9905-220 (SFD)W .
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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
01039 H � 0431126(
Date 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:
( ) 1, 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).
( ' s) 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 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: " k , "> F, •" Applicant—
Warning:
pplicant Warning: Failure to secure Workers''Eompensation 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
I: any permit issued as a result of this applicaton agrees to, & shall, indemnity
&.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) x Datenlr •�
BUILDING PERMIT PERMITq
9905-220
DATE VALUATION 92' sd., 5.20 LOT 1i. TRACT 28410-2 ` {
JOB SITE •
ADDRESS 7W42-5 C1!!.D,MI (AW
APN
716-490-•015
OWNER
CONTRACTOR/DESIGNER/ENGINEER
750 B 63' STI 3140
78-401 .F HIG14WAY 11
S.AN DIEGO CA 92101
LA QU1NTA. CES 92453
(6191557-901 X31 C!31,#f 4972
USE OF PERMIT
Silw'caLE FAMILY DWi?.t. UNG
SM $,ILA X, LO'f' 13,->"��za� T tick --'NOT 1NC1.tiUT .I31BXK WAILS
i)R1?0c i..
;:INDIDIN:r CONS ISTR .iCTIO N 3,013.00 ar•
PORC-IIA" nO 325,00 Sfr
ER.td AT V VE SPAINARY
C+£�;��t'1'1Z�.lC.`7't01tlkE�E 1vi.t3QU•431;-(!tT0 S�1,1.�,8.(K+
%7IAN MECK FET'a• 1.01-000-439.311; 5957.'�r
XIMCIIANTICAL FEE 101 -001) -1141 -tori 3L"?4.ttf3
1zf- ( IUC:AI., Fat % 174,96
1'1. IMU1.t40 4I1 -C 1,014W-419-000 $192.50
IT(ONO NffZ'i'ft'jNFr,, F - 80,81.0 IM4-M241 -000 SIS,0
GRA1)1k4Gf-%`:.1 101.000-423-000 $20.60
iphyYili-�ry(K.(A�.^1{�`�Tt(V(1' `E, Rf,-* FE '�".(25-00tl0 443-(3]�4�2 $5,,,54)6,#. 1
�>} y}
x•1XT �1 7.�4JMIC` Yfr.:1 w.•C S �' iMGNI. F1,I JV 1'�'VE24d -` J `S7V5I S 3` 6 99
LESS rRE-PAID FEES
$Uo
`;4CYCAL ;N`ERAUT VIR E'S DUE NOW
RECEIPT DATE BY DATE FINALED INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
TINSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade z y1f4
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation V1 7 7
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 5"
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
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Vyater 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
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G. F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
APR -06-2000 15:44' WESTERN INSULATION 909 686 x;786 P.04i08
Mr-
STERM INSULATIONS INC.
4911 Latbam street, plycrWde, C jfbrn]a 92501
Tet. (909) 686-8760 Fax (909) 655.8786
EffMATION gzRTIFICATE
THIS IS TO CERTIFY THAT INSULATION HAS 13EEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
TRACT / PHASE: LiAU-GIJITA�,TRACT # 204.1 Q. 2
LOT# L13)
SITE ADDRESS:13� as26_CEDAA`CREST
I:,XTERIOR WALLS
MANUFACTURER., Jahns-Manville THICKNESS; 3 1/2" R -VALUE: R-15
EI N S: Z. BLOW
MANUFACTURER: Johns -Manville THICKNESS: 13" R -VALUE: R-38
R 1RACTO:TRANSWESTHOUSING-- ------------------
LICENSE NUMBER:
BY:
TITLE:
DATE:
N=AI CONTRACTOR: WESTERN INSULATION, INC.
