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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 the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
63T152 B 02J25tl0I
Date n Signature of Contractor
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 isnot 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.
(torrhave 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 ♦ p Policy No.
.yw
. l�•�i t.�i� 10.V�?., iso. !7' f I i�;A..-w���w3
(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 folt lw5h comply with those�r
Date: ��jj�fCii Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to, the conditions and restrictions set forth on. his
application.
1. Each person upon whose behalf.this application is made'& each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicator agrees to, ,& shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void•if
work is not commenced within.180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit'to cancellatiori;
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the`above-mentioned property for in pection•purposes.
Signature (Owner/Agent) ' Date
BUILDING PERMIT PERMIT#
A ® 6 200�j VALUATION yam+ ��'' LOT TRACT 2�t;-r,
ADDRESS T9 763 CA:!a.'�IA Sp,TAEYs , F JOB SITE
APN 649-030.0.20
OWNER
CONTRACTOR/DESIGNER/ENGINEER
.
`k rpq RES r0CIppALC0'.MMW1,urM?$
fIC (.Ni•GALUS RESIJ¢NryYfL CONISITIC .
5 .PAYtK PLta�:. A SME 400
y
s MMt'I..A ray 5#�d'i C 400
IRVINE' CA 92614
IMNE CAL 92614
(449)25t. -610Q t:tt#.# 5072
USE OF PERMIT
�!? OLk': x A2J.N'f1i,LN' WfLLNG,
SWD ,.L a •! 9 PLA4J+i 2 .i°Qi'+etui.?:T DOES tdi:t'E' .12ht.;r.,t3DE AT.WK WALL Ok
6?00L.'iY,X*.P1,JkN G.f•K'b.. YM)ifMKIN AM"L..II^.';I.) FOR 14 ULTIPLh3
SliirifAET",C'.Ak.,
0,AJtA0GCNkP01Cr 483 ,01 lir
.. ALnY'.9.81.F'.B.A.• E.) C'4:.vNA'+l OF 8,SARU4.�:N .ff"+.Ys4
1. k+to�:,I.fitf
(i S`f.' tfC,"l it it°i FEV i:B 1-iY -d•i UE?t) $P391+kw
PLAN CILPrrciT tVZIP;1-"�44s�o
AClTidWAL ICJ•0t?W1
Lst,i�t.`Cl�i�:'A�� 7°t✓Es ��i••t•11�-�B.�fJ-1�'iC� �fa.5.2 +
...� .`_i'_i
�,t,ttl�ll}.tlis,�+3 .�7�. 4.t;•s. `�t�^�a�.�`iizsti ;���<�.t�1�
'_
STRO'W,," totCi r;twi t t lx , i~4;9 iIM-W-24) C}t)(t
.1
00 S2Qi.tKt
iai$rA�`,d.ING FrT. 101,000-42-1-000
`
``
Aai.T IN P0.3LM i'LAC8S
4
AND MANCW"'CK
11131! M93
Uss 01°ari^.*PAID:'YFsy
$0.00
RECEIPT
DATE'
BY r! %
DATE FINALED
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
�Z _�� _
Exhaust Fans
O.K. to Wrap
Framing
e ��
F.A.U.
Compressor
Insulation
�� S
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
_
Drywall - Int. Lath
�bt�o�Syl
s-1 C
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
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
1I, 2A_v
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
t�
Pool Cover
Sewer Connection
_
!�
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
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)
— — c
LICENSED CONTRACTOR DECLARATION
cl) I hereby affirm under penalty of perjury that I am licensed under provisions of
I— Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
WProfessionals Code, and my License is in full force and effect.
5 c7 License # Lic. Class Exp. Date
CY LL,
637252 B 02/29/20(
~ Z r� Date /` Signature of Contractor
(0 pr`
J U CO OWNER -BUILDER DECLARATION
HLU 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).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the. project (Sec. 7044, Business & Professionals
Code).
C0 () I am exempt under Section , B&P.C. for this reason
LO
N Date Signature of Owner
p CSI
C)
d Q WORKER'S COMPENSATION DECLARATION
Lo Q
Z I hereby affirm under penalty of perjury one of the following declarations:
� p () 1 have and will maintain a certificate of consent to self -insure for workers'
X W !L compensation, as provided for by Section 3700 of the Labor Code, for the
m� Q performance of the work for which this permit is issued.
