0101-154 (BLCK)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.
License # Lic. Class Exp. Date
141881 1 QM 1/iii
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
r 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
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
BLOCKWALL APPROVALS
POOLS -SPAS
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 t17
Gas Piping
Gas Test
Appliances
Final
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)
COMMENTS:
JUN-i3-2601 15:22 WESTERN INSULATION 909 686 8786 P.13/21
WESISRNINS q o
f 4211 Lathan 9treat, Riverside, CaIlfarnta 92301
Tel. (909) 686-8760 Fax (9091 SN-8786
INSULATION CER•TIF'ICAT�
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:
TRACT ! PHASE: STARLIGHT DUNES 123773-5/PHASE 4 `
LOT # : 12
SITE ADDRESS: 78-855 ZENITH WAY. LA O.UINTA, CA ,
__...�.------. -----...-....----•----------- -- •- ..r`
EXTERIOR �W►LLS:
MANUFACTURER: JOHNS MANVILLE THICKNESS: 3 5/8 " R-VALUE: R-13
CTe6LIn9GS�: BATTS
=8L
MANUFACTURER:' GREENSTONE , THICKNESS: 10.3 " R--VALUE: R-38
CEILIN S• BATTS BLOW, . .
MANUFACTURER: JOHNS MANVILLE THICKNESS: ' 13 " R-VALUE: R-38,
GENERAL ==TRACTOR: CENTURY HOMES
BY:
A TITLE:
DATE: `
jNs : TR TOR: WESTERN INSULATION, L,P.
LICENSE NUMBER: 794484
BY:
TITLE: PRUBUeFION MANPAER
DATE JUNE 13, 2001. �,