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0207-201 (SFD)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 ID'ate f (� Signature of Contractor k OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contracfor'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: Carrier YAt11F1C. SW1 C7 Policy No. VLR 043084118 (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 theAworkers' compensation provlsior snoflISection 3700 of the Labor Code, Lshall ` drthwith comply with those prjv�ll� ris. Date: L, LA � 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 pursuarit 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. r 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 author ealrepresentatives of this City to enter upon the above-mentioned property forinspe`ction purposes. Signature (Owner/Agent) ='1 f ? Date = BUILDING PERMIT PERMIT# . DATE VALUATION LOT - TRACT r 4�M iia�ili�, q?. 1 r %934113 'i JOB SITE ;ADDRESS APN OWNER CONTRACTOR / DESIGNER / EN (NEER TGWU, �b%�S rkumv b1C TULL ERCiii*I d'9111a 74.923ROVEL`CLANE EAZTf SU= -220 74-523, HOVJU.; "L.s<WFUMOT SU=2-220 PKLM' DESERT CA 92260 Ml':.M DIE SKPI " CA 92m, (760)674-9659 L,`,K* 3832 USE OFttttPERMIT T SFD - LOT 29, PWIDIZA w. C.ASIT ., PPI'MIT i}K?izS NOT i.NCLtUDE RWIX WALLS, € 04714 SPA OR DRIVEWAY APPROACH. 4-0.. PORCHPALT..110 44Z.00 SF f4AYa A.G1�1C.d�,IES't'�it T i3f3:t)A ,;>ir �" & COST OF C014Is �UC7-TON "1392 'IV WNSTRUCT 1041 FU, 101.000W413.00V ;1403.00 PLAIN CHI! "K PRE, 101-000-439-.319, $1,08515 MECHANICAL FFi 101, 000-421 -000 ' $140.00 HLEC TWCAL PEE 101s000-420-000 $101150 00-419.000 PLUMBING FIT 101-000-419-000 STRONO MC?'.I' 014 FEE • 11231D 101-000.241-000 SAW O ADIV,1 FEE 101.000.4.23.000 $.15.00 OE'6y 1U,O,P?JZ IMPACT FRIE tk4l)5.150 AV IN PUALJC F'1AAc.`l..0 - XWE 2s0-000-44.5-fl'00 kTUB-'A: TAL CQ:trlMLi'MON AND PL CT3WK $45,631.17 1=33'1k�.Ali� 1C~ii �it,Ais SEP 2 5 2UU2 CITY OF LAQUINTA FINANCE DEPT RECEIPT DATE BY DAT F ALE INSPECT Im INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade M MELReturn Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap A IA,,n F.A.U. Framing Compressor Insulation 3 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath 41 Final D Final 3 BLOCKWALL APPROVA S 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 7`=✓–/ 7 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 Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power 8 Final = Utility Notice (Perm) COMMENTS: INSULATION CERTIFICATE This is to. certify that insulation has been install6d in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the buildinglocated at - 81 G30 t:61.63© Tiburon Drive, Reserves @ PGA West,lot 10, La Quinta, California CEILINGS. TYPE: BLOW MANUFACTURER: CERTAINTEED THICKNESS: R-30 WALLS: TYPE: SATTS MANUFACTURER: CERTAINTEED THICKNESS: R-99 GENERAL CONTRACTOR: Tell Brothers, Inc. LICENSE BY: TITLE: PARAGON CHMI ING PRODUCTS, A MASCO COMPANY LICENSE # 632072 BY: TITLE: ADMINISTRATIVE ASSISTANT' DATE: 4/30/2003 P. INSULATION SL® O ET{e7 grygay_ qyp " I This is to certify that insulation has been installed in conformance with the current I�nePgy regulation, California Administrative Code, Title 24, State of California, in the building located at: s 61-635 Tiburon Drive, Reserves @ PGA West; Leat 29, La Quinta California r' CEILINGS: ; r TYPE: BLOW MANUFACTURER: CERTAINTEED THICKNESS: R-30 WALLS: L� TYPE: B,ATTS MANUFACTURER: CERTAINTEED THICKNESS.- R-19 i; f GENERAL.CONTR,ACTOR: Toil Brothers, Inc. LICENSE # s BY: -- TITLE: PARAGO SC ID BUIL ING PRODUCTS, A MASCO COMRANY LICENSE # 632072 p ; r ,< BY: TITLE: ADMINISTRATIVE ASSISTANT DATE: 4/3012003 a v i '"?«.:nom .�ri..:.�rvr:.r;�w::..:�,��,..�;+,.,.�.�..�,».�ti.�-�.-�.:.vee.��.s:�<rarvsrvuar:.►rx>ew.-rru.