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SFD (9909-098)_..r.. { 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 ofthe Business and Professionals Code, and my License is in full force and effect. License,- a Class Exp. Date [fe 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 isnot intended or offered for sale (Sec. 7.044, 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 Cam 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: (.) !,ha-ve 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 pe or of. ance�the work for which this permit is issued: 4(-31<.,have and will maintain workers' compensation insurance, as regwred'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: r,;arrier 3TxrF, F I,IdO, tY Policy No. (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 subjecttothe workers' compensation provisions of Section 3700 of the Labor Coder hall f • rt with comply with t}�ose;provlsions. Dq :1 t Applicant i� r" Warning: Failure to secure Workers' Compensation coverage is unlawful'and Shall subject an employer to criminal penalties and civil fines up to•$100,000, in addition, to the cost of compensation, damages as provided for in Section 3706 of the tabor Code, interest.and attorney's, fees. IMPORTANTApplication is hereby made to the ,Director of Building -and Safety for a permit subject to the' conditions -and ...restrictions set forth on, his application:. 1. Each person upon whose behalf—'this application is made & each person at whose request and for whose benefit work is performed, under"or pursuantto any permit issued as a result of this'applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2.'Anypermit issued as a result'of.this, application becomes null and void if Work is not commenced within 180 days: from dated of, issuance of such permit, or cessation of work for .180 days will subject permit to cancellation. I certify that] have read this application and state -that the above information is Correct. I agree to comply with all .City; and State laws relating, to the building construction, and hereby authorizerepresentatives of this. City to enter upon the above-mentioned property for inspection purposes Gds g� re (Owner/Agent)•• `�, " � �'Date �' 1 PERMIT- S-,�6_ BUILDING PERMIT yy Y DATE �(j"1� VALUATION'S 'C�° LOT. TRACTgri��Q `` ll JOB SITEAPN-"1�1%�D1 J ADDRESS f t • OWNER r " -" �" •� - DESIGNER ENGINEER MCC4OMIC:• E01K3'OP LLC; TRMN ; 0NTS`P HOUSING INC � 754 B S`I' STE 3.140 78-401 TZ i; IL-14 R>''AY I 1 l SAN. DIEGO dA .92101 L.A. QUIhiTA CA- 922,53 CBL# 49,72 - USE OF,IPERMIT p�.1.} 91'i l�t..L� 'Lh7 5.is'vfi LlJ-#�A1.9I.ts l� i"t ELLINQ Ld),t`tl t, . i°Ata ":.0;(. P -IUSAt7':.ti0 NO'9 1 ` °tJJU1.r.HJ,4X WA1,L OR, POOL. 7'3°%a Fti?1'3l'!(;1'.[f, N ON .PY ,AN C`f EC- K ME f R h1,U1 TIPLF I SSI1RXN OF 8,%ME PI -AN Tvr—"L. 412.00 SP 0ARAGIRMCA•4Lr'ORT 600,00 `?F • I . &$TUMA1! r iL"Y9itf 1.OF CONSTRUCTION 297,fi"A ➢ CV14,1 '[ UCT101d FW. 10.1.01VA:II1 M $I,om',.so JPT AN C: `.K TM3 3.01.4 •4.39-3113 S215-39 .I MECHANICAL FRE 10.1.000-421.000 ELECTRIC".AI.,3:L5 PL TivQ�ING i01; (3(;(1-A•17-1II 1" • ,;, . GRADING R _ ART spa ,� ii 9133�t<,� . �a� a U4o-5s+ :C3EVEL{ipER31%i"d,'ACT:I�`E,F3 "+ SUB-T(W..: A C ONS"i RUC's iON AND PLAN C;:lUrK 1$3,947.)6 LESS 3'fflPAIV) FEES aC.00 03'. L �`@�:�&rVIT FEE . I1CIImo+ i�i�'�d ' 13,941.36 RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION I DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade 7 7 Return Air Steel Combustion Air Roof Deck / /3 Exhaust Fans O.K. to Wrap F.A.U. Framing // Compressor Insulation _/ _ Vents Fireplace P.L. 7 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 LS steel Set Hacks 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' -9 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) r JUL=06-2000 12:54 