9905-224 (SFD)U)
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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
—,�A,
+U,1t13'9 R4 Vdi til1lL{
Dated Signature of Contractor -� -
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.
'( )a I have and will maintain workers' compensation insurance, as required by
Sectioq 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. t Policy No.
(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 Section 3700 of the Labor
Code, I shall forthwith comply with those provisions.
,Date: ^% . qtr Applicant /3
Warning: Failure to secure Workers' C pensation 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
j 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.
�rSignature (Owner/Agent) l i ) t • t .E .�_ Date
PERMIT #
BUILDING PERMIT 4M) 224
DATE VALUATION S2 LOT
JOB SITE
ADDRESS
OWNER
kr�f
� rti►arrt
f ! .Sift\�♦ f\ 1 .I f I4...
USE OF PERMIT
APN
TRACT 294t0_2
7i6.4504451
CONTRACTOR/DESIGNER/ENGINEER
1RANS WPSU 11Pl:z
7h -10i F HIGHWAY i i 1.
LA. t;)Ut6FI'A CA 922;'5 3
(E 1 ` 114157-P 191 tC'MA 4172
SIr13 - PLAN 21314, LOT!), - pL�km1'i' Dogs Pi'(.yc 1Nc1,ULws Cif, CFt WrU..Ls
OR iN .)L. $'I,AN Ck11i:4TS.PORTION Cr1: FGE RELI%lCEf) 75°b FOR A1U1.TIPIX
ISSUANCE OF SAME' PLANT SPE'.
C1JS'.Il` , II CO NS` t'.1,Z11CT10IN
f!i ►.1tCii13'.r>`k'ila 432.00 6F
�xrllcAifl7t;A121'u#c'1' uti!).tltt tt1
E T1f 400,`1 1) CUST #3F 4: )N,*;T'R 11C 110
PERMIT FEE' SUMMARY
CONS'CiaUCT101%,11 FIX
101-000.418-000
xi,CtS'l.Sti
Pf ,1eN 01P.ri, rf?F-
1 iii -AM-439-31 R
i'bE1;Ci•f Ali 71(. AL 1713C;
101-000.421-000
G IXCT]40t LF143
t01-000-420-000
Sis9,.5'2
PLUMBING E18
i41.1-11 -11 l9AH110
S1 s.(N)
5t'i'f?ON 1 XA79'rK-)N 11TR - Riii;1n
1111 -0004411 -Mf)
%71 1114
rJf1,V�1tyU 1'>�1;
4411-�1�o••a:�•�a
�*t�.t�fl
tbif ltA.`1'113114."IIlf21's f13i
225-M-443,-42
i4,1716
ART fN PUBLIC PLAC'1 S - i0.31L' i01-4It)14-25w-fN!()
$294,60
21-1,3.64.4p,
S'[01",1'1' -AL CORKI t7C,TION AND PLAN
LESS 1'.tt�-1't11i1171 1? r(3.f30
TOTAL P1•;)+tMIT V!t`&N $)11!: NOW 1 $(),893.w
RECEIPT I 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
Combustion Air
Roof Deck /
Exhaust Fans
OX to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final I
BLOCKWALL APPROV LS
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
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) 171 1176w
COMMENTS:
APR -06-2000 15:45 WESTERN INSULATION 909 686 8786 P.08i08
' t
t
WFATEIRN I11 SULATION t INC.
4711 Latham Stmt, Rive*de, Clalifbmia 92M1
TeL (904) 686-8760 Frac 009) 6W-8786
E9819sAT-10 T 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 l PHASE; AUGUSTA- TRACT # 28410-2
LOT# s
SITE ADDRESS; 80.465 CEDAR CREST.
JCTERlORIAIA
---------------------------------------------------
LLS
MANUFACTURER: Johns-Man0le THICKNESS: 3 112" R -VALUE, R-15
CMUNGS: BLOW
MANUFACTURER: Johns -Manville THICKNESS: 13" R -VALUE: R-38
GENERAL Q01MTRA=R: TRANS WEST HOUSING-------
OUSING------- - - - -- - - - • -
- - - - -
LICENSE NUMBER:
BY:
TITLE:
DATE:
MAISULATION CONTRL CTOR: WESTERN INSULATION, INC.
LICENSE NUMBER: 481276
BY: Q. I 11&�
TITLE: PRODU ION MANA®
DATE AaxJI S. 2000
TOTAL P,08
04%05/2900 15:14 9097360018 STEEL T PAGE 02
Installation Certificate: Realdenda! .:wt
' Rwf;
ua1 of this lot.+ to settaM tt.e nqutremanir of the AdatbdalreftoCade to "UMW but 1aMerwlatini arird :.
V.
