0306-444 (SFD)' LICENSED CONTRACTOR DECLARATION. • . • _ -
I hereby 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. ti
License # Lic. Class - Exp. Date
e ;'DateVV ') ,_Signature of`Contractor�� � •• t..A-��,�
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).
O 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 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 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;
Camer SiM-F-FIMb ` Policy No. 4b^k93-r';9�i
(This section need not be completed if the permit.valuation is for $100.00 orless).
()° 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
work ers'•compensation laws of California, and agree that if I should become
subject to the workers',compensation provisions of Section 3700 of the Labor
Code' -1 shall forthwith comply with those provisions!
„iDaie �.i.�P , I tiAPPlicant`�,•. 'L � h' �t�X
Warning: Failure to secure Workers' Compensation coverage is unlawful and
Shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to. the cosf�of compensation, damages as provided for in Section 3706
of the Labor CodeP interest and attorney's fees;
IMPORTANT Application is hereby made to the Director of Building and Safety,
for a permit subject to the conditions and restrictions set forth on his
application..
1. Each person upon whose behalf this application is made &-each person at
'whose request and for whose benefit work is -pe rformed.under or pursuant to
any permit,issued as a result of this applicaton agrees,to,'&'shall,.indemnify1
& hold harmless the City of La Quinta,'its officers; agents and employees.
2. Any permit issued as a result of this application becomes null and void 'if ,
work is not; commenced within 180 days. from date of 'issuance of such .
permit, or cessation of work for'180 days will subject permit to cancellation:
I certify that I have read this application and state that the above information is.
correct. I agree to.comply'with an,City, and State laws relating to'the building
construction, and hereby authorize: representatives of this City to •enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agent),��.••-.\�`,.• .:�� bate
.'� "-tea ° • �ev
BUILDING PERMIT PERM"<:+�bt
'
DATE VALUATION " ,gl: q `I ejytGll. ' LOT. TRACT
JOB SITE
55-1 11 Yu.al' PAI b:'��r,°iUT
APN •7%,i-'j°�.,,RO
ADDRESS
OWNER ,
CONTRACTOR DESIGNER/, / EN (NEER
r�i�,',.
yAAf9g�•�� �`�c,yy1��:TT�?,����tK��3�I: s 7�
J`7'z In �Yd•S�L:L.'l' 1 ,l.� I) i''...�
/e3'1°j.{,*et'�°tryWy.
l .i tr• ��d;9l4. bD1i1 :CT.�I.�„.,a
tilSii9
k1�.Ir��6tt31i'A 012373
(fit j"f '3 t 4g C LA 011
USE OF PERMIT
MINGLE FAMILY
"ror.rw{
� • ttb 1.19rAa4bri !.:;;: K... -,raw �m..a-' p .w. t��yi..,i.v a.,u4wb.=a. v•.i ;.x.ci;.y .
POOL, SRA,Oft Ot`a.j'
-!V1 Ot "C"N 'C!'IGAi
' Sp������yrap.P�riyx°ta�'�:
�J,�'I'Y.CSf.3�d�i'sr+;ty ry.)'+l.�l' .' 'I t9 �..t�•✓ :TT'
PLAN R, 04
lC�.'F.'n;'I`x�i;;:'fit, �:. t'i..)9.-itd)�-`t;iGp:•:ppp. , _ ':$z.4"iU>:'
•
P1�CB'�� IiW C tib '' " 3 Cl �)�Jf3. :t • 0OC Q i f3, i d:
,3,f3K)NO AA QV ON 19E,4 n =1 D 0 i000*.. %aI-OOJD liiltJ 0a'13RAWNG
t
FRY 101-000-423-000
101-000-09-318 -000.tlo
-A .�'�¢'�.
-
f1y)'[��f f^� �1'�j �yy'f�p�� (�I'�, �'� y�
• - p7��9"Y I ��t"Ad �(./V.IY \7 .: R.'i..Y�w! �a1.V:1'M li.�R�.(V B•!{. niTL�Jr ,sr1 Jy.1"r
,fyp�� {,j�_ �g �•.
W'tM`,t,H�.r�8.76 -
/�1•q��
- •.1i�713 FIn�{S?'
.. •. 'i4a�e liy
�"'�--•--- -••_� ,.,�J�pyp A�, e} p y��;Y�a� ivy, HOW
� , • �� n � 1'�f 4..IfRY/.�S%L�'11�,Y ��U J'e.ClA7 �,SP.Ri di4.•� V7
Q�4 t,� 7
� 4,1. VA, iS
ip
.
