Loading...
06-2735 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253. Application Number: 06-00002735 Property Address: 81867 THOROUGHBRED TR APN: 767-200-999-23 -312024- Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 285785 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: DESERT ELITE, 78401 HIGHWAY DETACHED LA QUINTA, CA (760)777-9920 Applicant: Architect or Engineer: hi ---------------- ISENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th m licensed under provisions of Chapter 9 (commencing with Section 70 1 of Division 3 of the Business d Professionals Code, and my License is in full force and effect. Lice/ns�e CI s: License No.: 753190 atm 1 ' L ntmctor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I m exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and rofessions Code: Any city or county that requires a permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 1 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 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors'. State License Law.). 1 _ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name:. IOQ- Lender's Address: ri LQPERMIT INC. 111, SUITE 92253 ID Contractor: HERINGTON DEVELOPMENT, J1 40960 CALIFORNIA OAKS RD, MURRIETA, CA 92562 (951)677-8415 Lic. No.: 753190 VOICE (760) 777-7012 FAX'(760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/14/06 fur 2 5 2006 O �WrrA -----------------------------'-----------------— WORKER'S COMPENSATION DECLARATION 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 ofthework for which this permit is issued. Y_ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor- . Code, for the performance of the work for which this permit is issued. My workers: compensation insurance carrier and policy number are: . Carrier STATE FUND Policy Number' 1542746-2005 I certify that, in the pe or nce of the work for which this permit is issued, I shall not employ any person in any marine s to become subject to the workers' compensation laws of California, a d agree that, ' I sh I become subject to the workers' compensation provisions of Section 700 of th abor Co t, shall forthwith comply with those provisions. at1 pplicant: WARNING: FA LURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. - 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this appticonstruction, s null and void if work is not commenced within 180 days from date of issuance or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state thrmation is correct. 1 agree to comply with all city and co my o dmances and state laws relating touction, and hereby authorize representatives of this ty enter upon above-mentioned prction purposes. at� ' 6 'nature (Applicant or Agent): Application Number . . . 06-00002735 Permit BUILDING PERMIT _ Additional desc-. Permit Fee 1290.50 Plan Check Fee 838.83 'Issue Date Valuation . . . . 285785 Expiration Date 1/22/07 Qty Unit Charge Per Extension. BASE FEE 639.50 186.00 3.5000 THOU BLDG 100,001-500,000. •651:00 Permit MECHANICAL Additional desc . Permit Fee 114:50 Plan Check Fee 28:63 Issue Date. Valuation .0 Expiration Fate 1/2,2/07.. Qty Unit Charge Per. Extension BASE FEE 15.00 .3.00 9.0000 EA MECH FURNACE <=100K 27.00 .3.00 9:0000 EA MECH B/C <=3HP/100K'BTU 27.00- 6.00 6.5000 EA MECH.VENT FAN .39.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 187.83 Plan Check Fee 48.66 . Issue Date Valuation., .0 Expiration Date 1/22/07 Qty Unit Charge Per Extension BASE FEE 15.00 4475:00 .03.50 ELEC.NEW RES - 1 OR 2 FAMILY 156.63 810.00 .0200 ELEC GARAGE OR NON_RESIDENTIAL 16.20 Permit PLUMBING Additional desc . Permit Fee 236.25 Plan Check Fee 59.06 Issue Date Valuation . . . . 