SFD (9904-186)57171 Medinah
9904-186
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 r Exp. Date.
701039 0.1/31/"201
j,,[)aie Signature of,Contractor 17
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 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.
( 1 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.
SPATE I`UN 03'+-98-0001'2M
J(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.
1 subject to the workers'tcompensation provisions of Section 3700 of the Labor
••v7 Code, I shall forthwith comply with those provisions
Date ' r . 7 Applicant "
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penfies and civil fines up to $100,000, in
addition to the cost of compensationda
-,mages as provided for in Section 3706
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 certify.that I 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
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned prop erty.fy g[ Mpectionpurposes
nature (Owner/Agent) `rpt` " " Date — ! - 77 j
BUILDING PERMIT PERMT#
DATE VALUATION LOT 9Q -2Tti f' TRACT
_7i 1` J S2aO,T9.$0 2fs 28410-2
JOB SITtADDRESS ( /1{ RT l3r APN
.iI 't I1 IA%I
OWNER CONTRACTOR / DESIGNER / ENGINEER
MCCOMIC•S.€OKTOP ILC TRANS WEST HOUSING WC
750 B ST SW, 31.40 78-401 F HIG'WAY 11<1
SAN DIEGO CA 02101 Uk QUIN'iA. CA. 92253
. (619)557-9191 CBL# 4972
I USE OF PERMIT
SFD LOT 26, PLAN 3A It PEijOIT DOES NOT INCLU7'3ia ElUPCK'VUAULS
OR .POOL
CUSTOM C"O` S'.IRUC TI`.ii4' 3101:1.00 V
PORC-EYPATIO 325.00 9r
GAR kOWCARPORT 600.00.
ESTIMATED COST O1
`
CONI fRUCT,1ON
PERMIT FEE .SUiV[h1ARV
CONSTRUCTION FEE
101-000-418-000
$1,166.00
PLAN HECK FIM
101-000-4391 3113
$957.99
INISCHAINICAL FLY,
101-000-421-000
' 51`4.00
MgCi°R1CAl; PEE
101.-000-420-000
$174.96
PLUN113114G FEE
! 01.-000-4.19.000
$192.50
5 iRCSNfi Fv1U'1:ION FEE - RI3SDA
101-000-2.41.000
$25.08
ORAOIN0 M
101-000-423-000
IWRASTRUCl'1:1+R13:PIM
225-000443-342
'bS;S1S.Ci4
ART :1 PURLIC PLACES - RESIC 7'0.1-000-255.000
8376.99
SUB-T(J'r.AL CY-)INS'I'RiJCi70'N AND PLAN CHECK
LESS KE -PAID
TOTAL PERMIT FEES DUE NOW
h
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BY Fr_ 1// I DATE FINALED
INSPECTOR
50,795.41
' B,SSSoi.6
$0 "V
ild, 85.3>6
1b
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
OX to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROV S
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 Lateral17
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Vottage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Ena otice (Perm)
COMMENTS:
WESTERN INSULATION I. NC.
4211 Latham Street, Riverade, California 92601
Tel. (909) 686-8760 Fax (909) 686-8786
INSULATION CERTIFICATE
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: AUGUSTA ® PGA WEST, PHASE 2 `
'_LOT #: F 26
;-SITE ADDRESS: 57.171 MEDIHAH, IAQUINTA, CA?
-------------------------------.............. -
EXTERIOR WALLS:
MANUFACTURER: Johns -Manville THICKNESS: 3 5/8' R -VALUE: R-13
CEILINCS,• BAITS BLOW .
-.MANUFACTURER: Johns -Manville THICKNESS: 13" R -VALUE: R-38 {
GENERAL CONIRACT-M, TRANSWEST HOUSING, INC.
LICENSE NUMBER:
BY: -f 2_ (z lr ewi./ 4
TITLE: S%ok ak Q_f_'A PN_ tiq ua
DATE: 7 63
INSULATION CONTRACTOR: *WESTERN INSULATION, INC.
