9806-242 (SFD)LICENSED CONTRACTOR DECLARATION
(,J 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
69,7101 t3 - 10131 i98
tae ',/ Y Signature of Contractors'?
ell' 1
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). ,
() 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:
CareerPolicy No.
(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
C9de, I shall forthwith comply with those provisions,,
.,Date: "ri,l %'°✓ Applicant r� .f• art` r a
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall .subject an employer,to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on •his•
application.:
1. Each person_ upon whose behalf this application is made & each person at w
-whose 'request and for whose benefit work is performed under or pursuant to `
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agfee to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
i nature (Own -,/A ent) s,'% fS�'7'IF rf' Date s^f�
PERMIT #. CONTROL #
BUILDING PERMIT
pp ea
DATE VALUATION S�ik ,i %. 4F LOT d
TRACT 1t02
V
`1
�G Q
JOB SITE f, r
ADDRESS 44+e _ 1.,:$h..r�t' "
APN
r'ii�ii7i-llte7
j �rL�it..��.�;,
OWNER
CONTRACTOR/DESIGNER/ENGINEER
O[:1:1'ii,Anl"C.rlhla ti�� ;1.,i,tAx;'iS ASKC-,� RIC.
01U1T111jV%NT.&,ND 41110AJA141 -A.SSOC., INC.
77.900 AVE.- OF THE g i jUt' S
> <-9a) AVE. OF.Ni V: TAI"ES -
PALM DESERT CA 97f 11
PALM DE11.4 Wr Cil. 9221A
(1641)345-204,6 C BL#r''
_
USE OF PERMIT
ISM
S O - P14 J., LOT 42, PLAN YCTi. PFN A41T L)O S AIOT ffqCLUQ..0 .lit OCf
WALLS nR'k'(X . PLAN GRECK. FI -f, RWL)CM) 750/,3 FOR M11'3L'1'lPi: 6
ISt', TAMC C OV $AMF.. FLAK .7YPT.
a ZjkC1 COlvr'TRLfC110l'V
°e+ORCHIPAT-1-0 S:y.iit! SF
0ARt1?WCARP ORY t9f.QEi tris
r
1f " TIMATED tl.>°"7 OF Mid.4ti tB?T:T.$ 31V
f fy 7.: 1
FRE, SUMNIARY
CIONS'IT:ttJt-TIPP,f FLEE 101-01OD-41,$-000 36s7.00
[rAN(fMKK'Fx-, RN -00 -1-39-31R',, $140,19,
AIEC;J:L'1NICAL 1``U ; 101-00/6-421 000 217.530
t41Cf11., PEE $128,18
.
;w9,UA4113ING FEE 101-000-419-6100 5,188.73
rl't! int 4 MO'T:4�?(tii 4 t� - ItE"s,S1:�J A01-()(1ti 4i -000 WAS
(AR. DY11110 FER8. 10 1- W 42_ �000 � $ o.00
P REX,313113 V11. AN
A.;�`t trt 1.�1_I131.x I.A ► �, fz:I?f0j' 10!-OW255.0 )f
< t LESS PI'CT -M6:HE8
SO; 00
RECEIPT - ..
DATE
BY/ `�
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
Exhaust Fans
O.K to Wrap /2— — Ck 7
F.A.U.
Framing / /
Compressor
Insulation44141
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROV S
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final 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
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Law Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G. F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
1tiyltaAs
v� -�Ac.
GGl P
Gvl. Q.SS -
August 23, 1999
Desert Accents, Inc.
42335 Washington Street, Suite F-120
Palm Desert, CA 92211
Attention: Dave Christiansen
-RE: Sonrisa O'Hagin vents
Dear Dave:
Enclosed you will find your copies of the letters sent to the Sonrisa homeowners regarding the
roof vents to be installed. Please contact the .homeowners prior. to installation so that you can
inform them when you will be at their respective. homes.
If you have any questions, please feel free to contact me.
Sincerely,
Evan C. Matzner
Project Manager
cc: Wesley Oliphant
Wayne Chenier
77-900 AVENUE OF THE STATES • PALM DESERT, CA 92211 • )760) 345-2626 • FAX )760) 345-5501
_ �l1'�lA�S
�P, CaP��S,1�G
Otil4 p,SSO
August 20, 1999
Mr. and Mrs. Geoffrey Johansen
44-820 Calle Placido
La Quinta, CA 92253
Dear Mr. and Mrs. Geoffrey Johansen:
As a result of a recent review of our subcontractors scope of work on Phase I, we became aware
of an item that the roofer overlooked during the construction of your home. The items which
were omitted are `the roof dormer vents. For appearance reasons, we elected to upgrade from the
traditionally larger dormer vents to a less noticeable O'Hagin roof vent that is shaped like a roof
tile and is much less visible from the ground. The O'Hagin vents were installed on the models and
two production units, but not on the balance of the production units as a base stand d item.
?R5 71-
As this time we would like to install the O'Hagin vents over .the next 3 vS. The work will be
performed by the original roofing contractor and will not affect the warranty of your roof in any
way. The work is estimated to take 4 hours per house. Access for the work can be gained from
the front of the house and will not require you to be home.
Please contact me if you have any questions or concerns and I will be happy to discuss them with
you.. Otherwise, we will be moving forward with the installation. You will be contacted at least
one day prior to any work commencing on your home.
Sincerely,
Evan C. Matz
Project Mana er
cc: Wesley Oliphant, Oliphant and Williams Assoc., Inc.
Dave Christiansen, Desert Accent Roofing
Wayne Chenier, Project Superintendent
77-900 AVENUE OF THE STATES • PALM DESERT, CA 92211 • (760) 345-2626 • FAX (760) 345-5501