9703-085 (SFD)LICENSED CONTRACTOR DECLARATION
;,;;I„Wereby_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 k Lic. Class Exp. Date
j
ate Signature of Co fracto f d r +� '
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 ofAhe 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 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 & .policy no. are:
Carrier Policy No.
CAL COMP WAD I =X;
(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
to,the i %. .
Code, I sha I�for<thwith comply with�tu""ose pr visions. `i '
ate: ' «, Applicant. �i � 6.&.
77
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 37.06
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 certiN that l 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
lt
construction, and hereby authorize representatives of this City to enter upon
the/bove-mentione roperty for inspect�-pur oses. f I
nature (0wner/Agen11
-- —�
BUILDINGPERMIT PERMIT# CONTROL#"
DATE 1i97 VALUATION918
$1,20.641.4f) LOT TRACT 2';995.4
JOB SITE
ADDRESS Ll.AaZ��I��7i�i/�M �E
APN QIZ!34»OI/
OWNER
CONTRACTOR / DESIGNER / ENGINEER
INICO Fit7A'. ES
INC -0 FfOMES CORP.',
128.2 W ARKOW.IiV► Y
1292 W. ARROW RWY
i dN AND CA. 91785
UPLAND CA 91785
(909)981-8984 0010 3314
USE OF PERMIT
S.I+I1
SN'13 - larkmn—, weg� ..v0•.t w+:;l, lmi.k�,,t..GCK ` %L1.S Wl f u
R- A
i
'JWVC ' e.;CitdS"a'itCiMON 8F
V011.0 UYPX,.)'.K5 14.00 S
1t kAUEUCA32.F'f.?RT 533100 8F
VNi"IMA'TE.iD QST OF CONI-S7CRU ` M N,
120.647A0
f'1.AN (3VICK FFY. lUl (►t7t}-�t39� i1.Lt $ �f, tei
Is`4'I F,'TP,;;I'I!ON VEER 01-000418-1000
11 Cir1t��;�r A, $47.t>A
t; FX,A.14LT(.'A..'i fxl . SiNPA14
'
!'l�Ltt�f�lNF?r)f I 161»0(441,9'
tlol'fyhlfr Rt%t .at,`1ro. I W-f)M-241 -000
(3RAD I NO 112,1:4%M0
ir�t�rt,���`!`t7i�+.:°,tlt<r.�C��?t; :�;��-t'�ti(1-�9�a:�-:�42 ��.eli,:�8
•
AR'P IN I'#t +I..it PLACIMS.•.ftF.'; fJ 14)1 -WO 5500, .
PAt s .
I .0NS TR1JG170N kND PIAN CHECK
l:,ESS ME FRES
�A At3
0 3.1997 . "
APRi�;��
T D 7AL .&%'Rhlt �' a'.l Now
I�t►9-
54.423.66
¢app. ppg..g
®� �ILAINTA
QJT
RECEIPT
DATEBY
DA FINALE6
INSPECTOR
INSPECTION RECORD
.^ OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
( BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
'Return Air
Steel
Combustion Air
Roof Deck
$
Exhaust Fans
O.K to Wrap
F.A.U.
Framing &a_;asq.4,2
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL
APPROV S
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
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
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)
Residence Address: l7Fs 4-4 Pn C�-- (-O+ 6 P 16, n � �f
%�Do Sunbr)x k JUineS Le Ou Also CA g2ZS3
CER-nFICAMR- This is to certify that attic insulation has been installed in conformance with
the coverage chart recommendations on the opposite side of this card using 55 bags to
cover 1PSI s4 k to obtain an R•vjjalue of
Contractor's authorized signature F'f o"..0 i t •! lam-,
Installed by: Builder.
