9909-094 (SFD)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
101039 H 131/33./201
De Signature of Contractor~`^'
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that.l 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.
°( 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:
Carver STATE FUMD Policy No. 015_9$__W0 It X%
(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
subject to the workers' compensation provisions of Sectign 3700 of the Labor
Code, I�st�Ijfo� hwith comply withlose prow slons.
11 >>
D 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 behalf4his 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:,,,
S)gfiature��'' (Owner/Agent) )"'� � ' `� " "~ Date -
PERMIT PERMIT
/BUILDING
DATE1 (Y-/��VALUATION $25t4795•20 LOT 4,t TRACT 284`10'^•
/&2GS�'11GEDAWGRE.13
JOB SITE
APN 'it,G4�itl II
ADDRESS • - „sem!+
OWNER
CONTRACTOR / DESIGNER / ENGINEER
1VICCOMIC-SE0 rTOP LLC
'TRANS U'3 r .HOUSING WC
'750 E ST SIE 3140 -
73-401 P RIGHWAY 111
SAN DJEGO CIA. 92101
Lk QUNTA. CA. 92253
1.1+1!1)5.1 -9191 (:BIX 49'72
USE OF PERMIT
SINGLE IA1WiII.Y ME3:.1..ING
5! �- . C ► ' 4, PLAN JAR, •- rSL:WWT 1 X).1::5 NUVINULUVe W,,MK WALL.
OR IXX3i..
CUSTOM C;1N8'MUC' TON 3,013.00 SF
PORCi PATIO 3'2.5.00 SF
C.AItA(MCARPORT 600.00 SF
.&S4IMAGI -01'01.71 04i'CO1.`I SiFRe.a11M.ION
207W'q/J','Yfi'Y
PERMITFEE S1ifPr1['MARA,
CONS'1'RUC 10NI FER 1014M4.18-000 $I. 168.0f)
PLAN (:IffX .FEE 101.0011-439-318 $957.99
r i
i4i Ct . rlLa- ,,,F 101-000-421.000 8.124.00
E1.'EC 1?JCAL Fps 3(D1 0Q(! 92.U-Q9t11i $114.96
!
PLUMBING FYt E 101-bM419d100 S 1W. 5 0
9 ' ' : • ►
STRONG MOTION F - REi,SID 101-000-241.000 325.0$
%:.
GR:FWWJ FES 101490423-000
r':
ART IN PLJbGIC'P1,NC3 8 .- 321:311; 701-000-255-001) $176m)
� • #
DEVE110FIEP, A;CT' � a,�r� r.txl
F [W
7 � i u}k
S►.3M'[. FAL, CON !UC",1,'.ION AND 1'1.,AN CHECK
$4,9416.52
Q3 SS PRE -PAID FEES
s0Jw
_ "TOTAL PERh1`3?T FEES DIVENOW OW
54,916.52
RECEIPT
DATE
BY DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Roof Deck
700
Combustion Air
Exhaust Fans
O.K. to Wrap
_
F.A.U.
Framing
Insulation
(
Compressor
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 _t.4
BLOCKWALL APPROVALS
POOLS - SPAS
steel
Set hacks
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
/f,6�
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
�/ 7�
Encapsulation
Gas Piping
--Y
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.:
07/14/2000 07:10 9097360018 STEEL T PAGE 01
Instdilatfoh Certificate: Residential 3 CF -6R
tl.• e( this lone to s■tlary owr.qutrarrt■nta of the AOenWastattlreCodale 00*w4 titA tfte Wwwx&n ttaust M PKoW and pe+ud.
t■ sr Imnam
An tnstalWan cartif i=a is required to be posted at the balitid N rko PeArta ftbsesrnor d fila ao�tpa Perak Thb� loran
may be used to moot those rrgUftrMO ts. Al appllantsi Wed below WO t 1111111W GO NOW ft
gf
the o!(kyency and typo of the ap wvo 4lstaned ttwq b«a bsttalr ititlPttha tlppSoAoft spreipd
Compltanco (CF• t R). T11ts wrtificmde (or ks equWakmo ba prepared eruct eipl+ed tis petsortu) gall
responsib'W for the appliance Instaftlom.
