SFD (9906-252)LICENSED CONTRACTOR DECLARATION
I hereby aff;rm 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.9ic. Class Exp. D
11. 13 ►` ate
� ua�`19i231a
1p5te -� Signature of Contractor�r
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.
(.�) 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 CiC1J.la iPri f �rltra d .[idS. Policy No. NINC •47%,03 _Ll^
(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
subj ct to the workers' compensation provisio of Section 3700 of the.Labor
?C de, I shall forthwith comply with those provisions.
te: Applicant
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
the abov-mentionedp"roperttyfor inspection purposes/
/ignature (Owner/Agprt
Date
/
BUILDING PERMIT PERMIT#
DATE VALUATION 2931 LOT y TRACT ?.S?i38T
`
JOB SITE 040 v.i J*LAG11;
APN 761-.51110-003 '
ADDRESS
OWNER
CONTRACTOR/DESIGNER/ENGINEER
12.11 LLL •f TOMES, INC.t:uu1ai.y
.fq0 , i. iS, INC.
23 CZAPORATE e'LIVZA, #245
23 CORPORATE PLAZA, #2A5
NEWPORT Bb,ACH Ct1. 92660
NEWPORT BEACH Ccs►. 92660
(949)719.4975 031,# 5337
USE OF PERMIT
��NOLE FAMILY DWELLING
yt'.4-0 � .ltti /J i,'L.ti1,V 34 ' .C'.�Xl.4lVl.! 1 i.11J.Y"..y I.YtJ'� AdY4Y V, Li l�LJ43'a
WAL1. O.R:4 PUL, 791/i PLAN CFIEC',9411Y,121:`MTCJ 10_,N r;C)A MlJJLffLP1j.13
IS SUANC H OR. 8AM4 PIAN 1'YPF_
CUN 0'M C 0 o f iRU%'= N 3,400.00 SP
PORCH 011V1110 7154.00 V
C A9..AQJ7- C ARzaCXT S 12;00 31.
FST [S.YiA L iL` D CMIST O 6. O ISTRU'C1410 ♦
291''17 iso
RMIT Ft, 1< S'(JivltiMARY
GONSTR11Js:."PION FhF, 1014XYJ-418-000
Pf,!�N
N1nC'11ANT ',A1)1 ME 101 1000-421 -000 5117.50
0160FRUCAL FEE 101-000-420-•(1;1t3 S19104
K Utl MNG FIX 101-000-4,.9-000 $187.75
fLrrR_1fK(iM04lG:FF, Rr;'W1 1.01400 -241 -NO S2% 15
J1V(11G 11M 101-000-423-000 r2koo
,
1NMAS' RUC:'"P0TUCI FRE .225.000-441-342 SF,t30o.w
elK)' 1N' If31ALIC .Nf,t CES - itE3111,' 701-3300-255-000 $478,76
SUB-'1'rMAJ., C.'C3NMtJC."l'tON AND PLAN C l*.CK
$R')03_ (1
LESS PIM -PAID FEES
$0.00
TOTAL P11*4'1IT VC KS .01)E,NOW
:1i�#,irt►i,�Ql
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
-
p
Ducts
pr
Slab Grade
9
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
/L.4r
F.A.U.
Framing
j Ille
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
hr
Drywall - Int. Lath
>g3
14
Final
Final
BLOCKWALL APPROVAILS
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
/3
Heater Final
Water Piping
f
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
4# 44Pool
Cover
Sewer Connection
w 7,y 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.18/20
VMSTERN INSULATION INC.
4211 Latham Street, Riverside, California 92501
Tel. (909) 686-8760 Pax (909) 686-8785
INSULATION CER'T'IFICATE
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 1 B
LOT # 73
SITE ADDRESS: 56-550 MUIRFIELD VILLAGE, WEST COVINA, CA
EXTERIOR WALLS:
MANUFACTURER: JOHNS MANVILLE THICKNESS:. 3 5/8 " R -VALUE: R-13
CEILINGS: BATT BLOW
MANUFACTURER: JO MANVILLE THICKNESS: 63/4' R -VALUE: R-19
CEILINGS: BATT BLOW '
MANUFACTURER: JQ NV/LLE THICKNESS: 11" R -VALUE: R-30
GENERAL CONTRACTORS RIELLY HOMES
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, INC.
LICENSE NUMBER: 481278
BY:
TITLE: PRODUCTION MANAGER
DATE NOVEMBER 8, 2000
..I
0P 7%2000
13,F6r7 ��949 852 87.32 ' ;J DAVEY^
' Y
f'
i, a ri �r s?s'
� ir't'v� �L b K �• 4 � f
31U
v
49
4B
26
50
a4VEY
ROOFING INC.
August 17, 2000
Mr. Steve Gibson
Rielly Homes
8I-120 Legeods.Way
La Quints, CA 92253
Re: Legends as PGA West La Quinta, California
Dear Steve:
Below is a listing by lot number of O'Hagen vents installed per your roof plan specifications:
If you have any questions; please feel free to contact me at 949-260-7925.
Ai.k
y
Vice President, Operations
17162 ARAdn70nIG AVEM E
IRWNE, C4 92614
949/260-7900
949/652-4160 .W
1
48
31U
25
49
4B
26
50
2RC
23
51
3B
24
52
4RA
26
53
6C
27
58
5RA
26
59
3 C
24
60
6RB
27
61
4C
26
62
6RA
27
63
5B
26
70
5A
26
71
4RB
26
72
2A
23
73
5C
26
74
2RB
23
75
3A
25
If you have any questions; please feel free to contact me at 949-260-7925.
Ai.k
y
Vice President, Operations
17162 ARAdn70nIG AVEM E
IRWNE, C4 92614
949/260-7900
949/652-4160 .W
1
Certificate of Occupancy
City of La Quinta
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:
BUILDING ADDRESS:
Use Classification: SINGLE FAMILY DWELLING
Occupancy Group: . R-3 Type of Const
Owner of Building: RIELLY HOMES, INC
_• � ds^1
Building Official
56-550 MUIRFIELD VILLAGE
Bldg. Permit No.: 9906-252
ction: VN Land Use Zone: RL
Address: 23 CORPORATE PLAZA, #245
City: NEWPORT BEACH, CA., 92660
By: DANIEL P. CRAWFORD JR.
Date: 12/12/2000
POST IN A CONSPICUOUS PLACE
Certificate of Occupancy
City of La Quinta.
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:
BUILDING ADDRESS:
56-550 MUIRFIELD VILLAGE
Use Classification: SINGLE FAMILY DWELLING
Occupancy Group: R-3 Type of Construction
Owner of Building: RIELLY HOMES, INC
-r,%, #e--Ve�
Building Official
Bldg. Permit No.: 9906-252
VN Land Use Zone: RL
Address: 23 CORPORATE PLAZA, #245
City: NEWPORT BEACH, CA., 92660
By: DANIEL P. CRAWFORD JR.
Date: 12/12/2000
POST IN A CONSPICUOUS PLACE