Loading...
0201-237 (SFD)LICENSED CONTRACTOR DECLARATION t I hereby affirm under penalty of perjury that I am,licensed under provisions o :. +'. 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 7776'99 13 4/'JlU2 ''Date°��r 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: ( ) " 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). _ - ' 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. 1 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 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 provisionsof Section 3700 of the Labor Code, I-shall,forthwith comply with those=provisions. Date: 4, �" Applicant— Warning: pplicant A�r" ".f 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 r" r 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 agree to comply with all City, and State laws relating to the building construction, and hereby authorize�"Yepresentatives of, this City to enter upon the above-mentioned property for �pecctioi purposes' ,1 / Signature (Owner/Agent) f '�' �' Date`s J•`- . rr . "^ BUILDING PERMIT PERMIT# DATE VALUATION LOT. y�^.:moi TRACT 714410 2 9-34S-1, JOB SITE "' APN ADDRESS .7674%304X2+4 OWNER Q/- SGjQ CONTRACTOR / DESIGNER / EN (NEER TOLL BROMEW pare". DOLL L gbzolip O, W 74-9231 140VELY'LANZEAST SM -192-210 _ 74 -92 3 e ALM:.b SZf C,A 92260 PALM 11-M .1 CA 92260 • 1 (760)6674-9699 - an,t', tian USE -OF PERMIT SINIMM, FAMiC, ',DWfr�.f nTQ 551117 4 LOT 6►VE+,1•i'4'ANA • PERMIT DOM t4M INCkdTiJ1±: I31.00K W:AL,f..S, POOL, SPA,, OR DRIVE A,Y .APPCbOACH CUSTOM CONSTRUCTICiN Qi?.00 Sr,, P'ORt;;'1.,'P,ATIO 514,UO 5F O_.rA,l�.l§.�4RiC`.•.t'Ik�`Piil�.'F %19ti.t�D .�� ' m'3".��`obl:OF tom{ MSWRI7�'.fiY.Off 336,714,10 . _. �' g�p,,y�. ygyyy; '}7�g� ��F1;16711K Iy,CA.L:-CWff, D l'kW CJri'A.L��A.6� KE Y CONSTRUCTION FW 101-000-418�000 $1069100 PLAN Ci'.•IYr-K N?,H 101-000-439-318 $1,A66.12 MEX-H ANICAL PER 101-0004,21-000 Fo1,.FW R1OAY.PN..,';'. 101-000420-000 isf,UMf31NO VVIE 101.000.419.000 $t$x,56 • STRC H0MOTION F ER - iiESID 101 -WO -24I.-000 -000 $W.67 GRADING FPO', rig'. )01.0©+1-42�-000 Sw4.Cfl 3�.�~r:Z".4�'�L:, •���� $l,�i}100 ART IN PUBLIC= - RMWE 270.000-445-000 $3�4t, X9 fo �rA7"A{J'1ar7 L 5.i`4?.d`C it.6P.Gl\i.LdM AM) PLAIq LiF-JSS1.nK r.Pl,api•�c,�A.�� .fir ,Zv..1�., s ��'t-Pp lA �' +' z $,0..!•?�0 A a f p - �.•.--- ® - S d.Tal f.7?..l r M.s DUE ,1`1 �t' YY ,.¢7 , ..' [ut „ ��q,^l00, f 0 FEB 1" 4 2092 t s. Cffvnw:LAQH11XTA.- R CEIPT �O�b BYm "'� DATE FYQALED INSPECT 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 p Exhaust Fans O.K. to Wrap ✓J _ F.A.U. Framing v Compressor Insulation OZ 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 POOLS - SPAS BLOCK LL 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 Waste Lines / d Electric Final Heater Final Water Piping,. v r 'd � Plumbing Final _ _ _ Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Sewer Connection _ /� � Pool Cover Encapsulation Gas Piping Gas Test _ Appliances Final COMMENTS: Final Utility Notice (Gas) v/ ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring _ _ - — 3 1 - Low Voltage Wiring _d Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) �v INSULATIM CERTIFICATE SEP 2 3 2002 ' 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'at (-81-590 Tiburon Drive; t-206, a Vistas/PGA West, La Quinta, California CEILINGS: TYPE: BLOW MANUFACTURER: Certainteed Thickness: R-38 WALLS: TYPE: BATTS MANUFACTURER: Certainteed Thickness: R-19 GENERAL CONTRACTOR: TOLL BROTHERS, INC. LICENSE # BY: TITLE: PARAGON SCHMID BUILDING 'PRODUCTS, A MASCO COMPANY LICENSE # 632072 a. B��=`-��— --ir— TITLE: ADMINISTRATIVE ASSISTANT DATE: 9/11/2002 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 81-565 Tiburon Drive, Lot 235, The Vistas/PGA West, La Quinta, California CEILINGS: TYPE: Fiberglass BATTS MANUFACTURER: CERTAINTEED THICKNESS: R-21 WALLS: TYPE: BATTS MANUFACTURER: CERTAINTEED THICKNESS: R-11 GENERAL CONTRACTOR TOLL BROTHERS, INC. LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE #632072 TITLE: ADMINISTRATIVE ASSISTANT DATE: 9/11/2002 j i I miner son Miller Sc Spm Roonng Roofing 6a;760 Summit Dr. Phone: 760/3 ]6,121.4 inn, ,c ath�dral Gily, ca yz�a.i �'�ix: 760/311-7097 rfix Geary / DIY' @ bll Bmtli s PGA West Fax: 777-1.5%, From: Rus`s`Ailler Date: InspeOiv6, .Pages: Gary-/ Andy, We have inspected all the Roots atPGA1N-est (Vistas and Reserve). All vents. are fristaaled per the Q'Hagin specifications and per your plans Thank yeu, Russ Miller gall loth (Yers,.,. c. QUillity Homes by Design' u.giist 8, 2001 City of La Qulnta Building &-Safety Department P.O. Box 1 504 I-a Quinta, CA 92253 Fax.- 777.7011 Re: Lot # Zp(.1-0 Project: <i� Tract #29349-1) .-or Reserve-(Tract #2,9348-2). (circle one) To Whom It May Concern: This lever serves•to adviseyou the O'Hagin roof vents have been inspected by the Toll Brothers' representative. The vents are as per plan to our satisfaction. Should you requlre,any further information, please let us know. S incerely; Andy Fraser .Project Manabei Toll Brothers @ PGA West 74-923 Hovley Lane Easi., Suii' 2-220 Palm Desert. Ci:12 �. 2.6f1 Certificate of Occupancy City of La Quinta Buildingand SafetyDepartment This Certificate issued pursuant to the requirements' of Section 109 of the Uniform Building Code, certifying that, of 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: 81-590 TIBURON DRIVE Use Classification: SINGLE FAMILY DWELLING. Bldg. Permit No.: 0201-237 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: TOLL BROTHERS INC Address: " 74-923 HOVELY LANE E STE 2-220 City: PALM DESERT, CA 92260 By: DANIEL P. CRAWFORD 'JR. bate: 10/25/02 Building Official POST IN A CONSPICUOUS PLACE