9905-219 (SFD)LICENSED CONTRACTOR DECLARATION
U I hereby affirm under penalty of perjury that I am licensed under provisions of
F— Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
04 W Professionals Code, and my License'is in full force and effect.
License # Lic. Class Exp. Date
C)
UJ v-
011300(
oZ r— Date' n Signature of Contractor
(O 0' r,�
J U C:) OWNER -BUILDER DECLARATION
W LU I hereby affirm under penalty of perjury that I am exempt from the Contractor's
~ a License Law for the following reason:
Z ( ) 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).
M () I am exempt under Section B&P.C. for this reason
,. LO
ONC\j pate " Signature of Owner
C� Q 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: Applicant i `�»—'°�•—--� s
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit, subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
Whose request and for whose benefit work is performed under or pursuant to
ahy.permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
-` permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
Correct. I agree to comply with all City, and State laws relating to the building'
construction, and hereby authorize representatives of this City to enter upon
the above-mention6d property for inspection purposes.
Signature (Owner/Agent) VI's: 0 -- %--c— Date ; l el et,
BUILDING PERMIT PERMIT#
DATE VALUATION LOT 14 TRACT V!10410_2
JOB SITE+�,.M �yy
ADDRESS C;q C fl! l�ia. C riff d
APN
716.4"I 015
OWNER
CONTRACTOR/DESIGNER/ENGINEER
TRANS WE91$ T f-10t7StN013'*:^
IST S.rE 3140
1840 1 f; .t-91011%vivy iI.I
SAN DIC:00 CA 9210).
t.F. QUINT.A CA 92253
(619)',57'0 9l ("Ili,# 4972
USE OF PERMIT
,;1NOLE, F".AMiLY E1,LiNG .
WD - PILAN U<. LOT 4, . PFNYtii' D00". NOT MCLIXE BLOCK
Wri,Ll..i51 OR"i )L
t
t+a't3.LiIPPA'C10 •08.00 81;
GAit�1.i EICAR:i3Oil F 566.00 S
PERMIT .F 11, SUMMARY
c°0N TkVCn0NFH6 $951.00
PLAN C HECI+;.R-7: Ir l••0tM-4 9-3}e $7,711195
MCCllANICAL F131 1.01-000-421-000 MOD
%Lil: C TRICAL I: Eh; 101-000--42"00 S 14 5.93.
iyLUNW) NIG Fa 101-000-41;t 000 S 166. 0
Rt'r1tr7 *N!OTIONtrigs-.AWS11a I01-41rHt-24t-OW 518.31
GRADING PT 101<tifr`(!-112-11 TIO 520,00
_iNI-1'tt.{1.Mi.}'l."1't 0311—T! 225.000.443-:143
ART VN PUBLIC PLACES - R sSW 701`00-.255-000
S?M_ -T MAI, C ONIS 'tZI.SMORO ANO KAN CTIECIs,
$6j46593
I..11M PRE -PAID F EE3
$0.00
TO:1':+ L :;riE RM-Ff If'MS OVE NOW
�t►,�#fi:5.9S
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
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap 43
Framing
F.A.U. _
Compressor
Insulation 30
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 oa
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
og
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:
APR -06-2000 15:43 WESTERN INSULATION 909 686 8786 P.03/08
r
TV rut
NOTERN INSULATION! INC.
4211 Latham Sisal, Rimside, California 92501
TaL (9t)9) 666-8760 Fmc (909) 6W-8786
iMATION CERTIFICA'T�
THIS 15 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- TRAC_T4 2841 raj
LOT# 14_F
SITE ADDRESS: $4666 CEDAR -CREST!
j
-------------------------------------
i~XTIR906 11ifBM
MANUFACTURER: Johns-Manvi!/e THICKNESS: 3 1/2' R -VALUE: R-15
CEILINGS: BLOW
MANUFACTURER: Johns-Manvid® THICKNESS: 13" R -VALUE: R-38
................................... .------------------.-----------
GENERAL CONTRAMR; TRANS WEST HOUSING
LICENSE NUMBER:
BY: pi l cia C.