2`'
'CITY
Orx��Yaar�—
•FIAIAGdci
!RECEIPT`
DATE' " i
BY.
:DATE F ALE
IN
r
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 2 r
Exhaust Fans
O.K. to Wrap / o �k
F.A.U.
Framing s'zz 3 Zp
Compressor
Insulation R /
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath Z
Drywall - Int. Lath
Final
Final f
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. Test
Final I
Gas Piping
PLUMBING APPROVAL
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 YZE 7 A^ v
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final j f
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole 01
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)
REGISTERED INSPECTOR'S WEEKLY REPORT
JOIN TANDY
78-194 Elenbrook Ct.
Palm Desert, CA 92211
Office (760) 772-7192
Fax (760) 772-7193
Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY
❑ POST TENSIONED'CONCRETE ❑ ASPHALT
❑ REINFORCED MASONRY ❑ FIRE PROOFING
d QN'K %,,1
❑ OTHER 1
JOB LOCATIONa t
�LLJi Z3 Lo
REP -)RT SEQUENCE N0.
T O UCTURE `..Q� [`
e. �\ ?"
PERMIT NO.
DATE
DAY 0 WEEK
.
M ERIAL DESCRIPTION
i Z k 2Z
ARCHITECT
INSIJECTQR
MRS. CHARGED
e
INSP.ECTIOH GENERAL
DATE ._ CONTRACTOR. ^ .S ^
ENGINEER
673 czJ
SUB t e
CONTRACTOR V
rASSSTANTS HRS. CHARGED
k(bCd I — WR
. b6 �. �� � ►.S E oma`
�,�
.,Is\ er
.. o
COPY SENT TO CLIENT ❑
CONTINUED ON NEXT PAGE O
PAGE; - ' 0F
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF Mr
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED. I HAVE FOUND THIS WORK TO COMPLY.WITH THE APPROVED
PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS.
SIGNA RE OF REGISTER EAI PECTOR
44 / .-.. - I OR 0 -17 c7
DATE OF REPORT REGISTER NUMBER
a • 1
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 1) CF-4R
THE LAURELS 'a Z - -05
Project Title, Date t,
55123 Winged Foot, La Quinta, CA. First Pacifica Dev. Cora.
Project Address Builder Name
Dave • ` (909) 841-1942. 2-R
Builder Contact Telephone Plan Number
3
Tim Topham (951) 780-7265 1
HERS Rater Telephone Sample Group Number
y /2005 7 Sys.'l Trach 29121
Certifying Signature f Date Sample House Number
Firm: Energy Calc Services, Inc HERS Provider: CHEERS
Street Address: 16551 Mockingbird Cyn.'Rd. City/State/Zip: Riverside, CA 92504-9638
Conies to: Builder, HERS Provider
HERS RATER COMPLIANCE STATEMENT
The house was: ❑ Tested ,B Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic-testing and field verification, I certify that the houses identified on this form..
comply with the diagnostic tested compliance requirements as checked on this form.
❑X The installer has provided a copy of CF-6R ( Installation Certificate) - >
❑ Distribution system-is fully ducted (i.e., does not use building cavities as plenums or olatform
- returns in lieu of ducts)
❑ - Where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands arr used in _
combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
D MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
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 400cfm/ton x number of tons enter
y calculated value here - 1200
• If fan flow is measured enter measured value here t
Leakage Percentage (100 x Test Leakage/Fan Flow =
Check Box for Pass or Fail (Pass=6% or less) ❑ • ❑
Pass' Fail
❑X THERMOSTATIC EXPANSION VALVE (TXV) or Commission aaproved equivalent
❑ Yes ❑ No. Thermostatic Expansion Valve (or Commission approved"
equivalent) is installed and Access is provided for inspection ❑ ❑
Yes is a pass Pass Fail
January 5, 2001
r
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Part 1) CF -4R
THE LAURELS—Z -05
Project Title Date
55123 Winged Foot, La Quinta, CA. First Pacifica Dev. Corp. "
Project Address Builder Name "
Dave (909) 841-1942 2-R
Builder Contact Telephone Plan Number
.t
^ Tim Topham (951) 780-7265 1
HERS Rater Telephone Sample Group Number
/2005 7 Sys. 2 Trach 29121
Certifying Signature Date Sample House Number
Firm: Energy Calc Services, Inc HERS Provider: CHEERS
Street Address: 16551 Mockingbird Cyn. Rd. City/StatefZip: Riverside, CA 92504-9638
_ Copies to:. Builder, HERS Provider
HERS RATER COMPLIANCE STATEMENT
The house was: ❑ Tested Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form
comply with the diagnostic tested compliance requirements as checked on this form.
