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0010-081 (SFD)LICENSED CONTRACTOR DECLARATION 'T h?reby 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, ©ate f: Signature of Contractor t;-�LA '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. 7.044, Business & Professionals. Code). ( ) I, as owner of the 'property; am exclusively contracting with licensed contractors to construct the project (Sec. 7044, 'Business & Professionals Code). r. () 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 Sec ion 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 be completed if the permit valuation is for $100.00 orless). () 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 Codej shall forthwitFi comply with those p,rov�isionsyrr i dte:.1 t EApplicant �. d� 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 applicaton agrees to, & shall, indemnify & hold harmless the dli q 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'forinspectior p rposes: 41- ,Signature (Owner/Agent) s,t,, �+�-•- _ Date�.t�! BUILDING PERMIT PERMT# DATE VALUATION LOT <0010;001 .., TRACT l'e_7 .80 X62" 289160 JOB SITE• ADDRESS APN I �3 �� OWNER CONTRACTOR/DESIGNER/EN INFER Li:eM1 IX kRM"'s 1120 ". M X H.0 M, 8 , $280 WAMLOW (MY, PI.JrM, 150 2280 WPRD'LOW t„ . CE , VUIT1r-15 0 CORONA CA. 91120 :'ORO ;CA 91720 (909)279-4000 . ry1;z:k sm USE OF PERMIT 8MME 1;AWIX MM„al O SM,LOT 42 PLAN 4AR-PERMIT DOn, NOT MCGUE119 CUSTOM CONSTRUCTION M41100 OF Pi)R.f~"ATIO 454.00 SF MAORICA11.'PORT 1%4$4.80 NSMIATSD c°ow.r oro C0BMUar1 JN hi s I1 AM ME M-lMARY CIDN yTRUC5'10N FEF, 101.000.41€ -000 SU17.00 PLA -14 CHWK PEP 101-000--439-318 $593.15 VIc:HMICAC. %'ZE 101-000-421.00'1 $9�,11ts W.E:',^. R.1CAI� PER, 101 -006 -420 -WO 1'ldUMBINO "It 101.=-41R-000 STRONOM(y'PION ME- R.b:SID 101-000-M-400 $95.43' ORAD I34O ISN 101.000423-000 $20.+06 INFRASTRUCTURE FEZ 223-000-443-342 01,907.00 ART FN PUBLIC PLACM - ME 11.701 400-Mn000 $10,71 £1 MI -TOTAL COAf9M13-Cl ON AWD 1"';LAX CIMM $4,192.2-7 Liza -PAM TMO $0.00 .'�OTALIF°I�:�Wr1'M'DO"Z HOW $4,792,27 RECEIPT DATE _ BY %'� DATE FINALED INSPECTOR j / 9"_:l INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings GiN� __ Slab Grade Steel Roof Deck/��i O.K. to Wrap ll� tf4f ��_ _ /1�7_ - Underground Ducts Ducts Return Air Combustion Air Exhaust Fans t F.A.U. Framing Compressor Insulation` b- Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Walt Firewall Exterior Lath r7D11 -•Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines _ �� 3 Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Sewer Connection�2l _ !j��a Pool Cover Encapsulation Gas Piping Gas Test/rf�p , _ Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G. F.I. Smoke Detectors Temp. U$e of Power Final Utility Notice (Perm) -` ' CENTEX'" OMEN SPANISHBAY ®PGA September 11, 2000 CITY OF LA QUINTA ' . x -78-495 Calle Tampico n La Quinta, CA. 92253- -To Whom It May Concern This• letter is to verify that all of the O'Hagin Ventilation System vents for clay tile applications are installed correctly and within all manufacturer's recommended specifications. r ` Number of O'Hagin Vents Installed..:-.