TITLE: s �. sw •i-nL
DATE:
INSULATION -CONTRACTOR.- WESTERN INSULATION, INC.
LICENSE NUMBER: 481278
BY: � Ljo
TITLE: PROD TION MANA R
DATE Aorll V'2000
.01.4/05/2000 15:14 9097360018 STEEL T PAGE 01
Inistallation Certificate: ReeldentlalR*
Use of this 1161m to 6adisfir Uw mquirecrAno *tdwA*nWseedw Coo* is opgaw4b"010
Me Adlolried
M kwWWbn certl(iwin Is required to be paftW as Ow bAft ob pdw to do 'd
may be ueW M meet these requiremonda. AlIs 00igaile Ided bodkww to
the afticlanq and" of she 40phnon kw="�w he GPM" arbows"dw of'
C=p1W=(CF-`lR). This w1licate, jar its eq*akM Mob$ VgWW WA dp.Wi#
respo"bility for the Applame 1"aWim
1. the undersigned, V" the the OQUomerA good In *4 asewy wxwe
VM the equipment masts at =made the taqWmm d ta AN&=07
_dL In' 1h" ON&that
the oQuipmeft! Is 9quivalard to or more WnCWfd %a the @q. 0 WAN" 10
d6m4narWe compliance wth the Energy
HVAC SYSTEMS
Note: Hy4ronic bolial information LS entered here. Mar horonic at combhW bydmtJc 400mect isilded wider
Water Heating Systeme.
Healing Equip. CEO C4etdl*d As" D1§11*Utkw1 D"W 'fill
P Soo
TVPwe (lumace, WwL Make Lffickm T id
7 . Vpar
1?670, SrV.40&%
cr.0 candled
Coolln u. Caiwirsa" it Ac" oww"Von Duder
Itmndlp, Manuf. MaJus W
T TV" WWI
is
hya"at D'Urm str-1 Yodel Nurnbw
Aha. c6ob clt 3ira-I ME —
A -D AR&M06 , 4_41L
The build1mg d460 1184t 1068 wW 416610n hell gain rate hoe been delaml blwd mob
the EJ%WW FA $IwWpda. V a owded specNed In Seckkus 15QKh) of
,##W are twe of ft aWuk wed for equOnwe Wft and zebob&
2!
.00�
SWAUM Cm
WATER HEATING SYSTEMS
Water Heating CEC Candied Itawl Peow
Tank F=*Qr Tok
8yaum type Manut. Uskin i IRIPA(kW Capawy momw ftbow kadem
-----------
1. For AffiAg 9 SW?sge (rased ikVU1 6 75.000 Bkft Woob Mktgneg and hod p=p vAwhissers, d GWO Pact
For tang. jim Wrap www heown (road kspwta7$A0 Ituft DaRMW bWA PAN" 1111111ol ieVmd8NrAVLaW
Far Inguntatwoue sea water heaters. Us Rated hips abPAmmy aftlency.
For Insfaintarksow electric wow histers, flat Rated kp&
FAUCUS & SHOWER HEADS
AJ la4sb and &h#wwheods installed we Jzjgd In to Coffni"W-8 DUN" C1 C4WW FWMW EW Sh"Oft
pumuart to Title 24. Part 0. Subehaptar 2. Sadm 11 t.
86wmwm cats
RowleW 4w%m" 1 OVA
Fw "wone)w
Apr -11-00 12:27P HOME CENTERS INC
HOME CENTERS, INC.
Corporate Office: 11839 Sorrento Vag" Road • Sen Diego, California • 92121
(858) 755.6636 • FAX (858) 7550801 • Contractor License 0291673
Orange County: 22343 La Palma Avenue 4111 • Yorba Unde, California 92687
(714) 892.1270 • FAX (714) 892.1578
Palm Desert: 77-882 Country Chub Drive. Suite D • Palm Desert, California 92211
(760) 772-3555 • FAX (760) 772-3557
Las Vegas: 5070 Scuth Arville Street. Suite 4 • Las Vegas, Nevada 89118
(702) 871-7575 • FAX (702) 871.7982
858 755-1246 P.02
3117
Project
Lot
/71Z)
` Pr18ti0 y
Buyer
CASH ORDER C] ADD TO LOAN ❑ BENCHARGE ❑
WINDOW COVERING ORDER CON®M70NS
®H.C.I. to proceed with measure Immediately. Homebuyer Is responsible fbr all measure charges. Cancelled orders will be
subject to a flky ($50) dollar prooesaing tae. Additional charges may apply, See terms and conditions statements.
