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0006-397 (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 7776976"tqignat B W30/2L Date -ureof 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 perfor ance of the work for which this permit is issued. (^ ha a and will maintain workers' compensation insurance, as required by Sec ipn 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 OENER1..ACCIDEN9 Policy No. WC0101102.0 (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//wofkers' compensation provisions of Section 3700 of the Labor Code, I shall fo with comply with those provisions. Date: �`/` Applicant Warnin : Failure to secure Workers' Mmpensation 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 thbirector 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 & eacwperson 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, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature (Owner/Agent) 4Date 6 BUILDING PERMIT PERMIT #, ATE VALUATION S-270,.3«5.4.30 LOT ,- 20, TRACT 29348-2 JOB SITE ADDRESS ���T'�. , i� ITRQND�eIVN� APN %�i-5."_W8 OWNER CONTRACTOR/DESIGNER/EN INEER TOLL I3I afflh" IUC TOLL DRCYiMRS INC 74.922 HOVELY LATS IWT SUEM2.220 74-923 I10VFLY LA14B Irk SU3iT —2201 PALM rfllq33.artr CA 92260 PALM iYEMT CA 92260..Ir (160)674.9694 ',,f 83 2 .y `= USE OF PERMIT �. � � �. ►#I�fC�I..E 1�.1�.I~,.(�'.I�..Y'3�'�I�..I.SrdCl' FINPI.t+►idNAVA.."D L.OT:20•PERMITDOM NOT INCLUDE SWC K WAL LS OR- POOL 0UUTOM C014STRUCTION 3,222. DD Sfl PORCH/PATIO 339.00 SF GARAOWCARPORT (GY) 14,950,34 E51 T23) Co"Tr OF CONSMUC',[70K 2W59.30 "JawirFEW Nuhn"Ry CONSTRUCTION FEY. 101-000-4113-000 51,239;D0 PLAN GHRJCK FEE 141-000-439-319 $953.13 MECHANICAL FEE 1017000-421.000.. $74.00 13.1.9TRICAL FBI? 101-000-42o.bbo, $180:43 P1LUMB)NO FEE 101=000-413<000 $169.30 STP.ONO MOTION FEE o REBID 101-000-241-000 �T►.04 UlU1NaKY. 524,001 AEi+ EDP R IMPACT PRE I $1,91►7.00 L ARrIN Pi3BUC'PL& M - RME 701.000.253-40fV' $C7S,90 7 i ©NM' tUC°1'1.©A�l't�23D PLAN CIMCK A��' li $4,788.02 LESS PItB-PA WPM $0,00 NIT DATE BY/ — DATE FINALED INSPECTOR 7�1RECEIPT INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel A Combustion Air Roof Deck Exhaust Fans O. K. to Wrap / F.A.U. Framing Compressor Insulation Vents Fireplace P.L. I Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath 0 Drywall -Int. Lath !O Final Final BLOCKWALL APPROVALS 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 Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection 8 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 Final Utility Notice (Perm) COMMENTS: AUG 24 2001 7:52AM SCHMID-CONTRACTORS 760 3471697 P.1 L9:t+,:JYtmvwy>,alae:N;[r'rhnoulavq:waaow.vrefar. e.:,%.�'vera'eregivmrrdro,eJ7�.mau-�ezicr��vlLSRrust{.svrnvrfltMi►tit[4!ccmmaGfs��ANaysRy+ttartmowfYG�w'yfaf�xrenw�eiRm»�n-mo rvwuo,. i I I 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 I; THE RESERVES AT POA WESTALOT 20 i PALM DESERT, CA TYPE: Fiberglass BATTS WALLS: TYPE: Fiberglass Batts! GENERAL CONTI ACTUKER: Owens/Coming THICKNESS. R-30 9 MANUFACTURER: Owens/Coming THICKNESS:R-19 6 1/2" OR: TOLL BROTHERS, INC. LICENSE: BY: i TITLE: SCHMID INSULATION CONTRACTORS, INC. LICENSE #221517 C-2 I� BY: _ I TITLE: PRODUCTION MANAGER DATE: 081214101 M 1 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, Califomia Administrative Code, Isle 24, State of Calhmia, in the building located at I THE RESERVES AT PGA WEST/LOT 20 PALM DESERT, CA CEILINGS: i TYPE: Fiberglass tiATTS1 MANUFACTURER: Owens/Coming THICKNESS: R-30 91/7 WALLS: i TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS: R-19 6117' GENERAL CONTRACTOR: TOLL BROTHERS, INC. LICENSE # BY: ! TITLE: I SCHMID INSULATION CONTRACTORS, INC. LICENSE #221517 C-2 BY: TITLE: PRODUCTION MANAGER DATE: 08/24/01 8) e20 �V �i `doll GBrother, Inc. 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 # Project: Vistas (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 N Miller a sons At Miticr & sons hoofing Phone: 760/346-1-21.4 Roonngin Cath U Summit Dr.(;athcdral Giiy, Ga 92�>3•t Ftix: 760/321-7097 F=iMile rr(x Gary / Aady@ ro11 Br ales PCYA West t<ax: 777-1.596 From: Russ biller Date: Re: Inspection Pagb-s: 1. Bary / Andy, We have inspected all the Roofs at PGA West (Vistas and Reserve). All vents are installed per. the O'Hagin specifications and per your -plans Thank you,' Russ Miller 11 Certificate of Occupancy r o City of La Quinta Building and 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: Use Classification: SINGLE FAMILY DWELLING 81-725 TIBURON DRIVE Bldg. Permit No.: 0006-397 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: TOLL BROTHERS INC Building Official Address: 79-923 HOVELY LANE EAST STE 2-220 City: . PALM DESERT, CA., 92260 By: DANIEL P. CRAWFORD JR. Date: 9/12/01 POST IN A CONSPICUOUS PLACE