LICENSE NUMBER: 481278
'
BY:
TITLE: . PROD ION MANAGER
DATE: FEBRUARY 11, 2000 -
02/10/2000 10:58 9097360018 STEEL T PAGE 04
Instailation Certificate: Residential
3
CF -6R
Use of this form to eauahl the requkwpmva of the Adn"a m*94ade b ot"Mk but tba bdelrta*m deist be pervaded ertd 0"tw-
CS -7 — 17 IM r1 ►H 91a 14 - GS (o
Sit* Addmaa
An installation certAicate is required to bo pealed 91M buildtatq f511 prbt b OW Ww= d tM In Nam the
may be used to moot thea* req uiremer b. Al appi mm a WAd Wow =tM a "
Ute *Micienay and type of the apgtlance tndabd nma Ike nt aar bOw t M0111 awaisftob mom ' 0 caul of
CompU to (CF -1 R). This artkkoe (or lis of tlent) . peepst d std rl n d byjMlt►fbVWW
responsibility for the appllarm Insttaltdbn.
L the and•mgned, verily that the equlpar W4listed In the GIM" atbM my WW111 tNw hittte ail d Wood and
that the equipment moets or axaada nirq
the uimmairu d the Acdler101 8hfld8rdL In
tho equiprnom is equivalent to or more eMldsm titan the equipment apacRtedOerdl t+e d Coanplanoe ttavbm0ed m
demonsttrste compliance -with the Energy 6111dency Sttutdatds for residastW buiidtrtpa.
HVAC SYSTEMS
Pluto: My4ronip boiler information Is entered hew. OMm hydronk or txxnbined hyds NS Olin RWI Is hated wtdat
Wtaer Nesting systaMs.
Basting Lqulp. CEC Certified AChW Otatll>bwon Ouotw FteahtgLOW NO
Type (furnace, - Yanut. Wakei tolmm THwatnd tlNof *M16
heat oumo. ata.) Yodel Number (ARAL ems) {,ballon R Yalue dine (>Rltt bo
CEC Ceritdled
Cooling Equip. Compressor that AaWel Olefrtbutlon Dttot or
hType (ulr sterid.. YqMan!i Nu er >EMWW EN -M LoY" Wo
A& rLo
tt It rL Q t
The !wilding aqn nese toss and design hest pain rale have been oetonelned Wlnp am -1 ape dfiad in 504ftn 150(h) of
the EnarVy ncy St w and are testa of the cMsAa used for equpmem s0itp acidadaadon.
ae 5 i -d (- -I • Ill C ' . 4 r►;G
Sgnaarn Dar HVAC Suttentwaor (OW florae) Ort WWW Cononaor Of Orme
WATER HEATING SYSTEMS
Water Neattng CEC Cartilled
System Type Yanuf. Yate i
Esurnal
Tank
tttaulaw
i. for on" gas storage (rated input s 75,000 eartvj, aaaottio rasiasattoa and hW pias* ttrttarr bsaisra. Oat Eaatpy FaGor.
For W" g u storage ureter hwtara (rated hput *75.000 elft ilat pAbd Input Aaoowry N ditW anti ftv46v t=&
F*t bttrt 16614,.eua gas visor haetWo. let iisrd {opts acrd iteasvory V601ens/.
For Inetenuvwo a ateotrle vrster heaters, Gat RMad kwA
FAUCM A SHOWER HEADS
Al tsuata and showerheads metaled are fisted is the Commission's Oinow at WOW FWAM arts Showaaheaft
pursuant to Title 24. Part S. Subchapter 2. Sactlon 111.
09"Wes Gals
Avvir d yrwrT %192
til Wnb r4 SLMOINVIRI r (Cr. Brost W QalAW Ce00`110011F W O+nar
�h�eE!7,-16'00 Q7:52A TOM, WHITE 1
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{�', talk Crl E i.� : i, +•I �"t f ror.. ..
> r{ t r; :The st i�aR& R
oofing Proposal
."m : J-. y. Inca..r L k 732542 P.O. Box 117 Thous d Pr71/115 CA 91274
I AND CONSTRUCTION Phone (760) 343-3385 Fax (760) 343-3096 ,
` BIDS TO
J013 NAME;
-TRANS. WEST HOUSING, INC P.G.A. WEST HOMES
78.401-F HWY,111 . , p,
' G.A. WEST (PHASE 2•B)
t;{ l;p QUINTA. CA 92253
r LA QUINTA. CA 92253
RHONE 771.3363: FAX 771-9077 GATE 2.15-00
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TM"AlUEE COMPANY INC HAS. INSTALUQZO.ROOF•.,QQ ,►,Z.VENT,5 CORRECTLY, AMC
PER EYGINEERS SPEWCATJONS
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NOTICE ;.
