This test was: 0 an Initial test 0 a Retest Page 3 of 7 W The installer has provided a copy of CF -6R (Installation Certificate). R Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). 0 Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. Certifying Signature Date [2-4-2004 Minimum Requirements for Duct Leakage Reduction Compliance Credit Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Duct Pressurization Test Results (CFM @ 25 Pa) Test Leakage Flow in CFM. Calculation Method: 400 cfm/ton x number of tons 021.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) 0 Climate zones 8-15: 0.07 x Floor Area 0 Climate zones 1-7 & 16: 0.05 x Floor Area 0 Fan flow if measured in the field Measured Results 151 i I http://www.cheersregistry.org/admin/contractsequences.php?f=ESR&LinklD=2643&LinkType... 2/4/2004 CHEERS Page 4 of 7 Leakage Percentage (100 x Test Leakage / Measured Result) = 14.31 Pass Minimum Requirements for Duct Design Compliance Credit Yes from both tests below is a Pass. 1. ACCA Manual D Design requirements have been met (rater has verified that actual installation complies with CF -1 R and design on plan). 0 Yes @ No 2. TXV is installed or Fan flow has been verified. If no TXV, verified fan flow complies with design of ACCA Manual D Calculations. I 0 Yes @ No ; Measured Fan Flow: Pass Thermostatic Expansion Valve (TXV) Thermostatic Expansion Valve is installed and access is provided for inspection. ❑� Pass Refrigerant Charge and Airflow Measurement Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Outdoor Unit Make Location ) I. Outdoor Unit Model I r 1 Cooling Capacity ff' I BTU/hr Date of Verification Date of Refrigerant Gauge Calibration Date of Thermocouple Calibration (must be checked monthly) (must be checked monthly) Standard Charge and Airflow Measurement (outdoor air dry-bulb 55°F and above): Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55°F rater shall return to verify charge and airflow at a time when temperature is 55°F or greater. A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge and airflow measurement documented. 0 Yes 0 No Measured Temperatures Value Supply (evaporator leaving) air dry-bulb temperature I _ aF (Tsupply,db) Return (evaporator entering) air dry-bulb temperature of (Treturn, db) .. Return (evaporator entering) air wet -bulb temperature 1-F (Treturn, wb) Evaporator saturation temperature (Tevaporator, sat) i J °F Suction line temperature (Tsuction, db) ( ]OF Condenser (entering) air dry-bulb temperature (Tcondenser, i of db) Superheat Charge Method Calculations for Refrigerant Value http://www.cheersregistry.org/admin/contractsequences.php?f=ESR&LinkID=2643&LinkType... 2/4/2004 CHEERS, Page 2 of 7 Builder: Hudson Construction Project: Lockwood ' Date of Test: 12-3-2004 Model/Plan M Main House , Lot # / Dwelling Unit:1 Location or Mailing Address: 152-700 Del Gato j I � City, State ZipCode: LaQuinta California E21192253 System Number: ['Lf of 14 The house was: 0 Tested 0 Approved as part of a sample You can override this value for each Measure below. Tested Duct Leakage Q Tested 0 Approved as part of a sample j Pass Test Leakage Flow in CFM 47 Duct Leakage Testing Method: 0 400 cfm/ton x number of tons f: 0 21.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) 0 Climate zones 8-15: 0.07 x Floor Area 0 Climate zones 1-7 & 16: 0.05 x Floor Area 0 Fan flow if measured in the field ' Leakage Percentage (100" Test Leakage/Fan Flow) i 5.9 Thermostatic o0 Tested 0 Approved as part of a sample Expansion Valve ` W Pass http://www.cheersregistry.org/admin/contractsequences.php?f=ESR&LinklD=2643&LinkType... 