❑X The installer has provided a copy of CF -6R ( Installation Certificate)
❑ Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform
returns in lieu of ducts)
❑ Where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands ar used in
combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connecfions.
MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT ' .-
Duct Diagnostic Leakage,Testing Results (Maximum 6% Duct Leakage)
Measured
Duct Pressurization Test Results (CFM @ 25 Pa) values
Test Leakage Flow in CFM Y J
If fan flow is calculated as 400cfm/ton x number of tons enter
calculated value here 1200 .
If fan flow is measured enter measured value here
- Leakage Percentage (100 x Test Leakage/Fan Flow =
Check Box for Pass or Fail (Pass=6% or less) ❑ ❑
Pass Fail
❑X THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent
❑ 'Yes ❑ No Thermostatic Expansion Valve (or Commission approved
equivalent) is installed and Access is provided for inspection ❑ ❑
Yes is a pass Pass'. Fail
_�, January 5, 2001
Deo. 16 04 11 t 46a Energy Cal -0 S6rvioes Ino. 780•-0558
P.3
—7
. �j� . I
55►a3 wLrse�
lNS"TALLATION.CERT11FICATE p'agc 3. uf.13) C:f-Glt. �O t—
e +Ll
Site Addrext
Permit Number
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
•�:� I: nn< -r I,r;Al:nc:r'; uua>Irc'rlaN
xxurrzAtron Teat Results FM 2b PA
I•"tlAw a)xWFIa1)
I',rrr Flaw
11 Fan Flow IE CJICulitod it; 40o .chVton x numbor of tons, or or: 21.7 x Hoabrg CoppCrly
in Th ousandu of Btu/he, actor calcuintod valuo horO:
If fan flow Is measured, errIer'measured Value here
Leakage Fraction Test Leakage/(Measured or Calcul,Yied Fan Flow) b
Pas if Ioaxage reaction -/• 0.06 rQ
X1:1 .: Il l r("1' I,P„1 KA<: ); kl•;I)U<'1'1ON
xxyrwttron Tust Rosults (CFM fA? 2y VA)
I'VA ixukage
1'rm Flow
11 For Flow is Cciculatod as 400 cfm/ten x numbor of tons, or as 21.7 x Hoat:nq Capncity
In' ThouYanox of Stu/lir, rntor c:dculatrd walut•. hory /
If fan flow is measured, enter measured value horo
Leakage FeacWn = Test Leak.aq i/(Measured or Calculated Fon Flow) r
Paas if loakago traction • /• O.W
❑
” - PASA
Farl
For AEROSOL, Nh:A1,ANTS <r1Q,y-• Tho following olag:nosrie tosllnAwas complobd:
Duct Fan Presautizodon at rougn-in meacuroa leakago (CFM)
CHECK AFTER FINISHING WALL:
44 Yos ' ❑ No ❑ Prossuro pan lost or Houoo pressurization tc:d
Yes ❑ No ❑ Visuol Inspection of Duct Connoctiuns
❑
Pass
FAn
\'• ♦ I'VE
Yqs ❑ No. Thomiostatic Expansion Valve is nlstalind and Acconti is
^^
provrdod for 11rinpoclon
/
^
C1
YOS is H. pm%H Pass
FM
MICIrIMMIGN
Yes. ❑ No ACOA Manuml Q Design calculrrtions have been
cornplutod Duct Quargn r!j on tier plum and duct v'MWIlabon
matches plans.
7, YpF. ❑ N0 TXV 1$ rnrtallod or Fan now h;t!, boon VonrrgA, 1( n0 TXV,
vutdyid fan (low matches desrgr. from CF -IR' "
Measured Fan Flow
Yos for both 1 and 2 rs n Pass
the unaerS�gnYd, v*rrfy that the above diagnostic last n+auits and the work I performed as5ociMW -ka-ith tests) is
the
Conformanco With the rCM OOMOntO for corytplranai MOIL (h(v bur(dnr 'shall pmvz, o tno MGRS pro'dor a cosy of tho CF -6R
,n
;-oewa by tno ouitder omploy000 or sub-eonvactoru ounrtyrng that dragnottrc touting and"installation mutt the
requuumonl::
for Comownoo crodd.j
S ignature. Dato ' Inztaihrtg'Subcontractor (co. Name_) C.R
Prfo
o
ortormed Cenerai Contractor (Co. Name)
COPY TO: Sulldrnq Department
HERS Nrovid%r {If appheablu)
Building Ownor at OCcup2nCy
Compuanco Forms �. Soptonbt!r 2..0p2.00. .., .... _ --
A?!
