9909-002 (SFD)I—
N t)
W
OCY�
i
LU
o Z
�
0o
J C-)
Wa
U)
Z
M
N
ON
UCY)
C), Z
!r
r�0
X w —
mUU
O
I rn H
Z_
Cb Z
�0
J
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 Exp., Date
701039 B 01!31/2(
Date 7 ,- y c�G Signature of Contractor i` f/•'�-�
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 STATE FUND Policy No. 035.93.Of1011?t
(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 thatsf I should become
subject to the workers' compensation provisions of Seeiwn 3700 of the Labor
Code, I shall forthwith comply with those provisions
Date: r. - Applicant
Warning: Failure to secure Workers'lCompensation coverage isounlawful 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 above-mentioned property for inspection purposes.
Signature (Owner/Agent) ! 1 Date
•v 6 BUILDING PERMIT PERMIT#
,�.�)
DATE VALUATION LOT FACT
$217 110 28410-2/1
JOB SITE
ADDRESSl IF n
7 9 �
OWNER
CONTRACTOR/DESIGNER/ENGINEER
MC,COMTC-:RROXTOP LLC
TRANS VIM HOUM4G 1YTC
750 B ST STE, 3140
78-401 F' IQ11WAY 111
SANDIEGO CA 92101
LA. QUXrA CA 92233
(619)557-9191 CBLd% 4972
USE OF PERMIT
SWOLE FAMILY D'9V'kTI:LWO
SIPD• LOP 2, PLAN 1C P, PERMIT DOLS NOT INCLUDE BLOCK -WALL OR
Pool.
CUSTOM CONSTRUCTION 1,572,00 3F
PORCHIPATIO 432.00 SIS
0.ARAGEICARPORT 600.00 SF
ESI71Vwrm) COST OF CO1'TMUC ION
21:7,8(A.40
P15'I2ItRT Ft F.E 9L13AhLkRY
CONSTRUCTION FEE 1.01.000 418.000 $1,051.50
PLA:114 CHECK FEE 1.01-000-4.39.318 $861.54
MECRAIJICAL PRE 101.000.421.000 $98.50-
SLECTRICAL FEE 101-000-420-000 $159.52
PLUMBING F89 101.000-419-000 1In00
� (1
STRONG A40TION FEE - RESID 101-900-241-000 $21.79
► , a
GRADING FEE 101.000.423.000 $20,00:
ART IN PUBLIC PLACES • R..I.SIE ?Q1-000-255-000 $44.66
DEVELOPER IMPACT :F'E1a
SUBTOTAL CONSTR,U�` 014 AND PIM' CHS(M
$4,343.51
LESS PRR-PAID FL7.S
$0,00
TOTAL PE1:2WT i1 1X6 DUE NOW
S4,343, 51
RECEIPT
DATE
BY / /
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
I INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs 0
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap &7
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
Drywall - Int. Lath
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 I I
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
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:
r
DEC -01-2000 16:38 WESTERN INSULATION 909 686 878E P.03/17 -
VMTERN INSULATION, INC.
42 L 1 1 mthiM Street, Riverside, CaUarnla 72W 1
Tel. (909) 086-8760 ftx (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: POA WEST - AUGUSTA
LOT # : 2
SITE ADDRESS 80-186 CEDAR CREST LA QUINTA, CA
MANUFACTURER: JOHNS MANVILLE THICKNESS: 3 1/2 ° R -VALUE: R-16
CEILINGS:TT BLOW
MANUFACTURER: JO NVILLE THICKNESS: 13" R- VALUE: R-38
9MRAL CON R A CTO : TRANbWEST HOSING
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, INC.
LICENSE NUMB 481278
BY:
TITLE: PRODUCTION MA AGER
DATE DECEMBER 1, 2000
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
R-3
80-185 CEDAR CREST
Type of Construction: VN
Owner of Building: MCCOMIC-SEOKTOP LLC
-1--et., A4-%
Building Official
Bldg. Permit No.:
Land Use Zone:
9909-002
RL
Address: 750 B ST STE 3140
City: SAN DIEGO, CA., 92101
By: DANIEL P. CRAWFORD JR.
