SFD (9909-096)w
LICENSED. CONTRACTOR DECLARATION
I'heroby affirm'under penalty of perjury that I am licensed under provisions of
ChuRter 9 (commencing with Section 7000) of Division 3'of the Business and
Professionals Code, and my License is in full force and effect.
License. Ic. Class Exp. Date
10109 is 11: 4!'L I
/e—'\Signature of Contractor.
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
perfor nce of the work for which this permit is issued.
( 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.
STATEFUND
(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 p -the workers' compensation provisions of Section 3700,of the Labor
C s�hal f rhwith comply wit those pro'vlsions.
Da ') Applicant"6 `: w "✓� .i b.'.L"¢ "•`.:
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 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
thVabO e -mentioned property for inspection purposesSi.e (Owner/Agent)"" ` �t~� Date r `'
PERMIT
BUILDING; PERMIT: d^
f ro
V `S ' * ' V" �'so
DATE VALUATION LOT , TRACT ,
JOB SITE
APN 716480-017
ADDRESS
OWNER
CONTRACTOR/ DESIGNER/ ENGINEER
MCco"f3C'.-"OT To' T.k.C:
'ice\N,1:V1, ;r HOUS.Y�TQ Y.NC
"lei) 9 ST SM.11 30.
7a-ioi F HigiimAy 1.T i
SAN DlFzG- CA 92'101
LA QUMT1, A C..f1 S
(tj1 j,'��'-;9191 CRU 49V
CRU
USE OF PERMIT
SEAIGLE#?.khfl.LY DWELLING
SFD--10T 0), PLAN `'+RK tr "IT DOES N:.Cyf NC'#:.0l3H-BLQt:15 WALL. OR .
1'(V, l.`. 7Wyu�ritl��;�py'(J�f,"r"ON 031 PL .AN 4",;63EG'' AFF, OR MULrHPLE. %`�5�.�'1YAXI CE
O ISAI� L'1.l Y.l� S WE `
G ,..57■■.2.)//t(1 .ST.,,
yC+USTOTi"
Twry1pl�SC:f1/��v1Lt�;fC'k`dCm
0 SF
GAPLACIFICAAPOR T' 600-00 SF
ES111IlifA%'it" D COST OF W1'V°dTRUCTION
217,"4-.;40
CIONISTRUCx'):M ]"fii. 101.000-419-000 ar.,ciz?.5
TIL-�//,��Itt��1i1�f.�`�;-.�t7'�y♦K¢¢:�t•.✓k�?l�c+ �9it�17Ep.-��ii(fk•A13L-1>.fF1, �`4?133t5l
t
'MFC1'7.f' 1QCARL a.'.c:E .14rl •VVFT•�'V�&`i7'�}V ' a#4�ai. �r�,�.
...y - `a
FL.f-X,17.dtl'CAf;,S'1 t.lQH4)1X)420-,0 D0
F`�a
I�i.T:�ll il'PdCx"F1zE 4014)00419-QCt{>
STRONO 1�iOTION F'EE- �iEM .W14-tA00-241,0)0 $^1.i!
#
ART iN.IaLf6L1C PT,8CkM -MD 70141'liCf-255vM $�id.5ti
3M., �`•� r '
L!EVELOitER.:iA+fd''JiCrFRE 'S'I'M.0 :
?v
�
b
Cf{`�LAI
947,36>PfiRUCtC
I -SS P.1" -P.A.1 ' FEES
' TOTAL PERMIT FEES DUE WSW
$3,9,4`7,36
RECEIPTDATE
BY
DATE.FINALED
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
I
F.A.U.
Framing
3 pV
Compressor
Insulation
_
pT/
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Z
Drywall - Int. Lath
S jl
Final
Final
POOLS - SPAS
BLOCKWALL
APPROVA S
steel
Set Hacks
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
_ 2
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
8
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)
JUL-06-2000 12:53 WESTERN INSULATION 9091696'8726 P,06i08
r T RN lNSULLATIONlimce.
4211 Letlmm Street. Riverside, CaUfnraia 9250L
TeL (908) 686.8760 Fax (9091686-8786
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: PGA WEST — TRACT #28.410-2
LOT #: 60 ,
SITE ADDRESS: -79.920 MERION, LA QUINTA; CA •
------EXTERIOR WALLSs -
MANUFACTURER: Johns -Mangle THICKNESS: 3 .h '• R -VALUE: R-15 `
CEI 1 BATTS BLOW
MANUFACTURER: Johns- enville THICKNESS: 13' R -VALUE: R-38
ECS I�IERAA, C®NYBACTOR: TRANS WEST HOUSING, INC.
