15176 (SFD)4 4
Q".
P.O. BOX 1504
Builo.ng 78-495 CALLE TAMPICO
Address 78-250 Springtime Way LA OUINTA, CALIFORNIA 92253
Owner
mailing
Address 42--600 Cook St. Sure 3 2t>
City Zip Tel.
Palm Desert. 92211 341-x6880
Contractor
Same as abSiB
Address ..
State Lic. City
& Classif. 493919 Lic. #1231
Arch., Engr., -
Designer Stoffgren Fuller & Assoc..
Address I Tel.
City P Zi State
[!a4-csrl�ar1 �'4-ir �7�I? 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 Businessland Professions Code, and my license is in full.force and
• effect.
SIGNATURE , - 'DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Businass and Professions Code: Any city or. County which requires a
permit to construct, alter, improve, demofish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file -a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty- of not more than five hundred dollars ($500).
O I, as owner of the property, or my employees with wages as their sole compensation,, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's. License Law does not apply to an owner of.property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not Intended or offered for sale. If, however, the building
or improvement Is sold within one year of completion, the owner -builder will have the burden
of proving that he did not Wild or knprove for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. -(Sec. 7044, Business and Professions Code:- The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contnactor(s) (Icensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy Is filed with the city. ❑ 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, If, after making this Certificate,of Exemption you 'should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith -
comply with such provisions or this permit shall be deemed revoked. '
No. 15176
BUILDING: TYPE CONST. V_W OCC: GRPR3
A.P. Number
Legal Description T.00- 0 Tv -:1r• �>e13 Q �1 sr.,n 9.vfi
Project Description . SPS? model
WARNING: FAI LURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Setback from C@ntef Line
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, Side Setback from Property. Line,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO - _ /
ATTORNEY'S FEES.
N.This isa buildingp pe y g i FINAL DATE INSPECTOR !!l
permit when ro rl filled out, signed and validated, and is subject to IVSP
expiration if work thereunder is suspended for 180 days. �.
I certify that I have read this application and state that the above information is correct. Issued by: Date'N PPermit
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. Validated by: ��!� -
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
Sq. Ft.
Size 1286 . -
No. No. Dw.
Stories Units
New 91 Add ❑
Alter-❑ Repair ❑ Demolition ❑ '
Estimated Valuation
78053.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
464.15
Const.
545.90
Mech.
49;00..
Electrical ,
116.91 .
Plumbing
132.00
S.M.I.
7.90
Grading
20-00
Driveway Enc.
Infrastructure
1756.39
TOTAL
3091.35
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAI LURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Setback from C@ntef Line
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, Side Setback from Property. Line,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO - _ /
ATTORNEY'S FEES.
N.This isa buildingp pe y g i FINAL DATE INSPECTOR !!l
permit when ro rl filled out, signed and validated, and is subject to IVSP
expiration if work thereunder is suspended for 180 days. �.
I certify that I have read this application and state that the above information is correct. Issued by: Date'N PPermit
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. Validated by: ��!� -
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
O
SLAB GRADE
YARD SPKLR SYSTEM T JL
2ND FL. SO. FT. p'
HEATING (ROUGH)
STORAGE TANK
FORMS O�
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
ROCK STORAGE
FOUND. REINF.
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CAR P. SO. FT. ®
WALL SO. FT.
GROUT
DRINKING FOUNTAIN.
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
BOND BEAM
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
LUMBER GR.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
fid—
Of
. / / / / 0/�+�
/� � ��i/Y 4V,56r
G
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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
GAR. FIREWALL
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
INSULATIONISOUND �'
GAS PIPING
PERMIT FEE
FINISH GRADING
PERMIT FEE
PERMIT FEE
DBL -7
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 PLUMBIN UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS O�
SEWE OR ROUGH WIRING
DUCTWORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) METER LOOP
�y
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. '�r
FRAMING /�1�L
FINAL INSP.
ROOFING
G
fid—
Of
. / / / / 0/�+�
/� � ��i/Y 4V,56r
G
kli15
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND �'
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESlINITIALS
GARDEN WALL FINAL
f
n•
Fiber Glass Blankets when
it (stalled according to the
In,tnufacturer's recom-
n lcndations will provide the full
rated thermal resistarjce value.
