9907-143 (SFD);y LICENSED CONTRACTOR DECLARATION
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
WProfessionals Code, and my License is in full force and effect.
O =) M License # Lic. Class Exp. Date
I LLJ 47R&9 13 01,191204
Z
coo � � ✓ � .tignature of
Contract
'
L)COOWNER-BUILDER DECLARATION
W w I hereby affirm under penalty of perjury that I am exempt from the Contractor's
~ U) 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).
( ) 1, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
cr) () I am exempt under Section B&P.C. for this reason
LO
N
Date Signature of Owner
O�
Q WORKER'S COMPENSATION DECLARATION
CL
oZ I hereby. affirm under penalty of perjury one of the following declarations:
U-) �'O O 1 have and will maintain a certificate of consent to self
-insAre for workers.'
X W LL compensation, as provided for by Section 3700 of the Labor Code, for the
O _ Q performance of the work for which this permit is issued.
:m
<have have and will maintain workers' compensation insurance, as required by
O U Q Section 3700 of the Labor Code, for the performance of the work for which this
' tl LO Z permit is issued. My workers' compensation insurance carrier & policy no. are:
Cartier Policy No.
CY
J (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 p[0 , Sioq's.
D te; t C Applicant rte, i�
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the. conditions and restrictions set forth on his
application,
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit,work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall,. indemnify
Ahold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance. of such
permit, or cessation.of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property fo inspection purposes.
Signature (Owner/Agent)"' ""'Y `" "" Dat er° -2
BUILDING PERMIT PERMIT#
DATE ,loll 31j "VALUATION, LOT TRACTJOB
SITE
ADDRESS Sli= (y''
APN 'i1S ro�.t�^IN
OWNEEeRr
CONTRACTOR/DESIGNER/ENGINEER
�'ti„)tJ i~.J i3: i.4vtr i-fyin C•.�� A. M1?4
141-C. HORPIS d6a sa i4N pm !s. 4Auc
O.�'..tlNGF d:;A 92886
LA.t!UffN' .A CA 92a53
(714.16N3-1760 C'BLO MR?
USE OF PERMIT
WSJ.!'+!t'ILk:.i^'i1.(irla.%. .fAVE3. U( O
&M- -1,61- 5 PALAW 2A PRUA61504,S NOT INCWD ULOex WN.1 OR.
VCIOL. 511,4 jPJ..AN CHECK .APP.LIM) FOR, kPIUL•'i'LPLN. 4th}.asYl11VAL
+(..'USTO�NICONSTRUCTS"ZON' 3,0120.30 SI'
dO,[tt:I:II7PATTO 24N.00 S
GARAiSF.JCAR.VO:KY tSti :cffJ S '
NX
2156.4.14A
P RAUF ERIE SUMMARY
CONS'IZtOC'S' ON Ff: 1.t3I-f3t�4J-=t1>3 (i{NJ i,i$:s.ff43
&IRCitANICAL 111 $1 1.50
LUX' T ip . t)1-Q4�i}�d2U-dPOG 1180.5
. .
t'I.tJNIbS I IVt I .g ts" , Q� ( -000-419-0( S l i3F• a
r r
,ptp�!{��TT�c-. Nit-aic.-F f 044; 'RP41f) ¢Qn4yi-i*841(�••2h}% i1?�� 61;
+^� •.r
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�J'�V RS.'EN0 Y111 .f'i/.!'(J "�M 'Vt�W .Y1 A.V ..11�{
•�
,ART ;'?d k>!.'fBM, : LAQ-S - R913S i; 701-000-355-000 S.3.41.I r
1.1f"i/3}�,1���.4t RtVIPA(;.'1' ;�`%15 � i,`?iJ'J,!?�
,. � • ' #
;3t1kV-a'f? .l� �NtiE� t! ,"t&�J�l.�1Rr fa�,ANI'Ifi 1C
$4,253 r6
LESS PRE-PA10 F ES
$0.00
'#iOUf .,'4'�+.;R3:4Y4.'!i' F.IFINS D0141 4'r'OYlM1''
"1253.76
RECEIPT
BY } w t'
D T p
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 /j
Exhaust Fans
0. K. to Wrap
F.A.U.
