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9903-081 (SFD)W. •H . N W O�� W Z (�O0O JUcr, WWr` �a U Z 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 732232. B Date4/� �^ �+�' Signature of Contractor 41 J • �� 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). () •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. ( ) 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. �t (This section COe©o bei ompleted if the permit valuationIG ' is fbr'I'100 00 o11 r -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 sha_ all forthwith comply with those provisions. ate: J7:�pplicant �� c.% Warning: Failure to secure Worker' Compensation coverage is unlai W 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 atf whose request and for whose benefit work is performed under or pursuant to 1 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 f r inspection purposes. Signature (Owner/Agent) �s ate / 0 �� 4 BUILDING PERMIT PERMITN DATE VALUATION LOT ", 90.3-1181 TRACT * A 10,1 * , 290()3 JOB Sh-E Y' APN ADDRESS � �r 2�A' i�Fei3i3R i 769_a.WQQ7 OWNER CONTRACTOR/DESIGNER/ENGINEER BROOKFIELD HOMES SAN .DIEGO INC. BROOKFIELD HOMES SAN DIEW INC. 1U65 Pt:111+i`!'E DEL MAR, SU111 200 12665 P019rrt T3F'I. MkR, SLMT,, 200 DEL MAR CA 92014-38 59 DET. MAR 4,-.A 92014-38' (619)481-13500 C:BL# 5350 USE OF PERMIT LOT 11, PLAN 1. -S)FD- PE mrf r)oa Nar 'i'i uDE mocx %ax oR, .POOL. PLAN FEE REDUta.`M ; 5% FOR 194,1T'LE I SUANCB OF R A kW TW :> CUSTOM CONSTRt.7i,."rX. N 2,653.00 SF PORCHIPATIO X2.00 3F 'GARAGfr-1CARPOR.T 713,00 SF W . V%IA: A Cog 1*01{' CONST 9U C T10N 224,815.90 PERMIT FEE SIJi4I111'AR% C"ONS1`Rd.ICTION I'I?C 101-000418-000 $1.,077.00 PLAN MECK FEE 101-000-4139-318 $219.32 MECHANICAL ITEL 101-000-421.000 $79.W 91,FCTRICAL FST 101-0W-420-000 $164.169 PLUMBING FEW im-000-1119-ow $1.83,25 SIMONG MOTION FEE - RESTD 1.01-000-241-000 $x!2',48 GRAD1NO F E13 10.1-000-423-000 $20.00 INFRAs'1"RU (URF, FES 225-000-443442 $4,961.98 ART IN;P11,BLIC PLACES - RRSID 701.000 -235 -NO 8312.04 re C-� �• SUB - AL CONSIRUCT1.0111 AND PLAN CHECK $7,047.16 r a I.GSS PP '-NAI'f.� l�1w1.S O.GO APR 21 1999 TOTf1L'PERMIT FLIES IOUE NOW 57,047.76 G RECEIPT DATE 1, BY/ ""� DATE INAL D 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 <�, Insulation Compressor Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath S Final Final 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 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 17 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: Certificate of Occupancy City of La Quinta BuHding-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 55-882 BRAE BURN Type of Construction: VN Owner of Building: BROOKFIELD HOMES SAN DIEGO Building Official Bldg. Permit No. Land Use Zone 9903-081 RL Address: 12865 POINTE DEL MAR, STE 200 City: DEL MAR, CA., 92014 By: DANIEL P. CRAWFORD JR. Date: 1/26/01 POST IN A CONSPICUOUS PLACE ''T'he DanDee' t >Imzy hies. Lis 732542 ROOF/NG AND CONSTRUCTION Roofing Proposal P.O. Box 277 Thousand P dlyis, CA .9 2276 Phone (760) 343-3385 Fax (760) 343-3096 BIDS TO: JOB NAME; BROOKFIELD HOMES HERITAGE COLLECTION 12865 POINTE DEL MAR, SUITE4200 DEL MAR, CA 92014 LA QUINTA, CA PHONE# 858-481-8500 FAX# 564-8317 BID# DATE 8122100 AN TO WHOM IT MAY CONCERN. RE; O-HAGIN ROOF DORMER VENTS THE DANDEE CO. INC_ HAS INSTALLED THE ROOF DORMER VENTS CORRECTLY, AND A5 PER ENGINEERS SPECIFICATIONS AN4 OR DRAWINGS AT THE JOB SITE KNOWN AS BROOKFIELD HOMES, THE HERITAGE. LOTS # 2001-2017 BRAE BURN LOTS # 3001-3019 8RAE B Z) cQ J t v`,Tc-, NOTICE tinder the h4ernnnics' i ien i.aw fc8hrurniij Cu ocedure. Section i 181 et Seq ) any contreclor, suhconbactur, taburer. 'supplier other person he helps to improve your property but is not paid tor his work or 4uppims, nas a ngi4 to unrume a Gaup against your property. Tris meanA that. Atter n court he (ulri your uropuity could be som ny a eosin nr5cp.r'11111 llir,: of thu Silly used to satisfy the indebtedness This can happen even if you 11i,ve pai1,1 your own t;ontraclor it-, fug. If the ,111tX:Mhrtt;lM, l;Ilxrrcr o' supplier remains unpaid and if legal action is neressary 1n nollert 1)r ynfofov thu tcirns of this contract, the prevailing party shall be entitred to ns icasonaole attorney fees plus all /`0419 lit Atilt Allr,1 interest Shill aCCille 2111 all stalls. which are due 30 days atter balilIg At the rate al 1A 'V. pe( 01111Um The DanDua Co. hu. is lint responsible for delays caused by weather, strike, material shortage nr delAy in material supullcd to Ute job or to any other delay beyona its control I he Ooi lDCe Co Inc. total liability under this contract or in negugenre i;: hrnitr;d sulciy to the amount of this contract We are fully covar�d�y.wQrkm�n s g.Qm�te1]Sdtion and public liability insurance. Carrierij_pAm ��t poJic.Y f)ltmhers available on request. Any ther<'r;ton of (tr,•vialion pom the a above specifications involving extra cost of material or lannr will only lot, ex@Cutod upun written orders for same, and will heromp.. an exua charge over the sum menhoneo in 1619 proposal All agreements inustbe 1111de iii writhing and is based on free access in hourfing or neem toaom, riorn Gut uunks Prices are hailed on current coats of material Anti lAhor. 11'CrOMS or decreases, will be reflected at time of signing contract. Before end or during rooting operations and the completion of roofing, The DanDee Co Inc, will not he regponSible or nat)le for CIAIV139e OUSI)d from acts of God, such as earthquakes, thunderstorms, hall or Any Other weather conditions beyond roofers control. _..__�._._.__.... — -... _.... DA* IF. DATF HIt:. DA,IDU CO. ))R( POSAI, VAIJI) FOR DAYS ZU'd A-LIHM WOl dOZ=TO 00—ZZ-6LV