I..
blanket Insulation
R Minimum
Value_ Thickness
.lu obtain an, Installed
it c,ulation insulation
I t;;;lslance should
(Ii) of: not be less than:
141.38 13" Thick' _
H-30 - --_ 91414" Thic_k'-
H-26 82414" Thick
R-22 71/2" Thick
R-19 61/? Thick'
R-13 35/6" Thick -
A -11 31/23 Thick
Thickness varies, check bag
label for producing locations
thickness '
This home is insulated with
To .-neet the thermal resistance value (R), the manufacturer has specified the number of bags per s' •.1st .
1000 sq. ft. of net area that must be installed to meet both the minimum design thickness and
minimum wt./sq. ft. requirements. Installing the correct number of bags/1000 sq. ft. is necessary to ;
meet the corresponding labeled
resistance (R) value. (Based on 40 Ib. nominal net weight bag). re,
Rich -F!", Fiber Glass Blowing
Wool Attic Insulation -40 Ib. Bag.
,Average installed thickness is provided as a guide to installers. Actual thickness will vary
Seasons -Villas i
depending on conditions at the time of installation. To obtain a specific FI -value, InsulaU"
:Aversge
R Dags per
Maximum Minimum Minimum
Installed ,.
Valuet 1000 sq. ft.
Net Coverage Wt./sq. ft. Thickness
Thickness
To obtain The number of i
Contents The weight Installed
Average
an insula- bags per 1000
of this bag per sq. ft hof insulation
installed -
tion resis- sq. h. of net
should not installed insul- should
thickness
lance area should not;
cover ation should not not be
will
(R) of: be less than:
more than: be less than: less than: '
typicalty be:
R-44 29t/z
.34 sq. ft. 1.188 lbs. 15" Thick .
WAN i! T
R-38 251/2
39 sq. ft. 1.029 lbs. 1.3" Thick
141/4"
R-30 201/2
49 sq. ft. 0.811 lbs. 10Y4" Thick
111/4" !'•
R42 15
67 sq. ft. 0.594 lbs. 71/2" Thick
81/4"
R-19 13
78 sq. ft. 0.514 lbs. 61/2' Thick
71/4"
R-11 71/2
135 sq. ft. 0.297 lbs. '33'4" Thick
41/4"'
Rich -R'" Fiber Glass Blowing.Wool SidewaJl,lnsulation.- 40 -Ib. Bag.
2x4 i 24.9
R-16 161/2 1
60 sq. ft, 0.667 lbs. 4" Thick
4"
R-14 15
66 sq. ft. 0.604 lbs. 3%" Thick
35ire" i'.
R-22
R-14 141/2 1 68 sq. ft. 0.583 lbs.
31/2" Thick 3Y2" !'
R 12.7 in a 31412" cavity.
I H values indicated obtained
2x6
2x4
14.0
14.3
,Average installed thickness is provided as a guide to installers. Actual thickness will vary
Seasons -Villas i
depending on conditions at the time of installation. To obtain a specific FI -value, InsulaU"
Tot g Plan 11 �,
.
should not be applied over a larger area than specifigd on the coverage chart j `. `.
t,$ -25u_Sjoiri± Y1W1�'``�
Net wt./bag, minimum 37 lbs. This product conforms to the performance requirements of "
1 Quints, CA 92253
Federal Specification HH -1-1030B. Type 1, Class B, and DOE RCS
Standards. Also meets
;
_ _ __ _
Insulation Quality Standards of the State of California.
�+'•=�- -
_
2x8
6.8
Framing Correction for 40 Ib.
FraMing 16" on center.
Framing 24" on center.
Bag Rich -Fl Bowing Wool
per 1000 sq. fL
R Joists Bacoss) js
Bags per 1000 sq, tI,
! `
Valuest Dimensions (gr
(gross)
When installing in attics of new
R-44 2x8 I 28.2
28.6 •'
homes or existing homes where
I
2x6 28.5
- -
28.8tu
rinsulation Is present, it is
2x4 28.9
!'
29.1
acceptable to adjust the
N _ at inches in sq. ft. of Celli, sg, R- 13
cuverage figures to compensate
R-38 2x8. 24.2
24.6
for the presence of the traming
2x6. 24.5
24.8
rttombers as indicated in the
2x4 i 24.9
25.1 ii
tullowing table.
R-30 2x8 19.1
19.6 ; `• ' ` "'
::'::
i
2x6 19.5
19.8 ; I • ' ',;
i
2x4 19.8
i 20.1
R-22
2x8
13.6
I 14.1
I H values indicated obtained
2x6
2x4
14.0
14.3
14.3 •cvi.,.: . .