11 MI Mill
/1n installation ardfloue � ragldrsd m a paad,am. ttuWstnq ite totho Ywano�atllitli� . • Roff�tL � � .. ;:
may be used to most theca ngWrerttutlsb aapYtw qq���i 14ttldbdOMt t»tr d1W
the a idem atype of of the ane ntt�q ba orbtulltsAVWttpotrlfl dailf�ti t:irdllaRa of ..
Compliance (CF• t A). This aridkods (orfs ogWvd nil shW bo propsrod otld dpO 0Y ilfrr plo."d.
;
reaponslbft for the aMbar ea InNafWbn. ;
t, the undersigned, verfy that the aquipme d MW In itis ail M abWeffv sipfl5afr 15f)ti f+aftf�t iltritt�d std
trim the equipment meets or excess the taattimme is din llppllam Oil M ehrtdard5. N� liit�aturrboQthat
the equipment Is squtvalent to or mon elfi01e1ti*M.*ia apardtfadCaetlfia�d+ad' > odn
dam nersto'complianwwith the Energy 96 ;
KVAC SYSTEMS
Note: Hydronia bcilar Watmatbn is entered hen. Caw hydmb or oombktad ItyduAk --Ax d b geed •tktder .
Water Heating Systems... '::
wasting Equip. CSC Certtibd AWASI Oba brrtJon of Iliaatitit0 f ew �' 1M11yltQ ` .: ;
Tm oumaael YsnW. maim 4 f if v and OtNa :;'•%.M1tt�lltetltt
but u ata ModelNutnbuAP!! Wh
Ace 07)' .�._ ._..s'i1�� ' •� �:;:�_ :tr
CEC t;.rtaied
Cooling SQUIp. ConWasear Unit AMW bummor ,
Type lair aond.. Yani$. Naha t ■f1YMrteiy and ,
heat pump, etc Yodel Number
ts� CE tfL•f n.. o
TW* build' deage end n h.0 bedesip head j4ab roe baro been ddom*ted vakq a alatllod s W b t3aetlorl if10(h) of
the FAOW ency and are two d the arll`dss used fore"Orout/e�1ft WW
30s""'1 rear KVACC Oubenitrateor (ft Naala) or "WW QOrlaalor ar CWW
WATER HEATING SYSTEMS
t
Water Heating C90 Conbled Ratodt Tank F"Wor
System Type Yanuf.Lab i input (kW Capsow Amy : wtttf tl .. tatbn
t. Fat am" gu aloleas (rated V4W15 75AW bAtA a 1Wb taaistanoe aid haat v81wbOdmm fid5mvv F=WL .
Fat tarps 9M $*Me aster Rasters (mad inp AP?L= fblft tat Asad bPA PANOV Ud@W LftM
For b WrAwwous gas wear hosiers, bt Acrd WVA end ftavoq GNdenpr. ;
Far Inaanarwmm Wagon slaw healers, IN Raced bWA
FAUCrr3 A SHOWER hf*i.ADS
AS fa uts and ahowerhesds meta W are bead in die Commlwbn's DW OM d CLOW Fa mis stld$• ;-
pursuant to Tale 24. Part G. Subohapter 2. Sedlee 111. ;5 �
a�lrile Dow t%Aaaeiry Alrwlaaatr(Oe. Malrrye/0utwal er�WlM/
aor..dJaw w.dq
Mas.r.—16—,00 07:52A TOM WHITE
y,
Thle,DanDee
Inc•. Lic 732542
ROOF/NG AND CONSTRUMON
P.01
Roofing Proposal
P.O. Box 177 Th"mwd Pa1ms, LA 91176
Phone (760) 343-3385 Fax (764) 343-3096
BIDS TO : JOB 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
SWAG/N ROOF nMWER V9=
TNE.QBlK.,f)EE'COMPAtNY tiNC. HdS-1NSTAL4gQ_ME.ROOF.•p,QUUM..VENT,. CORRECTLY, Ars
El"NG1NEERS SPEC( tCaTIONS.
NOTICE
'11401 Ile MOCIIIaW-V I ran 1,4w Paldyrne Coda of G1vll Pmnenuro Seetton 1161 of Req 1 Anv oonitador, subCrmtmctru. Ioliwer. supplier oiner pofWl lie help$ to
Imomys ynvr prWwty but is not pad W his work o' supplies. ban A right t0 010#0 a claim against your properly. This menu thnt. Mof a court hearing your prcwty
enra4 bu sold by a Cour' OrttCnr Md Uw poueds of the sale limn 10 eoilely the indableMam Ibis con happen *yen o ynv have paid your awn rAntr.xtur In NN If the
Subeorltrarhnl. InMN#a 0, suppker rettwns unpaid AMO ,i 109a1 action is naceemary In CUIIvN yr enforce the tern** Of this contract• the pmvparlp party shall he Milled to ds
rmsao iohtU 4910inay Res plus ill cnras 1.tr Duk and Inturnl $hail arzinia An oil sxpns. which are mu 10 40%after billeq At the roto at 16 % per Annum The DanOve Co.