74.741 MINI DRIVE
PALM DESERT, CA 92260
j619) 346-2339
» iN3rIwiom SPECIALISn
ire)RPILO PLUS:
(Formerly Cordex)
STABILIZED INSULATION
MANUFACTURED BY
GREENSTONE INDUSTRIES:
Ailanta, Georgia • Elkwood, Virginia • Ft Wayne, Indiana
Norfolk, Nebraska •Phoenix, Arizona • Portland, Oregon
ATOMIZED PNEUMATIC APPUCATION COVERAGE CHART*
3.5
39.6
Net Com
Gross Coverage
R -Value at
Minimum
No Adjustment for Trusses
Based on 2 x 6•
Maximum
Minimum
75'F Mean
Thickness
Trusses on 16'
Temperature
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: (Ibs)
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
28.4
35.2
R-32
8.6
32.0
34.1
.937
34.1
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
5.5
25.2
1 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
:n o eher eeMlinn (`nr..norfinn may n ris ninn inetcAntinnc ohnue Q-
•7
-�.1r`!%,`. •";Si`if'�g�!.`f �,�a�t��E,l• ,YSi' 1�.�'
490
Fiber Glass Blankets when
installed according to the
manufacturer's recom-
mendations will provide the full
rated thermal resistance value.
Blanket Insulation
R
Minimum
Value
Thickness -
To obtain an
Installed
insulation
insulation
resistance
should
R of: -
not be less than:
R_38
13" Thick'
_ _
R-30
9'/4" Thick'
_
83/a"Thi._ ck _
icall be:
Y
6
7'/2" Thick
R_19
61/2" Thick' _
R_1335/e"Thick"
R-38
201/2 49 sq. ft. 0.811 lbs. 10'/4" Thick
R-11
3'/2" Thick
K
To meet the thermal resistance value (R), the manufacturer has specified the number of bags per
minimum design thickness and
1000 sq. ft. of net area that must be installed to meet both the
oo numberf babsnomi/1 000 sq.is
Installing the correct
net
ry to
minimum wt./sq. ft. requirements. ct on weight
labeled resistance (R) e_-
bagft.
meet the corresponding
68 sq. ft. 0.583 lbs.
Rich -R'"" Fiber Glass Blowing Wool Attic Insulation -40 lb. Bag.
Average
R Bags per Maximum Minimum Minimum
Wt_/sq. ft. Thickness
Installed
Thickness
Valuet 1000 sq. ft. Net Coverage
The weight Installed
Average
To obtain The number of Contents
insula bags per 1000 of this bag per sq. ft.'of insulation
installed
kness
an
tion resis- sq. ft. of net should not installed insul- should
ation should not not be
wilt
lance area should not cover
be less than: more than: be less than: less than:
icall be:
Y
6
(R) of:
291/2 34 sq. ft. 1.188 lbs. 15" Thick
z
11
R_44 - ---
251/2 39 sq. ft. 1.029 lbs. 13" Thick
14'/4
R-38
201/2 49 sq. ft. 0.811 lbs. 10'/4" Thick
11'/411
R_30_ _ 71/2" Thick
-
67 sq. ft. 0.594 lbs.
8'/a°
R-22 15
3 78 sq, ft. 0.514 lbs. 61/2'Thick
7 1/a
R-19 -_ --33/4" Thick
71/2 135 sq. ft. 0.297 lbs. --
41/4"
R-11 _
Rich -R'"" Fiber Glass Blowing Wool Sidewall Insulation -40 -Ib. Bag _
(gross) .
--- 1611/2 60 sq. ft. 0.667 lbs. 4" Thick
- ---------
4"
'Thickness varies, check bag
R-1615
66 sq. ft. 0.604 lbs.
35/e" Thick 35/e
label for producing locations
R-14
68 sq. ft. 0.583 lbs.
31/2" Thick 3'/2"
thickness.
R-12.7 in a 3'/2" cavity. , f
�Ic1 `f
R-14 141/2
Average installed thickness is provided as a guide to installers. Actual t hickness will vary R -value, insulation
installation. To obtain a specific
t n
�PS�+� Pr CA P_ to
depending on conditions at the time
larger
of
than specified on the coverage
chart.