1, the undersig nod. verify ihd the equipment baud In the cologory above a r #0&C rW bmbd and
that the oquipmam moots or excsoda the mquirenwrtta d t)ta Appl(artctr E�$Wt0altds• Itt llddldOn. haw ved(isd than
the oquipmern is equivalent to or more atf'tclent then the p specHled at Cerd5i:99 d CotnpBanoa "&Maw to
demonstrate compliance with the Energy ENWency S sforresidantW bladlftL
HVAC SYSTEMS
Note: Hydronit: bollor intarmataon is ontorad hers. Other hydrank or aomtM@d hydn*(ib oquiprtMnt to btad under
Water Hosting Systema.
W"Ung Equip. CEC CoAMM AceWJ Olstroutlon Duct of Wasting Lmd Hart
Typo (lurnaas, Manut. Yaks ak Etlideney 'fypeand p�hdRa ask" 0"r- Bpi
hest burro. eto.I Modsi Numbor (ARIE otim teeetibn k -Yater t3mm hl ha
F. di kA fc at.,y 3o� to � �t.Z _ aZO
u r a v tt i
CEC Cartliled
Cooling Equip. Compressor Unit
Type (at► and, Menuf. Make •
hems nunto_ atc.1 Model Number
•� • it rL O tj
w
The building%dsign hes! tau and dooiQn haat pain rats have bMn detonnbtad usieq a method Irl so"n IS0(h) of
the t:nwQyflCy Sl ar and are two of the Cs'oft used for equipment awrlp and seki�rt. �
2"l4^40 'S%camj.-T off iNC
Si9r►aa�n Dais HVAC Si trs= (Co. Herne) or Gertwel Cormow or Ow wr
WATER HEATING SYSTEMS
Eiternal
C
Water Healing EC Certified Rated' Tank F�er. . Tank
SystornType Manuf. Make a3-, Input (kW Capacity Reeotlery �1�y 1 Insulation
(storage gas, otr~) Model Number er MO) (gallonal am != lrossI WValus
1, For ■mail OL stomoo (rated input S 75,000 Stead, Nat:nta nelatanoe and heat PUMP nater howlers. fat Etnrfht F60W.
For targe gas etor■ge --to haatanl (rated VW 3-75.000 BKA* list Rated htp A Roeewry Ebidart n and t3tanoby Less -
i or Inetantaneoue gee nota ha■tare, Nat Aaasd trpw and PAwwagr EtbloW,
Ker Inetantsrtsana clear{@ w■w heater*, list Adod trtprs.
FAUCETS & SHOWER HEADS
AV f aucets and ahowerhoods ifi taliod aro seed in the Commission's Directory of GrMW Fstlootr ntd Showeehrada,
pursuant to Title 24, Put d. Subchapter 2. Section t 11,
r r4Wfe Data
Aaaiwe jar*,*" It"
PlureaUQ subo0nrf"M Mo. Nares) a owwow CwnraDw er ovnwe
JU_-06-2000 1252 W WESTERN INSULATION 909 686 8786 P.74/08
vvso m R v I1� iTLAIOrT, INC.
4211 Lati m Street, Riverside, California 92501
Tel. (904) 686-8760 Fax (904) 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 - TRACT #28410.2
LOT #: 4
SITE ADDRESS: 84.265 CEDAR CREST, LA QUINTA, CA
gaFRIORWALLS_
MANUFACTURER: Johns -Manville THICKNESS: 3 16 " R -VALUE: R-15
r;[ILINGS: BATTS BLOW
MANUFACTURER: Johns- anville THICKNESS: 13" R -VALUE: R=38
GENERA. CQ_ OR: TRANS WEST HOUSING, INC.
