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0105-063 (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 777699 B 4410102 Date 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: ( ) 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. . F?,9i,G'IFIC. KUP'lOM VeAt C:y4MWO (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 miner so as to�,bcome subject to the workers' compensation laws of Cali or, iae and agree t} t if I should become subject to the workers' compens�tion�, r`ov' 5 s o'S 2tion �7770 ofthe Labor Code, Itshal iorthwith1comply with thos .p��oisi3nsDate: • a '7 'A'wlican/ . 1 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 z 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 stalthat the above information is correct. I agree to comply with a01City, ands a e laws relating to the building construction, and hereby autho'i re r �ives of this City to enter upon the above-mentioned properly for I p� on, p ses r p Signature (Owner/Agent)/ �' Date11 r BUILDING PERMIT PERMIT # DATE VALUATION LOT TRACT r JOB SITE ti ADDRESS APN 767-450-022 OWNER CONTRACTOR I DESIGNER / EN (NEER TOXIL. L3RO11VIKU i1+3C 37°C� 123 a{ [� 14-923 ROVE,f.%Y.A.Ai".1.•V.L�:4.i:,�f, ff—IN �dd.fr.,+'2,420 [���I{��;' �r� p �e � �pq q�f ry p(ry !4"723 E}.��lT,,—'d �,'EM 5fUT 'ea,vFr6+Fl� . 1-3I 1~!;: UUMICY OA 92260 PIPAM MOORT CA 92260 USE OF PERMIT SfrD • LOT 24 PLA1d HAVARRO vA' C9u9.I:AS& WOKE lad'12MT1 ;DORS NOT 1IRMAJD9 BUCK >}' AL3 ,POOL OR. nlU'd'E11 AY APPROACH. CL9OTOM CONIrtRUC:T1ON :�2210.fi v PO.12.>wf%IVitTKO 339.00 SF OAidACtWC9Att'k'0.RT (STO 14,336.00 Riy�'+"�,WATM) C091: .OF CONSTRUMON l�yy���q9y Yy �1 2� JE".65,1'.�48.1 JU .FS•�. 15���71 CONSTRUCTION FEE 303-000-418-000 $.1,2331 M PLAN rHr-0K FRIF 101-000-439-318 WX 15 MISC1'1A2iWAL FEE, 101-000.4.21.000. V91.40 a P=7°91CAi. YKE 101-000.420-000 WDA3 PI,11M1:iY O FEE 101 -0 00-419-00 3115&30 .Y d'.RM,Kf MOTION ,FLE - RESI 3 ' *'v • • H- - } $37.04 OT#A1: ING F.EZ 101.„00 23a0 32Ti.00 DOVILt?SER IMPACT PKy � ,ftiil.OU ART IN PUBLIC PLACES - 1 + 01.000-255440 ool i IM PQ M A`f 2 CITY OF LA �UINTA SUB-TOTAX, C ..s MOW, i0 ►. NCE DEPT E�C;� $4,789.02 IYM YRE-loAW FFMO $0,r3fs . t RECEIPT DATE BY DATE FINALED INSPECTOR :i A '1� /,—) , / OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings` Slab Grade � Q� Steel �/3 �l �� Ducts Return Air Combustion Air Roof Deck O.K. to WrapA/10- Framing Insulation 9//%/ ���i/�� 6/`/ Exhaust Fans F.A.U. Compressor Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath l3/� Final/ �4Q�Oi_t% BLOCKWALL APPROVALS Final 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 Waste Lines '/� �1/LyL Gas Test Electric Final Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Sewer Connection �f/y/0i �� Pool Cover Encapsulation Gas Piping Gas Test Appliances /- J�/r Final COMMENTS: t 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) % rig AUG 24 2001 7:54AM SCHMID-CONTRACTORS 760 3471897 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 WESTILOT 24 PALM DESERT, CA TYPE: Fiberglass BATTS MANUF, RSR: vwensicorning THI 1NAL S: TYPE: Fiberglass Batts MANUFACTURER: Owens/Coming GENERAL CONTRACTOR: TOLL BROTHERS, INC, . R-30 9 1/2" THICKNESS:R-19 6 1/2- LICENSE:—,- BY: 12" LICENSE:BY: TITLE. SCHMID INSULATION CONTRACTORS, INC. LICENSE #221517 C-2 B TITLE:. PRODUCTION MANAGER DATE: 08/24/01 R�ti't:'1Y4.G'///`•ieC:Y6aV :r,.rrs.' �•a 1 ermrw:.....ovw.a„wscr�s�inaw..mac:y,'s��tuavaw.w`wwa,s,6vieidimmr.6xr�.c, _..