9905-218 (SFD)\P
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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 tqe Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
701039 B �- 01/31./20(
Datel r 3, - t 71 ,6 Signature of Contractor �A— , �•
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.
() 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.
STATE T� L f 035MMtt.T 6
(This section need not be completed if the permit valuation is for $100.00 or less).
t ( ) 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—/"'
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) *t': "� a L •< e r Date ryhA!
U
JOB SITE .> APN
ADDRESS . W705 CEDAR C.ldES'i 716-49"15
OWNER CONTRACTOR/DESIGNER/ENGINEER
INICC04 M1'C-SE,0K°f OP LLC "c2ANS V&S� r HOi.rSMO INIC
750 B Si" STE, 3140 78-401 F HIGHWAY I I I
SAV Dllsiaf') CA 92101 LAQUIN1'A CA 92",53
(;_3.19)557-9191 C)3A 4972
USE OF PERMIT
NI OCU .-Ari#1LY FAVEELL NG
3F - PLA.N 29k LOT 15, - .PERMT DOES NOT .INCL1l1 E BLOCK
WALL, OR POOL,
CUSTOM CONSIMUCTION ZS1112.00 SF
PZ)RCIWPfilIO 432.00 X11'
Q UtA0EfCARKYRT WJ 13+3 ! f
U,S3'IMA` TO C0113'1" OF CONST WCC OIN
2171364,40
PERM Ur_ R,'t, ri, stiff MARY
C()N` I'1t.U(17rI0N FEE
t0.i-M-418-OW $1,052.51
iii, AA# c~l C'b; IFET' r
I t�3-Q/)/1..139.3'1 i� �Rfi P _54
3iJ2C1i'kN1C&-1 F10,
101-000-4211-000 391111.50
CIEC.`d` WAL FIM
101-000-420-000 S159.5221
K.'VN4WNG rhN
101-0130.419-000 $178.00
RTR f''N0 ''M0 T10N "F F13 -
,R-FR,f t7 101-4100-711. -f)0f1 $21.79
t.Te17Yaixl�l.�Srut"zty::101.•000'
12'310011 ^.1).(30
22-5-000-443-342 S4,77a,67
Alt'1' CN PIA.Ii',tC "LAC HS
-121 S01' 701.000 255.0130 5294.66
SCJi=wrOIAl,,Z:::ONI,;;Ilttf ;TIONAND Ill,,AN C14ECK.
X7,459.18
LESS
$0.00
`s:(YJrA)..;t'Vi-tMVf F1F ES til3t NOW
RECEIPT
DATE
BY
DATE FINALED
JINSPECTOR
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 & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath f
Drywall - Int. Lath wa/u 4L
Final
Final
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
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)
COMMENTS:
E
APR -06-2000 15!42
WESTERN INSULATION
909 686 8786 P.02/08
WMTERN INSULATION INC.
am
4211 Lathftwt, Rivcnide, Call mia 92501 '
TCL (909) 666.8760 FU (909) 686-8786
MMLA-TION 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
LOT# 1,;6
SITE ADDRESS: �laA±705=�CEDARICR=EST.
-WA
------------------------ ------------------------------
EXTERIORLLA
MANUFACTURER: Johns -Manville THICKNESS: 3 112" R -VALUE: R-16
CEI— LI�S& ��S BLOW
`�,—.
MANUFACTURER: Johns -Manville THICKNESS: 13" R -VALUE: R-38
-----------------------------------
RAS- CONIRIACTOR: TRANS WEST HOUSING
LICENSE NUMBER:
BY:
TITLE:
DATE:
INSULATION CON4RACTOIR: WESTERN INSULATION, INC.
LICENSE NUMBER: 481278 `
BY: f0a".