LICENSE NUMBER:
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, INC.
LI U E . 1278
q 1
BY:
TITLE: FIC MANAGER
TE: JULY 6, 2000
r
,
07/14/2000 07:10 9097360018
Installation Certificate: Residential
,STEEL T
PAGE 01
CF -6R
Use 01 this lohn to Batt sty Uw "muleia of ter AdmWis ref eCod.ls Nllona� bY11M (nta11Y1ra M wMa � w�'
An inataAaiion Ca"Mi=6 It requIred.to be posted al the bulldtnp WO Fpt1W0�11D file iswen0e d illi p�k nil �
vw
maybe used to most those requirements.''As appYaltoe Wed belowllM diel � ��Vkaw al
the efficiency and type of the appOwwo hiiiiped frivai be
Con+pltand (CF• t R). Th!s arttliea:e (ot its ptltvalenq be ptrpstmd and itpnid by rile pia) �0 ��
responsibility for the appliance lastaWim
• l,�the undersigned. verity thi d the equipment fisted In the cdeg ryove abio1M adlnii �gt�ivtnw ktttiled end
thiat the equipment meets or exceeds the npuirements d fife llppitlutc+o t3drldtfM. h 1 AiVe tNtitid
the equipment is equivalent to or more O iciantthintheeq speom — CeldlicsdidCoatpBinoeutbnlMedlo
j demonstrau cwmpliance with the Energy Ellloiency 8 for retiderttW balldbtpe.
, ,'� r iiia •• I .�r 1. s .b
HVAC SYSTEMS,•
Nate: f Hydronic baiter iMarmt9bn is entered hare. Other hydrant at aamWed hydrarii0 pulpleNat is Noted Wrier
Walar Meatinp Systems.
+_ F HeetJn Equip. CEC Cartlfled ,t , Aatual Otattidt+tlatn
mow MeatinO LooFd He"
Type me=, Manuf. Make i iffUgenoy '{ypewd Mpltq "two' er- 0--
1. For smart pea storage (rated Input s 75,000 t3ttlAtr). slsovic resistance and lwat puma wrdtr lFeteor.
ra loop pea sto..p. w.t.. hasu" (rand input u7lj.= t3ttHttr), tilt hated input, Paor miry Eflefartoy and fRan� lea..
Far toMritan•ow we wales hentmn. fist PANd pieta and PA"Veny EAeiplteyr
Far InsOnuneoir• •hoots vraw heaters, Int fldad trO&
FAUCETS A SHOWER MUDS-
"u
tUDSA11 lw"a and showerhemdt installed are Bated to the Callw1mion's Olm dW of Ceti W (°oleate end ShiwerM&ds,
pursuant to This 24, Pan 6. Subrf►aptar 2. Sectbn t 11.
r , Stgnss+r• / pan Ptumatrq &MOW fear (G. Mental WOwwrei Go aONMro+at�»�
,
rr R , at=," :'•:S .,AO" JMwM Ion
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i ter .;{F � �,��� r �`£ . � F,j. " .rig #+ t �;, i 1 •r' , •r t. i,� �
V.�;vi��'a� 1 ti {ti f c •,- i ,! , ..d, .' i�. �r. ;.f' ,}'j . s ., ! r ,+ r
i S f�y�ir r j. ,,. �� i i r s { . ,r . �. j ti »[" t 'r. r , •`, t Y.. I � �, .,
f y '•��'•� F.F+� l 1 i 'r2 _? 1 .1 -[ i i rh a: 4.. }" 1,
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�,fi 1»:�i' i .s h i ,, s d.7 .. n Fi, •'y' .,i
��G' y, .,. f r, } �y .r -v° r L�rill -'y fi' }, r' rl''" t a l�.r�:.._. . t .Iy t• f •'�,,
Y'..'k.l .��. f. .h 3t, •�•� ,, .: ,i T• )ir. •1. k, r"7 ii.. "fir i," ..� } res ..{j, s ,y. .. , .i r.`" yt� l�
F•0rh,►A co.,.. Gus► i� -Y
-14,0440 A
r.0 ra_ a',> —
the�1",,+�,
r`'^"
i• .� y'I, .�i�Cr�rr�ftii�d�t `� �..