Inc. i1 not reaponsrbta hnr netaya cauewd by weather, $GIKe. m'llersd shortage or delay in maurnd supplied to the Inn Ar Iv wiy other delay Itwynrrl r1v wntrol Thai
DanOas Co Inc ItAil kuWkty under Ali$ contraCl win ml61f3ftur le limited solery inIna nk*x7uni of this contrAN
We am fully,l:ovani d by workman's Rampairatiatlon and pubic 1lapltlty Wouranco. Carfiln names and polis .civnlbars available on
rugMq*L
Any aueratrnn of JuvraUon from she a atmva spe onaibw>s uwolving extra rsulor rwlcaal or lahm Wig only Iv cicwted uAon wrdlen vrdc,s for same and wtll tw;ewrte
w1 ostia charge Over InA sum ntcnlionetl In this prgkv N All Afligvimnis must be mitis in wrlU+ing end is IMaMt nn rwc *cons to building tot JiroA Wooing from nim
t1=1111 -
Prices am baud on current costs at noaradal and labor. Incres"a ow docirmn, will no rMlnried at time of sianiny cantrmct
Ovfurc and or during monnp aprirmlons am the comipI akin of roofing. The DonDen Cc Inc, will not be respnndble or liable for dalnaprtcmused from
mile of Ood, ouch n @mnhquakes, thunderstorms, nap or any ether mother condlllons beyond roofers control.
;._.,.I1A11 .__..
.� �I11 ANUI?t''C'U.I1vC.
t
NOTICE
'11401 Ile MOCIIIaW-V I ran 1,4w Paldyrne Coda of G1vll Pmnenuro Seetton 1161 of Req 1 Anv oonitador, subCrmtmctru. Ioliwer. supplier oiner pofWl lie help$ to
Imomys ynvr prWwty but is not pad W his work o' supplies. ban A right t0 010#0 a claim against your properly. This menu thnt. Mof a court hearing your prcwty
enra4 bu sold by a Cour' OrttCnr Md Uw poueds of the sale limn 10 eoilely the indableMam Ibis con happen *yen o ynv have paid your awn rAntr.xtur In NN If the
Subeorltrarhnl. InMN#a 0, suppker rettwns unpaid AMO ,i 109a1 action is naceemary In CUIIvN yr enforce the tern** Of this contract• the pmvparlp party shall he Milled to ds
rmsao iohtU 4910inay Res plus ill cnras 1.tr Duk and Inturnl $hail arzinia An oil sxpns. which are mu 10 40%after billeq At the roto at 16 % per Annum The DanOve Co.
Inc. i1 not reaponsrbta hnr netaya cauewd by weather, $GIKe. m'llersd shortage or delay in maurnd supplied to the Inn Ar Iv wiy other delay Itwynrrl r1v wntrol Thai
DanOas Co Inc ItAil kuWkty under Ali$ contraCl win ml61f3ftur le limited solery inIna nk*x7uni of this contrAN
We am fully,l:ovani d by workman's Rampairatiatlon and pubic 1lapltlty Wouranco. Carfiln names and polis .civnlbars available on
rugMq*L
Any aueratrnn of JuvraUon from she a atmva spe onaibw>s uwolving extra rsulor rwlcaal or lahm Wig only Iv cicwted uAon wrdlen vrdc,s for same and wtll tw;ewrte
w1 ostia charge Over InA sum ntcnlionetl In this prgkv N All Afligvimnis must be mitis in wrlU+ing end is IMaMt nn rwc *cons to building tot JiroA Wooing from nim
t1=1111 -
Prices am baud on current costs at noaradal and labor. Incres"a ow docirmn, will no rMlnried at time of sianiny cantrmct
Ovfurc and or during monnp aprirmlons am the comipI akin of roofing. The DonDen Cc Inc, will not be respnndble or liable for dalnaprtcmused from
mile of Ood, ouch n @mnhquakes, thunderstorms, nap or any ether mother condlllons beyond roofers control.
;._.,.I1A11 .__..
.� �I11 ANUI?t''C'U.I1vC.
JAN -19-00 WED 12:40
2 FAX N0. 4550212
P. 04/05
DEC -07-98 MON 09:21
w PLAN 1:
ROOF ATTIC
ROOF ATTIC
22UAL
300 at
(1)18" DIAMEn
PIAN 2:
ROOF ATTIC
ROOF ATTIC
300 sJ
(1)18" DIAMM
49 ol
PIIAN '
ROOF ATTIC
ROOF ATTIC
nit"
800 IJ. w
(1)18" DIAMETE
31 � 1-1- w
0
2 FAX, N0. 4550212 P.02
NTILATION REQUIREMENTS
SEA - 2,203 $Q. FT.