Sun brook ►1�
should not be applied over a area
conforms to the performance requirements of
�g 9�(c0
Net wt./bag, minimum 37 lbs. This product
HH -1-1030B. Type I, Class B, and DOE RCS
Standards. Also meets the
L,Q GU i nia , CA
Federal Specification
Insulation Quality Standards of the State of California.
Framing 16" on center.
ft.
Framing 24" on center.
Bags per 1000 sq. ft.
Framing Correction for 40 Ib.
R Joists
Bags per 1000 sq.
ross
(g_- )
Bag Rich -R Blowing Wool
Valuest Dimensions
(gross) .
28.6
Wren installing in attics of new
R-44 2x8
28.2
28 5
28.8
homes or existing homes where
2x6
29.1
no insulation is present, it is
_! 2x4
-- 28.9
24.6
acceptable to adjust the2x8
R-38
242
24.8
coverage figures to compensate
2x6
24.5
25.1
for the presence of the framing
2x4
24.9
members as indicated in the
--- 2x8
19.1
19.6
following table.
R-30
2x6
19 5
19.8
2x4
19.8
20.1
-"___- _---_--
2x8
R-22
13.6
14.0
14.1
14.3
tR-values indicated obtained
2x6
2x4
_ 14. 3
14.6
12 2
when properly installed with
R-19 2x8
11.8
12.3
pneumatic equipment.
2x6
12.0
12.6
20
12.3
The higher the R -value, the
R-11 2x8
6.8
7.1
7.1
greater the insulating power.
2x6
6.8
7.1
Ask your seller for the fact sheet
2x4
6.8
on R -values.
Batts and rolls have been installed in conformance with the above
recommendations to provide a thermal resistance value of
at---.. inches in j.1 -2 --sq. it. of ceiling, R___1_3 at
inches in 1070 sq. ft. of exterior walls, and R at
inches in .___ sq. ft. of floors or crawl space perimeter.
Dale �� Signature
J1MEL-f jt eY n fr
A V L I
Date Signature
,11113-615 7186
Blowing wool has been installed in the ceiling or sidewall in con-
formance with the above recommendations to provide an R -value.
of R--_--- using__ bags of this insulation to cover
square feet of area at a
minimum thickness of ---inches.
Insulation Conuaclor ROVER -`N U 74 E)�n D0e �
PALM DESERT, CALIFORNIA 92260
(fv lq ) 346-2339 Punted ii 'USA 1
06/20/1997 11:09 9096899524 ' HOOD PLUMBING HAUL Ob^ -�
(rista.11ali�tl Cer'tificat Residentiaj
CF -6R:
Ura OI Inlr. form ,er.�uoh �`4 ► Ir,im',..-,. •'
' �QV /. d U1• A�minl clfvUv C.•,,;. 'i,:11. b(i1+U.i Ir,l•v.. "
�,' �D �: •n mom....
:!d.o
7-�.,- A„d.cc�►.a.. ;
.i•tt• �OGf•e• Fes'- h. ^4�WA1
~--��- Ps•rmlI Num t",
Ari instillation cerlrficato is required to b9liostPd at fho b0d](V .no nor b ih'e iss anoa d the racra�
MALy too used to moot these r A u t>svrcY twrniit This form
vqulromQnts, aliead{�fpri" b catagorio>f risto-of ti E
fho pliancay and tpo of the appliance'installedmust be trqunrefent'Cr beCornpiianaa (CF.•'1isce►tilicete.(or hs wQuivdlern) stud bo• Fxopmred'�kJrie�1•by tlis..por�on(ra) >zne�,min ov
resvonsibility for the upolianoe Instaltsi;prt 9 Drell
'. trio undorsgr,ad. Pur ry that the oquipr,,.,n! ils-tod in the cattl,goiy abbya My.'ignadur6. is the attauaf equipmern lrtatalil90 anG t
t`ar tt'ta equipment moots or exceeds•,thu roquiramonts of fho A�l+ltrt�o � ilttcy•Startdards. Irt'ed'ditgn. I have Hor'fiiod that
ulgoquiprnent Is•ogUivalent W or moro.afficcvnt than the equlpmont.pacified•gh'the`; nf{1eatQ.:o!'.Cnm
domonstlate cornpGame with the Eftrgy Etficioncy Standards for.residentW:tV(EdL, Rlfance•sub-rt$ted to .