Q C) (wave 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
11 rn H permit is issued. My workers' compensation insurance carrier & policy no. are:
IT Z Carrier Policy No.
Cb a ROYAL INS. CO. OF PTC 459287
g (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
3 subject to the workers' compensation provisi s of Section 3700 of the Labor
Code, I shat forthwith comply with those
Date: v!J 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
4 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
r�Vip & 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 i e tion purposes.
1-6-00
Signature (Owner/Agent) Date
BUILDING PERMIT PERMIT
9907-318
DATE 1 A VALUATION $114,993.00 LOT 9 TRACT 28601-1
JOB SITE
ADDRESS/ 79-763 CASSIA STREET
AP" 649-030-020
OWNER
CONTRACTOR / DESIGNER / ENGINEER
CATELLUS RESIDENTIAL COMMUNITIES
C CATELLUS RESIDENTIAL CONST., INC.
5 PARK PLAZA STE 400
5 PARK PLAZA, SUITE 400
IRVINE CA 92614
IRVINE CA 92614
(949)251-6100 CBL# 5072
USE OF PERMIT
SINGLE FAMILY DWELLING
SFD - LOT 9 PLAN 2 PERMIT DOES NOT INCLUDE BLOCK WALL OR
POOL.75% PLAN CHECK REDUCTION APPLIED FOR MULTIPLE
SUBMITTAL.
TRACT CONSTRUCTION 1,914.00 SF
PORCH/PATIO 120.00 SF
GARAGE/CARPORT 483.00 SF
ESTIMATED COST OF CONSTRUCTION
114,993.00
PERMIT FEE SUMMARY
CONSTRUCTION FEE 101-000-418-000 $692.00
PLAN CHECK FEE 101-000-439-318 $145.30
MECHANICAL FEE 101-000-421-000 $66.50
ELECTRICAL FEE 101-000-420-000 $125.15
^'
PLUMBING FEE 101-000-419-000 $154.00
STRONG MOTION FEE - RESID 101-000-241-000 $11.50
C._
GRADING FEE 101-000-423-000 $20.00
_
ART IN PUBLIC PLACES - RESIT; 701-000-255-000 $37.48
C_ 0 tri
I I
DEVELOPER IMPACT FEE $1,907.00
rJ
SUB -TOTAL CONSTRUCTION AND PLAN CHECK
$3,158.93
LESS PRE -PAID FEES
$0.00
TOTAL PERMIT FEES DUE NOW
$3,158.93
RECEIPT
DATE
DATE FINALED
INSPECTOR
STANDARD NOTICE OF WORK COMPLETED AND NOT COMPLETED
NOTICE - All recommendations may not have been completed. - See below - Recommendations not completed. This form is prescribed
by the Stuctural Pest Control Board, with whom a copy must be filed by company within 5 working days after completion of work under
a contract.
THIS IS A NOTICE OF COMPLETION ONLY, NOT AN INSPECTION REPORT,
79-763 1 Cassia Street, La Quinta, CA, 92253
BUILDER'S TERMITE & PEST CONTROL, INC.
3305 E. Miraloma Avenue, Suite 173
Anaheim, CA 92806
(714) 985-9638 (619) 574-0990 (714) 985-9639 FAX
IREGISTRATION # PR 3509 (REPORT # 2759 (STAMP # IESCROW #
Notice of
Completion
Sent to:
Property Owner:
DCD Development Inc. 78-600 Highway III La Quinta CA 92253
33 105/19/2001
AFFIX STAMP TO
BOARD COPY ONLY
This is to certify that the following recommendations on the above designated property, as outlined in Wood Destroying Pests and
Organisms Inspection Report No. 2759 dated 05/18/2001 Stamp No.
Organisms Inspection Report No. dated Stamp No.
Organisms Inspection Report No. dated Stamp No.
have been and/or have not been completed.