+ „ Lot Plan # ' Phase # t ,•_ Tract # .28960 ` Sincerely, . Sr. Field Manager , }X'` . 4 ,. RPR 30 2001 3 48PM SCHMID CONTRACTORS:.., 347-,1897 .T P.9 e::smz;>gra_w.ri�raierrrawvsu..:a�.s�rr.., cwsragar.�rorvi:om,�•.oF+nx�mn::a�:.n,oip,,..•r,.•.,,.,.,-.-•.r.a,o:....,�x.>....,a. ;,. M,,,., ...... ._... ......._._.�__- --- - �y - -- INSULATION CERTIFICATE This -is to ertify1hat insulation has been installed in, conformancewith the current energy regulation California Administrative Code, Title 24, State of Cefifomia, in the building at PGA WEST = PHASE 4 — TRACT 28960 LOT 62 'CEILING; TYPE: Fit mess BATTS MANUFACTURER: Owens/Corning THICKNESS: R-38 12" -TYPE: Fit )rglass BATTS MANUFACTURER: Owens/Corning THICKNESS: R-3812"' BLOW' WALLS: TYPE: Fl. erglass Batts MANUFACTURER: Owens/Coming THICKNESS:R-13 3:142" G NERAL CONTRACTOR: CENTEX HOMES LICENSE: BY: TITLE: SCHMID JSULATION CONTRACTORS, INC. LICENSE #22'517`:,' ;C'=2, By. TITLE: PRODUCTION MANAGER DATE: 04/30101, '::Nmva•.�.��su�+na+.en,;+vrrrwiu.riMrn.. ;r.�sYraoaigm:rusoxcs: rrrzra�s�deua�nraaa��.suruntr!.ercad:ntt�nzarrm�c�rar��<war.n;�sreiar,.r.•,err«r�nerw-rv;a-m-rp.�:aws.�wasw u�y;+:..v..svavr..cv�:auans�;r,:acs..w.r -_-._._.....__._____..__._._..-........-......�.....�.,.,�.,.,.......:�...........:......�..:........r....a::....:crn✓�i.-�::s�'u..mnnru.AYSN;E.A'[,ISU•th;u.'irR:H^.N.o::.':T.y :9.ASOI:F66llVi/%X'�B.%ifG:�fiaC.+M//.-m, c.=vc,:_ro:r�.a•cs•ura�.•-.-r......-.�.-,...-._...__.•_.^_-�__.__.-____-._. _............. INSULATION CERTIFICATE This is to i irtify that insulation has beer! installed in conformance with the cdrr8nt energy regulation :-.alifornia Administrative Code, Title:24; State of California, in the building located at v OG4 WEST - PHASE 4 — TRACT 28960 . LOT 62 CEILINGS TYPE:"Fib rgless, BATTS MANUFACTURER: Owns/Coming THICKNESS: R-38 12" TYPE: Fit; irglass BATTS MANUFACTURER: Owens/Coming THICKNESS: R-38 12" BLOW WALLS: TYPE: Fil .arglass BWs MANUFACTURER: OwenslCorning THICKNESS: R-1331/2" GENERAI CONTRACTOR: CENITEX HOMES LICENSE # BY: TITLE: SCHMID I ISULATION CONTRACTORS, INC. LICENSE #221517 C-2 TITLE PRODUCTION MANAGER DATE: 04130/01 . �Ya .Y:t?WW!irY:�A):O iv:Q .pf �aY,Y1'nr•'? :.OA1 t:1C:.U:%Sf:lY:iHK�iM�A"iF�..OSJI;tI/.6!+.aWY.`L'Yl'4.�•W]TMly:UaMtJ:4Y6:'AXOLIL'K<V•is<'b�i1Rd,'2�'1VJ.^.tl',.'.J..f:t�.C�.Yds"JX4l/,a17J°e?O.dV11..;:Y�I,N,W.:.a" �^a :Y Certificate of Occupancy City. of La Quionta 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 bqi/ding construction or use. For, the following: BUILDING ADDRESS:. 80-751 SPANISH BAY Use Classification: SINGLE' FAMILY .DWE.LLING Bldg. Permit No.:0010-001 Occupancy Group: , R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: CENTEX HOMES Address: 2280 WARDLOW CIRCLE, STE 150 City: CORONA, CA., 91720 �By: DANIEL P. CRAWFORD JR. - Date: 7/19/01 Building Official,, , POST IN A CONSPICUOUS. PLACE Off,