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11409 (SFD),Building - 52-865 Ve:.asco, ress Owner Coachella Valley Housin, Mailing Address 45701 %Y Monroe St City Zip ITe J.nd$o 92201 Contractor�}0wner/8ui,lde.Address State Lic P.O. BOX 1504 7&105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Coalition l. 347-3157 r k w` 1T409 BUILDING: TYPE CONST. OC'C:-GRP. A.P. Number 773-325. 019 � t Legal Description Lot 6 Bloc% rIS0 Project Description �.�ahh .. - SFD vClassif. Lich #Sqet. 1222 No. ,1 flys/ i a �Y UnitsArch.,'Engr.,' ." §Monies.-DesignerAddress Tel. City Zip t 1... z f State %11� J�� Lic. # LICENNSSE,_D>CdATRACTtORS DECLARATIONI 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 forceandeffect. *f :L+jr tfierSIGNATURE f••f S9/ iiDATE OWNER•BUILDERDECLARATION I hereby affirin that I am exempt- the Contractors LicenseLaw for the'followingL. reason: (Sec. 7031.5,Susiness erM:Pro/essions Code: Any aly or county which =ueIes)apermit to construct, after, improvet honofuh, or repair any structure, prior• to its issuances 1-A arequires the applicant for sueh,pertnit 'to We a signed statement that he is licensedi puisuant to the provisions of the Contractor•_s'License LawChapter 9 (commencing,with Section7000) o'Division 3 of the Businessan'd"Pro/essions Cade•'or that. he is exemptitherelrom, and the'for the alleged exemption! Any violation of Section 7031.5 by 'anYapPlicant. fpr•a pesubjects the applicant to a civil penalty o/not more than five hundred dollars.($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation,will t, do the work, and the structure is not intended or offered for salef-(Sec:'7044,.Buisness=and' Professions Code: The Contractor's. License Law does not apply to an -owner ofiproperty who' - builds or unproves thereon and who does such work himself, or through his own employees; provided thatsuch improvements are not intended or offered for, safe! If, however, the building or improvement is sold within one year of completion, the owner.-0u`dder will have the• burdeno/ proving that he did not build or improve.ror the purpose o) sale!) t'!' . • _ ,,DI, as owner of the ro ep p rty, am.exclusively contracting with licensedcontractors tocerp„structthe project (Sec. 7044, Business and Pro/esgkms•Code: The'Con�ractgrs lgezh's�,,.1W,aw•does not apply to an owner of property -who builds or gnproves thereon, 'an'dkwho.contracts/5- such projects with a contractors) licensed pursuant to,th'eCantractor's License Law.)❑ 1 am exempt under Sec. a.S P�CYfor this reason Date WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self•insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800,•Labor Code.) Policy No. _Company Copy is filed with the city.. ❑ Certified copy is hereby fumished.CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE(This section need not be completed tf the pemnit is for one hundred dollars ($100) valuationor less.)I certify that in the performance of the 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 LawsofCall omia. DateOwnerNOTICE"TO APPLICANT: If, after malmng 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. 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, Ciw7Code.) Lenders Name Lenders 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. ' . 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 DateMailing Address City, State, Zip New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does .not include block walls or po©l. Estimated Valuation.z 765 Q6.80 $ 4 F 4' PERMIT _ AMOUNT ••.1 ' Plan Ghk. Ue`pPN< 4 Plan Chk., Bal. 1F j -457.93. tClinSt. .. \ljn1'536.00 + r `' Mech. S ' > \11;% 42.50 Electrical 'caaF\' .,t 1\ �V-116.51 s'- Plumbing\138. 