Recommendations completed by this firm that are in accordance with the Structural Pest Control Board's Rules and Regulations -
1 A
egulations:1A
Recommendations completed by this firm that are considered secondary and substandard measures under Section 1992 of the Structural
Pest Control Board's Rules and Regulations:
Person requesting secondary measure:
Cost: $ 0.00
Inspection Fee: $ 0.00
Other: $ 0.00
Total: $ 0.00
Recommendations not completed by this firm:
Estimated Cost: $
Remarks:
NOTE: Questions or problems concerning the above report should be directed to the managgr of the company. Unresolved questions or problems
with services performed may be directed to the Structural Pest Control Board at (916) 263-2533, or (800) 737-8188.
You are entitled to obtain copies of all reports and completion notices on this property filed with the Board during the preceeding two years upon
payment of a $2.00 search fee to: The Structural Pest Control Board, 1418 Howe Ave., Ste. 18, Sacramento, California 95825-3204.
WOOD DESTROYING PESTS AND ORGANISMS INSPECTION REPOR"f
This is an inspection report only -- not a Notice of Completion
ADDRESS OF PROPERTY INSPECTED
BUILDING NO. STREET, CITY, STATE, ZIP— — — _ — — — NTY pA F NUM R OF
DE IN E TION PAG
79-763 Cassia Street, La Quinta, CA, 92253 133 105/18/01 3
BUILDER'S TERMITE & PEST CONTROL, INC.
3305 E. Miraloma Avenue, Suite 173
Anaheim, CA 92806
(714) 985-9638 (619) 574-0990 (714) 985-9639 FAX
Affix stamp here on Board copy only
A LICENSED PEST CONTROL
OPERATOR IS AN EXPERT IN
HIS/HER FIELD. ANY QUESTIONS
RELATIVE TO THIS REPORT SHOULD
BE REFERRED TO HIM/HER.
REGISTRATION # PR 3509 (REPORT # 2759 (STAMP # IESCROW #
ORDERED BY: DCD Development Inc. 78-600 Highway III La Quinta CA 92253
REPORT SENT TO:
PROPERTY OWNER:
PARTY IN INTEREST:
ORIGINAL REPORT ® LIMITED REPORT SUPPLEMENTAL REPORT �yR REINSPECTION REPORT �x
2
St
*tamp in l Date
'N
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GENERAL DESCRIPTION: SLAB ON GRADE
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INSPECTION TAG POSTED: ELECTRICAL PIPES
D
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B
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OTHER INSPECTION TAGS:
A
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1
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1. SUBSTRUCTURE AREA Post Const. Soil Treatment See 1 A
X
X
2. STALL SHOWER i
X
X
3. FOUNDATIONS
X
X
4. PORCHES -- STEPS
X
X
S. VENTILATION
X
X
6. ABUTMENTS
X
X
7. ATTIC SPACES
X
X
8. GARAGES
X I
X
9. DECKS PATIOS
X
X
10. OTHER -- INTERIOR
X
X
11. OTHER - EXTERIOR
X1
X1
I
DIAGRAM AND EXPLANATION OF FINDINGS (This report is limited to structure or structures shown on diagram)
SLAB ON GRADE
1 ,�
Inspected by Richard A. Lemerand License No. OPR 9721 Signature "*ions
NOTE: Questions or problems concerning the above report should be directed to the manager of the company Uniesolve questions or problems with
services performed may be directed to the Structural Pest Control Board at (916) 263-2533, or (800) 737-8188.
You are entitled to obtain copies of all reports and completion notices on this property filed with the Board during the preceeding two years upon
payment of a $2.00 search fee to: The Structural Pest Control Board, 1418 Howe Ave., Ste. 18, Sacramento, California 95825-3204.
2nd PAGE OF STANDARD INSPECTION REPORT ON PROPERTY AT:
79-763 Cassia Street, La Quinta
BLDG. NO. STREET CITY
05/18/2001 2759
STAMP NO. DATE OF INSPECTION CO. REPORT NO.
THE EXTERIOR SURFACE OF THE ROOF WILL NOT BE INSPECTED. IF YOU WANT THE
WATER TIQiTNESS OF THE ROOF DEI ;&MM, YOU SHOULD CONTACT A ROOFING
CONTRACTOR WHO IS LICENSED BY THE CCNTTV%CPOR'S STATE LICENSE BOARD.
"NOTICE: Reports on this structure prepared by various registered companies
should list the same findings (i.e. termite infestations, termite damage,
fungus damage, etc.). However recommendations to correct these findings may
vary from company to company. You have a right to seek a second opinion from
another company".
