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9903-076 (SFD)k• N w �a� ' W o Z � O O 1— co W W �a Z'. LICENSED CONTRACTOR DECLARATION j 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 Ex/p. Date � I X tele' 70''qlignature of Contractor Z 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). ( ) 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 bij comp efed 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.n Pate: 11"I Applicant 7°. /1,13 Warning: Failure to secure Workers' Compensation coverage is nlawful 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. per subject to the conditions and restrictions set forth on his application. r, 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 tot 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 t�above-mentioned propertr�t, for insp ctio kpurposes. Signature (Owner/Agent) f1f�! P<Z Date 2� ?- BUILDING PERMIT PERMIT!#tA DATE VALUATION LOT—.??�'TRACT �, .(0 $262,64190 J7 993 JOB SITE APN ADDRESS &5*02 ARAF BYJ i1N 7159,-510-0132 OWNER '—"� CONTRACTOR / DESIGNER / ENGINEER BkOOKFIELD HOMES SAN DIEC.110 INC, BROOKFIELD HOMES Slat! EJECO I;1IC. 12865 110IN"I'E DEL MAR, ST.J1TE 200 12865 POINTE DEL MAR, SUITE 200 DEL MAR, CLQ 92014-3859 DEL.b AR Cts. 92014-:38". tr;i9)481.23500 C1 ift 5350 USE OF PERMIT LOT IZ PLAN 3R. -SFti- PETR,tMI l ix -)Es NOT INCLUDE BLOCK WALL f�Ft P001- PLAN C14ECK FIE REDTIC ED '75° o FOR 1vJULMUS ISSUANCE OF S 4-N F PL AN 12PE CUSTOM CONSTRUCTION 1,100.00 ,SF POR.0 H(PATIO 519.00 SF C" iARAGEICAIaZPORT x,7.00 Sly w 4T)MAT1,M �;1.S OF, CONSTRUCT ION 262,64LI f3 (,'ONSTRUC'PION FEF 101-000-413 000 $1,210.00 PLAN Cif`%FEE 10:1-00t)-439-313 $245.37 NTXHANCCAL FEE 101-000-421.000 $92.00 HLECTRICAI. FEE 101-000-420-0{)0 $180.5=1 P1:MIRING 101-000-419-000 s lrZ.73 STRONG MatION FEE, - RFSID .tOl-00t)-.241-000 $26,26 GRA.DMO FEE 101-000-423-000 $20.00 INF"STRUCTUR.k FE- 225-000-41:3-342 $5,754,13 iw 'i. PUALIC Trf,A.CES - RF—sr. 701-00()-25.5-000 $4s1h i0 t � ,a3 -W. C©N'R:CiC"I'IGtiN ANDPL:A1 G'it1CK,1'�7.05 k APR 211999 TOT.1J„ PERM1 1T FE"i DUE NOW $4.927.65 Ls r'rV Ic RECEIPT DATE BY, DATI LED INSPECTOR k. 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 D II - Int. Lath 6 G 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 S' Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection J1 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: '11rhe DanDee t r t»v dirt•. L is 732542 ROOFING AND CONSTRUCTION BIDS TQ BROOKFIELD HOMES 12865 POINTE DEL MAR, SUITE4200 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.O. Bax 277 Thousand Palms, CA .9 2276 Phone (760) 343-3385 Fax (760) 343-3096 JD ---NAME HERITAGE COLLECTION LA QUINTA, CA BID# DATE 8122100 THE DANDEE GO. INC. HAS INSTALLED THE ROOF DORMER VENTS CORRECTLY, AND AS PER ENGINEERS SPECIFICATIONS AND OR DRAWINGS AT THE JOB SITE KNOWN AS BROOKFIEL,D HOMES, THE HERITAGE. LOTS # 2001-2017 BRAE BURN � � - (�b a � LOTS # 3001-3019 BRAE BURN NOTICE vnnfi IriR Mechrinicg' I ter. f..a11• f(,k)idurmu Cudc of Civil Pmccdule Section I 1 a I ei S®q ) any commcinr, SpheontraAur• labour. supplier other person he heips to impiove youi property but is not pr' -n for his Work or Blippllr.S, rias n, npht W unfurix a dalm against your property. Tnis minis IhAi Aller, a noijet hP nnq your uiuputty could be sniti by h !vwo nfrirer n114 Ihr.t pttp:.Ci-Oz; tit Vic stdC uscd to satisfy the indebtedness This can happen even d yoil hive Lti)iil yutu (w) r.Onfr ilGlDr in fun. If the :.uhrn VrAr,(rn. Iplxarcr ui supnlini remains unpaid and if legal action is neressnry In rn!iret x gnfryrea thu tcinu of this contract, the prevailing parry shalt or. enintP.!1 in Its rCaseiimle attorney fees p111s ail enStn tit Stilt Ano mlpfeSI Shall a(;Crtic 1111 all su1!ls. which are due 50 days after hitltilt) at the rate. at IR % oef annum The DanDee Co. Inc. rg not rE,ynnnsib!e tur dc)ays caused by weather, strike, material shonage nr rimay in nhatenal 5uvv!!ud to the job or to any other delay beyono its rnntrot t nr. DanDcc Co Inc. total liability under this aonlrAN nr in nr-gt(gence MS liniftud sululy to th93 amount of this contract W© are fully cwered�y w2rkmgGs_ 9fP_ n.eation and public liability insurance. Dltmhers available on reque8l, lkny {111Biapo^ of I,Cv allon porn the a at;L)ve spedfirt.attoris invoiving extra cost of material or lannr mil only 1)+3 execulj id tp;un wril!en orders fut carne, and will beronn 311 e0a charge over the sum niP.hhnnerf in this proposAl All agreements mh4t be made tit Wiithinrg and is based on free access to hunding tnr nirect 10A,711t0 ICOM (nn inrr:Kc Prices are haled rill curretll costs of material ane lahor. InCrca908 or decreases, will be reflected at time of signing contract. tictore and or during roofing operations and the completion of roofing, The DanDee Co Inc, will not he re9e0n3t1)lc or upgte (of damage tt,used from acts of God, such us earthquakes, lhundw storms, hall or any otlror Yvvalller conditions beyond roofers control. I'iIl{ DANUE;LCO. F.Z�YJ DA I It DATF I'ROPOSAL VALID FOR DAYS 31-IHM W01 c.10z = LO 00—z?.--C3nV' Certificate 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: Use Classification: SINGLE FAMILY DWELLING Occupancy Group: R-3 Type of Construction: VN 55-802 BRAE BURN Owner of Building: BROOKFIELD HOMES --r-4, /4-%, Building Official Bldg. Permit No.: 9903-076 Land Use Zone: RL Address: 12865 POINTE DEL MAR, STE 200 City: DEL MAR, CA., 92014 By: DANIEL P. CRAWFORD JR. Date: 12/27/2000 POST IN A CONSPICUOUS PLACE