00 S.M.I. - N7.70 Grading 20.00 Driveway Enc. - 09 Infrastructure 1-652.61, .Precise Plan 2!5 00 \ r , f . c , _XY r• t�. e1 i ' . ,. } V) � Q� 1 [ '. ry TOTAL Q)4�lv-S — - 2996.25 REMARKS ZONE: BY: :r Minimum Setback Distances: �;•� -�� ; - �; Front Setback from.Center Line Rear Setback from Rear Profp L ne�1 Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by:Dater-• - • Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. @ $ UNITS COLL. AREA 2ND FL. SQ. FT. ROUGH PLUMB: YARD SPKLR SYSTEM Ab POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DUCT WORK DRAINAGE PIPING WALL SQ. FT. GAS (ROUGH) !`YD.�p ! l DRINKING FOUNTAIN. SO FT ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM. FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE ,UNIT WALL FLOOR SUSPENDED GRADING CU. yd. -plus-x$_ LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL 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. SQ. FT. ® c BATH TUB FIRE ZONE ROOFING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/e c SEWAGE DISPOSAL SPARK ARRESTOR SQ.FT.GAR ® 3/ac HOUSE SEWER 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 PLUMBING7 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB: BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER AB_SGPfIC-T*NK3l ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) !`YD.�p ! l METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE I GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING CU. yd. -plus-x$_ _$ LUMBER GR. FINAL INSP.!/ FRAMING _Z-��l. FINAL INSP. 2 G 2 —$ �93 ROOFING JJ ^ n , o � WV _` REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL-Zd%3.L LATHIN _?j-C/G MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION- CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIIVITIALS GARDEN WALL FINAL z DESERT'SANDS-UNIFIED'SCHOOL DISTRICT '82=879'High way 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 - Date 1/7/93 Type of Permit La Quinta No. 111952 Permit # Log owner Name Coachella Valley Housing Coalition No. SEE Street BELOW City La Quinta Zip 92253 Study Area 112 APN # Tract # Lot # 0 Square Footage 112,736 Type of Development Single Family Residence No. of units 10 Comments 52070 Madero; 52155,355 Navarro; 52447 Rubio- 52250 Obregon; 52865 Velasco 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 4s 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.&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 /exe r ed by rthur , _ Payment Received , Signature Check1 NVo. 1.4344 Collector. A ach a copy of county or city plan check application form to district copy for all waivers. Embossed Original -.Building Dept./Applicant 'Copy- Applicant/Recei�t Copy - Accounting I VETERANS ADMINISTRATION, U.S,D,A. FARMERS HOME ADMINISTRATION, AND U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Form Approved HOUSING FEDERAL HOUSING COMMISSIONER OMB No. 2602-0192 (Exp. 11130183) For accurate register of carbon copies, form may be separated along above fold. Staple completed sheets together In original order. 0 Proposed Construction ®ESCRIPT1064 OF i1`AIATERIALS No. - (Tu be Inserted by IND. VA of I''mIIA) 0 Under Construction Property address Various City La Q u i n t a , Stab CA . 