NOTICE TO PROPERTY OWNERS -(section 7018 of the California contractors
license law, business & professional code Div. 3, chapter 9) Provides
under the Mechanic's Lien Law any contractor, subcontractor, laborer,
supplier or other persons who helps to improve your property but is not
paid for his work or supplies has a right to enforce a claim against your
property. This means that, after a court hearing, your property could be
sold by the court officer and the proceeds of the sale used to satisfy the
indebtedness, This can happen even if you have paid your own contractor
in full, if the subcontractor, laborer, or supplier remains unpaid.
"Notice: The charge for service that this company subcontracts to another
person or entity may include the company's charges for arranging and
administering such services that are in addition to the direct costs
associated woth paying the subcontractor."
Fume Company:
Fume Address:
Fume Phone #:
THIS IS A "STRUCTURAL PEST CONTROL" INSPECTION REPORT: NOT A BUILDING
INSPECTION REPORT, THEREFORE NO OPINION IS BEING RENDERED REGARDING THE
STRUCTURAL INTEGRITY OF THE BUILDING.
THE FOLLOWING AREAS WERE NOT INSPECTED, AS INDICATED IN SECTION #1990,
PARAGRAPH (j) OF THE STRUCTURAL PEST CONRTOL ACI' AND RULES AND REGULATIONS:
FURNISHED INTERIORS, INACCESSIBLE ATTICS, INSULATED ATTICS, AND PORTIONS
THEROF; THE INTERIOR OF HOLLOW WALLS: SPACES BETWEEN A FLOOR OR PORCH DECK
AND THE CEILING OR SOFFIT BELOW: STALL SHOWERS OVER FINISHED BUTTRESSES AND
SIMILAR AREAS TO WHICH THERE IS NO ACCESS WITHOUT DEFACING OR TEARING OUT
LUMBER, MASONRY AND FINISHED WORK, BUILT-IN CABINET WORK: FLOOR BENEATH
COVERINGS, AREAS WHERE STORAGE CONDITIONS OR LOCKS MAKES INSPECTION
IMPRACTICAL.
SUBSTRUCTURE AREAS:
Item 1A: Soil to be treated with chemical toxic for subterranean termites, chemical
registered with the state of California Division of Chemistry approved for
termite control. Treatment will be by rodding and/or trenching and sub -slab
injection in critical areas (protrusions, cracks) if necessary to provide a
uniform barrier.
WARRANTY -ALL WORK PERFORMED BY BUILDERS TERMITE & PEST CONTROL IS WARRANTED
FOR A PERIOD OF ONE YEAR.
THIS PROPERTY WILL COMPLY WITH THE STANDARDS OF THE STRUCTURAL PEST CONTROL
ACT OF CALIFORNIA.
1A:
t
COST BREAKDOWN I
BUILDER'S TERMITE & PEST CONTROL, INC. --- License No. PR 3509
Ja 2 0 2001
3rd PAGE OF STANDARD INSPECTION REPORT ON PROPERTY AT:
79-763
BLDG. NO.
Cassia Street, La Quinta
STREET CITY
05/18/2001 2759
STAMP NO. DATE OF INSPECTION CO. REPORT NO.
OCCUPANTS CHEMICAL NOTICE
Builders Termite & Pest Control, Inc. will use pesticide chemical(s) specified
below for the control of wood destorying pests or organisms in locations
identified in the Structural Pest Control report as indicated above.
(1) The pest (s) to be controlled:
1//SUBTERRANEAN TERMITES FUNGUS or DRY ROT
(2) The pesticide(s) proposed to be used'and the active ingredient(s).
A. DURSBAN TC: Active ingredients: Chlorpyrifos
(0,0 -diethyl 0-(3,5,6-trichloro-2-pryidinyl) phosphorothioate) 44.0%.
B. TDABOR: Active ingredients: Disodium Octaborate Tetrahydrate
(Na2-B8-013-.- 4H2-0) 99.0%.
C. TALSTAR: Active Ingredients: Bifenthrin 7.9%.
D. VIKANE: Active Ingredients: Sulfuryl Flouride in conjunction with
JChloropicrin.