2/4/2004 CHEERS_ Note: this is the official CEC CF -4R. Only those Measures which require verification need to be completed. Certificate of Field Verification and Diagnostic Testing (CF -411) Project: Date: Lockwood 12-3-2004 I Address: Builder / Owner: 52-700 Del Gato Hudson Construction i LaQuinta, CA 92253 I' Lot # I Dwelling Unit: ' Plan Number: Main House HERS Rater: HERS Provider: CHEERS Address: I r System Number: House Square Footage: 1 1 of 4 1986 HERS Rater Compliance Statement This house was: This test was: Tested O Approved as part of sample testing but was not O an Initial test O a Retest tested Page 3 of 7 The installer has provided a copy of CF -6R (Installation Certificate). Fv-1 Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive guct tape to seal leaks at duct connections. As the FSS rater prViyng diagnostic testing and field verification, I certify that the houses identified on this form coapli the o �teste�dcT�uements as checked on this form. F Date ,2-4-2004 (`c Ci fi irc � Minimum Requirements for Duct Leakage Reduction Compliance Credit Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Duct Pressurization Test Results (CFM @ 25 Pa) Test Leakage Flow in CFM. Calculation Method: 400 cfm/ton x number of tons 021.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) Climate zones 8-15: 0.07 x Floor Area O Climate zones 1-7 & 16: 0.05 x Floor Area O Fan flow if measured in the field Measured Results 47 i http://www.cheersregistry.org/admin/contractsequences.php?f=ESR&LinklD=2643&LinkType... 2/4/2004 - CHEERS Page 4 of 7 Leakage Percentage (100 x Test Leakage / Measured Result) Pass Minimum Requirements for Duct Design Compliance Credit Yes from both tests below is a Pass. 1. ACCA Manual D Design requirements have been met (rater has verified that actual installation complies with CF -1 R and design on plan). 0 Yes 0 No 2. TXV is installed or Fan flow has been verified. If no TXV, verified fan flow complies with design of ACCA Manual D Calculations. Yes O No Measured Fan Flow: IT I R Pass Thermostatic Expansion Valve (TXV) Thermostatic Expansion Valve is installed and access is provided for inspection. Pass Refrigerant Charge and Airflow Measurement Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Outdoor Unit Make I Location Outdoor Unit Model Cooling Capacity Date of Verification Date of Refrigerant Gauge Calibration Date of Thermocouple Calibration BTU/hr (must be checked monthly) (must be checked monthly) Standard Charge and Airflow Measurement (outdoor air dry-bulb 55°F and above): Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55°F rater shall return to verify charge and airflow at a time when temperature is 55°F or greater. A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge and airflow measurement documented. O Yes O No Measured Temperatures Value Supply (evaporator leaving) air dry-bulb temperature I _17 l o f (Tsupply,db) I Return (evaporator entering) air dry-bulb temperature i ]OF (Treturn, db) (. Return (evaporator entering) air wet -bulb temperature I I -F (Treturn, wb) Evaporator saturation temperature (Tevaporator, sat) ]OF Suction line temperature (Tsuction, db) 1 °F Condenser (entering) air dry-bulb temperature (Tcondenser, _ 1,F db) I Superheat Charge Method Calculations for Refrigerant Value http://www.cheersregistry.org/admin/contractsequences.php?f=ESR&LinklD=2643&LinkType... 2/4/2004 CHEERS Page 2 of 7 Builder: Hudson Construction Project: Lockwood Date of Test: 2-3-2004 i Model/Plan #: Main House Lot # / Dwelling Unit: Location or Mailing Address: 152-700 Del Gato City, StateZipCode: LaQuinta ` ( California ®192253 System Number: 2 of4Ji The house was: 0 Tested 0 Approved as part of a sample You can override this value for each Measure below. Tested Duct Leakage Do Tested 0 Approved as part of a sample 0 Pass Test Leakage Flow in CFM 166 1 Duct Leakage Testing Method: 400 cfm/ton x number of tons 0 21.