,Cootlnp Equip. Contpraaaor Unit F
., . ;, f
Aa>ua! btarrlbutlat' Oust Or s
:
TYPa (air gond. ' •manw. Mala •,'
ENblarsery hype artd
i heel u etc. Model Number'
L.oaefieh
AU. teat, •I
fLO nolaffir, .14. L
. ' •
•� It
rL O c
`The building d sign host bas and design heat pain rata have been dabnm4ted taaietp a ntath0 faMd N Searbn 150(h) of
the f:Jtiar9y aney Sl sr two of the critarte for equlpcia n suits srtd ealed6n,
end are
used
Slonas+rs
fuse HVAC &"Mow (Ca Hants) or oetterml C-11 I ora Owner
WATER HEATING SYSTEMS
f
# f
tit�aernaf
�Or
Watsi Heeling MCGrt!lied
Raudt Tank Tank
t
,.
t3yatarn TYPe Yanuf. Yalu A
fatomas Gas. east Yodel Humber
Ytpvt(kW Capaofttt R"OtrMy Mrsrttgbn
or Stuhl tailianalf Effidatw =1 1a.11alus
1. For smart pea storage (rated Input s 75,000 t3ttlAtr). slsovic resistance and lwat puma wrdtr lFeteor.
ra loop pea sto..p. w.t.. hasu" (rand input u7lj.= t3ttHttr), tilt hated input, Paor miry Eflefartoy and fRan� lea..
Far toMritan•ow we wales hentmn. fist PANd pieta and PA"Veny EAeiplteyr
Far InsOnuneoir• •hoots vraw heaters, Int fldad trO&
FAUCETS A SHOWER MUDS-
"u
tUDSA11 lw"a and showerhemdt installed are Bated to the Callw1mion's Olm dW of Ceti W (°oleate end ShiwerM&ds,
pursuant to This 24, Pan 6. Subrf►aptar 2. Sectbn t 11.
r , Stgnss+r• / pan Ptumatrq &MOW fear (G. Mental WOwwrei Go aONMro+at�»�
,
rr R , at=," :'•:S .,AO" JMwM Ion
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t�ryrT ty� ih �' t i j'• +: '
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V.�;vi��'a� 1 ti {ti f c •,- i ,! , ..d, .' i�. �r. ;.f' ,}'j . s ., ! r ,+ r
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�,fi 1»:�i' i .s h i ,, s d.7 .. n Fi, •'y' .,i
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_90,�N:qANPCOVYS
TR 4ICTIOtV
BIAS TC
TRAN$ WEST HOUSING, INC
7§-401-F.HW-Y111--
QUINT&CA-92253
PHON0,771-3363FAX 77179077
"Roofing Proposal'
P.O. Box 277 M&ijvwwdP, r, CA 92276
Phone (760) 343-3.385 Fax (760) 343-3096
MR JNAME;
P.G.A. WEST HOMES
P.G.A, WEST (PHASE 2-B)
LA QUINTA, CA 92253,
DATE 2.15-00
&WAG1kftQQEAQW1R VfN"
X4
TM"&"EE.COMPANY INC.'AS.INSTAL490M.ROOF.MUPQJU.Y_
_,
ik'
T
NQTICE
(Cal et sftq l any conuadur, subirtrintractir, iower. wovior other pof'.01 lie holps to
Im"Ill Your ivokity but is not PAW w his work of suppilim, has a right to entatic 0 clalfm Against YeAkir propolly. This momm that ardor 4 court humna yntlr 01`0001111f
Mild bu NO OY A COUM OWN slid Div Pouts* of the "I* 11AAA to GA11#11ir the inclabledrikets I his can happen even 0 Vnv have paid your own rnntknf,!#ji in full it me
516111CO11111112riff. 1111W.114 Of Supplier remains unpaid 400 it lapal action is necessary in or)lluct of enforce the tArnis Of this contract. the ifivitvadilig parti, 3hilli he million to 114
11611140110111f) Moinity feet Plus all rinsts 0 suK und,litturml shall &=tal.1ii oil Suills, which are nus 30 day6ortar billing At the (ft 0119 % per Annum Thor Danove Co.