Date: 2/5/01
POST IN A CONSPICUOUS PLACE
G
The BanDee
Gaia%mmy milt% lic 732542
ROOFING AND CONSTRUCTION
Roofing Proposal
;,P.O. Box 277 Thnusand Palms, (.A 92276
Phone (760) 343-3385 Fax (760) 343-3096
BIDS TO: JOB NAME:
TRP,NS WEST HOUSING, INC P.G.A. WEST HOMES
78-401-F HWY 111 P.G.A. WEST AUGUSTA PHASE 4
LA QUINTA, CA 92253 LOTS # 1.51.5,24,49 LA QUINTA, CA 92253
PHONE 771.3363 FAX 771-9077 DATE 12-7-00
• � L a e • ti ' i a ■ : • • ! • :l� � a
dQIl�.E
'tl,o#4 Ins MflCnan!C.s' l Ion LaW (California Code of Civil Pff)WOuto. 9oclon 116101 Soo. }, any cOn!rpctor,-swonrractor 7nhoror, sunpner niher person me helps to
%) Civ •rvvi pcoerly ovt,S nol 04-0 for hl& WON Of ■oppliaR, hall a nght !O anfOfce a Claim against you( property. This awalls Ih&l, aROI it cuuf', neutn,n your jwnl,&rty
could De so:o tpf, a Coon Officor and RIC prLc"-fjs Of the Salt used to Sallsiy In! IbdebtP.OnP.AA 11`1151 can naripen even it you nave pais your own WrllraclOr :n full !t tltt-
Sud:nCir.trtn IADOrar Or Sllppirer remains unpaid and If legal actlon IS nowasary to eol"xi W unite Ct Irne tC int,, to In,$ cnierer:l, mp.. flfevArl•ng OAM snalr De enultec io its
a
ruaypr41t�t N)rnyy rine pmA An MALIS Of 141111 ern interest snail accrue an all sums wnrch are due 00 days oflur billing DI 11x,: mtr. Al 1e °+ tier Aiello; the UanDee Co.
Inc. is not responsible tot oelu" cifused yy weaMer, ilio e, materia! Armitage rx delay In material suopiled to t";:ob or to any oprur tivivr w.:ra (d do cr.:uiai tor.
1)AMlee CO lnr. WAI lta!nllty under this contract or In negligence is limited Solely to the emovol of this 00n1rpel
We are fully covered by wprllmen,s cpmoensa1Ign and nubIIjLIl4billty Insuranco. Carriors names and polity rIjVMj;gr.pvj1il0tflr.ofl
Any alteration ill JeV.alwn horn Inn it r ljv7vy spa;lnlrshone involving extra r0■r of material or Labor will only De exacutad upon 'M. rttvn u uvrs kv 'iilloe ,Ird will N?C.016
ao aqua Charge over me turn mentioned in this Droposat All slplet!rnenls roust IfG mens irl wrltnmg and IS based On tree BCCRss to Ouiturng lot direct 4daUex1 hem tXit
uw.�s
porus are based on current costs of material and labor. Increases or decreases, will be renecten at 1tm0 of signing contract
Before and or dirrir.g ruoang outratlons and the completlon of roofing, The Dan Dee Cc Inc, will not be responsible or treble fur damage cAt,aed !rom
acts of Ood, such as earthquakes, thunderolorms, mall or any other weather conditions beyond maiers control.
(91 )A N 1) F.F. 1—0. IN('.
DATE,
I)All`. !4`— 7-00
ZO'd 99LOEV£09L t-tLLMON LULr Vi9L:60 00—LO—Mad
-06/26/200e 13:30 9097360018 STEEL T PAGE 03
Installation Certificate: Residential
I .
