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SFD (9906-254)LICENSED CONTRACTOR DECLARATION �hereyby 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. Dat 1 1 9113r vi� A ate �� Signature of Contractor •) jC--� 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. (X 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: Carrier C,0LD_1Rq pAC3L S. 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 sub'e6tto the workers' compensation pro Ivslons of Section-3700,of the Labor C deYl mall o�� ith comply with those,pro�vslons.r \ VE ate: Applicant /v r.• f Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agreeto comply with all City, and State laws relating to the building construction'and hereby authoriz re presentatives of this City to enter upon the abock' mentioned property for inspection-purposes#�, ignature (Owner/Agent)'--D' , -�-1 n .�•-'�ate� (,S_ PERMIT# BUILDING PERMIT _. C DATE VALUATION LOT LOT 75 TRACT 7�+$,ia` - �. 4 o , JOB SITE bO'- ° A11)110 , : A j. i VILLAGE APN ADDRESS OWNER CONTRACTOR / DESIGNER / ENGINEER IIIE .,1. Y'ITOME, S, INC. TIIat Y Immes, LAIC:. 23 CORPQ.RME PLAZA. 4245 23 a)RPORAT,`F,� kAV,, ; 243 NEWP WrBL•'AC:H CA 92660 f+ JEWI'ORTBEAt,'H CA 92660 (9409)719-4975 CBL# 53_-37 USE OF PERMIT 5iNGLE FAMIU I)•WEL.LINt :A!W - t;U I /Z i'A,AN _4A - .Vl,1JM t .J'_MZi NUI AAV"Wt, bJ UL;*, WALL C* POOL, •75"io PLA14 CRF.C:1C J114 iiF4*VAJCT^TON VOR N-ViL.i'T'14'LB t :SNUANCC OR SANE' PIAN T1' S, CUSTOM i 0145RUCII'ION 24818100 S PORCH/PATIO 1.,280.00 Sr. ; AJZAQ Jt:;AkP0XT 787^0) Sl M ESTIMAMM COST or, dwsumuc-noN _251197V140 CONSTRUCTIDN FEE 10 14)0-4 18-000 $1,171,50 ?vIE TIANAICAJ.,I" r, I01.00t3�Q21-C1v) $1:7.5C► RL CTR ICAT. F 1",s~ 101.000-420-000 S l7i.S i PLUA913iNG FRE 101-000-41H-000 $187.75 '14ROT40 MOTH N FIT-, 43731T,7 i 0I-fl(1f)-24?-Ofd) 525.20 CRAD .TINC`•1''F:1� 101.-000-$23-000 3020.00 J,NYtrt;,"'',RUCTLT9.E'FEE 2215-000-4-11-342 $5;7.t3!'s.32 ART INPi.BUCr PLACES- ESIC 701-000255-000 S379.93 S1:JB-T(Y1'_ L ("0Wi'! i TC1'I0N AND PIAN CKCK X7,599-10 i ESSIRE-PfUD FEES $0100 TOTAL PERMIT FEESPA, NOW $7,5".30 RECEIPT DATE BY' DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footin sDucts Slab Grade Return Air Steel Tli Combustion Air Roof Deck b0111AExhaust 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 /CID Drywall - Int. Lath Final Final / BLOCKWALL APPROVl1iLS 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 CK for Finish Plaster Sewer Lateral Pool Cover Sewer Connection 7 7 Encapsulation 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: NOV-08-2000 15:05 WESTERN INSULATION 909 686 8786 P.20i20 r_ 4 � WESTERN INSULATION, INC. 4211 Latham Street, Riverside, California 92501 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: PGA WEST - PHASE 18 LOT #" : 75 SITE ADDRESS: 56-490 MUIRFIELD VILLAGE, WEST COVINA, CA EXTERIOR WALLS: MANUFACTURER: JOHNS MANVILLE THICKNESS: 3 5/8 " R -VALUE: R-13 CEILINGS: BATT BLOW MANUFACTURER: JOH ANV/LLE THICKNESS:6 3/4" R -VALUE: R-19 CEILINGS: ATTS BLOW MANUFACTURER: JOH MANVILLE THICKNESS: 11- R -VALUE: R-30 ------------------------------------------------------- GENERAL CONTRACTORS RIELLY HOMES BY: TITLE: DATE: INSULATION CONTRACTOR: WESTERN INSULATION, INC. LICENSE NUMBER: 481278 BY: 7&� TITLE: PRODUCTION MANAGE DATE NOVEMBER 8, 2000 - TOTAL P.20 949 z -i'8 6 'Ie' DAVEY,.z-R00FIN*'G",D 48 3RA 25 49 413 26 50 2RC 23 a4VEY. ROOFING INC. August 17, 2000 Mr. Steve Gibson Rielly Homes U-120 Legeods Way La Quinta, CA 92253 Re; Legends (a) PGA West, La Quinta, California Dear Steve: fx. Below is a listing by lot number of O'Hagen vents installed per your roof plan specifications: RUMC�' 48 3RA 25 49 413 26 50 2RC 23 51 313 24 52 4RA 26 53 6C 27 58 5RA 26 59 X 24 6-0- 6RB 27 61 4C 26 62 6RA 27 63 513 26 70 5A 26 71 4RB 26 72 2A 23 73 5c 26 74 2RB 23 75 3A 25 If you have any questions; pie -ase feel free to contact me at 949-260-7925. _IAlb ou P ick y Vice President, Operations 17182 ARMSYroorvG AVVV(E MM. CA 9261.4 94mdo-79W 949/852-4160 FAX LEr�e�t��ocate of Occupancy Cityofa L C�uinto Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: i BUILDING ADDRESS: 56-490 MUIRFIELD VILLAGE Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9906-254 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: RIELLY HOMES, INC. Address: �,4 CORPORATE PLAZA, #245 City: NEWPORT BEACH, CA., 92660 By: DANIEL P. URAWFORD JR. Date: 8/11/2 000 Building Official POST IN A CONSPICUOUS PLACE f S r r LEr�e�t��ocate of Occupancy Cityofa L C�uinto Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: i BUILDING ADDRESS: 56-490 MUIRFIELD VILLAGE Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9906-254 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: RIELLY HOMES, INC. Address: �,4 CORPORATE PLAZA, #245 City: NEWPORT BEACH, CA., 92660 By: DANIEL P. URAWFORD JR. Date: 8/11/2 000 Building Official POST IN A CONSPICUOUS PLACE