--- E. PREVAIL FT: Active ingredients: Cypermethrin 24.8% Inert ingredients
75.2%
(3) "State Law requires that you be given ';the following information:
CAUTION -PESTICIDES ARE TOXIC CHE�IICALS. Structural Pest Control Operators are
licensed and regulated by the Structural Pest Control Board, and apply
pesticides which are registered and approved for use by the California
Department of Food and Agriculture and the United States Environmental
Protection Agency. Registration is granted when the State finds that based on
existing scientific evidence there are no appreciable risks if proper use
conditions are followed or that the risks are outweighed by the benefits. The
degree of risk depends upon the degree of exposure, so exposure should be
minimized.
"If within 24 hours following application you experience symptoms similar
to common seasonal illness comparable to -the flu, contact your physician or
poison control center and your pest operator imTediately. (This statement shall
be modified to- include any other . symptoms of over exposure which are not
typical of influenza.)"
For further information, contact any of the following:
Builders Termite & Pest Control, Inc ................... (714) 985-9638
County Health Department - Imperial 760-355-1741, Los Angeles 213-240-8203,
Orange 714-834-7700, Riverside 909-791-2200, San Bernardino 909-387-6280,
San Diego 619-515-6770, Ventura 805-652-5916
County Agriculture Commissioner- Imperial 760-339-4314, Los Angeles -
626 -575-5466, Orange 714-447-7100, Riverside 909-275-3012, San Bernardino
909-387-2105, San Diego 619-694-2778, Ventura 805-933-3165
Poison Control Center ................................. (800) 876-4766
Structural Pest Control
1418 Howe Avenue, Suite 18, Sacramento, CA 95825 ... (800) 737-8188
Persons with respiratory or allergic conditions, or others who may be
concerned about their health relative to this chemical treatment, should
contact their physician concerning occupancy during and after chemical
treatment prior to signing this NOTICE.
NO CHEFIICAL APPLICATION WILL BE PERFORMED UNTIL SUCH TIME THAT THIS NOTICE IS
RETURNED. HAVING READ THE INSTRUCTIONS, I, THE UNDERSIGNED, WILL ACCEPT
RESPONSIBILITY FOR ALL THE AFOREMENTIONED.
BUILDER'S TERMITE & PEST CONTJROOL,ZIN� ��� License No. PR 3509
New Construction Subterranean Termite Soil Treatment Record
This form is completed by the licensed Pest Control Company.
This report is submitted for informational purposes to the builder on proposed (new) construction cases when soil treatment for prevention of
subterranean termite infestation is specified by the builder, architect, or required by the lender, architect, FHA, or VA.
All contracts for services are between the Pest Control Operator and builder, unless stated otherwise.
Section 1: General Information (Treating Company Information)
Company Name: BUILDERS TERMITE & PEST CONTROL, INC.
Company Address: 3305 E. Miraloma Avenue, Suite 17�ty: Anaheim
Company Business License No.: PR 3509 Company Phone No.:
FHA/VA Case No. (if any):
Section 2: Builder Information
Company Name: DCD Development Inc.
State: CA Zip: 92806
(714) 985-9638
Phone No.: 78-600 Highway 111, La Quinta CA 92253 760-771-5049
Section 3: Property Information
Location of Structure(s) Treated (Street Address, or Legal Description, City, State and Zip): L#: 9 T#:
79-763 Cassia Street, La Quinta CA 92253
Type of Construction: IXI Slab
(more than one box may be checked)
Outside
Approximate Depth of Footing:
l ) Basement [ I Crawl I I Other
1 Foot
Type of Fill: Earth
Inside: 1 Foot
Section 4: Treatment Information
Date(s) of Treatment(s): 05/19/2001
Brand Name of Product(s) Used: Prevail Fr
Approximate Final Mix Solution %: ' 25
EPA Registration No.: 279-3082
Approximate Size of Treatment Area:
Sq. ft.: 0 Linear ft.: 240 Linear fl. of Masonry Voids: Norte Noted
Approximate Total Gallons of Solution Applied: 85.00 Gallons
Was treatment completed on exterior? (XI YES I I NO
Service Agreement Available: I I YES IXI NO
Note: Some state laws require service agreements to be issued. This form does not preempt state law.