--_. _... ._.. wr.�.wry..:.:'A-.:xK.rirviivi'/ee�vrt�CtieY.dK.vr.�Y.SR3s'ALY:M:a!+Ai�ife'r4,.1J.✓.tuV�3GiLftiHmAY.'6i:3K^.r/3�4+OYili29i'ISSiA6.Yi.Yla'YLY14.iY�fl>.'W.oiir�.3'.ii}GrlpFi�'�a.eWi-Win'/.rY.iYY.7?.l.oMrY.< INSULATI06Y CERTIFICATE This is to certify.that insulation has beery 'instail'ed in conformance with the current energy regulation, California Administrative Code, Title 24,State of California, in the building located at THE RESERVES AT PGA WESTILOT 24 PALM DESERT; CA CEILINGS: TYPE: Fiberglass BATTS MANUFACTURER: Owens/Corning THICKNESS: R-30 91/2" iNALLS: TYPE. Fiberglass Batts . MAN UFACTU RE R:.Owens/Coming THICKNESS: R-19 6 1/2" GENERAL CONTRACTOR: TOLL BROTHERS, INC, LICENSE # BY: TITLE. SCHMID INSULATION CONTRACTORS, INC. LICENSE #221517. C-2 A. 8Y: TITLE: PRODUCTION MANAGER DATE: 08/24/01 n:.:or ctc.or.;,rR.;rtytiy:w•m�.rnve�art�..an,.nrr:.va:^>mrnar :.�.:�.,..-,�,.�:............ _._ . _. P.6 ` A � Ca' Toll"Bro11C.ther°s, Quality Homes by DesignO August 8, 2001 City of La Quinta Building & Safety Department P.O. Box 1504 La Quinta, CA 92253 Fax: 777.7011 Re: Lot # Z 4/ Project: Vistas (Tract # 29349-1) -or- Reserve Tact #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 7F;n-R74-gRgQ Fav 7rn.A7A..0nQ1 i miner sons Al Miller ac Spm 11c)pfijip Rouffiong Inc. ' ba -Iso Summit Dr.Phone: 760/346-121.4 Cathedral (lily, Ga 92'31 ��ti1(: 760/321-7097 FCIC§iMV rl,(x Gary / Abdy*roll Brutl- s PC-wA West :1C" 777 -1a% From: - 1=rom: Russ Miller Date: Z 02 Re-onins ecti, Pages: 1. Gary /Andy, We have inspected all the Roofs. at PGA West (Vistas and Reserve). All v6nts, are installed per the O'Hagin specifications and per your plans Thank yoh► Russ Miller DEC. 19 01-j(WED) 12:04' t ° PAGE. 2/2 '' • FALCON FOAM 1 � A OmsrON oi'anAO00FovG coRPORAttON• 14104 Towne Ave. _ l ' - PO. Box .SIV6 ; . Q (.' Cb' I ' s> ` ' los Angeles; CA 961 `. �.. _ 3 0,53.5.7 02FAX:310.515.G849 December 19, 2001 i To Whom it May Concern:': f All 1.5# nominal pcf Type IIR material was shipped for the Benefit of.Thompson BIM in ' Orange, to the job site of PGA-West in La Quinta, CA, to the-attention of Wayne Smith Plastering. The 7);pe IIR T&G foam•was manufactured by Falcon,Foam and shipped to PGA West in La Quints, CA. This foam' rieets or exceeds ASTM C578-95 Type II•: ',i specifications.' 1 y In,'addition, the -.application of an additional, smooth•coat stucco' finish'will not in any way affect. the performance of the W -Type, I1R foam: ;Sincerely; r. Mary K: Stocker General Manager Falcon Foam � n L L;erriricare or occupancy City of La Quinta Buildingand 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 building construction or use. For the following: BUILDING ADDRESS: 81-685 TIBURON DRIVE Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0105-063 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: TOLL BROTHERS INC Address: 74-923 HOVELY LANE EAST STE 2-220 City: PALM DESERT, CA., 92260- By: 2260By: BILL GORDON Date: 2/8/02 Building Official POST IN A CONSPICUOUS PLACE