Laurels pl. 2
INSTALLATION CERTIFICATE (PAGE.1 OF 8) CF -6R
SITE ADDRESS�t w p� PERMIT NUMBER
AN INSTALLATION CERTIFICATE IS REQtSh. T(7 BE POSTED AT THE •BUILDING SITE OR MADE A AIF ABLE FOR ALL APPROPRIATE
INSPECTIONS. (THE INFORMATION PROVIDED ON THIS FORM IS REQUIRED; HOWEVER USE OF THIS FORM TO PROVIDE THE
INFORMATION IS OPTIONAL.) 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). ,
HVAC SYSTEMS:
HEATING EQUIPMENT CEC CERTIFIED MFG. #OF K4; EFFICIENCY DUCT DUCT OR HEATING HEATING EQUIP
NAME IDENTICAL. (AFAUETC.) LOCATION PIPING LOAD CAPACITY
TYPE AND SYSTEMS CF -IR VALUES (ATTIC ETC.) (R -VALUE) 01.3TU/HR) (BTU/HR) "
HEAT PUMP MODEL #
FAU CARRIER 589TX070112 2 80% ATTIC 4.2 87K 70K
FAN COIL FIRST CO. SPF19HX3=E 1 80% ATTIC 4.2"
COOLING EQUIPMENT
EQUIP CEC CERTIFIED COMPRESSOR # OF EFFICIENCY DUCT DUCT COOLING COOLING
.TYPE PKG UNIT MFG NAME AND IDENTICAL (SEER ETC.) LOCATION R VALUE LOAD CAPACITY .
HEAT PUMP MODEL NUMBER SYSTEMS (CF -1R VALUE) (ATTIC) (BTU/HR) (BTU/HR)
A/C CARRIER 38HDC0363. 2 12SEER ATTIC 4.2 36K 36K
HP' YORK HP018XI221 1 12 SEER ATTIC 4..2 18K 17AK
I, THE UNDERSIGNED, VERIFY THAT EQUIPMENT LISTED ABOVE IS (1) IS THE ACTUAL EQUIP&IENT INSTALLED (2)
EQUIVALENT TO OR MORE EFFICIENT THAN THAT SPECIFIED IN THE CERTIFICATE OF COMPLIANCE FORM (CF -IR) SUBMITTEDFOR
COMPLIANCE WITH THE ENERGY EFFICIENCY STANDARDS FOR RESIDENTIAL BUILDINGS, AND (3) EQUIPMENT THAT MEETS OR
EXCEEDS THE APPROPRIATE REQUIREMENTS FOR MANUFACTURED DEVICES (FROM THE APPLIANCES EFFICIENCY REGULATIONS ON
PART 6), WHERE APPLICABLE.
vzo o WILLIAMS HEATING CO.
SIGNATURE, DATE INSTALLING SUBCONTRACTOR (CO NAME. -
OR GENERAL CONTRACTOR (CO NAME) OR OWNER
THERMOSTATIC EXPANSION VALVE (TXV)
:7---U5 THERMOSTATIC EXPANSION VALVE (OR COMMISSION APPROVED EQUIVALENT) IS INSTALLED AND ACCEE
❑ NO
YES IS A PASS _PASS,4,__FAIL
COPY TO: BUILDING DEPARTMENT
HERS PROVIDER (IF APPLICABLE)
BUILDING OWNER AT OCCUPANCY
IS PROVIDED FOR INSPECTION.
it
Wester tion L.P.
RESIDENTIAL CONTRACTING ,
4211 Latham Street • Riverside, California 92501 Phone: (909) 686.8760 Fax: (909) 686.8786
License 41 794484
CF6R INSULATION CERTIFICATE f
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
TRACTIPHASE THE LAURELS/ PHASE 1
LOT 7 �.
SITE ADDRESS: 55-123 WINGED FOOT—LA QUINTA, CA t
----------------------------------------------------------
CEILINGS.,
BATTS
MANUFACTURER:
JOHNS MANVILLE
THICKNESS:.
13"
R- VALUE: R-38
' CEILINGS:
BLOWN INSULATION
�r
MANUFACTURER:
GREENFISER
THICKNESS:
8.1"
R- VALUE: R-30
f CEILINGS:
BATTS
t
MANUFACTURER:
KNAUF
THICKNESS:
10"
R- VALUE: R-30
CEILINGS:
BATTS
' '
MANUFACTURER:
KNAUF
THICKNESS:
6'/;
R- VALUE: R-19
EXTERIOR WALLS:
BATTS
MANUFACTURER:
KNAUF
THICKNESS:
3 Y;%
R- VALUE: R-13.
