SFD (9906-249)LICENSED CONTRACTOR DECLARATION.
-1 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.# Lia Class Exp. Dat 312
401
ri9i13 3s
/ate-
- F Signature of Con�tor� �,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 Cp1„OiN.ra,..o1X INS. Policy No. NVC 476055-02
(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
subi c"t to the workers' compensation pro"visions of Section_3700 ofth Labor
Code, I s all forthwith comply with.th6se provisions. l
�/ate:/�� japplicant/1 _ 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 authorize representatives of this City to enter upon
the Bove -mentioned property for inspection. purposes. r;;
,4 r
,Signature71
(Owner/. g�nt),r-`'� l �" /'-f �Dte -" 4�,,
PERMIT
BUILDING PERMIT Y906-249 A
DATE VALUATION LOT LOT 700 TRACT '�i3R�tt2-1
JOB SITE
APN �.-u�1►1�- J
ADDRESS
OWNER
CONTRACTOR/DESIGNER/ENGINEER
1:JELLY r�1f N4VS, t `N(-_'. +,
avu,LY F1Ob11"S,, wc.
23 CORPORATE PL AZ?V. , x#245
23 CORPOR.tl1'E PLAZA, 024.5
NEWPOWr BEACH CA, 92660
NEWPORT BEACH CA 92660
(949)7194975 CLIL1f SM- 7
USE OF PERMIT
STNOL_2s FAMILY 1' DWELLING
4V -V x,V1 FV k't.J%JV :30A.-1'VKkL'ilI .UV=Y INVA i,AVI: ! O.LVi. WALL
U!t Jk)OL. 7Y*:PLAN L ghCK..1:.i"X R -DU( 1100 .FL R:WIULITIPI
iS8UA1NCE 0 It SAW, PLM TYPE.
CCS ONI CGINSTRUCT10,4' -1,409,00 SF
1101t+tii-OW1,10 .754.00 Sig
UA1tAGUICAKPOIKI' 812.00 3F
N'STIMAT.UeD COST OF C'ON�''.�RUMON
291„,04.50
CONIN'TRUC°f'IO FEE 101-000-41"00 S1,i1.1.St4
$265,ig
i' ECI AYJ,1CA;L ME 101-01MA21-000 $117.50
ht la'CITIMM r-f-iF 101-000-4210-000 $193."
PLUMBING FEB 101-000-4.19-000 5187.75
MONO M(YrION FRE R r•,15i0 ! 01-00(1-:241-g00 529.15
Cid N331.i1M PrX 101-000423-000 $20.
1NF1tA,gT12:f,Kr1'UkE,TfX 22-5-OW443,342 42 ;Iti 00.00
ART IN .PUBLIC PLACES - .M511✓ 701-OW2}5-000 U78.76
V38- OTAC., CONS-MUC1'10 N AND PLAN (;HF.CK
$8,603.30
LESS PRE -PAID PEGS
.11100:100
1'Of'A'L PlY,RkMC FEMS DUKNOW
sa,6,03.30
i
RECEIPT
DATE
BY✓
DATE FINALED
IPECTOR
NS
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings 0
Ducts
Slab Grade /
Return Air
Steel
Combustion Air
Roof Deck .
Exhaust Fans
0.K to Wrap
F.A.U.
Framing
Compressor
Insulation !.6
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath /
Drywall - Int. Lath 3/
Final
Final
BLOCKWALL APPROVA S
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 S
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:
-
NOU-08-2000 15:04 WESTERN INSULATION 909 686 8786
,.y
WWTERN INSULATION, INC.
4211 Latham Street, Rlversicic, Califo mia 92501
Tel. (909) 686-8760 Fax (909) 686-8786
INSULATION CERTIFICATE
P. 15/20, .�
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 # 70
SITE ADDRESS: 56-640 MUIRFIELD VILLAGE, WEST COVINA, CA
EXTERIOR WALLS:
MANUFACTURER: JOHNS MLLE THICKNESS:. 35/81, R -VALUE: R-13
CEILINGS.- BATT BLOW
MANUFACTURER: JOHNS MA LE THICKNESS: 6 3/4" R -VALUE: R-19
ILI
CENGS: BATTS BLOW
MANUFACTURER: JOHN V/LLE THICKNESS: 11' R -VALUE: R-30
GENERAL CONTRACTOR: RIELLY HOMES
BY:
TITLE:
DATE:
IN-SULATION CONTRACTOR: WESTERN INSULATION, INC.
LICENSE NUMBER: 481278
BY:
TITLE: PRODUCTION MANA
DATE NOVEMBER 8, 2000
4,
t _
r 08/17%.2000 13` 0,7 {` 94
DAVEY!, I
� 3' _
.•. r EK ss a�i�3 ri 1 '� �
.4..•
49
4B
26
50
2RC
23
51
3B
24
K\VG 1
ROOFING INC.
August 17, 2000
Mr. Steve Gibson
Rielly Homes
8I-120 Legeads Way
La Quints, CA 92253
Re: Legends (;a PGA West, La Quinta, California
Dear Steve:
*a rs 7.�.. .I
Below is a listing by lot number of O'Hagen vents installed per your roof plan specifications:
'.Is.dal:l'tTil
48
3RA
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
5 C
26
74
2RB
23
75
3A
25
If you have any questions; please feel free to contact me at 949-260-7925.
Aiek
Py
Vice President, Operations
17192 ARA6?rCruG AVEM E
PM E, CA 92614
94g/260 -79W
949/852-4160 W
r
_..._ .._................
RIELLY 1- 7 - 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. — r)�PtRrS `�lZg�ol
Permit # 9906-248 Lot # 63.81-110 Golf View Dr. —»- rKp��G 5 to�►� ot_
Permit # 9906-249 Lot # 70 56-640 Muirfield Village— EAP'sa-5 1014101
Permit # 9906-250 Lot # 7156-610 Muirfield Village —C- q gr:s gJ1y/o 1
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.
Th ch,
ob ibbs,
Project Manager
Rielly Homes Inc.
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR
1.15
DATE 0 BY
5(,E t��J Lj(,� t�.or j ►tib L14�5 A0.a!'�
MAS U G?Cl avAt "'D
23 Corporate Plaza, Suite 245 • Newport Beach, California 92660 • (714) 719-4975 FAX (714) 719-4976
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:
Occupancy Group:
SINGLE FAMILY DWELLING
56-640 MUIRFIELD VILLAGE
R-3 Type of Construction: VN
Owner of Building: RIELLY HOMES, INC
Bldg. Permit No.: 9906-249
Land Use Zone: RL
Address: 23 CORPORATE PLAZA, #245
City: NEWPORT BEACH, CA., 92660
By: DANIEL P. CRAWFORD JR.
Date: 7/24/01
Building Official
POST IN A CONSPICUOUS PLACE