0006-305 (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 _/, °rte' 1Signature of Contacrtor
OWNER -BUILDER DIE, R' 16114 ^'�"-`!'r
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
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 0011DEN IE�,,Ci1.E IRIS, Policy No. NI C 476053`02
(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
sybject to the workers' compensation provisions of Section 3700 of the Labor
ode, I shall forthwith comply with tho g provisions! ti
Date:
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
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 -rep esentatives of this City to enter upon
the above-mentioned prope rty,for inspection purposes. ; r
Signature (Owner/Agent- - rr .Date ".��r'
BUILDING PERMIT PERMIT#
DATE VALUATION 'til,"' LOT
$25i ,971 AO. :
TRACT
2333ffi:2
JOB SITE
ADDRESS � x`70-Tw)0NWA'k
APN
1-1.
OWNER
CONTRACTOR/ / EN INFER
-
'
#
RFEL LY HO)vm, MCI.
Ilt LLY HOMES, DTC.
.
23 C.O RPOJEiAIT; FLA -7A 0245
33 CO >ORKIT; PLS 020
14EVJPORT BEACH CA 92660
NEWPORTREAM-1
CA
92660
(94")719.4975
OUR
5337
USE OF PERMIT
ULE IYe WLY DWM12 K3
SFD- LOT I PLAN 3120 PLAN DOES NOT INCLUDE SLACK 'WALL; OR
1006
w r
CUSTOM CONSTRUCTION 4$13,00 3F
PORCWPATTO 1,380.00 Sr
GARAGE, .ARPOWf (N) 13,425.30
EGT1EI"7" C09r OF CONSM'JCUOR
251,971 AD
PKP.Wf FIRE 91M.Y
CONSTRUCTION FEZ IO wO00-`116.000 31,171,$0
�<
PL 4.N CHECK FEE 101-000-439-318 $456.00
MWHANICAL CZE 101.000.421-000 $117.50
ELECTRICAL, FEE 101-000-420.000 $171.97
PLUMBINQRE 101-000.419-000 51"175
STRaNO MOTION FEE RESID 101-000-241-000 $25.70
GRADING FSE 1010000.423=000 $20,00
WEVELOPER IMPACT PFL+
ART I1d PUBUC PLACES - RESIi 701.000.255.000 $124.03
4,r�
n Ci
ri
SUB-s(3']t'Ai:. CONSTRU0710N AND P3 -W (1,TECX
s i, 13"l.65
IMM PPE -PAID FM
V
$40765
RECEIPT
DATE
BY//v
DATE FINALED
INSPECTOR
". an O V
OPERATION
DATE
INSPECTOR
OPERATION
-DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
If If
Combustion Air
Roof DeckExhaust
d
Fans
O.K to Wrap
F.A.U.
Framing (,V
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
/
Drywall - Int. LathfA
1i Qj
Final
Final o
BLOCKWALL APPROVAr S
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
I I
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
_
/Q
Encapsulation
Gas Piping
Gas Test
Q 2
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:
-
FEB=09 20013 .14 34 WESTERN INSULATION < `909 686;8786 P: 03124 `
=
VES�'ERN INSULA ..TION ' NC.
4211 Latham 8trcct, Riverside, California 92501,
fi
�!., TeL' (909) 686-8760 Fak (909) 686-8786'
Mrd +
�.,-, � INSULATION CERTIFICATE
,.
i{.
THIS TO CER_ TIFY THAT INSULATION.HAS BEEN
'
.IS INSTALLED 1N CONFORMANCE WITH
THEiCURRENT ENERGY• REGULATION, CALIFORNIA' ADM INISTRATIVE,CO0E,`TITLE 24,.
STATE STATE OF CALIFORNIA; IN THE BUILDING. LOCATED AT:: >'
.`C
TRACT / PHASE:' -.# 28838/.PHASE, 2.
,
LOT #: 1
SITE ADDRESS: - 56-970 TROON WAY, CA
.
-- --------+`-------�`-;
- r----- `---.........
EXTERIORWALLS',.•`
Y
' MANUFACTURER` JOHNS MANV/LI.E THICKNESS: 6 3/4 " .;;R -VALUE: R-19
CEILINGS: '.,•. BATTS ., BLOW 5 ,.
"MANUFACTURER• JOHN MANVILLE. " ";;•rTHICKNESS.j, 11" R -VALUE: R-30 + Y'
GENERAL. CONTRACTOR:. -
NSR _ _ _ RIEL'LY HOMES
, •
TITLE:
"DATE: `
;INSULATION
CONTRACTOR: . WESTERN INSULATION, INC.
LICENSE NUMB ER:"'481278
s, BY:
r
`
• :TITLE:. PRODUCTIO MANAGER'
` DATE .'FEBRUARY 9, 2001
IS
' .. � ) i , w iY • mit, - ''!Y
DAVEY.
ROOFING INC. .
March 22, 2001Wt
.• t ;
t Mr. Steve'Gibsori '
r Rielly Homes
81-120 Legends Way ;
La Quinta, California'492253
Dear Steve:
The following.is a listing, by�lot number; of the O;Hagin•vents installed at Legends at PGA West in La>
Quinta, per, your roof plan specificatioris:
LOT NUMBER
ROOF PLAN
NO.OF VENTS-"
INSTALLED
3RC -
25:
2
3A","; •
25
3
' 2BR
23
4
4C
26T
5
5AR
26 •
6
3C
24
7"
'4AR :.
26
8
y.,r- 6A
27 .,
4a
,, , 4AR
26
10
4A "'
26
LOT NUMBER
ROOF PLAN
NO.OF VENTS-"
INSTALLED
3RC -
25:
2
3A","; •
25
3
' 2BR
23
4
4C
26T
5
5AR
26 •
6
3C
24
7"
'4AR :.
26
8
y.,r- 6A
27 .,
9
,, , 4AR
26
10
4A "'
26
1 I
�' 6AR
27
12
6B
27
13
2BR f-
23
14
4A
26
15
6AR
27 ,.
16
6B
27
31
+ 4B26'
;
32
5CR
26
33
6A .
27
34
4AR
26'. ,.
351; . {M
3B -
24
36, ';
3CR
- 24 ,
37
•2A
26
-'} If you have any questions, please call me at (949):260-7925:
Z.rncYe r e I y
tn
atnc la
r Vice Pr sident-Operations
17182 AR TRONG AVENUE y {y e
IRVINE. CA 92614 +
94 91260-7 900 ` e"
S.
9491852-1160 FAX F '"•+ , - ,
www.daveyrooling.com
`e of Occupancy
CitofLa � Uinta � s
Building.and SafetyDepartmen't �M of
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
ollowing:BUILDING ADDRESS: 56-970 TROON WAY
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0006-305
Occupancy Group: R-3 Type of Constructio6: VN Land Use Zone: RL
Owner of Building: RIELLY HOMES, INC _ Address: 23 CORPORATE PLAZA, #245
City: NEWPORT BEACH, CA., 92660
..ted By: DANIEL P. CRAWFORD JR.
Date: 3/28/01
Building Official
POST IN A CONSPICUOUS PLACE'