_
Framing
Compressor
Insulation ,�y 3
Vents
Fireplace L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. La h
Final
Finali
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 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
Sewer Connection /
Encapsulation
Gas Piping
Gas Test / Oa
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fodures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
AUG -07-2000 MON 12:25 PM SPATES FABRICATORS
. SPATES
FABRICATORS • INC.
Reside,ritial, Commercial & Floor 'trusses
August 7, 2000
FAX NO. 7603974724
.. Re: Montecito Collection by RC. Hobbs Co., Phase 3
rf, 7
To Whom It May Concern:
1
v
' pS/eS'M -1
The roof trusses on Phase 3 of the Montecito Collection have been compromised by the
installation of roof -mounted vents called "O'Hagan". In the process of their installation,
the top cord of the trusses was cut as deeply as 1-%Z inches.
Spates Fabricators has provided 3 separate repair drawings (see attached), which will
cover all different types of trusses on this job that might have been compromised. Any
truss with a saw cut greater than Y4 inch MUST be repaired using the appropriate repair
drawing.
It is the sole responsibility of R. C. Hobbs Co. to assess the trusses, select the correct
repair drawing and procedure. It is their responsibility, as well, to oversee the
CORRECT repairs on these trusses. They are responsible for restoring the safety and
functioning of these compromised trusses.
Sincerely,
David Spates
Vice President
L85-435 MIDDLETON STREET, THERMAL, CALIFORNIA 92274 • (760) 397-4122 • FAX (760) 397-4724
P.
02
-
1
v
' pS/eS'M -1
The roof trusses on Phase 3 of the Montecito Collection have been compromised by the
installation of roof -mounted vents called "O'Hagan". In the process of their installation,
the top cord of the trusses was cut as deeply as 1-%Z inches.
Spates Fabricators has provided 3 separate repair drawings (see attached), which will
cover all different types of trusses on this job that might have been compromised. Any
truss with a saw cut greater than Y4 inch MUST be repaired using the appropriate repair
drawing.
It is the sole responsibility of R. C. Hobbs Co. to assess the trusses, select the correct
repair drawing and procedure. It is their responsibility, as well, to oversee the
CORRECT repairs on these trusses. They are responsible for restoring the safety and
functioning of these compromised trusses.
Sincerely,
David Spates
Vice President
L85-435 MIDDLETON STREET, THERMAL, CALIFORNIA 92274 • (760) 397-4122 • FAX (760) 397-4724
gmerald Roofing, Inc.
78-670 HIGHWAY 1119 STE.174
LA QVMTA , CA 92253
I ic# 770940
(760)347-9869
]NAME/ADDRESS
MONTECITO AT PGA WEST
TSE R.C. HOBBS COMPANY
55487 SOUTHERN HILLS
LA QUINTA CA 92253
PROPOSAL
DATE PROPOSAL#
6/1/'00 1122
i
JOB ADDRESS
LOTS 1-11 ==O'HAGIN VENTS
THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND
ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED.
PA1' MENT WILL BE MADE AS OUTLINED ABOVE
t
SIGNATURE
DESCRIPTION
TOTAL
TO WHOM IT MAY CONCERN;
0.00
EMERALD ROOFING HAS INSTALLED AT MONTECITO HOMES AT PGA
WEST ,THE O'HAGIN VENTS AT THE FOLLOWING ADDRESSES BELOW:
LOT # PLAN # ADDRESS
# OF O'HAGIN VENTS
2 -AR 55-142 SOUTHERN HILLS
17
3 -BR 55-164 SOUTHERN HILLS
16
a 3 -CR 55-186 SOUTHERN HILLS
16
4 2 -CR 55-208 BIG SPRINGS LOOP
�:47
5 2-A 55-230 BIG SPRINGS LOOP
•" 17
6 3-C 55.252 BIG SPRINGS LOOP
,, 16
7 2-A 55.274 BIG SPRINGS LOOP-
17
8 2-C 55-296 BIG SPRINGS .LOOP
17
9 2-A 55-318 BIG SPRINGS LOOP
17
10 3-A 55-340 SOUTHERN HILLS
16
11 3-C 55-362 SOUTHERN HILLS
16
r
1
J J
I
I
John Jones, President
TOTAL $0.00
THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND
ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED.