0 Expiration Date 1/22/07 Qty Unit Charge Per Extension BASE FEE 15.00- 26.00' 6.00'00 EA PLB FIXTURE 156.00 1.00 15.00'00.EA PLB BUILDING SEWER 15.00 Application Number ^-06-00002735 ' v Permit, . . . PLUMBING a ' -QtY= Unit Charge Per w =, T Extension— 2:00. 7.5000 EA PLB WATER HEATER/VENT `r 15.00 e ., 'r 1.00 3.0000• EA ',:.PLB WATER INST/ALT/REP "' 3.00 - `1'00 9.0000 EA PLB. LAWN SPRINKLER SYSTEM 9.00 » ,11.00 .7500 EA PLB GAS.PIPE >=5 •8.25" , 1.PLB,GAS ., -------------,--------------------------------------,----------------------- 15.00 " .. Permit . . GRADING -PERMIT, Additional desc' . _ Per Fee : ,': �. 15.00 P1aii-Check-Fee ..00 Issue Date t 'Valuation ". t '0 , r. .,. Expiration Date 4 1/22/07 - ' Qty Unit Charge Per %Extension,, BASE FEE --_ -- 15-.00 --- -- ----------- -4 - -------------------------------- a Special Notes and Comments - -- --- --------' ' SFD - LOT 23; PLAN 6BR/CABANA; 4475 SF R. - PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK'WALLS OR DRIVEWAY APPROACH.,2001 ' CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES + Other Fees _'. ART IN PUBLIC PLACES -RES 233.79 " DIF COMMUNITY CENTERS -RES 74.00...• - " DIF CIVIC CENTER -.RES 480.00, ENERGY REVIEW FEE 83..88 ' a +. DIF FIRE PROTECTION -RES, 140.00 - GRADING PLAN CHECK FEE .00 DIF -LIBRARIES "- RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF'PARKS/REC - RES 892.00 a STRONG MOTION `(SMI) - RES 29.35' .. DIF STREET MAINT FAC -RES. .67.00' ` DIF TRANSPORTATION - RES_ 1666.00' Fee summary Charged Paid Credited Due a Permit Fee Total 1844.08 00 :00 1844.08 . Plan•Check,Total 975.18 .00 00 975.,18 ` Other.Fee Total 4043.02 .00 .00 4043.02 Grand Total 6862.28 - .00 .00 6862.28 L '. LQkRD4IT •r t I e Sladden 'Engineering Location 05704 6782 Stanton Ave., Suite A 39-725 Garand Ln., Suite G 114 S. California Ave. 15438 Cholane Road Buena Park, CA 90621 Palm Desert, CA 92211 Beaumont, CA 92223 Victorville, CA 92392 (714) 523-0952 (760) 772-3893 (951) 845-7743 760-962-1868 Fax (714) 523-1,369 Fax (760) 772-3895 Fax (951) 845-8863 Fak-760-962-1878 Date �% h w FIELD MEMO Job No. Viz- - Project Name I ­7-'�---G Client.: Site Address S -7 --e i,2� Job Phone Work Done rr I Test Summary'/ ootin&aasp-ected- Test No. ' Location Elev. Dry y Moist Density % % Relative Compaction Ref. Max pcf '' Moist % Fkt6fd Tech. Superfor Agent fit.. - . 24 hour. notice requested .to schedule Field Technician. Thank youfor the opportunity to be of service. MAY -31-2007 01:36 PM ATE Date Builder Name ia Telephoner Plan Number, LZ,01:21?-:�7a3 Tele hoLO Sample Group Number ate Sample House Number J. __. _ HERB Provider: e✓ �/Q 5 Firm: Street Address; 7 � d SrG d'4 ot CirL /0' CItyl8tatealp: ) 6 4 q z.z'L_ Copies to: Builder, HERS Provider HERS RATER COMP_LIANCEII T&ME The house was: ❑ Tested proved as part of sample testing, but was not tested As the HERS rater providing dfapnost� testing and field verification, I certify that the houses identified on this form com I with the diagnostic Tested compllance requirements as checked on this form. Distribution system Is fully ducted (I.e., does not use building cavities as plenums or platform return in lieu f ducts) Where cloth backed, rubber adhesive duct tape Is Installed; mastic and dmwbands are used in combination with cloth backed, rubber adhesive duct tape to 9981 leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT P.03 Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured - Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cfmlton x number of tons enter calculated value here If fan flow Is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) D Check Box for Pass or Fall (Pass=6% or less) Pass Fall THERMOSTATIC EXPANSION VALVE TXV or Commission approved a uivalent Yea ❑ No Thermostatic Expansion Valve (or Commission approvcd equivalent) Is installed and Access Is provided for Inspection Yes is a pass C] MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. O Yes O No ACCA Manual D Ossign requirements have been mot (rater has verified that actual Installation matches values in CF -1 R and design on plan. 2, 0 Yea O No TXV Is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1 R. Measured Fan Flow = Yes for both 1 and 2 is a Pass ❑ Pass Fail O O Pass Fail 05-16-�07 15;13 FROM - Empire Insulation, Inc. 3901 Carter Avenue, Suite 1 Riverside, CA 92501 T-474 P13/14' U-503 Phone: (951) 787-4844 Fax: (951) 787-4849 INSULATION CERTIFICATE This is to certify that Insulation has been installed in conformance with the current Energy Regulations & Building Codes of the City, County and State Governing Agencies for the State of California. PROJECT: THE ESTATES @ RANCHO SANTANA SITE ADDRESS: 81-867 THOROUGHBRED TRIJ LA QUINTA CA Number city State Lot 23 Plan 6/CA6ANA CEILING AREA: BLOWN Manufacturer: GREENFIBER Thickness/Type; 8.36" R -Value R-30 CEILING AREA: BATT Manufacturer: GUARDIAN Thickness/Type; 9 1/2 '' R -Value R-30 EXTERIOR WALLS:; Manufacturer: GUARDIAN Thickness/Type: 3 s/8'' R -Value R-1.3 GENERAL CONTRACTOR: BY: TITLE: LICENSE # DATE: INSULATION CONTRACTOR; EMPIRE INSULATION LICENSE # 860072. BY: )OHN MIRANDA DATE: 5/16 07 INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R Sitter `Addreess �7 _ Permit Number O 1 ` 0 _{ _ � �0 �O L �fJIY�� i SDC T(-Otl I - An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The. information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type CEC Certified Mfr. k of Efficiencyt (AFUE, etc.) Duct Duct or Heating Heating Name and Model Identical Location Piping Load Capacity k . heat urn) Number Systems. "(>_CF•l R value) attic, etc. R -value (Bm/hr) (Budinr) of of ° _ G Al e` t of L t li 0 b 1 d d c Q U goo NM 1R1�0.1� �c;7 Cooling Equipment Equip Type CECCertified Mfr. k of b fficiencyt (SEER or EER) Duct Coaling Cooling Namcand Model Idemicel Location Duct . Load Capacity OAg. heat um Number Systems ZCF•iRvalue) (attic,ctr.) R -value (Btuthr) (Btu/hr) of _ 1 NM 1R1�0.1� �c;7 1. > symbol reads greater than or equal to what is indicated on.the CF -JR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ 011, the undersigned, verify.that equipment listed above is: t) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -IR') submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. , Installing Subcontractor (Co. Name) OR General Contractor (Co. e, Owner / Siunatur Date: Copies , HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 j' -Cl 8020-LTB-TS6 IeoiueyoaW IQ -1 WU92=TT L002 LT ReW INSTALLATION CERTIFICATE . CF -6R 81-867 Thoroughbred Trail ` Site Address Permit # An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is option].) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per section- 10-103(b). r HVAC SYSTEMS: Headng Equipment Equip. Type # of Efficiency Duct Duct or Heating Heating (pkg. heat CEC Certified Mfr, Make.