92253 Mortgagor or Sponsor Directors Mortgage Loan Corp. P.O. Box 1489 Riverside,CA. 92502 (yanw) lAtk)rrss) Contractor or Builder Coachella Valley Housing Coalition Plaza I, 45-701. Monroe St.Suite G (Nano) Indio, Ca. 9220lddcu) INSTRUCTIONS 1. For additional Information on how this form Is to be submitted, number required, than the minimum acceptable will be assumed. Work exceeding ofcopies, etc., see the Instructions applicable to the HUD Application for minimum requirements cannot be considered unless spoclflcally deoorlbed. Murtgage Insurance, VA Request for Determination of neasonoble Value, or 4. Include no alternates, "or equal" phrases, or contradictory Items. FmHA Property Information and Appraisal Report, as the case may be. (Consideration of a request for acceptance of substitute materiels or *quip. 2. Describe all materials and equipment to be used, whether or not shown ment Is not thereby precluded.) on the drawings, by marking an X in each appropriate check -box and entering 5. Include signatures required at the end of this form. the Information called for each space. 11 space Is Inadequate, enter "Sao mise." 6. The construction shall be completed In compliance with the related and describe under item 27 or on an attached sheet. THE USE OF PAINT drawing* 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 Mlnlmum Prppsrty PERMITTED BY LAW IS PROHIBITED. Standards. 3. Work not specifically described or shown will not be considered unless 1. EXCAVATION: Bearing soil, type Per soil report - Sandy Loam Z. FOUNDATIONS: - Footings: concrete mix 5 Sack; strength psi 2000 Reinforcing 2 #4 Bars Foundation wall: material Concrete Kcinforcing _ Interior foundation wall: material Party foundation wall Columns: material and sizes Piers: material and rrinfurcing Girders: material and sizes Sills: material Basement entrance areaway Window areaways Waterproofing Footing drains Termite protection - Soil Poison by chemical spray with cert. Basementless space: ground cover ; insolation foundation vents Special foundation, Rebar tie at Qarape door opening all concrete shall have compressive s,tra1b Additional information: of 2000 lb. in 28 days.. 3. CHIMNEYS: Material Galv. Dbl. wall Prefabricated (nwkt and rr;r) Amivent Oft II Flue lining: material Ifewer flue size 3 Fireplace flue size Veno (mofniaf anJ tip ): gas or oil heater ;water heater 3' , Additional information: Galy. 4" 4. FIREPLACU: Type: ❑ solid fuel; ❑ gas -burning, ❑ circulator (ma4t and syf) Ash dump and cleanout Fireplace: facing lining ; hearth mantel Additional information: S. EXTERIOR WALLS: Hood frame: wood grade, and specie, D.F. #2 Corner bracing. Building paper or felt #15 Felt Sheathingthickness width ; ❑ solid; ❑ spaced " o. e.; ❑ diagonal; Siding grade type size exposure "; fastening Shingle grade �o type size exposure "; fastening Stucco 3 coats ; thickness 7/8 Lath Mesh Wire / PaperBa _k ; weight15 Its. Masonry veneer Sills Lintcls Use flashing Masonry: ❑ solid ❑ faced ❑ stuccoed; total wall thickness _ _._ "; facing thickness "; facing material Backup material ; thickness "; bonding Door sills Window sills Lintcls Baso flashing Interior surfaces: dampproofing, coats of furring Additional information: Exterior painting: material Ext. Latex number of coats. Gable wall construction: In same as main walls; ❑ other construction ' b. FLOOR FRAAMNG; ,Joists: wood, grade, and species ; other bridging ; anchors Concrete slab: In basement fluor; ❑ first floor; 0 ground supportal; ❑ self-supporting; mix 5 Sack ; thickness 4 reinforcing 6/6 Wire Mesh insulation membrane —10 Mi I Poly Fill under slab: material Sand thickness 2" . Additiunal information: 7. SUBFLOORING: (Describe underflooring