15170 (SFD)P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address 78-300 Springtime >€'a*� LA OUINTA, CALIFORNIA 92253
Owner I . .
Mailing
Address Suite 120
42i--660�pClk ��,
City Zip Tel.
PaLm
Des
W 92211 341--6880
Contractor
a rune a a ' aboive
Address .
State Lic. City
& Classif.. 49391.9 Lic. #1231
Arch., Engr.,
Designer at-Off9r n Fuller '& Assoc.
Address Tel.
68-487 R. Palm Canvon Dr 321801
City Zip -State
Cathedral City 9 221 5 2 Lic. #
LICENSED. CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of.the Business and Professions Co, and my license is In full force and
effect.. de
. • OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the following -
reason: (Sec. 7031.5,11usiness and Professions Code: Any city or county which requires a
permit to construct, alter, 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 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 penally of not more than five hundred dollars ($500).
❑. 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; 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 build or improve for the purpose of sale.)
❑ 1, 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 contractors) 8censed pursuant to the Contractor's license Law.)
O 1 am exempt under Sec. B.'& P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I herebhav
y affirm that 1 e a certificate of consent to self -insure, or a certificate of i
Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. s` Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This action n�inot be completed if the permit is for one hundred dollars ($100) valuation
I certify, that in the performance of thg work for which this permit is issued, I shall not
employ any pperson in any manner so as to become subject to the Workers' Compensation
Laws of Callfornia.
Date Owner
NOTICE TO APPLICANT: d, after makfng 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.
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.
This Is i building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 160 days.
I 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, Zlp
No. 15170
WING: TYPE CONST. V -!-.M OCC: GRP. R3
A.P. Number
Legal Description Lot. 4 Tract 280_19 Plan 3-lA
Project Description '
Sq. Ft. "No:
Size .1533 Stories•
New#EJ Add ❑ Alter ❑
No. Dw
Units
Repair•❑ .
Demolition❑.
ZONE: BY:
Minimum'Setback Distances:.
Front Setback from Center Line
Rear Setback from Rear PropaLine
Side Street Setback fro Center Line
Side Setback from Property Line-
FINAL DATE INSPECTOR1r
v
Issued by: Dated Permit i•�._ /�%�
Validated by:
Validation-
Estimated Valuation .
Z .412.4fl
PERMIT
AMOUNT
Plan Chk. Dep: $$�
Plan Chk. Bal.'
517..48
Const.
608.00
Mech.
55.54
Electrical
25.56
Plumbing
ESQ.
S. M.I.
3.2'4
Grading -
20.00
Driveway Enc.
Infrastructure
2058.16
TOTAL
REMARKS
ZONE: BY:
Minimum'Setback Distances:.
Front Setback from Center Line
Rear Setback from Rear PropaLine
Side Street Setback fro Center Line
Side Setback from Property Line-
FINAL DATE INSPECTOR1r
v
Issued by: Dated Permit i•�._ /�%�
Validated by:
Validation-
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. @ $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE ��
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. @
ROUGH WIRING
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
FOUND. REINF. /Of
GAS (ROUGH) �y3 rr
DRAINAGE PIPING
CAR P. SO. FT. @
HEATING (FINAL)
WALL SQ. FT. @
REINF. STEEL
DRINKING FOUNTAIN
SO. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SERVICE
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LUMBER GR.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
INSP.
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/. c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/4c
HOUSE SEWER
GAR. FIREWALL
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
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE ��
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS ��
EWE R
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. /Of
GAS (ROUGH) �y3 rr
METER LOOP
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., {%
w
FRAMING
INSP.
ROOFING /' ,�
nFINAL
/
.
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING ���
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION 1001y96
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATUiiESlINITIALS
GARDEN WALL FINAL
k
F icer Glass Slankets!when
u (stalled according to the
manufacturer's recom-
rnendations will provide the full
rated thermal resistance value.
blanket Insulation
H Minimum
Value Thickness
7u obtain an Installed
insulation insulation
rt::sistance should
(H) of: not be less than:
H-38 13" Thick'
R-30 _91/4" Thick'
R-26 83/4" -;Thick
R-22 71/2";Thick
H-19 61/i" Thick'
H-13 3§�";Thick"
R-11 31/2" Thick
This home is insulated with
To meet the thermal resistancll value (R), the manufacturer has specified the number of bags Qer . `(
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 bagsX1000 sq, ft. is necessary t0 r,`
meet the corresponding labeled resistance (R) value. (Based on 40 Ib. nominal net weight bag).
Rich -R1" Fiber Glass Blowing Wool Attic Insulation --40 Ib. Baa. I
'Thickness varies, check ba g
I
label for producing locations
thickness.
R-14 1566 sq. ft. 0.604 lbs. 3W Thick W
j
"R
Average
4'
R
Bags per
Maximum
Minimum
Minimum
Installed '
Valuet
1000 sq. ft.
Net Coverage WUsq. tt
Thickness
Thlckriess..:°. ;
To obtain
The number of !
Contents
The weight
Installed
Average
an insula-
bags per 1000
of this bag
per sq. ft.'of
insulation
installed
tion resis-
sq. ft. of net
should not
installed insul-
should
thickness
tante
area should not
cover •
abon should not
not be
will
(R) of:
be less than:
more than:
be less than:
less than:
typically be: ': • `
R_-44_
291/2
.34 sq. ft.