I understand my order is pied on hold until home low approval. Should I cancel after loam approval, I am responsible for any
and art coats htcurred v+ith regard to the processing of my order, (This condition applies to all orders regardless of deposit or
payer Pte•)
I would Nke my order processed as quickly as possible prior to home loan approval. I undel>;ztand that shoula I cancel or not
receive home loan approval. I am responsible for any and all costs incurred with regard to the processing of my order. (this
corm"on appges to a0 orders that include a minimum 50% deposit.)
®if using customers measurements, N.C.I. will not be responsible for measurement a=racy, and H,C.I, will not install
prodUM ordered from Cress measures. No change orders will be accepted regarding installation.
® Firw mawtlil and htetalloWn charges may vary based on actual on eats mess rkmlents.
This is a custom window treatment order. No change orders will be accepted after receipt of deposit. Balance is due prior to
iron unless ocher Inanclal arrangements have been made.
APPROXIMATE DELIVERY TIME
ZBLINDS — 4 - e WEEKS FROM PROCESS DATE aa defined above.
® SHUTTERS — 10.12 WEEKS FROM PROCESS DATE as defined above.
17 DRAPERIES -- 0.10 WEEKS FROM PROCESS DATE as defined above.
WINDOWS TO BE COVERED IN YOUR HOME INCLUDE;
WINDOW COVERING PAYMENT PLAN
SALES ORDER(S) 0 $
Ej
SUBTOTAL
MEASURE CHARGE
SALES TAX $
INSTALLATION CHARGES $
OTHER CHARGES $
r-- 1
TOTAL SALES PRICE $ J1
DEPOSIT AMOUNT % $ �I �`�'
BALANCE DIE BEFORE INSTALLATION =
METHOD OF PAYMENT: DEPOSIT BALANCE
I have reed all of the °fttsment of Terms and Condirions" and I underatend and accept them. The above order conditions, charges
And payment germs are weed by buyer.
BLIYEA DATE
SALESPERSON
OWTIMeUMON: VM*M • FLOORING FILE CANARY- DRAP R;Y ►�Fmw TOMEM DOPY REV IQ/"
f
Nla.r-16-00 0.7: 62A TOM WHITE �-O//' // i 1(�llaN1,., `�P.01
r � 3 •
The'"INInDee Roofing Proposal
osal
X SIJ' tea L riC 732542 P.O. Box 177 Thousand Palms, C-A 92276
ROOF/NG AND CONSTRUCTIOiV Phone (760) 343-3385 Fax (760) 343-3096
BIDA TO: JOB NAME;
TRANS WEST HOUSING, INC P.G.A. WEST HOMES
78-401-F HWY 111 P,G.A• WEST (PHASE 2.8)
LA QUINTA, CdA 92253 LA QUINTA. CA 92253
PHONE 771.3363 , FAX 771-9077 DATE 2.15-00
aWAGW ROOF DORMER VE&U
' { ts., a is , a , •
• 1 4
ThtF�?9KPEE COMPANY INC, HAS-INSTALU&ME. ROOF..PDAM..VENTX CORRECTLY, AM
ff ENGINEERS SPECIFICATJONS.