for special floors under item 21.) Material: grade and species ; size ; type Laid: ❑ first floor; ❑ second floor; ❑ attic sq. fl.; ❑ diagonal; ❑ right angles. Additional information: 8. FINISH FLOORING: (Wood only. Describe other finish flooring under item 21.) Loc^TI(MI I RoOVt I GR\DL I S►tr:lra ITIIIcK!ILL%1 wIDT11 I ULM;. PNrLR I FIMI►11 First floor ._ Second noon Attic floc ul. fit Additional information: Previous edition may be used until supply is exhausted I DESCRIPTION OF MATERIALS HUD -02005 16-791 VA Form 26-IR52 Form FmHA 424.2 DESCRIPTION OF MATERIALS 9. PARTITION FRAMING: Studs: Hood, rade, and species D.F. 2 size and s 211 X 411 16"O. C B pec pacing Other Additional information: 10. CEILING FRAMING: Joists: wood, grade, and species TrUSseS Other Bridging Additional Information: 11. ROOF FRAMING: Rafters; wood, grade, and species Trusses Roof trusses (see detail): grade and species D. F. Additional information: See attached detail 12. ROOFING: Sheathing:wood, rade, ands les z" CD X Ply Or 7/16" Wafer Board 8 Pec g ; ,i,. 13 x16 ;type solid; ❑spaced •' o.c. Roofing COT1C-File rade Felt I Underlay ;weight or thickness 3GTf size—; fastening Nail Built-up roofing number of plies surfacing material Flashing: material GalV.Metal_; gage or weight 26 ❑gravel slops; " CC x Ply Shee t i n� O snow guards Additional information: Overhang� 13. GUTTERS AND DOWNSPOUTS: Gutters: material gage or weight ; size shape Downspouts: material ; gage or weight size ; shape ; number Downspouts connected to: ❑ Storm sewer; p sanitary sewer; ❑ dry -well. p Splash blocks: material and size Additional information: 14. LATH AND PIASTER Lath ❑ walls, O ceilings: material weight or thickness ''2_ Plaster: coats ; finish Dry -wall IN walls, (Z ceilings: material Gyp Brd• • thickness ; finish Text t Joint treatment Tape, Firewalls - 5/8 Gvp Board - Natural Tape 15. DECORATING: (Paint, wallpaper, etc.) Rooms I WALL FINISH 16I1,TSR141. ANU APPLICATION I CAILINO FINISH MATSRIAL AND APPLICATION Kitchen Bath Other - 1 Additional information: tS • Jame Same 16. INTERIOR_ DOORS AND TRIM: Doors: type Hollow Core material Masoni to 1 3 8t' thickness _�_�_ Door trim: t Slimline -type ;material ��OOd Bare; type Slimline ;material WOOd 12 Finish: doors Latex Fnamel 2 Coats ,size ; trim Other trim (Iran, Ijpe and loratlon) �— Additional information. 17. WINDOWS: Windows. type Sl i di no make -Phi 1 i ne material —Al 1 tm7/8TT.. rash thickness Glass: grade DSB—SSB ; p sash weights; balances, type Alum g ❑ >( ;head Gashing Trim: type material Weatherstripping: IypeStrippinp Paint ; number coats Felt Screens: ❑ full; I!q half; type Alum material Storm sash, number numbereP r PI anscreen cloth• material Saran Basement windows; type material screens, number ;Storm sash, number Special windows Additional information: 18. ENTRANCES AND EXTERIOR DETAIL: Main entrance door: material Metal" ;width ._3.�_ ;thickness1__3.L4" Frame: material WOOd thickness i Other entrance doors: materia6ZQ wood ; width 3211 ; thickness 1 J/ 4it Frame: material W00d _ ; thicknessLL411 head Gashing Weatherstripping: type ; saddles Screen doors: thickness "; number ; screen cloth material Sturm doors: thickness ", number Combination storm and screen doors. thickness __"; number ; screen cloth material Shutters: ❑ hinged; ❑ fixed. Railings , Attic louvers Exterior millwork: grade and species Paint number coats Additional information: S1 i dE al t tm Dnnr—Th tat nanP 19. CABINETS AND INTERIOR DETAIL: Kitchen cabinets, wall units: material