LICENrA NUMBER: 481278
BY:
TITLE:R CTiON MA GER
DATE April 6, 2000
d
u
d4/b:+/2�00 1:14 909736x018 STEEL T PAGE 04
a. �0--6;Z5' Cedes c,�s
installation Certificate: ResidentlW 3 L -o CF -GR
Use or No ion* to oolrah► No r"Wearena W OW r"W&It ft@ Godo N biod and Wad•
An Ins &%Wri arWlw• Is nqulnd to be posed d 111$ x+011" two Oft fa{aYarloa 01119 MOM& lam+
My be wood W moat these rogWremenft Af YWO bibo► w I Nos"
iM O"WO cy and type o1 tine appbj= C•fWOM of
Comphm (CF -1 R). This ceo iWe (or les oqulroMnt) be p0tund inti aigwd b!1 P +Ni oMerep
raspans+b+litj tar the Opp NVO Ir A&KbM
1, the undeagn d. verily the the •QufPntsrd I" in In tlto Cd"" above &I Pw" b vw 41Wthm the equipment meets or ercooeds the rsgldnnlerrs d tits App�s"s�tsndnds. M tltaln rwMi.d that
uta vauipment aQuivateM 1v Wmoral eNidaad *Mt11e egtilpmsra speoltfed oA CNdlWs d CaatprsM araMed b
4amcnatr,a0 =mDIianc0 with Urs Energy E5Warlcy StsrldYdt tot rax w'rm btaildilgs.
MVAC SYST"
No1•: Hydmno boiler infom pion la orttered here. Other *mnla or wa bind hydrorrfo equlpMW Is bled under
Woof H•eWV Syoreme.'
•'', :", ' -� (wlunn000p, - MenvL M� & E�f�i► now �elor� o�I
etc c rtHied
., r idi►�oo+ d;; �a>s.`. , otAM�uduon oust er
3, n
hey t gee. ModelNwnber nAM,- Cau't Or 3W*fflC-
Th• butdinp &ipn haat lass and desipn hent Vain rW hese been deAfted 0*4 al Mod% d Is $*CtftM 150(!1) 01
0%4 E1+arQy nett St r7and are two d the entad+& "" Ur equiprrant W&V NW W Ir �
2' S id&.-0'�, 14>2 '
sipnaa+rs tlala HVAC subonteow (t.a, wnle►a tMrrerei Coruraolor er Orrnor
W47M"EA nNG S'MTEMS '14
Water #'eating +�}'' MC. Cwrtltled
SYMM Type Yutu1._make a
Tank
.......... IMMMOM
1. For &+Wait ass .lama (feud kput s MON WA04 d•atrlo rseistaeoo and beret pllwp W8 W Metra. 0d &alit► FwW.
For Carpo aM #Wnw rr" haWs MW MWv.MMWW4 IM Asad MpA Ammy lslr<&w wW f rdw Loos.
For ketordaneat a ave WNW 1146100. let Wall b M and RQWAW FM' Ni.
For Igspalarnoro.l•eat• rraW b•aW+1.6MAU1d kWA
` • • ��� , FANG�TS i SMQWF.R NEAQ$ `� `' .
Ali fauces end shcwerhsads inslalf♦d are MW w OW Commirision's Ohdw d Certl w FWM*6 std showerheeds.
pursuant to TW* P. PSA 4, Subawat•r Z Section 111.
' sti9niow. Data Nw*"Subowwad ►("Nmr)wGWWEIN Is'rr«ate+.►
,...
4n+ow4v"" Iowa
.,pr -11-00 12:27P HOME CENTERS INC
HomE CENHRSjNC.6
Corporate Office: 11 B39 Sorrento Valley Road • San Diego, Calibomla - 92121
(858) 755-8836 • FAX (858175&-0801 • Contractor License #291673
Omnge County: 22343 La Palma Avenue #111 -Yorba Linda, California 92687
(714) 692.1270 • FAX (714) 692-1578
Palm Desert: 77-662 Country Club Drive, Suite D - Palm Desert, California 92211
(760) 772.3556 - FAX (760) 772-3557
Las Vegas: 5070 South Arville Street. Suite 4 - Las Vegas. Nevada 89118
(702) 871.7575 - FAX (702) 871-7992
858 755-1246 P.03
3106 -
CASH ORDER ❑ ADD TO LOAN ❑ BENCHARGE ❑
WINDOW COVERING ORDER CONDITIONS
H.C.I. to proceed wiM measure enwK lately. Homebuyer Is responsible for all measure charges. Cancelled orders will be
sub*1 to a I ty ($5Q dollar processing fee. Additional chargee may apply. See terms and conditions statements.