NOTICE
'Untlor Its Mechww w I ion I.iw (Calforne Cods of C nil PwAriu(o Seution 1181 *t R*q I any oonttador, suknittmcu)r• ioUwtr. suppltst ninar pdrsal he holps to
Ifltprnva ynwr piowity but is not pail frtr nus work of supplies, has a right to entorcc a claim againer your prout:ily. This rnanns tool. Mor a noun hearing yntu prpoefty
MOO tic gold by a Ctwft CIVINV Nd Uw pvAwds of the sale utad to cabsty the indshtndnAks I his can happen *von a ynu havc paid your own cnnU:u tut In NM If incl
SubCoftiraW. IRWY m ouppliar reruns unpaid and if lopjl action is nscoaaary in wiluut oil erdoro* tho arnis of this contract, thA pnsvodtuU party shall bA enl fled to it*
nuk*onolilo i9loiney flit plus all crista iN auk end inturest shall armle an oil wens. which are mU .les dove titter billvy at in* roto at 18 % per annum Tho DanDee Co.
Inc, it not reaponuoio tnr dolayg cuugud by weather, units, rAVAted shortapa or delay in malmsid suoolied to the inn nr to Nny other delay h*yndwl its wrilfol The
000" Co Ine tol;li lwtbrkty under this contraCJ nr In n*819Yviw li limited solely to Ina lmuunl of this cordrart
We am fully.coveried by workmen's CoMpgfifatlon and pubic Ilapilltiy Insufanco. Carfi}rt} names and policy,purftben available on
inequitt
Any AUwAttnn of stuvtauon from Ina A ahnvA AWiticutwns involving extra roe( or dnutenal or latim will only bar crccuted upon wrdltut urdc,$ for some And will tr.xviric
art Ittttta charge nvAl' InA atm tt enticyled In this proponrM All Atl,ov,ricnis must be mlfwt in wooting #rid is na**d no liw sucess to huxdmil fly dia.-A kWing Prom ora
Inirnu
Prices am based on current costs of nUlnrlAl and labor. Increases nr decree"$, will ho rMlnrted at fila of slgnitty contract
Bat"" or during rooting aparatlons ano tna cOthptri of moflnp. The Cartoon Co Inc, will not be reaponatble or liable for damegrr tamed from
aura of Ood. such IS sarthgwhes, thunderatorfna, hall of any rsthor t raather condifiona beyond roofers control.
.. l✓•�iY_��
ANI)11 CO. INC.
UA 1•I'
9-.00 WED 12: 39 2 FAX N0, 4550212 P. 03/05
,
it i a
b
I/.A1M
PIAN 1
DEC -07-8$ MON 08 21
PLAN 1
ROOF ATTIC
ROOF ATTIC
MAL
• 300 a.t -
(1) Ir DIAMETI
� . h
2 FAX N0, 4550212 P.02
6
►ENTILATION REQUIREMENTS
AREA • 2,203 SQ. FT.
34 SQ. FT. OF VENTILATION AREA REQUIRED
I DORMER VENT. .69 $0. FT. OF VENTILATION
).98 PROVIDE A MINIMUM OF 1' DORMER VENTS.
PIAN 2. a
.
ROOF ATTIC ENTILATION REQUIREMENTS
;ROOF ATTIC j kREAu 2,572 SQ.FT. ,
300'.f 1.67 SQ.FT. OF VENTIATION AREA REQUIRED
(1)1$* DIAMM I DORMER VENT ■ .69 S4 FT. OF VENTILATION
.d8 �.f ■ 2A2 PROYIDE•A MINIMUM OFi j �rRMER VENTS.
ROOF ATTIC VENTILATION REQUIREMENTS
ROOFATTIC REA= 3,013 SQ.FT.
X00 =,f. ■ 0.04 SQ. FT. OF VENTILATION AREA REQUIRED
(1I 18" OIAMETDORMER VENT ■ .69 $Q. FT. �� VENTLATION
.69 at. ■ 4.65 PROVIDE A MINIMUM ON �bRMERS VENTS
i
��ert��rcate 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: 80-665 CEDAR CREST
Use Classification
Occupancy Group:
SINGLE FAMILY DWELLING Bldg. Permit No.: 9905-219
R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: MCCOMIC-SEOKTOP LLC Address: 750 B S'r STE 3140
Building Official
City: SAN DIEGO, CA., 92101
By: DANIEL P. CRAWFORD JR.
Date: 5/19/2000
POST IN A CONSPICUOUS PLACE