mak ; lineal fret of shelves .Pl qn ; shelf width 12„ Base units: material -neck counter top P1;4Stir ; edging�l 8St1C Back and ends lash _P1aStie p Finish of cabinets Varni ch number coats 9 Medicine cabinets: make---GrntP ; model 5;1A1491 Other cabinets and built-in furniture Additional information: 20. STAIRS: TRc.w STAIR R ISLRS Material I Thickners I Material I Thleknese I Malerlal Basement Main Attic Disappearing: make and model numtx•r Additional information: 2 STRINUS IIAruR.IL B%LW rr.Rs . Size Ataterid Size Material Size 21, SPECIAL FLOORS XM WAINSSCOT:(Des cribe Carpet as listed in Certified Products Director Dathmom acceawries: ❑ Rcrczaed; material ; number ; ( Attached; material Chrome ; nurnbit •— Adeiticml infotmaticn: 22. F1UMWO: FIXTUn3 tNUMIlen WcAnou MAAA M/R'I FI%TURL IoLHTIr ICATIoH No. SILL 1 .5.11115-32 t Lavatory —2 Tn tregal Marble Wrier eto_.t 2 Baths El e" 091 --Iano Bathtub Shower over tubes ij�hi to i Stall chowcrA .t Laundry trays 1 ®CR Curtain rod 6❑ Door ❑ Shower pan; material Water supply: supply: ER public; ❑ community system; ❑ individual (private) system.* S:wn(;e Disposal:aLpublic; ❑ community syatcm; ❑ individual (private) system.* *Show and dacribe individual 9,item in romplate detail In rrparate dramingn and Ipertfrotio:u ocrording to requirements. douse drain (inside): [3 cast iron; C] tile; [ ocher ABO 1louu sewer (outLiJc): ❑ toot iron; C] tile; C] situ Water piping: ❑ galvanized steel; ® copper tubing, a other Sill cocks, number -- Domctic water heater: type Cl ass 1 ins- atnraoa ; make and model Anter AM40 ; heating capacity__] jQ ,gal Spit. 100' rise. Storage tank: matoriaGlass/Steel ; capacity .,(dQ_, gallons Ga•,a ,ce vice; ja utility company; ❑ liq. pct. gas; ❑ other Gas piping: P coo4ing; 'iiou86 heating Footing drains connxtcJ to: ❑ storm sewer; ❑ sanitary exwer; ❑ dry well. Sump pump; make and model – �...._-- ; capacity ; discharges into ❑ loot water. ❑ Steam. ❑ Vapor. ❑ One -pips system. ❑ Two -pipe system. ❑ Radiators. ❑ Convectors. ❑ Bawboard radiation. Make and model Radiant panel: ❑ floor, ❑ wall; ❑ ceiling. Panel coil: material ❑ Circulator. ❑ Return pump. Make and model ; capacity_.- gpna Boilcr: make and rnodcl Output Btuh.; net rating Btuh Additional information: - Warm air: ❑ Gravity. 0 Forced. Type of system I' UL" nace- Duct material: supply Plastic„Inn a1V I`'1Cti1� Insulation 51hie6nes5 f Oa .idS tbjs intake _Furnace: make and model ✓2 �f !`�tS "r5� Input . 01000 Btuh.; output AgYi(. 41� ..... Btuh Additional information: _AQ [] Space heater; ❑ floor furnace; ❑ wall heater. Input Btuh.; output $tub.; number units,.. .m Mtr!ac, model Additional information: �--- Controh: make and types jade. ,171 R At t toma t i r r 1 nfbat 1-1 ��14 �---- Additional information: - Fuel: ❑ Coal; ❑ oil; 0 gas; ❑ Gq. pct. gas; ❑ electric; ❑ other ; storage capacity— ­ Additional information: ----- Firing equipment fumithe;d separately: ❑ Gaa burner, cenvesion type. ❑ Stoker: hopper feed ❑; bin feed ❑ Oil burner: ❑ pressure atomizing; ❑ vaporizing Mahe and model Control -- Additional information: Elcctric heating system: type Input watts; Q volts; output_...