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9903-074 (SFD)H (V W .v W r� l� O Z 'rte (O 0- ZC LU L� �a Cn• Z �L0 N O- rn ur) XLUu- M ,_ U Q O. U tl � Z_ � C1 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 ,/ L-1- / 7322.32 'bate •" 2.0 "Q<YSignature of Contractor ' OWNER -BUILDER DECLARATION I herehy 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). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code), ( ), 1 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 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. :14:� I -: � TRE "•r� 1�w�-*14 -t152.6 (This section need not be comple eld 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—' /�/s4� A�, Warning: Failure to secure Workers' Compensation coverage J unlawful and Shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the'cost bf 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) A Date BUILDING PERMIT PERMIT# DATE VALUATION LOT � , ?� TRACT $241,839.20 to 29003 JOB SITE ADDRESS,.. �, ,'5�717iiiRRX BeRilj 7fi9-540.011 OWNER CONTRACTOR/DESIGNER/ENGINEER BROOKFIELD HOMES SAN DIEGO INC:. BROOKFIELD 140MES SAN DIEGO tNC. 12805 POINTE DEL MAR, SUffE 200 12865 PIJDUE DEL KIA.R, SMITE, 200 DEL'MAR CA 92014-38519 DEL MAR CA 920143,8' tG1.9 A8:I-8560 a~ BLP : _60 USE OF PERMIT s0141.49 14,4444�4 LOT 10, PLAN ^.R, -SFI)- DOES N0'r ENC7,IJDE M.0C-X WALL GR P=,. PL AN WCK FFE REDUCED 73Sa FOR MUL 1PL13 4SSUANC'F OF . AA •. tai is (Js`,VOM C-0 14.151'R ICT 1014 2,8"rzoo SF POR.CH1PAi`IO 364.00 SF GA.RAO.IlCARPORT 677.00 S.F fIMN FID L0.ST OF C 31"R :jC- CIV 241,839.211 PEP RA UT ME SUM MARY CONY[RUC110N FEE 1.0.1 -000.4185 -OW S1, I.xm PLAN CHECK FEX 101-000-439-318 $230.42 MECHANICAL FEE 1.01-000.421-000 $85.50 ELECTRICAL FEE 1.01-000-420-000 Sri 1.56 PI UMBIN1C'1 FM 101-000-419-000 S179.25 STRIJN'4 M©'1'1.011 F1_E _ R &P 1.01-000-241,-000 S I:I8 C"INO FEE 101 -M -423 -NO 520.00 I,N'I RASTRU0'( RE rte• w 22;x-000--4411342 55,332,46 ART 1N PUBLIC, PLACES - lZ.UM 701.0 30-:255•-OOt) $354.60 :l (, f . SYJ.13; f 'x%' C 0N'S•MjXTIC)N AND PLAN CI11 Ch 7,ti"3.17 �r t,'SS 4aI'�!;-:NAf0 VEE'11 $il.tiil APR 21 1999 TOTAL CRMI 1 FEES UUF, NOW 57,53447 I RECEIPT DATE BY, I DA E ,8LJD Q 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 Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath d 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 cis 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: ',."The DanDee G��ky hx. L r'C 732542 ROOF/NG AND CONSTRUCT/ON BIDS TO : BROOKFIELD HOMES 12865 POINTE DEL MAR, SUITE#200 DEL MAR, CA 92014 PHONE# 858-481-8500 FAX# 564-8317 TO WHOM IT MAY CONCERN. RE,' O-HAGIN ROOF DORMER VENTS Roofing Proposal P.0. Box 277 Thousand Palms, CA .91176 Phone (760) 343-3385 Fax (760) 343-3096 JOB NAME: HERITAGE COLLECTION LA QUINTA, CA BID# DATE 8122100 THE DANDEE CO. INC_ HAS INSTALLED THE ROOF DORMER VENTS CORRECTLY, AND AS PER ENGINEERS SPECIFICATIONS ANq OR DRAWINGS AT THE JOB SITE KNOWN AS BROOKFIELD HOMES, THE HERITAGE. LOTS # 2001-2017 BRAE BURN LOTS # 3001-3019 BRAE BURN a0 c;, . %,,2; 3 NOTICE 'kind Pr the MP.cMlnics' 1 ir..n t.aw (Coldurniu Cuda of Civil Procedure. Section 1 181 et Seq ) any cnntroctor, SUbaanbaCtur, labotcr. supplier other person he helps to improve your property but rs not pr.a tnr his work nr supplies. nag o ngld to unfurtA a claim against your property. Tris mennA that. atlPr a ripiit heannp your otupuity Could be sold ry a noun ofsr.Pi rinil Ih-v pioC_.cttdS of thu sill,, used to satisfy the indebtedness 1 his Can happen F.vP.n if yn!r hilvC VFn!I ygtir Own cantrilatar in full. If the :;utu nnn:,rtni, I;tbarer of supdier remains unpaid and if legal action is necessary to ro9Pet i}r enforou thu tclrns of this contract, the prevailing party shall be entitled to rtn rcasonaole attorney fees plus all ends (it stilt Anq interest shall XCruc an all suns. which are due 30 days after hillntg Al the rate at 1A %0 per annum The DanDee Co. hu. is lint m3pongible tut delays caused by weather, strike, material shortage ni delay in nlatenal supplied to the job or to any other delay beyond its Control I he notiocu Co Inc. total liability under this contract lir in negligence is; Ivnitud surury to the amount of this contract Wo are fullycovarpd�y.wQrkm�rl's �QR+�e�.sation and public liability insurance. Carrier. pMg.* �in .poliC.Y Dtlmhers available on request. Any nner�mon or o(•waiton tl uti !hr a above Specifications involving extra Cost of material or lahnr will only be ex MU10d 1.I1JO11 wriften orders for sarne, and will becnr1P an exita charge over the sum men tinnen in this proposal All agreements roust be rttade in writhing and is based an free access to building for direct Inio n0 born our tfurics Price3 are ha9ed on current CO9tS of material andl latter. Increases or decreases. will be reflected at time of signing contract Before 0110 or during roofing operations and the completion of roofing, The DanDee Co Inc, will not he responelttle or lieglo for tlArnage "usod front acts of God, such as earthquakes, thunderstorms, hall or fitly utlier weather conditions beyond roofers control. DATE Fill. I)ANDLL•' CO. )1R(1POSAL VALID FOR DAYS ZO' d 3.LIHM WO -L doe = i0 00-ZZ-6nV Certificate of Occupancy City of La- Quinta Building and Safety De,partment 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 fo/%wing:,-,.. BUILDING ADDRESS: 55-770 BRAE BURN Use Classification: SINGLE FAMILV.DWELLING Bldg. Permit No.: 9903-074 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Buildhrig: BROOKFIELD HOMES SAN DIEGO Building Official Address: 12865 POINTE DEL MAR, STE 200 City: DEL MAR, CA., 92014 By: DANIEL P. CRAWFORD JR. Date: 1/31 /01 POST IN A CONSPICUOUS PLACE