'UndOf Qlc AMchanifli 1 ten 1•41w (Ultfumis Code, of Mvil Ptmraluro SvOon 1181 at Rer1 I anv oon4aclor, subatmrnotfu. loDwur, supplier ether perygl lu: helps to r'
,;; ;;• ImprAr" ynur ptowity but is not paid W his work of supplies, ha n right to OntOrce a claim against your ptopoly. This manna inns. MCI II cout ftaaing your p(opefly
Midi bu sold by a aa)n n iter stat 1119 poceeda or the sola t,aaa to swtsN the indebtedriass Ihis can happen evan a you hovc paid your ownrnnttu tuf In Ns. If me
SubOemraruir. alnenN of suppGe,r nnwnfi unpaid and if legal action is nK*AMIV In 0311vut 9t enforce the worms of this contract. the plMvodnrd party shell bR anldlan to ftt;
nu4tano4lu attorney hat plus all cn111s of suit and irnurest shag armta nn oil suns. which are 1114 Je dovs,rftaf billing at the roto at I % par annum The DanDse Co.
• Inc. Is not reaponrut+le for nelayu cuuaud by tveOtr, SMO. nittersd shortage, or delay in mat4lrrd supplied to the Inn nr to wly other dslay bevrurt da wntrcl Tne
DanON Ce 1ne tobll 114uhty under this contras or In natio laird! Is limited solely to Ina n imint of this contrarl
We at fully.eovemd by workman's compeasatlon and pub,lc happity Insurance. Carfi*ftj names and policy,pumbon available on
m9httkL
Any aue,ratetl rN d9vlaU0f1 rrom he, a mheva spyl7hr;ldtwl5 involving extra Met N Ifllltclial or labor Wrli only Ip, csicculed upon written utdcrt for smile and will ta;(•9nK` .
Will charge over Ino turn rrw!ntiened In this propneal All Atli hunnnis must be rtan4 to writhing mod is based no nuc access to building fns difurA kwftg Iron min
' trurxe ,.
` "K Ljs l' •�F f /� "i ,.Eii ?Pnces am based on current coats of malarial and labor. Increases or rlacnaaa, will he rMlnrted at flow of signinil conlrait
!:•ri,1 E? ;v`: a" WTd of during roofing efwlrottons and ate Completion of rootlnp. The DanDan Cc Inc, will not be reapntialbb or liable for dab1ag1/ catie,e,d from
arae M God, ouch as e,arthgUelso, thtnderefonns, nag Or *try other weather conditions beyond roofers control.
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iENTILATION. REQUIREMENTS
TIC
ROOF AT
REA• 3,013 SQ -FT -
ROOF ATTIC
ENTILATION REQUIREMENTS
ROOF ATTIC
2.203 $Q. FT.
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SQ. FT. OF VENTILATION AREA REQUIRED
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R DORMER VENT• $0. FT. OF VENTILATION
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PROVIDE A MINIMUM OR.11 DORMER VENTS.
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ENTILATION REQUIREMENTS
ATTIC,
REFI• 2, 572 SQ.FT.
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.67 SQ.FT. OF VENTIATION AREA REQUIRED
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(1).18" DIAMETE
DORMER VENT w .69 S0. FT. OF VENTILATION
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iENTILATION. REQUIREMENTS
TIC
ROOF AT
REA• 3,013 SQ -FT -
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and _.Safet o>~i *Bididin_.y, Dis n htn,
dnts. of Section 109 of the Uniform-Buildiiig Code,
This -Certificate issued pursuant.-rde-the' requirements.
certifying that, at the, time .'6f,'is§uance,,--thJs structure was in' compliance with the various ordinances
of the City regulating Puflding,66n_itructibn, or iise.For 'the 'tbflo, wing.
BUILDING ADDRESS57-111 MEDINAH
•
Use Classification: 'SINGLE FAMIL,YO MELLING .,Bldg..' Permit No.: 9904-186
Occupancy Group: 'R-3 Construction: VN Land Use Zone: RL
4
Owner of Building: MCCOMIC-SEOkT6P LLC
Address:. 750 B STSTE 3140
City: SAN -DIEGO CA 92101
By: ..'DANIEL P.. CRAWFORD JR.
Date: 3/29/2000
Building Official
'POST IN A CONSPICUOUS PLACE