• Btu, Additional information: Ventilating equipment: attic fan, make and model ; capacity cfn kitchen exhaust Gan, make and model Range Fair Hood+2 speed fan HR3555 Othcr LtC S, ventilating. or cooling equipment �.2 �AI/ D — l `O 51d7 ” C D 3G _ e - - - C .0 .6 24. , -OFD' C WIRING, underground. Panel: fuse box; circuit -breaker, make 13�/ant AMP's,1 z5— <'>`.cireuits�. Servitc: ❑ overheat; ® g ❑ 1� � Wiring; ❑ conduit: ❑ armored cable; ❑ nonmetallic cable; ❑ knob and tube; ❑ other Sprcial outlets: ❑ range, ❑ water heater; ❑ other /rnnd Lj Doorbell. ❑ Chimes. Push-button IocationsFront door – Additional information: -- 'Total number of fixtures 16 Total allowance for f xtures. typical installation, s400 :Nontypical installation Additiunal information: -�—�-- 3 DESOUPTION Q' MATERIA1 LOCAT:OH KIATERIAL, Colon, 2oaDQa, SIzu, GAoa, Ere. Tit au//ura MA"BLIAL WALL RAM MATLAL&L UHonanA= lye/. MAIAL a liitc!arn Vin 1 Vega Armstrong ! Conc.,- Bath Vinyl Vega Armstrong Me oncre e A Metal- Wood UreLhane Pa Pa -2`0et ane Carpet_UQ_i46n_C11S5000 L rCATIOtl MATQn1AL,'COLOn, BOUDM, CAP. Situ. GAG&, ETC. IILIcHT HLIaHT OvLR Tus HLsoeTy IN SHOWLas (Pnou FLOOR) 7 Balfl Dathmom acceawries: ❑ Rcrczaed; material ; number ; ( Attached; material Chrome ; nurnbit •— Adeiticml infotmaticn: 22. F1UMWO: FIXTUn3 tNUMIlen WcAnou MAAA M/R'I FI%TURL IoLHTIr ICATIoH No. SILL 1 .5.11115-32 t Lavatory —2 Tn tregal Marble Wrier eto_.t 2 Baths El e" 091 --Iano Bathtub Shower over tubes ij�hi to i Stall chowcrA .t Laundry trays 1 ®CR Curtain rod 6❑ Door ❑ Shower pan; material Water supply: supply: ER public; ❑ community system; ❑ individual (private) system.* S:wn(;e Disposal:aLpublic; ❑ community syatcm; ❑ individual (private) system.* *Show and dacribe individual 9,item in romplate detail In rrparate dramingn and Ipertfrotio:u ocrording to requirements. douse drain (inside): [3 cast iron; C] tile; [ ocher ABO 1louu sewer (outLiJc): ❑ toot iron; C] tile; C] situ Water piping: ❑ galvanized steel; ® copper tubing, a other Sill cocks, number -- Domctic water heater: type Cl ass 1 ins- atnraoa ; make and model Anter AM40 ; heating capacity__] jQ ,gal Spit. 100' rise. Storage tank: matoriaGlass/Steel ; capacity .,(dQ_, gallons Ga•,a ,ce vice; ja utility company; ❑ liq. pct. gas; ❑ other Gas piping: P coo4ing; 'iiou86 heating Footing drains connxtcJ to: ❑ storm sewer; ❑ sanitary exwer; ❑ dry well. Sump pump; make and model – �...._-- ; capacity ; discharges into ❑ loot water. ❑ Steam. ❑ Vapor. ❑ One -pips system. ❑ Two -pipe system. ❑ Radiators. ❑ Convectors. ❑ Bawboard radiation. Make and model Radiant panel: ❑ floor, ❑ wall; ❑ ceiling. Panel coil: material ❑ Circulator. ❑ Return pump. Make and model ; capacity_.- gpna Boilcr: make and rnodcl Output Btuh.; net rating Btuh Additional information: - Warm air: ❑ Gravity. 0 Forced. Type of system I' UL" nace- Duct material: supply Plastic„Inn a1V I`'1Cti1� Insulation 51hie6nes5 f Oa .idS tbjs intake _Furnace: make and model ✓2 �f !`�tS "r5� Input . 01000 Btuh.; output AgYi(. 41� ..... Btuh Additional information: _AQ [] Space heater; ❑ floor furnace; ❑ wall heater. Input Btuh.; output $tub.; number units,.. .m Mtr!ac, model Additional information: �--- Controh: make and types jade. ,171 R At t toma t i r r 1 nfbat 1-1 ��14 �---- Additional information: - Fuel: ❑ Coal; ❑ oil; 0 gas; ❑ Gq. pct. gas; ❑ electric; ❑ other ; storage capacity— ­ Additional information: ----- Firing equipment fumithe;d separately: ❑ Gaa burner, cenvesion type. ❑ Stoker: hopper feed ❑; bin feed ❑ Oil burner: ❑ pressure atomizing; ❑ vaporizing Mahe and model Control -- Additional information: Elcctric heating system: type Input watts; Q volts; output_...