TITLE: O TION MANA ER
DATE Aril W20M
J
04/05%2000 15:i4 9097360018
Installation Cerdflcate: Reeldeadal
STEEL T1�PAGE _03
Use of this fares to set{sh the requfrwrAnts of the A&%Watrsrw Cad* Is slums ba Not It i1 M �MYM!ia Mil p !d:"
M inatal:atbn oartilicale is required to be poded d tM btliidlltp Ib ON fO 60 tiiliHftOp b DMS` l FRIiThY bot►
may be used to roost these raguiretneMat. Allu�staedd bdom f�a qtr adttd � � ;
the •"deny Lod type at the appliance inatsba orbfttfsrgtuegr Hpp>wtalt�iaC�IdOAt�la CattllotW of
Compliance (OF•1 a). This adIC111te (or Its ogfatfr 904 a3pand sad tiptffld bjl t!M prtltgetW 111011fglno ofrsraa
responsibUy W i we Inatftw1c n.
t, the undarsigned, verity that the equ4ptttent btod in thoe d -1 sibOw again bu Halsall Hgfdpmslttktfl w taut
that the equipment Meets or "mods the ragl,1iraftteardt d the Appdaaoa Mgt Standal�l. in adsllbn. i!Awvfttdiad ThW
the oqulpmar4 fsaRuiva{ent b or ty►ote el{kiettt tl►an ilia elqubtltarft s omw O I t�tl► CNg0il14r of COatpll�tt0a ftaOHfiNad Os
daff4motate w mpiianco with the &orgy 5 tar rasld&%WbelAdrgL
HVAC SYSTEMS
Kota: Hydronc bcUe inforemation is entered ham. Other hydroma or a *1rud hydtottlo atpuffptient d iw4 Yridir
Water me"Mg Systems.
a
M14"tinq Equip.
CEC CerWm
Ac" Dwouetlon Detest tie"M LOW
Type (tutnap,
h1anW. Yafits i
EffMlertcy 1Ypa ar d ivlm own - . .
heat ourna. ata)
Model Number
APU • Lhimoon="t2tUhj_
1-•+IU�u4tat
6W -4071--y
6e7c Isrd /44 99 :. K. w►tia
w
duo
CEC certified
QKII tq Web.
COrllprefaOrUnit
Ae" Dames
oon�
Yodel! umbberr
�DInVibWon
� r
h?yp•Arno.
fLetilb�ML
L CANA
-CLA la -1
em L(•Z- `
•
tt tr
Th• twudinq design heat lass end design
hW gain rate haw bften determined Wft a tlMtlnd� b Wdioll l'.i0�f) of
me Fsin�;1Eli�e�' my
8ts�/ar�s, and an
two d 11t• atttetia wed for egtdptgenl at:� ttutd
s+Onanres
Date KVACSerbOq>rNW("Natpla)WGWAWC&VBM rOWW
WATER HEATiN fa SYSTEMS
Waist HestIng CEC Cartllfed
syetam T"a Monul. leaks A
1. roe Una p 4 stomps (rated k wt s 76.000 sliUtvl, slaetrla reslstattw sed Mee �F tftaW Malate, M Fiop►.
For Mnsun aneow pas rotor has W f iad kW and PawAq Elfdengr. Mr .
For Insoninown Waurfe waW hoa4n. fist Hated Inert
FAUCETS i SHOWER HEADS
AN fawAta and shawwh•sds Installed are kUd in the Commiulm s GtraCW d Ca0ad !1►attosea sad 3ltoererh�ada.
pursuant to 11tfe 24, Part 8, Subchapter & Seadon 1 11.
�awaafJM 0era
MWA W Amm"Ov issl
�rr.ort:.efr" cw w:.j .
e/ dMuel QeersMit►e► OwrMi
Apr -11-00 12:26P HOME CENTERS INC
`rte•.
