SFD (9906-250)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 jExp. Date
711*113 13 r.-'" r02i23124(
mat' e 7�Signature of Contra
�- c.
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.
(,.4' 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.
I'MCN76v^3`5-0
(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
subjeci to the workers' compen sation-provisiogs of Section 3700 of>the Labor
Cq ire 41 s • alll�ortbwith comply wit othose provislo�, s r
ate: -p i` �� Applicant -� ."'w --`!r
Warning: Failure to secure orkers' 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, autho ize representatives of this City to enter upon
the above-mentioned
/po�rty.f�� ctiori`purpo�s'�
ignature (O" er/Atgent) % �T��'-��' ' Date/
PERMIT #
BUILDING PERMIT,
DATE ' VALUATION $278,901.40 LOT TRACT
JOB SITE
ADDRESSv-[►�1�!,IQ
APN
OWNER
CONTRACTOR/DESIGNER/ENGINEER
RR3I. T,.Y N.0K9ES,.INC.
RI1;1AX HONVS, INC.
231CORPOR•ATE PLAZA, 0245
23 C013.1 OILNTLw PLAZA, 4245
f`tEWke.).0 BEACH CA 92660
NUMPrJ1i.'f BEACH C.A. 42660
(949)719.4975 CiRUf 53:37
USE OF PERMIT
aIi*«OLF FAMILY M ELUING,
SM - L s i 71 Pi.AX 4911 - VMM'T' D01;S M.T NCL- DE B1 CC_K
WALL i31e.1't.lOL. 75% PLAN, C11lrG1:1; 1: 1tFi:)UC;°I'tOK l U!t MUl.D.1'fl+ .L
1SSUAWR OR. SAWS PLAN TYPE.
CUSTOM CO�N'STMUCIIION 3,222.00 SC
40,00:SI?0
.PORCl AIA.TIO 940,00.%-
GAKA01lC AEt#'Oit (• 786.00 %
.ErA�J•l..l, �, l ..D 4`I SI ill" �L.ONS".g l�VTY..�'8'f N
�7�,',�Jtt.Y.`111,!
t?ERNUT M1+:E JU,JM AitY
t
C".+G. NIS-I'RUCTIGN e, 1010)0-418-000 $1,266.00
1'14AN(jfft'3 FEE 10!-W-439-319 $257,15
IM MIANICAL 171,43 101-000-421-000 $11.1.00
HLFI TICICAL FEE 101.000420.000 $185.99
P.LIJINgifN(f We 101-000419-000 $,199.75
Sf'€tc??,tC4�fO'Cic7N:ERS-R'ESiD 101-{ftXb-741-000 $27.89
GRADING :[x E 101-000-42 -000 $20.00
IN13-13FEL 24.5-000-=143-34, 95,913,99
ART 1N PUBLIC PLACES - RESM `101.-000-255-(1110 4U47.25
S1 h3- 1M.Al, C0NKT'K(X_r!0".N !SND MAN CHECK'
�I3,S0�.22
LESS P.11.'E-111AID r CESS
$0,00
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION j
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
117
Underground Ducts
Forms & Footings
e&K4
Ducts
Slab Grade V
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
A.
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
sr Jw.� 27
Final
Final
BLOCKWALL APPROVALS
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 Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
-
S50
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G. F.1.
Smoke Detectors
Temp. Use of Power
Final p
Utility Notice (Perm)
COMMENTS:
t
NOV-08-2000 15:04 WESTERN INSULATION 909 686 8786' P.16i2�-,
WESOTERN INSULATION, INC.
4211 Latham Street, liversidc, California 92.501
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 1 B
LOT # 71
SITE ADDRESS: 56-610 MUIRFIELD VILLAGE, WEST COVINA, CA
EXTERIOR WALLS:
MANUFACTURER: JOHNS MANVILLE THICKNESS: 3 5/8 " R -VALUE: R-13
CEILINGS- BA BLOW
MANUFACTURER: JOHN ANVILLE THICKNESS: 6 3/4g R -VALUE: R-19
CEILINGS: ATT BLOW
MANUFACTURER: JO ANVILLE THICKNESS: 11 " R -VALUE: R-30
-------------------------------------------------------
NERAL CONTRACTOR: RIELLY HOMES
BY:
TITLE:
DATE:
LICENSE NUMBER: 481278
BY:
TITLE: PRODUCTION MANA
DATE NOVEMBER 8, 2000
: WESTERN INSULATION, INC.
4 68%17%2000 13 �0z7 F% �949i,852 87322 t,Y`,^ DA1lEY ROOFING `INC s
h20 `Afi
_.'d;.k[ .ts
4 "i�?
4VEY
ROOF/AG INC.
August 17, 2000
Mr. Steve Gibson
Rielly Homes
81-120 Legeods Way
La Quinta, CA 92253
Re: Legends @a 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.
1kka
, .
P iy
Vice President, Operations
17192 ARAM6NG AWVE
lRVWE, CA 92614
949/260-79DO
949/852-9160 FAX
48
3RA
25.
49
4B
26
50
2RC
23
3B
24
4RA
26
6C
27
d6l
5RA
26
3C
24
6RB
27
4C
26
6RA
27
63
5B
26
70
5A
26
71
4RB
26
72
2A
23
73
SC
26
74
2RB
23
75
3A
25
If you have any questions; please feel free to contact me at 949-260-7925.
1kka
, .
P iy
Vice President, Operations
17192 ARAM6NG AWVE
lRVWE, CA 92614
949/260-79DO
949/852-9160 FAX
._.._.._._........ .._..
RIELLY ' ' HOMES
A Delaware Corporation
April 4, 2001
Greg Butler, Building and Safety Manager.
City of La Quinta
78-495 Calle Tampico
La Quinta, Ca 92253-1504
Re: Building Permits for four lots at The Legends @ PGA West
Dear Greg,
We would like to request an extension on four Building Permits where the homes are not ready for their final
inspection.
Permit # 9906-242 Lot # 53 81-165 Golf View Dr. -- ry-PtRes 4112.401
Permit # 9906-248 Lot # 63 81-110 Golf View Dr. GKPtgG 5 10115 ('01
Permit # 9906-249.Lot #-.70 56-640 Muirfield Village — Eglp -s 101 } 101
Permit # 9906-250 Lot # 7156-610 Muirfield Village—Gg1gC5 911.1/oi /'
We have held off completing the homes in order to give the buyer a personal selection on their Granite
Kitchen and Wet Bar Counter Tops.
Everything else in the homes have been Completed except the Kitchens and Wet Bars.
I spoke to the owners (Rielly Homes) today and they have given me the release to go ahead and complete the
homes, We shall proceed right away.
We appreciate your assistance in this matter Greg.
d
Th ch,
ob ibbs,
Project Manager
Rielly Homes Inc.
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR
�Nst
DATE O BY
5' t.�60 L� kr� AlkV1D L14T'C--'5 Aao�c
MAS � -56 G)c.l axAtZD AGA t�J
23 Corporate Plaza, Suite 245 - Newport Beach, California 92660 - (714) 719-4975 - FAX (714) 719-4976
Certificate -of Occupancy
City of La Quintal
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
56-610 MUIRFIELD VILLAGE
Occupancy Group: RL Type of Construction: VN
Owner of Building: RIELLY HOMES, INC
-7-o,s-t /4-t,47
Building Official
Bldg. Permit No.:
Land Use Zone;
9906-250
RL
Address: 23 COPORATE PLAZA, #245
City: NEWPORT BEACH, CA., 92660
-By: DANIEL P. CRAWFORD JR.
Date: 7/12/01
POST IN A CONSPICUOUS PLACE