• Btu, Additional information: Ventilating equipment: attic fan, make and model ; capacity cfn kitchen exhaust Gan, make and model Range Fair Hood+2 speed fan HR3555 Othcr LtC S, ventilating. or cooling equipment �.2 �AI/ D — l `O 51d7 ” C D 3G _ e - - - C .0 .6 24. , -OFD' C WIRING, underground. Panel: fuse box; circuit -breaker, make 13�/ant AMP's,1 z5— <'>`.cireuits�. Servitc: ❑ overheat; ® g ❑ 1� � Wiring; ❑ conduit: ❑ armored cable; ❑ nonmetallic cable; ❑ knob and tube; ❑ other Sprcial outlets: ❑ range, ❑ water heater; ❑ other /rnnd Lj Doorbell. ❑ Chimes. Push-button IocationsFront door – Additional information: -- 'Total number of fixtures 16 Total allowance for f xtures. typical installation, s400 :Nontypical installation Additiunal information: -�—�-- 3 DESOUPTION Q' MATERIA1 26. INSULATION: DESCRIPTION OF MATERIALS LOCAT" T"wiarmn MAMR"t, Turn, ^No Atrrmuo ..r INrTALA-ATIVN V,roa BwRsraa Roof ' Ceiling 12" – B t is wall %" - c BaLts Floor 27. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewherel or use to provide additional information where the space provided was inadequate. Always reference by item number to correspond to numbering used on this form.) HARDWARE: (make, material, and finish.) Kwikset Bel -air Brass SPECIAL EQUIPMENT: (State material or make, model and quantity. Include only equipment and appliances which are accept• able by local low, custom and applicable FHA standards. Do not include items which, by established custom, are supplied by occupant and removed when he vacates premises or chottles prohibited by law from becoming realty.) __Ki_fr_han rnnoo • (a9 Ari r PTC -44S PORCHES: MRACESt OARAOES: See Pl an WALK$ AND DRIVEWAYS: Driveway- *width 161 base materialConcrete 4" —�-- thic gess surfacing nuterial ; thickness Front walk: width 3 material Concrete thickness 4 . Service walk: width ; material ; thickness Steps: material ; treads "; risers_,'. Check walls OTHER ONSITE IMPROVEMENTS: (Spefrfy all exterior *Agile improvements not demi6tif rlsewAne, rnfluding iltnrr gurA ar unuru41 gradtnj, drainage struNureg, relataing wells, pne►, railings, and a(ngrdp structu►er. ) 6' Wood Fence Pront yard automatic sprinklers LANDSCAP940, PLANTING, AND FINISH GRADINO:per 4145.1,Rev 1, Appdix 8 Topsoil " thick: ❑ front yard. ❑ side yard,- ❑ rear yard to feet behind main building, dsd Lawns (uv,**ddd, or rpriUed):(fron�'t yard -; K,ide yardr�� ; ❑ rear y►rd Planting' as speciRrd and shon on drawings; ❑ as fullows: Shade Irces, deciduous. " caliper. Evergreen trees. to B & B: Low flowering trees, deciduous, to Evergreen shrubs. ' to B & B. High -Mowing shrubs, deciduous, ' to Vines, 2 -year Medium -growing shrubs, deciduous, ' to Low growing shrubs, deciduous. ' to _ 1DzwnnaAT10N.=This exhibit shall be identified by lite signature of the builder, or sponsor/ and/or the proposed tttoetgagor if the Otter u known at the time of application. Date / A / Signature Signature 4 HUD•9200616.70) VA Form 28.1862 Form FmHA 424.2 �e t M 4, ­J� W4 _ U10- An I. Oil ."Jill Ao, SV -kc * F'r, OF t 14 4 W rx fr'_-C1447 - .1*4,i�--1 -" , 'M 94 Ate p Vk •6'. ja'n, xr. tug, ML, Wissued,*11'Puridaht tlo':hid reoutre-of tfSec ion;30�- the,.' rm�rii�ildin Building :,-�,:clode certifying . t4at atthe time bfissuandLz this, strUctillire,was in compliance, with -the various, ordinc wing., ,ordinances of, City' redWatihg �ibuildino.-conitruj6ti6n or, uie."' of, the'016­ 1111PING,"ADDR ES L e !�2r 8651% Ica ,b ve. na % RUM- Pftar NO_ r pm 40 JW roup re. n %Z us's Valle -I.Icba e Y 5-x`701, Monroe re Puite,G Wid GSp$ 3.0 T -too -.Coal -17,-. Hoiidihq n;W 'ohnie" Day City 55, Z f OVIL 4 , '_ ° ill � - -, - - --- I'll, , . rk :December' t3 it 4Z 6� 129 �V. -T W-.- -.-S 'wrzi -A4 iv "-- ""I '. - - 4