HOME CENTERS, I14C
Corporate Office: 11839 Sorrento Valley Road - San Diego. California - 92121
(858) 755.8636 • FAX (858) 755.0801 • Contractor License #291673
Orange County: 22343 La Palma Avenue #111 •Yorba Linda, California 92687
(714) 692-1270 - FAX (714) 692.1578
Palm Desert: 77.682 Country Club Drive. Suite 0 - Palm Desert, California 92211
(760) 772.3555 • 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.01
3108 '
�raect
Lot r►f`Z Phaco
Buyer
CASH ORDER ❑ ADD TO LOAN ❑ BENCHARGE ❑
WINDOW COVERING ORDER CONDITIONS
1 H.CI. 10 proceed wittt measure irnrnedlately. Homebuyer Is responsible for all measure charges. Cancelled orders will be
subject to a Tiny ($50) do)lar prooessing tee. Additional charges may apply. See terms and conditions statements.
®I underabind my order is placed on hold untl home loan approval. Should I cancel after loan approval, I am responsible for any
and all costs incurred v tt► regard to the processing of my order. (This condition applies to all orders regardless of deposit or
Payment plan.)
I would like my order processed as quiddy as possible prior to tame loan approval. I understand that should 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. (Chis
oondition applies to all orders that include a minimum 5016 deposit.)
If using customers measurements, KCJ. will not be responsible for measurement accuracy, and H.C.I. will not install
products ordered from these measures. No charge orders will be accepted regarding Installation.
® Plnal material and installation charges may vary based on actual on site measurements.
This is a custom window treatmeM order, No change orders will be accepted after receipt of deposit Balance is due prior to
ineWadon unless other Inancial arrangements have been made.
APPROXIMATE DELIVERY TIME
1-71 BUNDS — s - 0 WEEKS FROM PROCESS DATE as defined above.
SHUTTERS — 10.12 WEEKS FROM PROCESS DATE as defined above,
Q DRAPERIES — e -10 WEEKS FROM PROCESS DATE as dallned above.
WINDOWSTO_ . . YOUR •
WINDOW COVERING PAYMENT PLAN
SALES ORDER(S) 0
SPECIAL ItdSl UC11ONS
a
SUBTOTAL S
MEASURE CHARGE _ � '�—
SALES TAX
S
INSTALLATION CHARGES $
OTHER CHARGES
TOTAL SALES PRICE
DEPOSIT AMOUNT %
$ f _5` t,3 S�
TA—/1n .--Y.
BALANCE DUE WORE iWTALLATION 6 �y x 7 • J U
ti
METHOD OF PAYMENT: DEPOSIT BALANCE
I he" read all of the 'Statement ot. Terms and Conditions' and I understand and accept The order conditions, charges
and payn*M to ,is are ecoepted Oy ww..
BUYERS DATE
SALESPERSON
ClmTRBUTION: ik"TE • FLOORING FILE CANARY • DRAPERY FILE RNK -CUSTOMER COPY REV 1089
Ma.r-16-00 07:52A TOM WHITE
The'DanDee
C"Mmy nK. Lic732542
ROOF/NC AND CONSTRUCTION
�iP.O1
Roofing Proposal
P.O. Box 277 Theasimd Palms, CA 94)76
Phone (760) 343-3385 Fax (760) 343-3046
BIDS TO: ,SOB 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 QUI NTA. CA 92253
PHONE 771-3363 FAX 771-9077 DATE 2.15-00
QHAG1N ROOF DORMER V9M
TI ff—DA& I E COMPANY INC. HAS- INS TAL4EQj E.ROOF,.QQRMER„VENT$ CORRECTLY, A
PER YG/NEER$ SPECIFICATIONS.
