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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
101079 13 t11iJ1f.Cn
Date '�'��� Signature of ContractorG 1_1_
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.
1./I have and will maintain workers' compensation insurance, as required by
Nction 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.
'+•1• w• f'4111Y
ru v.
�4� tsar �u1Ai. 1e
(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: + . R Applicant—
Warning:
pplicant 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 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) ''�y�-` x Date '<
BUILDING PERMIT PERMIT#
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_ �►�-zxs
lx,ittt-%
DATE VALUATION X451►•7is+7 LOT - IQ • TRACTJOB
SITE
ADDRESS; :-.�►�;r �t �A'�Klw�l1 7
APN 716-490-015
OWNER
CONTRACTOR/DESIGNER/ENGINEER
756 B g;i ,ATE 3140
78.401 F i UGHWA V H;
i
SAN t:11t:GO CA 9&"101
LA.(,tiAWA CA 92:!"x;3
USE OF PERMIT
Si•"i") - PLAN 3AR, i,CjT 10, - i'L- Wi i T GE5 NOT it CLU"I i W,CK,K
WAL1.3 QK PN.XJL. V1,AN CI'1h:(X iRCA(T'KIN OF i,EE 1tli1)tSi.:1:1.1
&V 1131111.6 ISSUANCE OF NAME PLAN TYPE.
CUSTOM :,t3N3T 2i. C7 faa•1 1,�11:1,t)f1 Si
PORCI1./fl'AT IO 325.00 ,,IF
Li1�f�tl(}t1t:/�tt i°l�i^k'I' fi1.!t mo SP
i^i%A%, A 41k;II
CONSIRIK"rtoN rkE 3f,ltfsi+v
P'f,AN f!'►iFi;Ti+;`1'-1_ fi11+-(y1FNy1-�i !�.�3111�(R� IViq 5()
yi
+Yit .l {.61Z+a11C f'tl. 7'L'.l'. 1^'4UV••��T"11Ut/ 512.1.00
6LI; I' UCA1. FR,- tai uaa- t2tj f ccs $17:1.96
1111UN4131NkifITi1: tfil-tiaa :l1i) (k>U �f'�2.5(i
,;Tif0114(3 M( -,Tl WF'F}; . RV -,,I!) 101 ^dN>I1.731 ^(?(1(t f N5 (W
aI;bv)1Nfl 11E,U t(13Ai}tiC d?3 aL0 s�n,<m
I[N1 RAS iR1X"11JRii Tti1f 22 �C!%G t:ii-3:Iz 35, I
AAT iN }'VB1,1C PLAC:-S _ RUSH; 701.000-2255 tW 3376,99 '
,x,17 R(Vi 67
LESS PRE -PAID FRES
I()."
TOYAL i'ERINAIT FUS D JE NOW
57,866,67
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
Combustion Air
_
Roof Deck
Exhaust Fans
O.K. to Wrap /
F.A.U.
Framing 4,0 441
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
POOLS - SPAS
BLOCKWALL APPROVA S
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 Ericlosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
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 df
Utility Notice (Perm) 71
Ma.r-16-00 07:62A TOM WHITE
The"DanDee
Canpmy hK% L is 732542
ROOFING AND CONSTRVCTiON
P.O1
Roofing Proposal
P.O. Box 177 ThotlAIII Pa/ms, CA 9176
Phone (760) 343-3385 Fax (760) 343-3096
BIDS T 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
Th►A LDEE COMPANY INC. HAS. INSTAL49QME, ROOF..,QORMER„VENTS COSTLY, A
PER ENGINEERS SPECffi TJONS.
NOTICE
'Undor Itte Mechanics,' I ion I.aw (Calfornis Coda of roAl PmnAdura Seetion 1181 at Req ) arty contactor, subr:nntricit)r, ipUuiur. supplier oinAr potw)II he help& to
Imorova ynur pruycrty but is not paid fry nes work or supplieS, has A right to enlolee a daim against your prquorly. This mnmm that, orlct a court hearing ynur proporly
mod uu sold by a mus onlrar Atli ll,o proceeds of the "to trrm to Wilsy the indstrsrhass I his can happen even a ynu have paid your rhwn neinttnt tut 111 NII. If the
SUbeomrarnr. IAWY Ur supplier re mat Me Unpaid AMC ;f 10041 action is neceAAAry fn p)uuct of eriforoe the ternts of this contract. rhe 00Av0 lit in party Shall ha entitled to ds
rnaa6ndhW .dtomey fees plus all mats Y &u4 autd inturest shall arxrte an oll Apt;%. which are due 1n doya urter billing at the fpto At 18 a per annum The DanDee Co.
Inc, iv riot reapon&Ible for Mlayu (igju Bd by weather, sInKe. m31strsd shortage or belay n rnAtrowl supplied to the Inh 6r to dny other delay heyntrl ny wnlrol The
DanDee Co Inc. 16141 Ili under INS rostrad nr in npplq'Ir nw Is Ilmhed solely in Intl mnDunl of this contract
We are fully.I:r vexed by workmen's comptitosatlon and pub;le hapilaty Insuranco. Carriers names and policy_pumbers available on
roAldtfi�,
Any alteration oi doviatton from the A above AW-11nAMU113 involving 691FA Meat cif tnvlciial or labor will only Icy cmccuted upon written urdc,s tar same and will tw)('OrrV
kill uxira charge CAlAr InA sum nr, rationed In this proposal All drlt4virwnis must ba ovill1A in w0+iny and is batted on ftw sccesa to huildmg In, dirC[a k%ading from aur
trulms
Pricae am hnsod on current costs of rnatorlel and labor. Increases 6r tfecreaaas, well no rMlnrtod at time of elgnirty rnniract
Dofore and or during rooting utxnitlone and the complellnn of Hooting. The DonDen Co Inc, will not be rea sorraibia or liable for dainFitcnused from
ants rrf God, such as earthqualtea, thunderstorms, hall or Any nlher weather conditions beyond roofers control.