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) 0 Climate zones 8-15: 0.07 x Floor Area 0 Climate zones 1-7 & 16: 0.05 x Floor Area 0 Fan flow if measured in the field Leakage Percentage (100*Test Leakage/Fan Flow) 14.1% Thermostatic OQ Tested 0 Approved as part of a sample Expansion Valve R Pass http://www.cheersregistry.org/admin/contractsequences.php?f=ESR&LinkID=2643&LinkType... 2/4/2004 CHEERS; .r Note: this is the official CEC CF -4R. Only those Measures which require verification need to be completed. Certificate of Field Verification and Diagnostic Testing (CF -411) Project: Date: Lockwood 2-3-2004 Address: Builder / Owner: 52-700 Del Gato Hudson Construction LaQuinta, CA 92253 Lot # / Dwelling Unit: Plan Number: Main House r HERS Rater: HERS Provider: CHEERS Address: System Number: House Square Footage: 2 of 4 ( 11561 HERS Rater Compliance Statement This house was: This test was: 0 Tested 0 Approved as part of sample testing but was not 0 an Initial test O a Retest tested v❑ The installer has provided a copy of CF -6R (Installation Certificate). Page 3 of 7 W Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. As the HERS rater py6Aiding diagnostic testing and field verification, I certify that the houses identified on this form compl it the di, stic tested compliance requirements as checked on this form. Date 2-4-2004 Certi i g Si atur Minimum Requirements for Duct Leakage Reduction Compliance Credit Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Duct Pressurization Test Results (CFM @ 25 Pa) Measured Results Test Leakage Flow in CFM. 66 ' Calculation Method: 400 cfm/ton x number of tons 0 21.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) 0 Climate zones 8-15: 0.07 x Floor Area 0 Climate zones 1-7 & 16: 0.05 x Floor Area 0 Fan flow if measured in the field http://www.cheersregistry.org/admin/contractsequences.php?f=ESR&LinklD=2643&LinkType... 2/4/2004 CHEERS. Page 4 of 7 Leakage Percentage (100 x Test Leakage / Measured Result) = 14.1% 1 a Pass Minimum Requirements for Duct Design Compliance Credit Yes from both tests below is a Pass. 1. ACCA Manual D Design requirements have been met (rater has verified that actual installation complies with CF -1R and design on plan). 0 Yes 0 No 2. TXV is installed or Fan flow has been verified. If no TXV, verified fan flow complies with design of ACCA Manual D Calculations. Yes 0 No Measured Fan Flow: J Pass Thermostatic Expansion Valve (TXV) Thermostatic Expansion Valve is installed and access is provided for inspection. Pass Refrigerant Charge and Airflow Measurement Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # I Outdoor Unit Make Location Outdoor Unit Model Cooling Capacity Date of Verification Date of Refrigerant Gauge Calibration Date of Thermocouple Calibration BTU/hr (must be checked monthly) (must be checked monthly) Standard Charge and Airflow Measurement (outdoor air dry-bulb 55°F and above): Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55°F rater shall return to verify charge and airflow at a time when temperature is 55°F or greater. A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge and airflow measurement documented. 0 Yes O No Measured Temperatures Value Supply (evaporator leaving) air dry-bulb temperature I -F (Tsupply,db) Return (evaporator entering) air dry-bulb temperature [—.I of (Treturn, db) Return (evaporator entering) air wet -bulb temperature 1 i of (Treturn, wb) Evaporator saturation temperature (Tevaporator, sat) I °F Suction line temperature (Tsuction, db) l ]'F Condenser (entering) air dry-bulb temperature (Tcondenser, o I F db) Superheat Charge Method Calculations for Refrigerant Value http://www.cheersregistry.org/admin/contractsequences.php?f=ESR&LinklD=2643&LinkType... 