Use of thin farm to satisfy Nos ft4uk--to Wthe A"W*bWv;p Code Is sphered, bei VWw=wdoii-'
'a- IT s.. -
An WMAnsibn conliwe Is reqWrod 10 bOODSWid the bWkbV ab priarto to bramd gofib tOtt�
May be used to most these reWiremerft. Al 1111w belm =tfN tits a -
the ofliol&ney and type of the appilarm bwWad m= be
CompUancs (cF-i t�. This conNkate ttu !ts etrbl sl���verad +l+d did bl►►�U �t0
r9sponsibithy for the aWL"mInst jUjon.
1, the undersigned, verity that the equipmert goAd Wj VWCMOM gbMmy
that the equipment meats at "COOds the MqWrft&U dto ApOk= OurAN& h1been V111"dw
the OqUiPMOM Is ocluivalard to or rWtg Vffjdj(dftcffk
titan @qUbMw% 2pOW=+* C4ffl5Ws*1CaffO*awAwJW to
damenstwo cornPlAnce with tho Energy EffWarcy SUrAJ&XIS f*r rasWVM Wkkm
I IYAe 3'e3TEM3
Nae: HydmtiiaboUatir"ormmdioniaiirteradhats. ftwhydrunborcaft6iedhydraftaqu
water Heating systema.
77-
"left
Hisatima Equip. CEC CartgWd Ac" DIS&OWUM Oftat
Type (furnace, Uaritit usks & Efflaleiriey 1w Md Effi.9-- Wn I **V- ftopulliffltuh
-
host purriv, ate, ) Model Number JAMP W-) Lbah@Wn
ON
V. z
CEC Cortiflod
06611hg Equip.
CwnPr*"m Unit Aet"I
TYps (" cand- Mantd. Maka 4 Im
homPump. 6=1 Noceirfumbar
Aig, FAA—
I no ouoowqav&pqn haat lrld design ham J&UNIX11A rate have boon O9t#Mww in Lia" lzfl4h) a#
hill hiiiiii-i I'lfbern 'aww" 1. And ape im
VOc-
Signaw/vt Over MVAC Suwmmw (Co. Ns )wawwlii C&VUW womw
WATER HEATING SYSTEMS
anw"I
Water Heating CEC can"lod Rated, Tank mea Tank
System Type Uonul. Make &
(Staracto 489. ate-) Model Numberya, t I., a-wes., bw
1. for small gsa
storage (mod input f. 76,= ftft. SNOI& rs&mr
rw was gbwlmm weiffh"we miad bWr7L= w"haelipmPm"
Ut PAUd M(AA� Skup6q 16*ff" --I WSW* L11111L.,
FW MstaRts"eO44 814 wNlw b"WO. 1111. RMOfted 1W arnd RWmq C&W".
For 1nat&f%%sjww* electric vatar kwon. rl" pw" hVLO
SAUCM L C1 I OWr-n I ICADO
AS 1woots and showorhooda irattallsd am RAW in *is Commission's Direc" 9(C4FdWFwMit wwaffmUhN4114
Oursuard to T1119 24. Part 6, SubchIPOWL Section 1111.
ft-bbire &*"Mww (60. "anval w Mwe1"G=;vvpowrppr*wttar
Certificate -of Occupancy
City of L,a 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
ollowing.
BUILDING ADDRESS:
Use Classification: SINGLE FAMILY DWELLING
Occupancy Group: R-3
80-185 CEDAR CREST
Type of Construction: VN
Owner of Building:, MCCOMIC-SEOKTOP LLC
Building Official -
Bldg. Permit No.: 9909-002
Land Use Zone: RL
Address: 750 B ST STE 3140
City: SAN DIEGO, CA., 92101
By: DANIEL P. CRAWFORD JR.
Date: 2/5/01
POST IN A CONSPICUOUS PLACE