•w.✓�rnrasrr�ni!�:�rr<,r:.visaars.�r .. ...srev.•�.o.o,o,oe.,ovo.r.o.�o.�.uuw .mru�?" Toll -,'Brothers,GInc. r Quality'H®mes bylyesign° August 8, 2001 City of La Quinta Building & Safety Department P.O. Box 1504 La Quinta, CA 92253 Fax: 777.7011 Re: Lot # �9 Project: Vistas (Tract # 29349-1) -or-Reserve (T act #29348-2) (circle one) To Whom It May Concern: This letter serves to advise you the O'Hagin roof vents. have been inspected by the Toll Brothers' representative.' The, vents are as per plan to our satisfaction. Should you require any further information, please let us know. Sincerely, Andy Fraser Project Manager Toll Brothers@ PGA West 74-923 Hovley Lane East, Suite 2-220 Palm,Desert, CA 92260 760-674-9699 Fax 760-674-9081 'roll rothers9'Inca (duality Homes by Design® August 8, 2001 City of La Quinta Building & Safety Department P.O. Box 1504 La Quinta, CA 92253 Fax: 777.7011 Re: Lot # Project( Tract # 29349-1) -or- Reserve (Tract #29348-2) (circle one) To Whom It May Concern: This letter serves to advise you the O'Hagin roof vents have been inspected by the Toll Brothers' representative. The vents are as per plan to our satisfaction. Should you require any further information, please let us know. Sincerely, Andy Fraser Project Manager " Toll Brothers @ PGA West 74-923 Hovley Lane East, Suite 2-220 Palm Desert, CA 92260 760-674-9699 Fax 760-674-9081 ' t'1t1. q Al Miller a sons Al iVlens ttiotiiit; Roofinglnc, bll-76oiltcrSununSuLirt. Phone: 7f0/;��f,-�2Z.� Cathcclral Cily, Ca 92'23.1. F kIX.' 760/321-7097 WimiLo 'Gary / Awly(W7, 611 B utllej5]'CGA West F, &Xo 777-1.5.9E From; Ru s Miller Date: , 2 (/C) 3 Ike. Inspection Z$ Pages: 1. Gary / Andy, We have inspected all the Roofs at PGA Vilest (Vistas and Deserve). All vents are installed per the G'Hagin: spa-cifications and per your plans Thank you, Russ Miller ' ', � ` � {.. ,,:t a h� �� i • '��•+ •t"` 'J� 1 ' - � .i' ., �. r`s ). - ,r. _ r � v ' a. � '� • r o i�4'.' _ 'rte. `- f+, �a� C .!• �� CErt�ficate. ofF. O:ccu a n c - '•�• 4 . - -, yr iY +ST ��, TO,`� • � ,RI t - - 1 •.Yl. � J AV . Bu�ld�ri & Safet r Department * , �l' G • �.>_, C f f 1, �•,��.{ � - a � � •. y r r ^\ ,. '. I l � �, � anG� fy v. � �� - N ... ter' x _ . ir+ a t • •' F - r .. ' �' y This Certificate -is.issued- the requirements of•Secti ' 109- of the California: Building , `ACode,,;certifying, that,T 'ate the 'time of` issuance, this' ;structure" wa`s compliance With the , .'in y provisiorist�of. the Building Code.arid the. var`ious'�ordina_nces`"of rthe^"City regulating'`ib"uilding , construction and/or TIBUROWDRIVEr j•� - t s'BUILDINGsADDRESS'.81�=635 Use, SINGLE FAMILY DWELLING ' `} �` �'• °, f ^Building Permit'No.: 0207-201 classification: -; ,� �7y-•- •ti{ ��_/ i3. r�.]r.M1,' y Y, M1 1 1 � •[ 4 \, f ` i --v t'•�, - fYJ4T uL'��i .- �... -�� � : %Occupancy Group: R-3 a �' 'Type.of:.Construction VN. �;Larid'Uselone RL- • ry' �v -.. �. `•�- ' � ti , � .,,r v i -� > Y-' F �' '� .r :1; "y a -. 4. r _ _ ,,,a'., i ., • � 'y=" 15. { ,K r r �'`✓F _, • r •- '� ^io �'• - � .J G :'' r' � •y � R. � r � � r - � r "• � � z = �', f ' . 1tt t ---L �' - Own& of. Building:- TOLL' BROTH ERS;INC , : r , - -;; Address. 74=923:HOVELY LANE ESTE 2-220 , , y , ,.. • �, _, City;,ST, ZIP: PALM DESERT, -CA 92260 �.�.. L.i �' ary v `' x ` 'P. Jr. r` F �:' �• B Daniel. Crawford n �.. �t•'i `..�� .�) 1 !M'• V' .y. � } ..� t�.. ., , I.`. ' :i'�r L[• .] n. �, ry .r �Y d - :'�,. .� • -y . +. r �. -Date: 6/19/03 / r ,.r Building Officials , r. = _ , �� yF_ - •:, 4 ` �'`, :S •_ 1 ' „ '_`�T "� [ YKi • r ti ' 1 SL" r .,s - Y- - y - ` Y� 1 i . , ..POST' IN A CONSPI' u6u PLACE - ' ', � ` � {.. ,,:t a h� �� i • '��•+ •t"` 'J� 1 ' - � .i' ., �. r`s ). - ,r. _ r � v ' a. � '� • r o i�4'.' _ 'rte. `-