Iniii 4 not reaponsims lar nolayu uWwd by weather, sInKft. n1lilifed Shatiagg or olklay in Malftwl supplied to it%@ job or lu iony other delay hAynitif sty wnlrd Tru
NO" 04 ft, 10144 hifluillity under this contract or in nn0I0,v%W is IlMkgd SgllN to Ine.aliukini of this contraitt
We SM twilIX.soyered by warknilin't; ;omplinsagon and PUb:lt 11400[ty Intsuranco. Carfivr* namse and 001iry.pwrinbers available an
MY 41mr4linfi of cluviavon rro
q Ing A above Rwt"Utwis involving extra nodal 1"41tellal'ar labor VAR Anili, In, c),cculed upon V111111011 V(dC13 for SAMA And Will N.-Clu"fe
401 uAttal Charge fryer Ina Allfil Inrillictnod In this Proposal All Atpovinumis must be Ina" in wi)LhhN gad is rAood on IjkKj scums to building fni ffia.%A kfacting from rwir
trwM
I, '�lrencestsm onset) on current costs of roakeorlol and labor- 14111111611411111 11w doomnol, will he NAInintod at firnalf of signiow cnntrp;t
Quilum," or during roofing olupirsitignilk am me Carnplallian of rocNing. I be 0111111000 Co Inc. will not be romporixible or liable for damallipir caumd from
o'g-tv of God, much as eannitutiolikeek, thyndefRorme, hall of Airt, rithir torlearther condiflons beyond roofers control.
if
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ROOF ATTIC ' ENTILATIONf REQUIREMENT'
RQOF ATTIC VWAa 2,203 SO. FT.
300 0.1 1.04 SQ. FT, OF VENTILATION AREA REQUIRED
(Willo, DIAMETE DORMER VENT • ,69 SO. FT. OF VENTILATION
,{. �i- `•'j �4S ; if,'f a ,�.�,�,��t•,r17r f,{,t 4' r "."f"fjYil I'} ,.. ." . "' F •'{ "t>.
a E•' i •.
' .� 8�. ' • ' ` 064 PROVIDE A MINIMUM OK,! DORMER VENTS.
�C •i.:,x4
ROOF ATTIC ENTILATION REQUIREMENTS `
:.ROOF ATTIC kRFAm, F , - 2, 572 SQ.FT.
:k 47 SG.FT{ * VENTIATION AREA REOUIRED
DQFNER VENT w .49 SQ. FT. OF VENTILATION
4e r �'• ='y'i, r�' '�+ r t i'1>� �. 1 r i '•,�i.A ,� " � , .". .. , • , .. i ; r
•'� ? 2.A2 PROVIDE A MINIMUM
OFjj§ p. RMER VENTS.
roro . I.,:. �., �•1!�'r.'Y t." F > '�r t j -+ -r t;,�� •s:
PIA—N
ROOF ATTIC, ilEWMATION REQUIREMENTS,,'
' RQOF.�arnG kFlEAw 3413 60 -FT.
0.04 $Q. FT. OF VENTILATION AREA REQUIRED
(111$* DI.4ME� DORMER VENT .69 $Q. FT., � VENTU.A170N
Y"�''ii �t� � i� f >.!' y., "tr�,.'>< .'t q " . t; • w •! 11� � .
s ,w 10 }
.89 4.t • 4.55 PROVIDE A MINIMUM Oq RMERS VENTS
r; ur1'' °„7 ..�` Y it¢-. i't,�. 7Y{� 'n, r i �" .� i. r �i7 �,,'•. �-.
^, Y�Mk �S /y l.+ 1 i• �'�}{�'�;'`�it 1., 5 ,fit ` 1 r•Ii �A `' .
t y C ' a` � Y i "i ': '" •t• is '.� . t = r
t f_� i •�,� S tt F" F tip 'i a 1L,, ;
,
1'jy4,,s'F �+' 13•F -$.F �'y" `.,it• -a at .tr7
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t.. crupalcy -'o
ert��ocafe.°�o�f.
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o �+a', 'uinta, 1'"
4
Building an -d1- a
anal- .1-®_eparf�e.*'nt
4610 requirements of Sectibb.409. of Uniform B
This dertificate.4.4, pursuant 0 WIding.Code,
certifying, that,it the t4Weof iss`4'ia_ #6"_o; this structure was in, colyijbfiahc6 with the various ordinances
of the: City regulatingPuilqinp�.6oi7s#iuciion or use. For the follo'wing-',
,BUILDING ADDRESS.' 79-920 MERION
Use Classification: SINGLE FAMILY; DWELLING ELLING Bid "Permit No.:' 9909
-096
g;
Occupancy, Group: R--3 -,I':Typ'ip.-pf,•Cbnstr6ction:, VN Land Use Zone:' RL
7 -4
Owner of Building: MCCOMIC-SEOKTOP,LLC Address: 750 B* ST STE 3140
City: SAN DIEGO, CA., 92101
By:' DANIEL P. CRAWFORD JR.
Date: 7/20/2,000
Building Official .,',
1"M
POST IN A -CONSPICUOUS PLACE