14.6
when properly. installed with
pneumatic equipment. R-19
2x8
2x6
11.8
12.0
12.2
; 12.3 '
1 i Ie higher the R -value, the
2x4
12.3
j '12.6 '
greater the insulating power. R-411
2x8
6.8
7.1
Ask your seller for the fact sheet
2x6
6.8
7.1
! `
oil R -values.
2x4
6.8
7.1
I `• ,., ..`
Batts and rolls have been installed in conformance with the above
Blowing wool has been installed
in the ceiling or sidewall in con -
recommendations to provide a thermal resistance value of
fomlance with the above recommendations to provide an R -v
N _ at inches in sq. ft. of Celli, sg, R- 13
at
of R- using
bags of this insulation to cover
_ inches in _4151_ sq. ft. of exterior walls, and R-
at
.•1..-
square feet of area eget
A inches in sq. ft. of floors or crawl space perimeter.
I minimum thickness of
inches.
Uma Signature I
q1siq
Ua1a Signature
, i.i, 016 7186
Insulation contractor ,
74-741 Joni Drive
PALM OES4RT, CALIFORNIA 922601'
i 1% 346-2339 prtrxeo'inusA-T
Residence Address: Seasons Villas Lot 9 Plan i
-I$-2SbSpy- 1 y)q}hyvl-_ ",4 , La Quinta, CA 92253
CERTIFICATION This is to certify that attic insulanon has been installed in conformance
nformance with
the coverage chart recommendations on the opposite side of this card using ��_ baga.to
cover 123C) sq ft ro obtain an R -value of 30
Contrxtoes authorized signature ( A,!.MD/Y1
Date I S/ 9.. _......
Installed bv. Builder:
ROVER INSULATION
74-741 10N1 DRIVE
PALM DESERT, CA 92260
(619) 346-2339
,THE INSULATION SPECIALIST)
R -PRO PLUS
(Formerly Cordex)
STABILIZED INSULATION
MANUFACTURED BY
GREENSTONE INDUSTRIES
Atlanta, Georgia • Elkwood, Virginia • Ft. Wayne, Indiana
Norfolk, Nebraska • Phoenix, Arizona • Portland, Oreeon
ATOMIZED PNEUMATIC APPLICATION COVERAGE CHART
3.5
39.6
Net Coverage
.758
R -Value at
5.5
No Adjustment tow Trusses
Gross Coverage
75-F Mean
Minimum
Based on 2 x 6'
Maximum
Minimum
Temperature
Thickness
Trusses on 16'
Net
weight Per
Centers
Coverage
Square Foot
To Obtain
Installed
Square
Minimum
The Weight Per
Suare
Bags
an Insulation
Insulation
Feet
Bags
Sq. Ft. of
Feet
Required
Resistance
Should Not
Per
Required
Installed
Per
Per 1.000
(R) of
Be Less Than
Bag
Per 1,000
Insulation Should
Bag
Square Feet
:"
(inches)
Square Feet
Not Be Less
Than: (lbs)
R-50
13.5
20.5
48.8
1.464
21.3
46.9
R-42
11.4
24.4
41.0
1.230
25.6
39.1
R-40
10.8
25.6
39.0
1.172
26.9
37.2
R-38
10.3
27.0
37.1
1.113
28.1
35.2
R-32
8.6
32.0
34.1
.937
34.1 V
29.4
R-30
8.1
34.2
29.3
.878
36.5
27.4
R-24
6.5
42.7
23.4
.703
46.4
21.6
R-22
5.9
46.6
21.5
.644
51.0
19.5
R-19
5.1
53.9
18.5
.556
59.6
16.8
R-13
3.5
78.8
12.7
.381
87.0
11.5
R-11
3.0
93.2
10.7
.322
102.8
9.7
Sidewalls (pressure Filled -density 2.6 PPCF)
R-13 (2 x4)
3.5
39.6
'25.3
.758
R-20 (2 x 6)
5.5
25.2
39.7
1 1.192
Note: This coverage chart compensates for settling and is for estimating purposes only.
Stated R -Value is provided. by installing the required number of bags per 1000 sq: ft. at a-- - - -
minimum installed thickness. Installation of the required number of bags may yield more
than the specified minimum thickness and minimum weight per sq. ft. Actual coverage will
be influenced by job conditions and application techniques, and may vary as much as 10%
without significantly affecting the stated R -Value. Failure of the installer to provide at least
the required number of bags per 1000 sq. ft. and at least the minimum thickness may result
in a lower installed R -Value after settling. Compaction may occur during installations above R-
30 recuirinv more than the stated number of bags to obtain the minimum installed thickness.