INTERIOR WALLS:
.BATTS '
` MANUFACTURER:
KNAUF
THICKNESS:
3 Yam
R —VALUE: R-11:
GENERAL CO�I'TRACTOR:
THE BREHM COMPANIES,
BY: {
TITLE:
i
DATE: f
INSULATION CONTRACTOR: WESTERN INSULATION, L.P. ;
LICENSE NUMBER: 794484. t.
u
BY: 4
TITLE: PFVDUCTION MANAGER
DATE: JANUARY 11, 2006 f ii
tlT/E0 39dd NOIiv-lnSNI N831S3M t 98t8989T56 LS:so S06Z/LT/T0
000, rI AF LXWORAIM
4
ri
Cett�fria�te�of�-Oc.cu� - anc
of'Building & S'afetyrDe_ par_trrien�t�-
�� - �. , ; - � � s.' . ,. r. F:� � ,� � '7Ff • r Yom.. t� � wl., -
-i'This Certificate is issued -pursuant to .the requirements of'Section109. of fhe;California Building .�
Code,. certifying, that;,Yat �- the "time sof issuance;. th►s:rstructure; was: in compliance. With, the"
provisions of'theBuilding: Code"and`•fhe Various ordinances of the City �'regulating building •
- �.constructon and/or u_se:,.�,�
. � /i ,� � � �. T i .• {... • • .. - .. - .ter] . .
=,ted r.� � ,,,, -•�_ '` � •�, � '. � � t sr
�' ` • �` -BUILDING ADDRES855-123 WINGED FOOT
` J • ..} � � #� 3 -. :.I1"' - ,� .. `fit •� V- - < • �3 r.`,� � Y, � / •�' .:� .� .� 4. ' r.
w
Use classification: SINGLE FAMILY DWELLING ;-Building Prmit No.:.:0306-444.,
.;� � ., ra 1',' �• `^fie _ ��:}~ � �j y}�j_ _ =, ./ � -. 7� - ,
Occupancy Group: R3 Type of•Constriaction: V -N •�-- � ,Land Use Zone:.. RL
y
mat'
- ,Owner of Building: 4GENERAL-BANK. " Address: 1420•E VALLEY BLVD
� , �•ti�, s�
City; ST, Zli?; ALHAMBRA CA.91801`
., �_� � '� • `� By: GARY HARTMAN
`, \�. � �
= _ %�'�-��
_ � ��r
�' �• c,
� ,Date: Ma�ch�2, 2005
�,,., ,�.• CBuildmg'Official � . � . �. 4_'..� . � < • �.'r V
u +
' rte, .. �, -.. •� � y "..]
' '- �, •• _ i.' r POST IN,A CONSPICUOUS PLACE
000, rI AF LXWORAIM
4
ri
Cett�fria�te�of�-Oc.cu� - anc
of'Building & S'afetyrDe_ par_trrien�t�-
�� - �. , ; - � � s.' . ,. r. F:� � ,� � '7Ff • r Yom.. t� � wl., -
-i'This Certificate is issued -pursuant to .the requirements of'Section109. of fhe;California Building .�
Code,. certifying, that;,Yat �- the "time sof issuance;. th►s:rstructure; was: in compliance. With, the"
provisions of'theBuilding: Code"and`•fhe Various ordinances of the City �'regulating building •
- �.constructon and/or u_se:,.�,�
. � /i ,� � � �. T i .• {... • • .. - .. - .ter] . .
=,ted r.� � ,,,, -•�_ '` � •�, � '. � � t sr
�' ` • �` -BUILDING ADDRES855-123 WINGED FOOT
` J • ..} � � #� 3 -. :.I1"' - ,� .. `fit •� V- - < • �3 r.`,� � Y, � / •�' .:� .� .� 4. ' r.
w
Use classification: SINGLE FAMILY DWELLING ;-Building Prmit No.:.:0306-444.,
.;� � ., ra 1',' �• `^fie _ ��:}~ � �j y}�j_ _ =, ./ � -. 7� - ,
Occupancy Group: R3 Type of•Constriaction: V -N •�-- � ,Land Use Zone:.. RL
y
mat'
- ,Owner of Building: 4GENERAL-BANK. " Address: 1420•E VALLEY BLVD