Attachments(List):
Comments: TREATMENT PERFORMED By RODDING AND/OR TRENCHING THE EXTERIOR TO PROVIDE A
CONTINUOUS BARRIER.
Name of Applicator(s): Rlgoberto Reyes Certification No. (IF REQUIRED BY STATE LAW): RA 11338
The applicator has used a product in accordan ith.the"Product label and state requirements. All treatment materials and methods used comply with state
and federal regulations. -1-7
Authorized Signature: A 151, Date: 05/31 /2001
Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. 08 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)
THIS FORM MAY NOT BE ALTERED. Form NPCA-99b(2/97)
Form VA -26-8375 and HUD -92052 are obsolete
i
Subterranean Termite Treatment Builder's Certification and Guarantee
This form is completed by the builder.
This form is submitted for proposed (new) construction cases when treatment for prevention of subterranean termite infestation is
specified by the builder or architect, or required by the lender, FHA, or VA. Treatment for the purposes of this form means
application of soil termiticide, and/or wood treatment, and/or installation of bait systems. Any treatment must be done in accordance
with applicable federal and state requirements.
This form is to be completed and issued by the builder to the buyer. It is not to be considered as a waiver of, or in place
of, any legal rights or remedies that the buyer may have against the builder.
FHA/VA Case No.:
Location of Structure(s) (Street Address, or Legal Description, City, State and Zip)
79-763 Cassia Street, La Quinta CA 92253
Buyer's Name:
L#: 9 T#:
The undersigned builder hereby certifies that a state licensed or otherwise authorized pest control company (where required by state law) was
contracted to treat the property at the location referenced above for subterranean termites. The builder further certifies that the contract with
the pest control company required the treatment materials and methods used to be in conformance with all applicable state and federal
requirements. All work required by the contract has been completed. Where not prohibited by applicable state requirements, the buyer, for an
additional fee payable to the pest control company, may extend the protection against subterranean termites. Contact the pest control company
listed on the attachment for further information.
The builder hereby guarantees that, if subterranean termite infestation should occur within one year from the date of final closing, the builder
will ensure that a licensed or otherwise state authorized pest control company (where required by state law) or other qualified licensed pest
control company will further treat as necessary in the infested area to control infestations in the structure. This further treatment will be without
cost to the buyer. If permitted by state law, the buyer may contract directly, at the buyer's expense, with a pest control company to inspect the
property on a periodic basis and/or use EPA registered products to control the infestation. The builder will not be responsible for guaranteeing
such additional treatment. The builder further agrees to repair all damage by subterranean termites within the one year builder's warranty
period. This guarantee does not apply to additions or alterations that are made by the buyer which affect the the original structure or treatment.
Examples include, but not limited to, landscape and mulch alterations which distrub the treated area and create new subterranean termite
hazards, or interfere with the control measures.
If within the guarantee period the builder questions the validity of a claim by the buyer, the claim will be investigated by an unbiased expert
mutually agreeable to the buyer and builder. The report of the expert will be accepted as the basis for disposition of the case. The non -
prevailing party will pay the cost of any inspections made to investigate the claim. For further information contact your state structural pest
control regulatory agency.
Type of Treatment [ 1 Bait System [ 1 Wood [X1 Soil (NPCA-99b required)
Note: Appropriate treatment record must be attached and listed
Attachments:
Builder's Company Name: DCD Development Inc.
Authorized Signature:
Phone No.: 760-771-5049
Date: 05/31 /2001
Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012, 31 U.S.C. 3729, 3802)
Consumer Maintenance Advisory regarding Integrated Pest Management for Prevention of Wood Destroying Insects
Information regarding prevention of wood destroying insect infestation is helpful to any property owner interested in protecting the structure
from infestation. Any structure can be attacked by wood destroying insects. Periodic maintenance should include measures to minimize
possibilities of infestation in and around a structure. Factors which may lead to infestation from wood destroying insects include foam
insulation at foundation, earth -wood contact, faulty grade, firewood against structure, insufficient ventilation, moisture, wood debris in crawl
space, wood mulch, tree branches touching structures, landscape timbers, and wood rot. Should these or other such conditions exist,
corrective measures should be taken by the owner in order to reduce the chances of infestations by wood destroying insects, and the need
for treatment.