PA1' MENT WILL BE MADE AS OUTLINED ABOVE
t
SIGNATURE
10:56 WESTERN INSULATION 909 686 $786 P.08i19
Ww;STERN INSULATION, INC.
4211 Latham Street, Riverside, California 92501
TeL (909) 686.8760 Fax (909) 686-8786
INSULATION CERTIFICATE
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
TRACT ! PHASE: MONTECITO - TRACT # 29004
LOT# 5
SITE ADDRESS: 55-230 BIG SPRINGS LOOP
------------------------------------------------------------------
EXTERIOR WALLS:
MANUFACTURER: Johns -Manville THICKNESS: 5 1/2 " R -VALUE: R-21
CEILINGS: BAITS SLOW
MANUFACTURER: .Johns -Manville THICKNESS: 13" R -VALUE: R-38
CEILINGS: BATTS OW
MANUFACTURER: Greenstone THICKNESS: 10.3" R -VALUE: R-38
GENERAL CONTRACTOR: CENTURY AMERICAN DEVELOPMENT
LICENSE NUMBER:
BY:
TITLE:
DATE:
IN$,ULATION CONTRACTOR,. WESTERN INSULATION, INC.
LICENSE NUMB: 481278
BY: OAUJ
TITLE: PRO ION MANAGEfV
DATE JUNE UOOO
i
Emerald Roofing, Inc.
78-670_MGHWAY 111, STE. 174
LA QUINTA , CA 92253
tic# 770940
(760)347-9869
/ ADDRESS
MONTECITO AT PGA WEST
THE R.C. HOBBS COMPANY
55-487 SOUTHERN HII.LS
LA QUI 4TA CA 92253
PROPOSAL
DATE
PROPOSAL #
611'00
1122
JOB ADDRESS
LOTS 1-11 =4)'HAGIN VENTS
THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND
ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED.
PAYMENT WELL BE MADE AS OUTLINED ABOVE.
i
SI�NATURE
i .
DESCRIPTION
TOTAL ,
ATO WHOM IT MAY CONCERN;
0,00
EMERALD ROOFING HAS INSTALLED AT MONTECITO HOMES AT PGA
WEST ,THE O'HAGIN VENTS AT THE FOLLOWING
ADDRESSES BELOW:
LOT # PLAN # . ADDRESS
# OF O'HAGIN VENTS
1 2 -AR 55.142 SOUTHERN HILLS
17
2 3 -BR 55-164 SOUTHERN HELLS
16 ,
3. 3 -CR 55-186 SOUTHERN HILLS
16
4 2 -CR 55-208 BIG SPRINGS LOOP
.17
5 2-A 55.230 BIG SPRINGS LOOP
17
6 3-C 55-252 BIG SPRINGS LOOP
16
7 2-A 55-274 BIG SPRINGS LOOP
17
8 2-C 55-296 BIG SPRINGS LOOP
17
9 2-A 55-318 BIG SPRINGS LOOP
17
1Q 3-A 55-340 SOUTHERN HILLS
16
11 3-C 55-362 SOUTHERN HILLS
16
1 �
John Jones; President
TOTAL $0.00
THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND
ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED.
PAYMENT WELL BE MADE AS OUTLINED ABOVE.
i
SI�NATURE
i .
■
(.;vr6Ticate,'0f Occupapcy 01 �
C iY t of La - Quinta
Building and So, fetDepartment
Ij
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: . 55-230 BIG SPRING
Use Classification: SINGLE FAMILY DWELLING bAg. Permit No.: 9907-143
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building:. SOUTHERN HILLS LLC Address: 1430 E CHAPMAN AVE STE 100
City: ORANGE, CA., 92886
By: DANIEL P. CRAWFORD JR.
Date: 8/31/2000
Building Official
POST IN A CONSPICUOUS PLACE
I � I
t
■
(.;vr6Ticate,'0f Occupapcy 01 �
C iY t of La - Quinta
Building and So, fetDepartment
Ij
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: . 55-230 BIG SPRING
Use Classification: SINGLE FAMILY DWELLING bAg. Permit No.: 9907-143
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building:. SOUTHERN HILLS LLC Address: 1430 E CHAPMAN AVE STE 100
City: ORANGE, CA., 92886
By: DANIEL P. CRAWFORD JR.
Date: 8/31/2000
Building Official
POST IN A CONSPICUOUS PLACE
I � I