0201-238 (SFD)LICENSED CONTRACTOR DECLARATION . I
I hereby affirm under penalty of perjury that I'arri 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
y,.
4130/02
Date"' /�� C /%, Signature of Contractor e
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:
Carrier Policy No.
P.+ACYPIC EMPLOYEM, WLR C4308019
(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 Californiayand agree that if I should become
subject to the workers' compensation pr'6is o/ns of/Section 3700 of the Labor
Code, I shall forthwith comply with those pro6ls0r:
Date: - 1.4-Applicant/-•��
!.. .�V—
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. s
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 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,fand State laws relating to the building
construction, and hereby authorize„ -'representatives of this City to enter upon
the above-mentioned property for ins ectign purposes.
Signature (Owner/Agent) ''�jf Date v—. , 0=w
BUILDING PERMIT PERMIT /t
DATE'-,:'.. '� � VALUATION LOT q�) 0201-238 TRACT
JOB SITE'',
ADDRESS
APN
lea $E13'�"$.'�17f1 °cC3.B� 93i{ Vii
Tib? -&VY- -26
OWNER.-\,
CONTRACTOR / DESIGNER / EN &NEER
11Y)LY, BR OTHFM il`iC
TOX.,1-•:Fi2"LO•?' ERS Sac'
"14 X97,3 Ms/MY LA14B EPV i T,l`M-224
74-923 HOVELY LAW. F -.A ' SUTY 12 220
PALM E)&moi' CA 92260
PALM DES. r CA Y22€0
(760)S?4..96t (; S832
USE OF PERMIT '
a
WD - LOT 2�, QY.iFAI'%UbkA PUR41T x3OYS'NOT INC:UIDR Edl.=K: –
WAL1,9, P004 SPA 0R. DkYlVEWAY./,6P€'RCSA08
CUSTOM CORSTRUCTION 3,412:90 3TC
PORCii1Pa' TIO 320.00 3F
t Ali AC} E/C,ARPORT ft04100 S:F
�..,S'I ""'. CONT OF COrTiS•MUC:1:1C7.��+"
21154W.20
CONSTRUCTION %Y,M.S(i
iii. KH COY' YC.1C: i ?%P 1101 -000-4"-318 91.103723
MEC:HAY ICAL FER 191-000421-000 $0.60
1V,h7°TWC;A1.?'LE 101&00 + 20.000 S188:00
PLUMBINO FEZ 101-000419-000 $180.90
STI2£�iC311 OTION E n RESID 101 ^000-M 1-fOQO
GRADING FF`S 101-000-423-000 �26.1i0
10ZV*Z,LDPF,,R IMPACT VBD $1,"7,00
KU rN PUBLIC FL/iCM -
SiUM�MTALr~Ok b'XZ::GIL:"1`10H AND PY_lI.AI' +CMr&
L a a :PPAb)FM
$0.00
''A:.Ti'�.s YI4.�+L'�s
tFEB14"2002 .
tINTA
RECEIPT FIIVA0,AC t BY
DA r�A
SPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
TINSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
A
Combustion Air
Roof Deck
S 7 0
Exhaust Fans
O.K. to Wrap
��
F.A.U.
Framing
_ _
Compressor
Insulation
Vents 1
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls'
Party Wall Insulation
_
Condensate Lines eo
Party Wall Firewall
Exterior Lath
f
Drywall - Int. Lath
?
Final
-
POOL -SPAS
BLOCKWALL APPROVAL
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
- �Q
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Sewer Connection
�� _�� �D�ftJ
Pool Cover
Encapsulation
Gas Piping
Gas Test
ZE7 bZ
Appliances
Final
—
COMMENTS:
Final
_
r —
Utility Notice (Gas)
ELECTRICAL APPROVAL
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
t 1177
Final
Utility Notice (Perm)
Al Miter & Soni
Al miller Sc Sons Roofmg
RoofingInc, s;u'-Iso Sununu lir. hhOrie: 760/34f)-121.4Cathedral c,ily, crt 92234 Ftix: 760/321-7097
FWiMiLo. 9 i 6e-�, :.-S—
`.t'cx G-il'y / �ctygTO11 B Utllev k'�TA'ylTest
Fax:. 777-:15
.n
F 4 r��ry
From; Russ'°biller;
Date.- /Z/PF
i3�n2'" t
Re: 1nspec,tiori-.N, . 2.8 ���� •
Pages:
Gary / Andy,
We have inspeall the Roots, at. PGA West (Vistas and .
1 � t £ .
Reserve), All ve"nf ,., dare installed per the O'Hagin
Specifications and,*pee your plans
Thank yop, R`
Russ Miller :.
gall "r others Gjne.