1.188 lbs.
15" Thick
161/211
R-38
251/2
39 sq. ft.
1.029 lbs.
13" Thick
141/4"
R-30
201/2
49 sq. ft.
0.811 lbs.
101/4" Thick
111/4"
R-22
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.
3-V4" Thick
Rich-Rlm Fiber Glass Blot in Wool $I;devtr II Insulation -40 -Ib
'Thickness varies, check ba g
R-16 161/2 t 60 sq. fG. 0.667 lbs. 4' Thick 4
label for producing locations
thickness.
R-14 1566 sq. ft. 0.604 lbs. 3W Thick W
j
"R
R-14 141/2 68 sq. ft. 0.583 lbs. 31/2" Thick 31/2" ! '
12.7 in a 31h" cavity.
24.8
Sen asos Villas
,Average installed thickness is provided as a guide to installers. Actual thickness will vary
24.9
depending on conditions at the time of installation. To obtain a specific R -value, Insulal�gn
Lot '� Plan 3
should not be applied over a larger area than specified on the coverage chart I I
_
$ -app Sp r-1 rl .-h1'r)e�'
9
Net wt./bag, minimum 37 lbs. This product conforms to the performance requirements of
1
Iia Quinta, CA 92253'
Federal Specification HH -1-10308. Type 1, Class B, and DOE RCS Standards. Also meets,
_ .
Insulation Quality Standards of the State of California. i
Framing Correction for 40 lb.
Framing 16" on center. Framing 24" on center ... L '
bag Rich -R Blowing Wool
R Joists Bags per 1000 sq, ft Bags per 1000 sq. ft
When installing in attics of new
Valuest Dimensions (gross) (gross)
I tomes or existing homes where
ia-44 2x8 i 28 2 28.6
2x6 I
t to insulation is present, it is
28 5 28 8 „ I
acceptable to adiust the
28.9 29.1
coverage figures to compensate R-38
W.
24.2
24.6
fur the presence of the framing
2x6
24.5
24.8
members as indicated in the
2x4
24.9
25,1
following table. i' R-30
2x8
19.1
19.6 `
12.0
2x6 •
19.5
! 19.8
12.3
2x4
19.8
20,1
R-22
I R -values indicated obtained
2x8
2x6
13.6
14.0i
14.1;
14.3
when properlyinstalled with
2x4
14 .3
14.6
pneumatic equipment. R-19
2x8
; 11.8
12.2-
2.2
2x6
2x6
12.0
12.3
The higher the R -value, the
2x4
12.3
12.6
y eater the insulating power. R-11
2x8
6.8
•
7,1
Ask your seller for the fact sheet
2x6
6.8
-7,1
un R -values. I
2x4
6.8
7.1 ;' r
Batts and rolls have been installed in conformance with the above
Blowing wool has been installed in the ceiling or sidewall in cont-
recommendations to provide a thermal resistance value of
formance with the above recommendations to provide an R -v"
R at inches in sq. ft. of ceiling, R- 13
at
of R- using
bags of this insulation to cover
. _- inches in 915 sq. ft. of exterior walls, and R-
at
square feet 0f
inches in _ sq. ft. of floors or crawl space perimeter.
i minimum thickness of
attjS
inches.,
Urate Signature
qcrsas
0.de Stgoature !
Inautalion Contractor
74-741 Joni Drive
PALM DES RT, CAUFORNIA 92260
I
-k, 016 neelq)
;
346-2339 printed in uSA
Residence Address Seasons Villas Lot `1 Plan .3
1S-3wS211nQ(-hrr�.� La Quinta, CA 92253
CERTIFICATION: This is to certify that attic insulation has hien installed in conformance with
the co% -era dart recommendations on the opposite side of this card using. bap, to
cover 5( 4O sq. ft to obtain an R•lvalue of 30
Contractoes authori-td signature (l/Yl')()r77 9)'
Date:
Installed RovER IdNSULATION Builder.
iiti7A.741 1DN1 DRIVE
PALM DESERT, CA 92260
'THE IMSWJtTIoN SPECIALIST)
1
A
R -PRO PLUS
(Formerly Cordex)
STABILIZED INSULATION
MANUFACTURED BY
GREENSTONE INDUSTRIES
Atlanta, Georgia - Elkwood, Vir-inia - Ft Wayne, Indiana
Norfolk, Nebraska • Phoenix, Arizona - %rtland. Oregon
ATOMIZED PNEUMATIC APPLICATION COVERAGE CHART
3.5
39.6 25.3
Net Coverage
R-20 (2 x 6)
R -Value at .
25.2 39.7
No Adjustment for Trusses
Gross Coverage
75'F Mean
Minimum
Based on 2 x 6'
Maximum
Minimum
Temperature
Thickness
Trusses on 18'
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
1 10.3
27.0
37.1
1.113
28.1
35.2
R-32
8.6
32.0
34.1
.937
34.1 a
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)
-13 (2 x4)
3.5
39.6 25.3
.758
R-20 (2 x 6)
5.5
25.2 39.7
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 8-
30 recuirina more than the s!a!ed number of baqs to obtain the minimum installed thickness.