®I understand my order Is placed on hold until home loan approval, Should I cancel sftsr loan approval, I am responsible for any
and all costs incurred with regard to the processing of my order. (This condition applies to all orders regardless of deposit or
payment Plan.)
rj I would Ike my order processed as quiddy as possible prior m home loan approval. I understand that should I cancel or not
ILJJ recelve home beat approval, I am responsible for any and all coals incurred with regard to the processing of my order. (rft
condition applies to all orders that Include a mtirdmum 30% deposit.)
fr using customers measuremaints, KC.1. will not be responslble for measurement accuracy, and H.C.I. Wil not inswS
products ordered from t?tsse measures. No change orders will be accepted regarding installation.
® Final material and installation charges may vary based on actual on site measurements.
®This is a custom window treatment order. No change orders will be accepted after receipt of deposit. Balance is due prior to
Inftlatlori unless c#w Inanciat arrangements have been made.
APPROXIMATE DELIVERY TIME
LAJ BUNDS — 4 - d WEEKS FROM PROCESS DATE as defined above.
SHUTTERS -- 10.1Z WEEKS FROM PROCESS DATE as deMsd above.
DRAPERIES — a -10 WEEKS FROM PROCESS DATE as defined above.
WNDOWS TO BE COVERED IN YOUR HOME INCLUDE:
WINDOW COVERING PAYMENT PLAN
SALES ORDER(S) 0 S
M $
SPECIAL INSTRUCTKtNS
$
SUBTOTAL $
MEASURE CHARGE $�
SALES TAX S
INSTALLATION CHARGES S
OTHER CHARGES $
TOTAL SALES PRICE
DEPOSIT AMOUNT % $ /
iBALAPM DUE BEFORE WSTAL,LATION $
METHOD OF PAYMENT: DEPOSIT BALANCE
I have read all Iof the 'Statement of Terms and Conditims" and I understand and accept them. The above order conditions, charges
and payment terms ars ae:wptsd by buyer,
I :;�- � /
BUYER ► DATE
f SALESPERSON
CISTFAVi ION: VM7E - FLOOFM FUZ CNdARY - DRWWr tail! PWC • CUaTON M COPY Rev 1"9
Ma.r-16-00 07:52A TOM WHITE
The" BanDee
company nuc. tic73zsaz
ROOFING AND CONSTRUCTION
P.O1
Roofing Proposal
P.O. Box 177 Thousimd Palms, CA 91::76
Phone (760) 343-3385 Fax (760) 343-3096
BIDS TO: JbB NAME;
TRANS WEST HOUSING, INC P.G.A. WEST HOMES
78-401•F HWY 111 P.G.A. WEST (PHASE 2.8)
LA QUINTA, CA 92253 LA QUINTA. CA 92253
PHONE 771.3363 FAX 771-9477 DATE 2.15-00
Q-HAIS ROOF DORMER W&B
TH"A&DEE COMPANY INC.&4S-INSTAL4EQME.ROOF,.Q•Q$AJER.•VENr,5 ORRECTLY,
SER ENGINEERS SPFCIFiCATJONS.
NOTICE
'undo. ftmechanics, I ion Law (C414orrns Cods of Cevll PmnAnuro Section t 18I M Roq I Any contuelor, subcrintmabar. rpbvta, wppllet o41M pr)rsot he holps to
Improyo ynur oruputty but is not paid err his work or auppNn, hm it right to emorec a claim againal your proudly. This mown thni, pilar a COun hearing your praoortp
Milli bu gold by a tours nrliew Nd Div poceads of the salt laws to WillIV the inciebtadneas Ihis can happen *Yong ynu have paid your own rnnurultvr In full If the
SubeonllraM. - rorwarer o, supplier renmagns uripma and if hopal action is noc000e y in colivct lir enforoa the terms of this contract, rho pmvmlig party shall bo onlnlon to u
rttaldnobid i8lolnlev fees plus Ali mots of suk end interest shall armia in oil suras. which are m,o 10 Coyest ttfler billing at the roto lit 19'a per annum Tho DanDes Co.