ANOIT CO. INC. —6-2
Mar -16-00 07:52A TOM WHITE
Z&1-19'00 aW 12:41 z
FFAs 10 4350212
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04/05/2000 1.5:14 9097360018 STEEL T PAGE 04
Installation Certificate: Residential A,4v..� .3 CF -4R .
V0. 0111110 letttt is 961101 Via ►putrantants at dta A4mWeVa tta Coda W o�tteted, twl tt16e itfortrttall IatleRtra d tend doe"
Aninet !talion art4f mo is rogtdmd to bo pMW d tea betldinp Bite peter to the Matwtea d 111 tecta pNent Thb torn
may be wad to moat these requirements. As bei ora do agtt�al � HM the
Me aNsdenry and typo of the &Wan" indaUad nlmt be arbttttlr> MVM Ilpp1- 0, w4oUM ew0 w of
Compllarm (CF -1 M. ThIs coralcate for Its e4W*W*kf) be pnp:nd and *nod by the Pow*) sae w ft 01011,41
raaponsibilitp for the etppllarxaa 1"Awlon.
i, the undemigned, verily the the equiprnsrd fated N the Comm above=pa" bow altar! agtipaiaat k aww and
the the 6QUtIment Mosta or exceeds the regWram&r a d yte AppkV6 �atandande. 1n adep0oerr t clave vwlfed that
the Kuipmom Is equivalent toot more oftwat ow the equipnte— spedled on CaAp1s'ita d CotttpfmOr atlblt W Ict
demonstrate taoaloliance with the Energy Eftenq Stutdatda for restideNhlbtl}Idlttpa.
HVAC SYSTEMS
Nat►: Hrdmitio bailor information is arrtat d hate. Other hydttutbor cornblud hydooNo e4uart m blow under
Water Hooting Syaams.
Heating E4ulp. CSC Convied At:" Dietrlbutiat D"w tmd !last
Type (fumaoa, manvL Make A Elfu...�, �
Kw
heat Pump. ata,) Model Number tAK1111 sm I iyp�and a�7— ����
t--W!Rpt c= �tn•� trG7 ri �7 li�� 1 A�j� , y
UXttiD-
w�"�_'_
CEC Cortiflod
YC r � `Mt
of
AW Cat, it • ( (60 _ , L
_�1
The buiding dAAign haat 10611 and doaipn how gain we hwe been deten"imw uatttp a marled 10 - 11ed in "dim 110(h) of
the Energy neY St aid and are two at the eskotia Wodw pv*etentt�611164 filo/ e- - - A 0
2 _
(40-0b I rd�c. � �i
Oats HVAC S Am! am (Ce. Nor* o►6w" fttea m or Otmw
WATER HEATING SYSTEMS
pmov,
Water Hosting CEC Conifled Rated' Tank Felt" or
Sya om Type Manut. Make & ttuoutlkW esnackv ata�a.rr
1. For .Mau psa ataeapa (rwd input s T5,000 BNAtr), gi11atel6 raalatalt0a and fMd pttetp taw Itast6q► pat 6wm► F6ator.
For targe, lass warage heater hw wa (MW Nput s^= t�Nu), tint Rand IVA Ple wwV FAdnw atd twrAby Loa.
for Mota ntanome aha vow hostage. fat P % tnpett bed Raoawry Stfdatlay.
riot Inats11ta++so1• aleabla twW Maatare, cat 110104 laps',
FAUCETS i SHOWER HEADS
All taunts and showarhoadsi k1staged are ided 1t 1he Commiukta's 0(r6ciory d CaltiNed Faucets and Shawerheads.
Pursuant to Title 24. Part a, Subahaprt•r L $sedan 111.
S*kmm & gate
arms" jan"My !Iva
1
/t{ mbkq luboonft0w (Ce. Netae) w dwwrd awvwm~ er*--
APR -06-2000 15:45 WESTERN INSULATION 909 686 8786 P.07i08
TE .1i INSULATION9 INSULATIONINC.
4211 Latham etvst, Rivcmide, CWUbmla 92301
T01, (909) 6$6.8760 Fax (909) 686.8786
INSUL TI 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: AUGUSTA- TRACT # 28410-2 '
LOTS' 10
SITE ADDRESS: 80.605 CEDAR CREST.
CTERLOR--------------------------------------•------- ------
MANUFACTURER: Johns-Menvll/e THICKNESS: S 112" R -VALUE: R-15
BATTSBLOW
MANUFACTURER: Johns- anvNle THICKNESS; 13" + R -VALUE: R-38
CONT- - OR: TRANS WEST ROUSING LICENSE - - - - - • - - - - - - - - - - -
GENERAL
LICENSE NUMBER:
BY:
TITLE:
DATE:
INSULATION Cb111 CT®R: WESTERN INSULATION, INC.
LICENSE NUMBER: 481278
BY: 1.`
TITLE: RODU ON MANAGER
DATE April B, 1000
9
Q
Fx' 1 Occupancy
�.._'' ! s. J t
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 fohowing:
BUILDING ADDRESS: 80-505 CEDAR CREST
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9905-223
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: MCCOMIC-SEOKTOP LLC
M
Building Official
Address: 750 B ST STE 3140
City: SAN DIEGO, CA., 92101
By: DANIEL P. CRAWFORD JR.
Date: 7/12/2000
POST IN A CONSPICUOUS PLACE