9907-146 (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
478689
Date° (� !Signature of Contractor
�. :OWNER -BUILDER DECLARATION _•.�;
x
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 isnot intended or offered for
sale (Sec. 7.044, Business &Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
O 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:
Carver �e rs yq y r Policy No. {�y `0r9
(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 workers', compeinsatio.n-provis)oh�,of Section 3700 of the Labor
Code, fspialll jortl wit comply witl`itfjos� p q ..ision
ate B jApplicant t
Warmng:.Failureto secure Workers' Compensation coverage is unlawful and
shall subject 66 employer to criminal `penalties and civil fines up td' 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 l 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 prop f ,r Inspection purposes.
i
VSlgnature (Owner/Agent) Date
BUILDING PERMIT PERMIT#
DATE ���.fVALUATION. t3Ql��fF°l>Kifii LOT TRACTJOB
ADDRESS
%619
OWNER
CONTRACTOR / DESIGNER / ENGINEER
R'."S�� j .i ,11..1 .1 i,1k4.v .L F LLJrt .
IY;.4,. � F�v*+✓Alt l� li `1 Y' Tf,iLHRM L 101"I's, 11C
.t.•�.�i� ��, i.:.[�t�.�'ib�,'�i>t� ��1'�l� ��.� �l�
j4,,;i11E� .��il� i5�a't�'�
012,t',}` IGE CA !Y28M
><.iA QuINI'A, CA, 92753-
27.51("fit4:1i►.33
(71406.334260
1610 f_RIX W7.
USE OF PERMIT
S' Nt:il.F.€?ei&UL IYWELLING
57F.D < LOT N MAN MR P i NT 00r-, i Iw:!*f INCLC!`i% lk$.i3OM W/ZLL OR' ;
tjF )0t..7S0;4.t•°fyA,N i.'`.1 -3.t Clr. 9hCkAXT11(YN APPLIED FORIOUL111411.1i Sl)BMY#". AL
Ci7a'i 0 114 CONS'i'F.C(i4:,1'10N 3,3.7..00 rias
itai3la'CWPATIO s2 .i3r3 110W
0t's12,i1tGMAltPOW.IIr t11t},(sll SF
C()1143.1 ftC•1'1U'N I4:t7 101.,6130-418-000
MAN (1119 M11 07-1
tCktP:MGALFTE 211 fli)Gri 1._( jp SIw4,00
M.WTIR3CAL c' '. }.t•t}iif}-dst3- Sifi±�.S
PLtLimb .WO VE 10E•MO-419-000
'q'ttt IW.1 Ni%)TION MIR- - kE. 3LI) 101410-241-W $^?t (ftp
RADIIJf;V W $20.00
Z.1EY0.01L'R AiYIPACT I' E' ' �f.,76Ff .VV
�`t rT
ART 1'.N PLAC;,''r"?S - S3IC 70 f
.1011HY11C .RI
SUB -TOTAL s!i7,?1:s �I+( <�i ����}} #�►..I���iyy�gqf C�� RE7�pp;3�
l 1.
SS FEES
RECEIPT
DATE _,
BY ' /
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade i
Return Air
Steel
Combustion Air
Roof Deck
a D7
E Exhaust Fans
O.K. to Wrap 0644/
F.A.U.
FramingI
A
Compressor
Insulation
Z
vents
Fireplace P.L.
J Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
_
Drywall - Int. Lath
3
�`dldY
G
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
Water Piping
A
Heater Final
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
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)
AUG -07-2000 MON 12:25 PM SPATES FABRICATORS
PATES
FABRICATORS INC,
Residential, Cornmercial & Floor -rrusse.s
August 7, 2000
FAX NO. 7603974724
Re: Monteeito Collection by R.C. Hobbs Co., Phase 3
P. 02
To Whom It May Concern:
The roof trusses on Phase 3 of the Montecito Collection have been compromised by the
installation of roof -mounted vents called "O'Hagan". In the process of their installation,'
the top cord of the trusses was cut as deeply as 1-%a inches.
Spates Fabricators has provided 3 separate repair drawings (see attached), which will
cover all different types of trusses on this job that might have been compromised. Any
truss with a'saw cut greater than Y4 inch MUST be repaired using -the appropriate repau
drawing.