NOTICE
Undoi rho Mechaniew I ion I.aw (Caldumta Code of Civil Pmnadvro Suction 1161 M San ) arty Conttaelor, ,ubcmmrart.)r. tobutut. atppller etnAf porxxt he helps to
Improve ynur wvu vih' but is not pard fry his work or supplies, has a right to eniorcu a claim against your propudy. This mearn mil. chlor a court hearing your p(oWtjV
Mild bu auid by a crrun ntlimr mul IN., pocaeds of the aala utald to s:wbsk the indatnedrtoaa this can happen even n ynu havc paid your awn nnntmow In NII If the
Subeomractnr. lnnotef or supphar renuunfl ur.pald Anda lopai action is nacoABarjr in o)lluot Or enforce the tornis of this contract, the pn!vnihpp party shell he antaled to itu
rnaaono4ro otivney fees plug all ens1R or sult lord inturest shall anftile rot oil sums. which are nue 10 dovs miter billing at the roto et 16 ti per annum Tho DanDee Co.
Inc, is not re9pomHble tnr nelayu ciuuwd by weather, sinKe. m1T8rod :he.rlage or onlay in InAlmnil supplied to the Inn nr lu my other delay heyrutrl d, control Tire
DanDee CO In('. tol,rl 6n0drty under the contract nr In nngI4)F nW 16 limited coley to Ice an>vunt of this contrast
We air fully,gvver id by workmen's rompeosadon and pub;le Ilappity Insuranco. Carriers names and policy.pumb+ers ovelleble on
�SikYiJr
Any auerannn or duv alion from the A ahnva specatrctdurna involving estrA coal M rnutelial or lahorwru only lin w ccuted upon wratto vrdu,s for same end will trgr:urry
mn uxtta charge rner Ino sunt ntpntiorwd In this prnpnral All aflivvi tcnts muat be mine in wdUliny and is naaed nn fiw access to hundmfl fir dirutA loading tmm nor
lfilr:Ka
Prtcaa am hneed on current costs or malnllal and labor. Increases nr deoreaaes, will he rMinrted at time of signing rnntraGt
oofgrp and or during roofing ttlrar,alons and the complMlnn of roofing. The ostiono Co Inc, will not be raapnnrrible or liable for dainat Gnlrfeed from
einte of God, such as earthquakes, lhunderstortric nail or arty rllher weather condlfinna beyond roofers control.
DA 11;
51 : ( ANDIT C'U. INC.
FAX N0, 4550212
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FLAN 1; '
ROOF ATTIC
ENTILATION REQUIREMENTS
ROOF ATTIC
EA. 2,203 SQ. FT.
300 8.f•
.S4 60. Fr. OF VENTILATION AREA REQUIRED
(1) .18• DIAMETE 3 DORMER VENT, ,69 SO. FT. OF VENTILATION
.N .111 ■
0.55 PROVIDE A MINIMUM OFii l` 11 DORMER VENTS,
ROOF ATTIC
IEN71LATION REQUIREMENTS
ROOF' ATTIC,
EAs 2,572 SQ.FT.
300 of , ■.57
SQ -FT- OF VENTIATION AREA REQUIRED
(1)18" OIgMETE
DORMER VENT. .f39 S0• FT. OF VENTILATION
•68 0 ' •
2.42PROVIDE'A MINIMUM 0171,14 QORMER VENTS.
f
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ROOF ATTICENTILATION
REQUIREMENTS
ROOF ATTIC
REAS 3013 SQ. FT..
3 � ■ 0.04 SO. FT. OF VENTILATION AREA REQUIRED
(1)18' DIAMETE R
DORMER VENT ..69 $0. FT. �k VENTILATION
'89 &f. 4,55 PROVIDE A MINIMUM 01 j#.�bRMERS VENTS
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Cerdficate 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: 80-705 CEDAR CREST
Use Classification: SINGLE FAMILY DWELLING
Occupancy Group: R-3 Type of Construction: VN
Owner of Building: MCCOMIC-SEOKTOP LLC
J
Building Official
Bldg. Permit No.: 9905-218
Land Use Zone: RL
Address: 750 B ST STE 3140
City: SAN DIEGO, CA., 92101
By: DANIEL P. CRAWFORD JR.
Date: 5/17/2000
POST IN A CONSPICUOUS PLACE