WESTERN INSULATION 909 6868736 P.08/08 Wr.foTmoRN INSULATIONIV Ilv'Co 4211 Latham 5`i3eet, R iveraide, Calft'Ais 42501 TcL (909)686-8760 Fax (909) W6-8786 w a , 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 1 PHASE: PGA WEST — TRACT #18410.2 , LOT #: 62 SITE ADDRESS: 79.960 MERTON, LA QUINTA,.CA ..................................... a _ r EXTE,a, W L5• MANUFACTURER:' Johns-Manville THICKNESS: 3'A ° R•VALUE: R-15 CEfL4NGBATTS BLOW MANUFACTURER: Johns-Manville THICKNESS: 13" R-VALUE: R-38 MI ERAH.ONTRACTO_�s TRANS WEST HOUSING, INC. LICENSE NUMBER: BY: TITLE: ' DATE: ACTOR: WESTERN INSULATION; INC; MTLE:MA'NlAGER - DATE: JULY 6, 2000 v - TOTAL P.08 �i . 04/05/2000 15:14 9097360018 STEEL T PAGE 02 Installation Cartmcate: Residential PCs,, IL .t ; : d•.. Us* of this f0fm ro Gatb tt+e h raqulearwnta ort dw !fit W atnthw Code to oauQ"l. bed tAa awa��lq le ddroua y. n. An inataiWiw c ea ata Is r uh od p, 4 .' may be used to most those requlferrtenft!td •g to bs p at ttu alta ., the oM6doM and type of the app gn" if*MWh "9W badkomw tII�1hs t pll Yt dtod; pot•' ;. . Compliance (CF•9A), "I Ma artwl-a tot Efa at orbawV= reaponslbik for the apppanm inwapatton. �� shag P P � pa 1. the undorsignod, verify the! the equipmerd gtW in theCOM above thad the equipment rnaola or aaeaeds the f§qU MVa d a bows" the oquipmom Ls equivalent to or mono o}fW@nl IN'O fit e � d o mon the d ted b strate compliance with the Energy FA dency &tndvdn far reaidanU KVAC SYSTEMS Note: Hpdronic bailer vdarmatlon is ordered hoes, C w hyda'bflio of OombkW., Water HeatingS � ' Heating Equip, CEC Cobd AMW Dlstri wdon c"w �d'i' rtif. i'yps (furnace, Yataut. Yoko iwy haat DUMB. stat Yedat rA,e,b.. r , "a�td _ '' .,'�.• e_ 04.�.� CEC Candied Cooling EQUIP. Camprssunit (air Ru". s r- idNb foamttbb 't A CAA C E -4L-1 rL, m SVOAM Lt. q- ; Tho build' design hoar foaa and design heat 96W rate.have been doteranitad � ■ irr $ 130(h) of the Enoagy ency a✓ ,and are two of the csiteris used for ,gine wa stamp and ssie� .� 5 eqp- - r plc: rijc . HVAC Subanwww (Co, Mania) w Qawfal Cann=r w Clwwr WATER HEATING SYSTEMS Water Hosting CEC CanEied Rated' 'Tank llrtem�tet SYatom type Manut. Yaks i input (kw caa� (etOrsge gee. 0MY, _Yodel Number or BiUM 9nol�t MA% t. For small gu eteropo (rated input E 75,ppp gtWhr}, ei00a9a taabterlp artid heat p� t� � patFas� Far WV !as Morelia wale. boaters (rated Irlptlt3,?& OD f;t3ahr), lfet itlaud 1rVK AeAetreyl * LOW Far 1"suntaneous gag wets heau", ht Amd Inptq std may t;rcianq, F*r Insranuumm o atacWc wsrer hater, pat haler! (npsi, FAUCETS & SHOWER HEADS ' AS faucata and shoraerhoods installed we Hated In the Cemmieaion's DJrsetoty of Cath Fates sttd e , pursuant to nle 24. Pan G. Subehaptor& S"gWa 191. Oar a des"w Me. Monro) w Gana . �eaat�alsew�Qwoio► ' i} Ma -r-16-00 07:6ZA TOM WHITE e The'""D�riDee Cm pmy. hw-a L is 732542 ROOF/NC AND CONSTRUCTION P.Ol Roofing Proposal P.O. Bux 277 Thousmd Palms, CA 92276 Phone (760) 343.3385 Fax (760) 343-3096 BIDS TO : JOB NAME; TRANS WEST HOUSING, INC P.G.A. WEST HOMES 7501-F HWY 111 . P,G.A. WEST (PHASE 2-B) LA QUINTA, CA 92253 LA QUINTA. CA 92253 PHONE 771.3363 FAX 771-9077 DATE 2.15-00 6ZI=2--S2b-008—T) XU- —d -13H-008 yftTAl I M W3-180dd d 30UH r1OA J1 9Sn...a31N33 9-D-1() 19S clOd _: 8000* ONOdS36-"i'ON Xd9' d3Hi '•00 X1' Zb ; 00 Wd2 b : b0 LZ 'un f S8Tb0 CORRECTL��A�j r' it a Sf i1 fFICATfr y$, Xi T b ; O@ lJdbb : b0 LZ 'unr S8 T b0 .a-1OdS3a--i IN.-XUA-* 3H10; :010. X1 0b,O0 lJdTb:b@ LZ 'unf. S8Tb09 IINOd�� 1ON 'Xd� '83H1O 0O X1 0b , 00 l�ld82 : bO LZ -unf S8Tb09 lJNOdS36 '11 0N ' d� t 3H10 0© Xi TV:00 00 WWLR: VO LZ 'un!• S8 T b09 `�10 ` SO Xi 6V'00 blU8Z : �@ LZ 'un f 6b69 969 6 >10. TO Xi Ob , 00 WUTS : LO 97 'ut-If lU 31dg N I U1Nn >1O' TO X1 Lb,00 Wd6T:SO 9? 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