It is the sole responsibility of R C. Hobbs Co. to assess the trusses, select the correct
repair drawing.and procedure. It is their responsibility, as well, to ovcrsee the
CORRECT repairs on these trusses. They are responsible for restoring the safety and
functioning of these compromised trusses..
Sincerely,
David Spates
Vice President
85-435 MIDDLETON STREET, THERMAL, CALIFORNIA 92274 • (760) 397-4122 • FAX (760) 397-4724
FA"erald Roofing, Inc.:.
78-670 HIGHWAY, 111, STE.174
i
LA QUINTA , CA 92253
Lkc770940 ;
(760)347;9869
NAME / ADDRESS
MONTECITO AT PGA WEST
THE R.C. HOBBS COMPANY
55=487 SOUTHERN HILLS
QUINTA CA 92253
1 v
j PROPOSAL
DATE PROPOSAL # .
6/1/'00 1122,
JOB ADDRESS
LOTS 1-11 ==O'HAGIN VENTS
I
THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND 1
ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED.
PAYMENT WILL BE MADE AS OUTLINED ABOVE.
SI NATURE
DESCRIPTION
TOTAL s
TO WHOM IT MAY CONCERN; '
0.00
EMERALD ROOFING HAS INSTALLED AT MONTECITO HOMES AT PGA
WEST ,THE O'HAGIN VENTS AT THE FOLLOWING ADDRESSES BELOW:
LOT #' PLAN # ADDRESS # OF O HAGIN VENTS
1 2 -AR 55-142 SOUTHERN HILLS 17
i
3 -BR-,' -- - - 55-164 SOUTHERN HILLS 16 -.
3 3 -CR 55-186 SOUTHERN HIII S 16
4 2 -CR 55-208 BIG SPRINGS LOOP 17
i
S 2-A 55-230 BIG SPRINGS LOOP 17
6 3-C 55-252 BIG SPRINGS LOOP 16
I
,..�
7 2-A 55-274 BIG SPRINGS L09P ` 17
8 2-C 55-296 BIG SPRINGS,LOOP 17
9 2-A 55-318 BIG SPRINGS LOOP 17
10 3-A 55-340 SOUTHERN HILLS 16
11 3-C 55-362 SOUTHERN HILLS 16
t
y
John
Jones" President
'
I
}
TOTAL $0.00
t
THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND 1
ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED.
PAYMENT WILL BE MADE AS OUTLINED ABOVE.
SI NATURE
JUN -02-2000 10:57 WESTERN INSULATION 909 686,8786. P.11i19 ►
TE" INSULATION, INC.
42 11 1 atbaxm Strcct, Rlvcr8 dc, Canf"Wa 92501
TeL (909) 686-9760 Fax (909) 686-8786
+ 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:
TRACT / PHASE: MONTECITO - TRACT # 29004 '
LOT# 2
SITE ADDRESS: 55-164 SOUTHERN HILLS
EXTERIOR WALLS:
MANUFACTURER: Johns -Manville THICKNESS: 5 1/2' R -VALUE: ,R-21
CE1L1 GS:
�SATtTSTS BLOW
MANUFACTURER: Johns -Manville THICKNESS: 13" R -VALUE: R-38
CEi�S; BATTS BLOW
MANUFACTURER: Greenstone THICKNESS: 10.3 R -VALUE: R-38
GE ERAL CONTRACTOR: -CENTURY AMERICAN DEVELOPMENT
LICENSE NUMBER:
BY:
TITLE:
DATE:
SOLATION CO T CTO WESTERN INSULATION, INC.
LICENSE NU R: 481278
BY:
TITLE: PRO ION MANAGER
DATE JLkLEY,2000
i .
?Ce,rvfic`at'e''f',Occi
cupancy-�
est La,
®t ®f Quinta',.
Building and,Safety Department AFM OF �►ti°
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: 55-164 SOUTHERN HILLS
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9907-146
Occupancy Group: R-3 Type of Construction: VN Land. Use Zone: RL
Owner of Building: SOUTHERN HILLS.LLC Address: 1436 E CHAPMAN AVE STE 100
City: ORANGE, CA., 92886
By: -DANIEL P. CRAWFORD JR.
Date: 8/10/2000
Building Official
POST IN A CONSPICUOUS PLACE
z..