wr„ iv not respontublo tnr nalayu ceuyud by weather, sanKe. n1lorall Shortage or dalAy in mAlmnil supplied to the inn ev tv Maly other delay bAynnl da Wntrol The
04t%0" Cn Int: tnku lurbrkty under This eontracl err in nNiWtw Is limited solay to ms imminl of this contract
We err fuuy.Govered by workmen's compensation and pub3a Ilapllipf Intsuranco. Carriers names and policy_pumbers ovallable on
re"IaL
Any auerAtron or utmuaon +rdm Ins A JIMVA APOO NAawna ❑tvolviAg 0XIM rnetof rautdlal lir labor wig onhy Iw caeculed upon whllen ordc,3 for sante And will tuxottK
tat Mrs charge Ovar Ino cunt nlenliorted In this propneal All Arpvoomnis must bo mune lit wrlWN a'td is bAARA net hoe accge to hurldmfl firm dNCLI Wding from rear
trtit7tA
PrICae am Italian on current costs rt rraladal and labor. Increases nr rtec►oaaes, will no rotlrustcd at Mme of atoning rnntract
Doftrro and Of during rooting nparatlons ane the comptntlnn of roofing. The DanDAn Co Inc, will not be renpnnaible or liable for dainaprrcaaoaid from
acts of pod, such as eanhquelea, ththndetatorlint, hall Of any rdher woother eondiflona beyond roofers awltol.
__ .. .,.._ .... DA IT
71, . ANDVL CO. INC. '
Mar -16-00 07:52A TOM WHITE
JM -19-00 AD 1241 2
FAX K 4350212
P. 05!05
P.04
..�._.PLAN%
Dd 4Rirc:SC3 666T No 3 CHd
DEG-07-88 MON 08!21
2 FAX NO, 4550212
`� PIAN 1. f
,,
ROOF ATTIC
ENM ATION REQUIREMENTS
ROOF ATTIC
VWA,m 2,203 $0. FT.
$0 2 0g L •
44 60. FT. OF VENTILATION AREA REQUIRED
(1)10' DIAMETE4
DORMER VENT + .69 SQ. FT. OF VENTILATION
,�
0.65 PROVIDE A MINIMUM OF)1FORMER VENTS.
.00 •
Pk:M 2:
,
ROOF ATTIC
ENTILATION REQUIREMENTS
ROOF ATTIC
kREAw 2, 572 SO-FT.
300 9-f
.57 S0.FT. OF VENTIATION AREA REQUIRED
. (1)18- DIAMETEI
DORMER VENT • .69 $4 FT. OF VENTILATION
.59 6.f 12A
PROVIDEA MINIMUM OFA DORMER VENTS.
ROOF. ATTIC
VENTILATION REQUIREMENTS
ROOFATTICAREAw
3,013 80-FT.
30 ej.■
0.04 SQ. FT. OF VENTILATION AREA REQUIRED
(1)18" 01AMETE
R DORMER VENT • .69 $0. FT. 00 VENTLATION
0.t.
456 PROVIDE A MINIMUM 01 �RMERS VENTS
jikil.N
t
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0
P. 02
t
�Ify 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:
80-625 CEDAR CREST
Use. Classification: SINGLE FAMILY DWELLING Bldg. Permit No.:
Occupancy Group: R-3 Type of Construction: VN Land Use Zone:
Owner of Building: MCCOMIC-SEOKTOP LLC
Building ficial
9905-220
RL
Address: 750 B ST STE 3140
City: SAN DIEGO, CA., 92101
By: DANIEL P. CRAWFORD JR.
Date: 5/19/2000
POST IN A CONSPICUOUS PLACE