&Model Identical (AFUE,etc.)' Location Piping Load Capacity purrt)etc.) Number - Systems [KF -1R value] (attic, etc.) R -value (Btu/hr) (BTU/Hr) FAU YORK LY8S080B 16UH I 1 1 80.0% ATTIC R4.2 g0,000 FAIL YORK LY8S080C20UH 1 I I 80.0% ATTIC R=4.2 80,000 Cooling Equipment Equip. Type # of Effec iency Duct Cooling Cooling (pkg. heat CEC Certified Compressor Unit Mfr. Identical (SEER, etc)' Location Duct Load Capacity pump, etc.) Name and Model Number Systems [>:CF -1R value] (attic, etc.) R -value (Btu/hr) (BTU/Hr) ' A/C COND. YORK 142RD042 1 13 ATTIC R-4.2 42,000 A/C COND. YORK H2RD048 1 13 ATTIC R-4.2 48,000 T>_ reads greater than or equal to. . 1, the undersigned, verify that the equipment listed above is: 1) is the actual equipment installed, (2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with the Energy Efficiency Standards for residential buildings, and (3) equipment that meets or exceeds the ate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. LDI Meclhanical ndy Yates i''10/24!2006 HVAC Subcontractor (Co. Name) OR General Contractor OR Owner V1 B'd 2680-EbE(09L) _1d3IWlJH03W I111 WUa0=6 L00a ZZ Few 4of12)CF - - --- Permit Number Site Address INSTALLER tWL - CE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPL 04M STATEMENT The butft was; ❑ Tested at Final 1P Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ❑ Remove at last one supply and one return register, and ver* that the spaces between the register boot and the interior. Enisbing wall Are properly seated. ❑ if the house rotes -in duct leakage test was eonducW without an air handler installed, inspect the conn n points between the air handler and the supply and rd= plenums to verify that the connection points are proper seated. * hasped all johns to ensure that no cloth backed rubber adhesive duct tape is used ❑ DUCT LEAKAGE REDUCTION —& i iml/mAln In RACM. Aanex4ftRC4.3____ NEW CpNBTmugnON: 1 I Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nomfaal; Cooling J Heating) or Measures 2 If Fan Flow is Calculated as 400 c$m/ton x number of toms or as 21.7 cW(kBtu/hr) x Heating is Thousands of BtuJhr enter total calculated or measured Pan flow. in CFM hem: Pass / Fail p ff ft tentage is at or below 6% for Final or 4% at Rough -In' 3 Percent Leakage [MOX [ (Line # 1) / lino #Z)IJ I I System 2 9 1900 111000 Paas 0,026 0102/0 TSERMOSTATIC EXPANSION VALVE (T1M d ver co�tan ojthennaslade atrston valves are available is RACM, AD endlx Xl 9 9 Aaxsa is provided for inspacdoa• The procedure Thal] consist of visual LONW1 ve l"cation that the TXV is installed on the system and installation of thespeciSc equipment shall be verified. Yes is a pass pass—r Fail ❑ HIGH EER AM CONDMONER ,� yp.• callo� mss pvallabla in iYA A endir � 1 ✓ Yes O No EMvalues of installed systems match the CF -1 R ✓ ✓ 2 ✓ illi yes ' ❑ No For spilt system, indoor coil is matched to outdoor coil 3 ✓ IPYes O No Time Delay Relay Verified (if Repired) Cl C3 Yes to 1 and 2; and 3 (If Required) is a p Pass Fal I *at the above diagnaa* test results worn performed in conformance with the req nts far I, fire undersigned, verrfy *8 undWAZW4 also th8t the newly installed nr retrofit Air -Distribution System ,Plenums and °0�"' 1' in Se6tien 150 (m) of the 2005 Building Energy Eiiicien . standards. Fans comply wit MmadatatY �� r Installioo8 Subconttaew (Co. Name) OR General 1 �. jSec. Conftdor (Co, Name) OR Owner [�- S-2z- Copies to: HtT11. M BUJWING DEPARTMIM, VMS BATOR Residential COmpji"Ce Forms Aprih 2005 6'd 2680-6*16(09L) -1U3INHH03W IQ -1 WUaO:6 L00a as ReW INSTALLATION CERTIFICATE : CF -611 81-867 Thoroughbred Trail Site Address Permit # 1 