160
RVAC.SYSTEM$
NOW Hydropic boiler utforrt3tion is'antarod'tare, Other hydronic or nmbin drii`.' ' u "
wator'Hoating Syciems.. e4-.ny ,• • n� sq Iprnsri4- is.11b-t9d under.
',.. Haating Equip. CEC COrttfied ActU41 Okattibutlon
Type ttumaca, IAanui, Nak• & • EHklan uct be. Heti ft Load. Heating
haat DUrnp ota.l 4lodet Number ryPa °nd IppM.g::`. 'gofor .Cvor- E4ulpl&pr t
tAFVE etc) Locatbn AIU6 Slzita ' 6tuh} Capacttyleruh)
CEC ConNrad
Cooling Equip. Comprear t Unit Acvml Distribution
Type (sir w'd., Uinuf. Makn-a 'Efficlanic Eh�t t tx•:;
heat u ALC, 'Nadal Numbs ' y Tjrp�r and . :pI lnp':'
,. PLr Lncatlort .atti •
The building doniyn ho'at loss and daelgn hear gain faro havri boon dtten++inod a Drifted '
t; tho Snagy @Nlalancy Standards. etnd 8ro two q) the �.riterta used tor. �aied in Section 15o(h) ol••
• equorrlant 9 a'ad ssl6txictn,
:: S�gnaa�ra
Can HVAC Strbon • :.:. •': . •.
tract -100. th�tite} ar'Gersural Coni a=r or Owner
WATER HEATING 3YSTEM3
WatarNsating CEGCtirtK4d Rated' Eli ryy? .. Ext.rrtai
' Tank Fittcr,..vt
t;
System Typo fttanut. Malo & input (ktK Ca Tank.
r: creta s aa'etc. >tl al Nu bar or Btuh) Pa Y t3A4ovtary $tdt7db t fitaulatbn
`. allose I"le s SG -Valu•
_ 1. par ameq.asa {tort • (neod • . — ---i- -• ``' .� .' .-.__._____s�.,� '
o �+OutS 76,Oo0'9tWv), aleeVk ft►.tatanw•nrtd heat punip!iiialri ty t.ra, rst.Er1
• Far tarps pea ateraga watar huatera (At+ud:lnpult >75.000 ah Avk get Arid IriouL S !! r etgy F6eer,
For Jnatananaesra Qaa.aarr hattent, fiat ted lifpui ane R0°O"!"y 41*me arta 81,11naDy loss.
For Inatenttt► ea" MooMo water haatera• list iisod kraut Reovwry Bl6�r ,
FAUCETS SHOWER HEA03
M tauct;tiy ant' ShMOMIODds installed are Bst6d In the Corrvniesion'e Otrravry o/ CPKfIEod.:Rarroacs 'and.Showarhsad=,
aurauam to T'tua 24. Pari is. Subchapter 2. S,'"on i i i •
Octl
Dater Plurrlhtnp SeiOmhvaetdl (co, Nim, 01 Cwfeetl Concacmr or Owner.
05 •/ J
P. 02
,•
•. '• �F
..::,.:. i�� :. .: .y..
,
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' fONoa `tb i 9ulniw wttt of 4lw Admbd H" Cods OOdi It bt�th�']Ma i1 } .19w a!' attd pout r
•'w^•, CWfed�1 AM. W'�1'O ii�'i1l0 �Ifi,: :.{V{r .�T quo 'o ipY:00itWL:-.l;Illsferin
t iot•'�ht�it*,F"rJlf®tttoefL.: .
j
may:ll tpr' Ap l�lip� Iss I �ibtill�Al arr Ihehlotd that
attt:. l+id;
tha'ti ! of •tfsii appllai'�pY: intltI Od: Mind bP' u At tlt:li tt�k an M t' Ad �9t0�;�`�tHi�eiti �f
!!?