4 SQ. FT. OF VENTILATION AREA REQUIRED
DORMER VENT+ .69 S0. FT. OF VENTILATION
'
66 PROVIDE A MINIMUM OF'111 DORMER VENTS.
LATION REQUIREMENTS
2, 572 SQ -
FT -
7 SQ.FT. OF VENTIA71ON AREA REQUIRED
DORMER VENT w .89 Sa FT. OF VENTILATION
s
42 PROVIDE'A MINIMUM OF14!QORMER VENTS.
ENTILATION REQUIREMENTS
IEA- 3,013 SQ -
FT -.04 $Q. FT, OF VENTILATION AREA REQUIRED
DORMER VENT • .69 $0. FT. �� VENTILATION
.55 PROVIDE A MINIMUM 05 ERS VENTS
Apr_.1.1-00 12:32P HOME CENTERS INC
ROME CENTERS- INC.
Corporate Office: 11839 Sorrento Valley Road - San Diego, California - 92121
(658) 755.6836 • FAX (858) 755.0801 - Contractor Ucense #291673
Orange County: 22343 La Palma Avenue #111 -Yorba Linda, California 92687
(714) 692-1270 - FAX (714) 692.1576
Palm Desert: 77-682 Country Club Drive. Suite D - Palm Desert, California 92211
(760) 772-3555 - FAX (760) 772.3557
Las Vegas: 5070 South Arii&e Street, Suite 4 - Las Vagas, Nevada 89118
(702) 871.7575 - FAX (702) 871.7992
858 755-1246 P.07
3109
wroiect
Lot Phsaim '3
Rh-iver &&4z
CASH ORDER ❑ ADD TO LOAN ❑ BENCHARGE ❑
WINDOW COVERING ORDER CONDITIONS
®H.C.I. to proceed watt measure Immediately. Homebuyw is responsible for all measure charges. Cancelled order's will be
subject to a fifty ($50) dour process" tee. Additional charges may apply. See terms and c ortdiflons statements.
I understand my order is placed on hold until home loan approval. Should I cancel after loan approval, I am responsible for any
and all orxab Incurred with regard to the processing of my order. (This condition applies to all orders regardless of deposit or
ice•)
®I would like my order processed as quickly as possible prior to home loan approval. I understand that should I cancel or not
racelve home ban approval, I am responsible for any and all costes Incurred with regard to the prooeseing of my order. (1 -his
condtdw alpplbs to all orders that include a minimum 50% deposit.)
If using customers measurements, KC1 w 1l not be reeponelble for measurement accuracy, and H.C.I, will not install
products ordered from these messwea. No change orders will be accepted regarding installation.
® Final material and instelletion charges may vary based on att:Wal on site meaeuremwts.
This is a cuaoom window 0e0tymM order. No change orders will be accepted after receipt of deposit Balance Is due prior to
iristallation unless other ArwwW arrangements have been made.
APPROXIMATE DELIVERY TIME
BUNDS — 4 - 8 WEEKS FROM PROCESS DATE as defined above.
SHUTTERS — 10-1T WEEKS FROM PROCESS DATE as defined above.
❑ DRAPERIES — 8 -10 WEEKS FROM PROCIN DATE as deftned above.
0
SALES ORDER(S) 8
SPECIAL INSTRUCTIONS
WINDOWS TO BE COVERED IN YOUR HOME INCLUDE:
WINDOW COVERING PAYMENT PLAN
SUBTOTAL $
MEASURE CHARGE $ 515-7
SALES TAX $
INSTALLATION CHARGES $
OTHER CHARGES
S
TOTAL SALES PRICE $
1 311 1
DEPOSIT AMOUNT % $ %o� '
BALANCE DUE BEFORE INSTALLATION $ f �/ /✓ . �C_.1
-;
y'.
METHOD OF PAYMENT: DEPOSIT BALANCE
I have read all of ft Ttswwt of Terms and Condldons' and I uxIerstand and accept fhsm. The above order conditions, charges
and psymenf Asrms are eccepted by buyer.
BUYER DATE /-7ZJ&-
SALESPERSON
0wmlVmw; V"'m • p"xm O mLE OANAW - DRAPERY FILE KNK - CUSTOMER COPY REV 10/88
r
v
n
Certificate of Occupancy
City of La Quinta
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 709 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: 80-465 CEDAR CREST
Use Classification:
SINGLE FAMILY DWELLING
Bldg. Permit No.: 9905-224
Occupancy Group:
R-3 Type of Construction:
VN
Land .Use Zone: RL
Owner of Building:
MCCOMIC SEOKTOP LLC
Address:
750 B ST STE 3140
City:
SAN DIEGO, CA., 92101
By:
DANIEL P. CRAWFORD JR.
Date:
6/1/2000
Building Official
POST IN A CONSPICUOUS PLACE