An original and one copy of this guarantee are to be prepared by the builder and sent to the lender. The lender provides one copy to the buyer
at closing and includes a copy in the VA loan package or HUD insurance case binder. The builder sends one copy to the licensed pest control
company which performed the treatment.
Attached is a copy of the state authorized pest control company's service record
THIS FORM MAY NOT BE ALTERED.
Form VA -26-8375 and HUD -92052 are obsolete after 5/31/97.
JUL 2 0 2001
Form NPCA-99a
(1/99)
STANDARD NOTICE OF WORK COMPLETED AND NOT COMViE$ED
NOTICE - All recommendations may not have been completed. - See below - Recommendations not completed. This form is prescribed
by the Stuctural Pest Control Board, with whom a copy must be filed by company within 5 working days after completion of work under
a contract.
THIS IS A NOTICE OF COMPLETION ONLY, NOT AN INSPECTION REPORT.
79-779 1 Cassia Street, La.Quinta, CA, 92253
BUILDER'S TERMITE & PEST CONTROL, INC.
3305 E. Miraloma Avenue, Suite 173
Anaheim, CA 92806
(714) 985-9638 (619) 574-0990 (714) 985-9639 FAX
IREGISTRATION # PR 3509 (REPORT # 2760 (STAMP # IESCROW #
Notice of
Completion
Sent to:
Property Owner:
DCD Development Inc. 78-600 Highway III La Quinta CA 92253
33 105/19/2001
AFFIX STAMP TO
BOARD COPY ONLY
This is to certify that the following recommendations on the above designated property, as outlined in Wood Destroying Pests and
Organisms Inspection Report No. 2760 dated 05/18/2001 Stamp No.
Organisms Inspection Report No. dated Stamp No.
Organisms Inspection Report No. dated Stamp No.
have been and/or have not been completed.
Recommendations completed by this firm that are in accordance with the Structural Pest Control Board's Rules and Regulations:
1A
Recommendations completed by this firm that are considered secondary and substandard measures under Section 1992 of the Structural
Pest Control Board's Rules and Regulations:
Person requesting secondary measure:
Cost: $ 0.00
Inspection Fee: $ 0.00
Other: $ 0.00
Total: $ 0.00
Recommendations not completed by this firm:
Estimated Cost: $
Remarks:
i-
Signature
NOTE: Questions or problems concerning the above report should be directed to the manager of the company. Unresolved questions or problems
with services performed may be directed to the Structural Pest Control Board at (916) 263 2533, or (800) 737-8188.
You are entitled to obtain copies of all reports and completion notices on this property filed with the Board during the preceeding two years upon
payment of a $2.00 search fee to: The Structural Pest Control Board, 1418 Howe Ave.; Ste. 18, Sacramento, California 95825-3204.
JUL 2 0 2001
WESTERN INSULATION, L.P.
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: MIRAFLORES/PHASE 2
LOT #: 9
SITE ADDRESS: 79-763 CASSIA ST. LA QUINTA, CA
------------------------------------------------------------------
EXTERIOR WALLS @ 2X4 FRAMING:
MANUFACTURER: JOHNS MANVILLE THICKNESS: 3 5/8 " R -VALUE: R-13
EXTERIOR WALLS @ 2X6 FRAMING:
MANUFACTURER: JOHNS MANVILLE THICKNESS: 6 3/4 " R -VALUE: R-19
CEILINGS: BATTS BLOW
MANUFACTURER: GREENF/BER THICKNESS: 10.3 " R -VALUE: R-38
CEILINGS: (::BATTS BLOW
MANUFACTURER: JOHNS MANVILLE THICKNESS: 13 " R -.VALUE: R-38
GENERAL CONTRACTOR:
BY:
TITLE:
DATE:
DESERT CITIES DEVELOPMENT
INSULATION CONTRACTOR: WESTERN INSULATION, L.P.
LICENSE NUMBER: 794484
BY:
TITLE:. OD CTION MANAGER
DATE EMBER 16, 2001
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
79-763 CASSIA STREET
Bldg. Permit No.: 9907-318
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: CR
Owner of Building CATELLUS RESIDENTIAL
COMMUNITIES
Building Official
Address: 5 PARK PLAZA, STE. 400
City: IRVINE, CA 92614
By: GARY SHOWALTER
Date: NOVEMBER 28, 2001