Quality Homes by Design
August 8, 2001
City of La Quinta
Building &Safety Department
P.O. Boa 1504
La Quinta, CA 92253
Fax.- 777.7011
Re: Lot #
-Project: Vistas (Tract # 29349-1) -or- eserve Tact #29348-2) (circle one)
To Whom It May Concern:
This lever 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 fu -ther information, please let us IQ -low.
Sincerely;
Andy Fraser
Project Manager
Toll Brothers @ PGA, Nest
74-923 Hovley Lane East. SUlte 2-220 Palm Desert. CA 92260
1. .,:/.., r.•:r<.rrc/.-<r:.:•r:.aram,:r/..:�/r:r.vvriJ•'.•rr.-inn•::,nv./..".•,rirtvi"�u.vo%rrr/i/:/r-uYsun/aii`/r/v,.::`rrr::%.r/r:r;•/.-nv:/a/•v.r;:.:.v�/dyF.:::<n•.•. x.::. �./r: v.,: :.. ./.. ::-i:•:,; .://t -//i: r.%i%nY�
INSULATION CERTIFICATE r
This is to certify that insulation has been installed in conformance with th
e Current
energy
regulation, California Administrative Code, Title 24, State of California, in the building located at:
81-645 Tiburon-D.r vve,-Lot-28; T ee-Reserves @ PGA West, Rancho Mirage, California
CEILINGS:
TYPE: BLOW
WALLS:
TYPE: BATTS
GENERAL. CONTRACTOR
MANUFACTURER: Certainteed
MANUFACTURER: Certainteed
TOLL BROTHERS, INC.
Thickness: R-38
Thickness: R-19
LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE # 632072
BY TITLE: ADMINISTRATIVE ASSISTANT DATE: 4/18/2003
:.�/.rtl:ir.•../r:/%^/P/.'/�Nid./ ///r:a%�/TiJY%f/J%isfifi:%F///F/.Yi>%�.'d/C I'l/i'/.: /!'/1.,!://:r/!/.`ie-//%'/1�,:i�.."li :!moi✓'//'%%r;rr/N/.n%:/eF/FiJ%/F/.l///A%S.li`i'�':J:!4'.F`.!/+'.`fi ei%.:/.T/r/d%r!/.`/llri: /.r:.%: /I:�
::/:/+"%'r:�/: :: i•%-:,rI,+/• /: r..I'/'i 'ir/:/'�i^l:./�'%.�/,�%'/'/rl.•�..:`:%!/.•%.'/•:I-•.%/n'/.'/).'/•:.r:'r:/.:'/.i/%/Sr.:I:%:+./!:>•;'.:1:./.'r/'.i.�.�/.!/,:r::/.;/:/.•/r! /'%r/:rt/i'i ::/.;i •/'./.•/'/'%'fi'% Ir.'%:l'./•::�.1..,::. �:1"/.':�'%/:1I.
_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:
81-635 Tiburon Drive, Lot 29, The,Reserves @ PGA West, Rancho Mirage, California
CEILINGS:
TYPE: BLOW MANUFACTURER: CERTAINTEED THICKNESS: R-38
WALLS:
TYPE: BATTS MANUFACTURER: CERTAINTEED THICKNESS: R-19
2
GENERAL CONTRACTOR: TOLL BROTHERS, INC. LICENSE # �!
BY: TITLE:
.i
PARAGON SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE # 632072
TITLE: ADMINISTRATIVE ASSISTANT DATE: 4/18/2003
ir,-....r/:=,•coa;c/vipc-i a+naives i r riri ra%S•s••% / %�'%%K/Ni iai.•:;e%. ia:< i :r�..•::-i %.,,o•,rn,;ra'�a•/xi. i i`�-r=i Yt i•%air.;.•:iai va%iris-i sn:�.. ivia%nz �'e•:.n/_r.:, i-r:s;.:,<•ts/r;.�r::v% .r /r.:::r •,�%*n :`�'.
Al Miller & Soni
�! 1 R1iUcr Sons ?ootmg
oo n '� �n�N 6U-760
Cathedral
Sununu llr- Phone: 760/3�lfi ] 21.4
C.athcclral C.:ily, Ga
fi
X: 760/321-'7097
Rile
Fax: 777-1.59G�
From: Russ Miller
Date:
4/-z/ / ) 3
Re. Inspection 7
NOS: �.
Gary / Andy,
We Wave Inspected all. the Roofs at PGA VVest (Vistas and
Deserve:). All vents are. installed per the Q.'Hagim
specifications and per your plans '
Thank ydu, .
Russ Miller
ToR�Brother's,GIncl
Quality 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 # 29 V '
Proje . rstas� 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 Hbvley Lane East, Suite 2-220 Palm Desert, CA 92260
760-674-9699 Fax 760-674-9081