0105-062 (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
Date
7'F7699 4/30/02
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:
( ) 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.
PACIFic r"J'A PLOYEF?a yi3'$. A C10"4318
(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 o the Workers' compensatiorg�provisions', of Section 3700 of the Labor
Code, 1(shallofotl.hkdlh comply with jhgsWwAisj ns.^
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the condition§ and restrictions set forth . on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all Ciand State laws relating to the building
construction, and hereby authorise representativ s of this City to enter upon
.the above-mentioned property for i�n$p7.'o�t�11 • ses,.� '
0Signature.(.Owner/Agent_L:4 Dat
I' ✓
BUILDING PERMIT PERMITS /
'
v
DATE - VALUATION LOT 010&06 TRACT
y�2 �y�� �pf� t d
2,93413't,2
JOB SITEAPN
ADDRESS
S, IMM. ON DR:CW:
61-M,
7167,53"1
OWNER
CONTRACTOR / DESIGNER / ENGINEER
TOO, BR(YrHnS INC
;74-923
74-920 HOit'MY&, 2.220
PAXA1'[ 'EanT C:'A 92260
'PALMDEuWRT CA 922,60
(760)6?4 9699 . usn
-
USE OF PERMIT
SYD-, LOT14 PIAN Qdtl'f+t'Y'ANA W 2 C kR C3",A09 9tfC3HT. P"' '' HT
DOES NOT,114Cf.c;Fr 9.13LOt<'"K WAL14 POOL (3R DIIPRW.# Y APPk',.caACR.
CUSTOM C'ONUTRUCTIO14 3,412.00 SF
PORCWPATtG - 320.00 89'
O ArtA.AFYCA13POWr CSF) 13,750,40
JL1 �.Ad'.Y.Pl'0. Ald.7a7J j�{.i�.81++.6f 4r()XArt,.d.�.W+6rYM.a1.
yt,6'�,i�lila
P,.K.R' 1tB'T1F SUMMARY
CON15TRUCTION MJ X
PLAN CHFICK PER *403'7.83
MECHANICAL FER1 a 1-��(3i8-.121-:t9�dU $92,90
11L'Z :7 RIC:d't.L VMO
PLUMBIOG Fmt 101-000-419-001.7 Igol
STM)NO 00r1014 FEE RM11) 101 X000.241.-4300
OilADt?AO RE 101-00 - -000 W $20.
1sY11Y1Fa. VItA t•�,aPAt:IT Erin,
2 =000 4 J%M4.92
CtsFN�E OEPS
SUB-Tf, TA'LCON11iTRU6rAMi>, P
$4,958.93
TOTAL PERMY FEESDITE HOW
"5
RECEIPT
DATEBY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings _
Slab Grade `l%�6�
1���L
Ducts
Return Air
Steel1-
Combustion Air
Roof Deck /►
O.K. to Wrap y�jYy /0�0
_
���! _
Exhaust Fans
( F.A.U.
Framing
_ _ _
/QV�__�_(�tCompressor
Insulation
` I
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
' Condensate Lines
Party Wali Firewall
/3
i
Exterior Lath
1
-/dJ�- AN—
Drywall - Int. Lath
Final/�gpH
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
6/`?j�� ��
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Parts
O.K. for Finish Plaster
Sewer Lateral
_
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
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. Use of Power
Final
Utility Notice (Perm)
r
Tali�Brothel"� enc.
Quality Homes by Design"
August 8, 2001
City of La Quinta
Building & Safety Department
P.O. Boxl 504
La Quinta; CA 92253
Fax: 777.7011
Re: Lot #
Project: Vistas (Tract # 29349-1) - - keserve (Tract #29348-2) (circle one)
To Whom It May Concern:
This letter serves to advise you the O'Hagu-i roof vents have been inspected by the Toll Brothers'
representative. The vents are as per plan to our satisfaction.
Should you require any fiirther 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
m miner &sons '
Al iVlillcr Sc Spm 12ppfipt; -
Roofing
Inc. 611-760 sun►,nit L'lr.. Phone: 760/346-121.4Cathedral Cly, Cz 92''3,1 Falx: 760/321-7097
.
FWiMik
'r(x G�try / A-udy@,To11 Bmtlums PGA West
Fax: 777-1.596
r d
From: Russ °Miller,
Gate: 212.n/ c5Z
Re. Inspection
Pages:.
Gary / Andy,
We have ihspec.#cd all the Roofs at PGA West (Vistas and
Reserve), All vents are installed per the 4'Hagin
specifications and per your plans-
4.
Thank you,
4:
Russ Miller
AUG 24 2001.7:54AM SCHMID-CONTRACTORS 760 3471897
P•G
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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 at
THE RESERVES AT PGA WEST/LOT' 14
PALM DESERT, CA
CEILINGS:
TYPE: Fiberglass BATTSMANUFACTURER:.Owens/Corning THICKNESS: R-30 g 1/2'
WAL S:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Coming THICKNESS:R-19 6 1/2"
GENERAL CONTRACTOR: TOLL BROTHERS, INC.
LICENSE:
BY:
TITLE:
SCHMID INSULATION CONTRACTORS, INC:
LICENSE #221517 C•2
TITLE: PRODUCTION MANAGER DATE: 08/24/01
NZ!/vLfJ's^iJv�Y!/.Yl43ir^Ii!:.Y/' ii►isil/d.GY/IY.YDN:50/aYYd.GY/.Y.VI"4YhV.:tY.�f�4'LL'CG+�'/��vwrydNAi.(W3.'.:/M.YttY4V.V,:C45s.%1Y.fTiBAL:.iGii4+Y/4:.'RY'.G.Sw4/%iR'W�Khlrb✓/�?y.�l%u9Y�C;:F,91P,'�G.L"dYJ.U%L'1:pla)JSG
S!g;try�
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
THE RESERVES AT PGA WEST/LOT '14
i. PALM DESERT, CA
CEILINGS:
TYPE: Fiberglass BATTS MANUFACTURER: Owens/Corning THICKNESS: "R-30 91/2"
WALLS:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Coming THICKNESS: R-196 IQ"
GENERAL CONTRACTOR: TOLL BROTHERS, INC.
LICENSE #
BY: TITLE_ :. .
SCHMID INSULATION CONTRACTORS, INC.
LICENSE #221517 C-2
8Y: TITLE: PRODUCTION MANAGER DATE: 08/24/01 !
�rwrx;..svae:r•.rs:.zsuz$az:.;:..v,.:nsursx;:rrauit:rvur�r,srrw:cTiwar,.n%�rzCas.'ayxsQYwzv:aeu¢env:�rarw�rcarmsrrc,:rrsrx�rvv,Yieovert.ra>a:fa�sis<:..*e:x:scvr+y �.rwr..crvr.� .
Certificate of Occupan,'
cy
CityLaQuintaof
Building and SafetrPepartment.
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 building construction or use. For the, following:
BUILDING ADDRESS: 81.-680 TIBURO.N DRIVE
Use Classification': SINGLE FAMILY DWELLING Bldg. Permit No.: 0105-062..
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: BILL GORDON
Date: 2/20/02 •
Building Official
POST IN A CONSPICUOUS PLACE