An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this forth to provide the information is optionl.) After comple HVAC SYSTEMS: Heating Equipment Equip. Type # of Efficiency Duct Duct or Heating Heating (pkg. heat CEC Certified Mfr, Make & Model • Identical (AFUE,ete.)' Location Piping " 'Load Capacity pump, etc.) Number Systems [aCF- I R value] • (attic, etc.) R -value (Btu/ u) (BTU/Hr) FAU YORK F4FP024H06T2A 1 80.0% ATTIC R-8 24,000 t Cooling Equipment Equip. Type, # of Efieciency 'Duct Cooling Cooling (pkg, heat CEC Certified Compressor Unit Mfr. Identical (SEER, etc)" Location Duct Load Capacity pump, etc.) Name and Model Number Systems [SCF -1 R value) (attic, eta) R -value (Bmqu) (BTU/Hr) A/C COND. YORK E1RD018 1 13 ATTIC ' R-8 18,000 1 >_ reads greater than or equal to. • 1, the undersigned, verity that the equipment listed above is: 1) is the actual equipment installed, (2) equivalent to or more efficient than that specified in the i certificate of compli nce (Form CF -1R) submitted for compliance with the Energy Efficiency {} LDI MechanicalOff a& ! Cind 10/24/2006 HVAC Subcontractor (Co. Name)' _ OR General Contractor OR Owner TE 4 - ----- Permit Number Site Address INSTALLER C Aa CE STATEMENT FUR DUCT' LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was~ ❑ Tested at Final 10 Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ❑ Remo,- -1 1-9 one supply and one return rogister, and verify that the spaces between the register boot aab the interlor finishing wall are proPcdY sealed- If the house rough -in duct leakage tact was conducted without an air bandler installed, inspect the conneeTon points batwoea the air b—illcr and the supply cad return plenums to verify that the connection points are proper seated. Ig Inspect all joints to eamre that no cloth backed rubber adhesive duct tape is used - -- ❑ DUCT LEAKAGE REDUCTION _ n_..L...�, _ n..efw.r.e Af0 /f17/)rr/lL to RIlWII. a,Dr>exd&Rt:4G3 NEW CONSTRUCPiorr: s 1 `system 2 1 Enter Tested Leakage Flow is CFM: Fan Flow: GlslWa d (Nominal: Cooling 1 Hea bW or Measured 2 If Fan Flow is Calculated as 400 ofin/oou x number of tons or as 21.7 cfm/(kAtu/l:r) x heating /cQ o C P In ThouM& of Btnlhr, ewer total caloalsied or measured fan Sow. In CFM hem: i ettaspPareentage is at or below 6% for Final or 4% at Rough -in: Pass / Fail �A. S.S 3 [100X [ (Lhw # 1) / (Lame # 2))J Percent Leakage d0,03_5 d THERMOSTATIC EXPANSION VALVE (TXV) Tho Appendix 9 9 procedures for vereatlorr of thmnoz nth lob vah�esp labte in RACK App Access Is Pied on. shall consist of visual verification the M is kstaUed on the systeaa and installation of time Oyes ❑No that speci& equ4=ent shall be verified. Yes is a pass ass Fail D SIGH EER Ant CONDITIONER Procedures or ver cation ars uvaUable In RACA4 mdir Rl match the CF• l R 1 ✓ Yea D No EER values of installed systems ✓ ✓ 2 le Yes O No For split sysRem, indoor coil is matched to outdoor coil ❑ 3 Ip Yes O No T'ffie Delay Relay Verified (If Required Pass Fail Yes to 1 end 2; end 3 (If Required) is a pas thea the abovo diagnostic test r+asulte wore performed in corsfaQmence with there cuts for c, the �igrbd, sig" Y that Ste newly installed or retrofit Air-Distnbu6m System I) Plenums and Fos �lY WM Manft y regaireme b gwifr-d in Section 150 (m) of the 2005 Building Energy Efficien v standards. Ing Suboonhulor (Co. Name) OR General 1 Contactor (CO. Name) OR OWW 1�- rl /- S o<' S Date: . Capin bo: BiTD jA BUQ.DING DEPARTIU NTT HERS ]RATER R'bsidentdal Compliance Forms April 2005 TT'd 2680_6:16(09L) 3HOIWUH03W IQ1 Wd20=6 L002 22 ReW