LICENSE NUMBER:
BY:
TITLE:
DATE:
: WESTERN INSULATION, INC.
LICENSFiI''QffTv1I6ER: 48.1278
TITLE: E MANAGER
'9�TE' JULY 6, 2000
Ma.r-16-00 0.7:62A TOM WHITE
The" DanBee
Canpmy mcs Lic732s4a
ROOF/NC AND CONSTRUCTION
P.O1
Roofing Proposal
P.O. Box 277 Thous nd Palms, C -A 92276
Phone (760) 343-3385 Fax (760) 343-3096
BIDS TO JdB NAME;
TRANS WEST HOUSING, INC P.G.A. WEST HOMES
78-401-F HWY 111 . P.G.A. WEST (PHASE 2-B)
LA QUINTA, CA 92253 LA QUINTA. CA 92253
PHONE 771-3363 FAX 771-9077 DATE 2.15-00
QNAGIN ROOF DORMER VfNa
TiiE A1L.0EE COMPANY INC. HAS-INSTAL490-11ffi,R00F,., ORMER„VENTS CORRECTLY,
20 NOIVEERS SPEC1F WJONS.
NOTICE
'Undor lilt Machanirs t ion I,dw (California Coda of MAI Pmneduro Section 1161 at Raft I nrly Conttador, subcnmractt)r. IptfulEv. suppllPr n41p..r prrsorl he helps to
Imprnvo your pulrity but is not paid for hi& work or supplies, has a right to entorce v claim against your powt:ily. This moans trial. fluor a court hearing your prCporly,
Mild be sold oy a court nnlcnr brat the poceelds of the sak► uYAd to otisk the indebtednoas I his can happen *Yang you I11vi; paid your own canbnr;tui In NII. If the
SubOntrarirn. Innot0f or supplier remama unpaid and :110401 adios is nacoasa y In c011oct or erAoraa the farms of this contract, the prnvaihfrp party shall bP enlilled to its
ntA4d11ph14 iltivney fees plus all Crisis of :t)k itnd irlturesl shall ammila an oil !lions. which are nine 90 days after billing at the roto at 18 h per annual The Denoee Co.
Inc, is not reaponalble for onlays ckivwd by weather, 51110. Mored shertage or delay In malodiol supplied to the Inh or Ill imir other delay hP.y(1rrl dv control The
DanDat Cn Inc tnlal I-bility under Itis contract or in non 14Vi ice Is limited sotay to the 3i1vtml of this cordract
We are fully,00vered t)y workman's oornlpensaflon and pub;le happily insuranco. Carriers names and policy numbers available on
foSikt#t
Any alloralion oi deviation from line a above .4WAf11:fdw1l3 involving osis C* of rn41tenal or latw will only Ire executed upon written urdvs for sama and will tv.,t.%urj
krn ultra charge croer Ino Burn nroritioned In this pnpnsal All atii uinenis must be manq in wdU+iny and is balled on hoe access to hundml) Int dircCl klading from nor
tnincs
races am hneod on current costs Oilmatarlal and labor. Increases or decreases, will hn rMlnrted at time of algaing contract
Poli and or during rooting,
and the Complbtlnn of nudging, The DanDrm Co Inc, will not be reapnnaible or liable for damayn cnueed from
acts all God, such as vanhquat+ea, thunderstorms, hall or ally rAher weather condltlons beyond rooters control.
..� . -- .. DA F
:I'II . r ANI)IT CO. INC. —
JAN -I9-00 WED 12:41
FAX N0 4550212
CA4" l
u 1"
P. 05105
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: 80-265 CEDAR CREST
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9909-094
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: MCCOMIC-SEOKTOP LLC
Building Official
Address: 750 B -ST STE 3140 .
City: SAN DIEGO, CA., 92101
By: DANIEL P. CRAWFORD JR.
Date: 711 i;2000
POST IN A CONSPICUOUS PLACE