Y `• p,
Co riQil icra F?�h' 7 hb: tiPieatra DQE fWaawownt) a l ha prop s :iii slgnod.by tFi2 �-t i 11
. • rospf�r�al�ir;4Psiof;�pilt: itthtalafinct:•� � "'._.: ; •'; .
,;:'
.
:: L lH vs+iafii tpnt+d;'>►q 1y'ttt�d;th�'ogtf�t�iiiertt lis��d i�l!hs t sbaii i ' ..:: 'RIa f01s:tPi�'' _;gir; l t .Irip�alCad soli.
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that: i�te iift'•r®quli mrtls'atthoAp�pliattragi`.w �4�t�d'�idia-° 1`It$v� th
;
itt T+i fM)°.i� 1a 1►,*IvnTtff.dr:tPlt7►ti.,4,0f M1t:thon:the 44mOment.i l� t♦t t a C t •4 014f tI�Ip1i1�8:.9teit9gt11tYd to
h
' .. d®i�5��4�lofr;.lr?d�Rpll�'ll�'t�i1'::ih�'fA�P�f'�f1.ioL�i�Y L�(tittt�O�M�dS.ft�P llisiddWtf®Ik•�i{dlPlga.:�, ' � •:. ..
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HVAC.
Plat:' 11? f pfntdti®rr is eat�rgd 00m, Otte► hydmnidI:or-cdtO o V dro
Vit; by ++le `
'Me:tau.. IDlatifitutlDUN ibar
Wkid
tabtyliliff:' t>�'i ;'; .1 `fyp�'aad :P 'liy� ,' '
's CS,
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milli#'. rig: + - pP �Jnot :L ': �•.:: • pLotrlbtitlttai-° �u�t of
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l�atic�t ifeli;.'. t}i to d h �aittratolllswarb�n'dat®ilrta uta11� 5 ()
tha tg(0 a aAd: allr tsto'•of'tfro c*vt tl upd fa Iti�'sW W
egWp �: Ir .
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sto 3Y' t! �`;: t' HnbrtF = ®r• h al Lf[)el : tVsitieo "
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• .: f':, ir��L1'w4_�..-_ +i,. i+'.y.:r;.•�r....�. mow' ��•.
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fica to of Occu anc cert�-
O O�
Citk..of La Quinta,
Building -and Safety Department OF
This` Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. Forthe-following:
BUILDING ADDRESS:" 78-860 .SUNBROOK LANE
Use Classification: SINGLE FAMILY DWELLING 'Bldg.. Permit No.: 9703=085
Occupancy Group: R-3. Type of Construction:- VN Land Use Zone: R-3 •
Owner of Building: INCO HOMES Address: 1282 W. ARROW HWY
City: LA O.UINTA, CA., 92253
By: DANIEL P. CRAWFORD JR.
Date: 7/11/97
Building Official
POST IN A CONSPICUOUS PLACE.
rc.P►N K+EMASE lON'TItOIcI ZA Tlo 0
ARCHITECTS
January 3, 2002
City of La Quinta
Building & Safety Department
P.O. Box 1504
La Quinta, CA 92253
To Whom It May Concern
Please be informed that CSA Architects hereby consents to the release of copies of
architectural plans on file for property located at 78-860 Sunbrook Lane, La Quinta, CA
92253, Parcel #604291006-0, Lot #6, Tract 23995-1 to Mr. Kevin McCune, the current
owner of the property. The project at time of construction was known as Desert Pride
and was built by Inco Homes.
Sincerely,
CSC` ARCHITECTS
.. 2
7.�
Carl Schnei er, A.I.A., NCARB
330 E. Canon Perdido, Suite A, Santa Barbara, CA 93101 - (805) 962-4575 - Fax (805) 962-5095
e-mail: csa csa-arch. com web site: ht1p.11www. csa-arch. com