2/4/2004 JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 INSPECTION SERVICEFax (760) 772-7193 REGISTERED INSPECTOR'S WEEKLY REPORT Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED O REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY O ❑ POST TENSIONED CONCRETE O ASPHALT O OTHER REINFORCED MASONRY O FIRE PROOFING JOB LOCATION 1)W CAW DIP, t4 REPORT SEQUENCE NO. TYPE OF STRUCTURE nn QQom�♦ ,3 -FD WC IAV Q PERMIT NO. DATE �Q �1 2-28-o3 DAY OF WEEK MATERIAL DESCRIPTION U ARCHITECT K R i 5 I �f' "K4 INSPECTOR I, 0. HRS. CHARGED ENGINEER GASSISTANTS �6uNCr fuGt�l MRS. CHARGED L SUB INSPECTION GENECONTRACTOR slit d � edjl Sr/ CONTRACTOR DATE 2-26-o3 Ob tQ& iofIIII, L ftU, s q-9- sNM', NMI, li cAL, C -.1,13 CEITICRk, 31AEbo �-x -/1 C(. 3 Gi ►'j -(`be Com. y�tx A wc- L-j�_- - y2„ io aL Cue Q 44\ of ex► CP"L- Kcb COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O P OF 1 CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. IL "Dav o— _— SIGNATURE OF REGISTERED SPECTOR 2' �g - 6.3 :rzad 111ou -el DATE OF REPORT REGISTER NUMBER REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF �j INSPECTION p11 PERFORMED �� J(ID O REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY O POST TENSIONED CONCRETE O ASPHALT REINFORCED MASONRY ❑ FIRE PROOFING O ❑ OTHER JOB LOCTIQ�I Gl. O ` L REPORT SED EN ENO. TVP OF STRUCTURE 2 PERMIT NO. DAT DAY OF W K MATERIAL DESCRIPTION (c , ^ ARHITECT INSfECTW HRS. CHARGED ENGINEER ASSISTANTS MRS. CHARGED INSPECTION DATE GENERAL Sul CONTRACTOR CONTRACTOR `iLinA �� Q �1 ll n v� 14 I rcIlLfb C, 3 COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. NATURE OF R GISTERED INSPECTOR A E OF REPORT REGISTER NUMBER REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING J013 LOCATION _ t> I 1 1 ✓ p /t �, I D l/'ICJ 'v REPORT SEQUENCE NO. TYPE�F STRUCTURE � .MATERIAL � �� PERMIT NO. PATE �� DAY OF WEEK DESCRIPTION ARCHITECT �- 071 INSPECTOR R, 0, HRS. CHARGED ENGINEER Y6<,�� ASSISTANTS MRS. CHARGED INSPECTION DATE GENERAL SUB CONTRACTOR(, �O� til4T� CONTRACTOR 3- Q&Ye-k We Q OCRTT CAC, A-2 Vek4 i CAc j Tom- -rfey-) sot --lo f3eo-A--t Ay 4 Ale G901k. 3-qf 63 Obs'eizVeo( kou �)Z- 6F s� � tW1 A4 -940-adV MiX t tr,05636F A&& Aeoit acv( a c, ,o R RM /ftC�rtil2�v i • ti+sr u e - DIVC Y4t71 0-t- �1 EAS R6a-r- 7V P -- L.sp--' o F 3 A,satiie -P7 — COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE CI PAGE 1 OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. e --p .1`n5 -v c�'� SIGNATURE OF REGISTE D INSPECTOR �-q-b3 D &q DATE DATE OF REPORT REGISTER NUMBER w-- Mom 0 11 N OWN -j SPECIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF ` INSPECTIONPERFORMED TC�.vT Z6�b ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑FIRE PROOFING o ASPHALT XRONFORCED MASONRYST TENSIONED C) ❑ O OTHER JOB LOCATION -5z �. 'oh C• 1. REPORT SEOUENCE NO. TVgE FSTRU^TU' E� OO � �• PERMIT NO. T.. -40-1 ppy OF FD�• DDII•P• MATERIAL DESCRIPTION 2" C ; ARCHITEC Kc►s'�Vj.o►nSoln INSPECTOR CZJ HRSS..C`HARGED ENGIN ER ASSISTANTS HRS. CHARGED INSPECTION GENERALB DATE CONTRACTOR S CONTRACTOR 3 - 3 � � " e�..v` s ►�� v,� rei or Ie tCC� Zo n. vJ S COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. ('� uxt'm NATURE OF REVSTERED INSPECTOR 3 s -7 Z? 11 DATE OF REPORT REGISTER NUMBER T �5; w-- Mom M0 I I N - REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER J08 LOCATION 6pt.M M% L_k ^, ui P'rp REPORT SEQUENCE N0. TYPE OF STRUCTURE bo® ®�RI}D��"! ON� PERMIT NO. DATE Dar OF WEEK MATERIAL DESCRIPTION R - t A 05 3 e ARCHITECT c I�MOT t o INSPECTOR HRS. CHARGED ENGINEER I ASSISTANTS MRS. CHARGED INSPECTION DATE GENERALsue p jj J b A e� CONTRACTOR `PI r(> /L/ 0_ �V CONTRACTOR rj c'JqW J db.� to� L e �o lu �c i 6R ff Ott 6o uc u ysr o COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF771 CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE REGIS ED INSPECTOR - '-7- 6�j :Zn�,a 1W32,& -(3L( DATE OF REPORT REGISTER NUMBER