9907-150 (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
OWMM
Date aSignature of Gontrac
V 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).
O t 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.
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.
C OLDEN MG1, 51111101-M
(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 1 should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shal6forth itJ,comply with those, rov sio�ns �'
Date:lJa f d; ^ Applicant -4
' ,G
VWarning: 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 xesult 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 property4t r, inspection purposes.
t�lgnature (Owner/Agent) Date
PERMIT #
BUILDING PERMIT
DATE 1.4y 1 3il 99 VALUATION � LOT y� TRACT I,q V6
��
JOB SITE
ADDRESS.�fi:b�?+�1�
APN
OWNElR-tf
CONTRACTOR DESIGNER ENGINEER
IX-
RL(I HOBBS elba'SCAFeDNI H111.+r, yA
W1310 E C3ALMAA3 AVE SI'Z' WO
55.960 PGA, ; VVD
ORA—NQ CA .92886
LA QUINr A CA 592253
011A .5497
USE OF PERMIT
NC'► -LE fl.wlYIYDvVF:l,i' NO
9M - ;t,{s"s: U Y'ss. A .2.ci�d^it3t<Ci'r �s � .�s [' �tt "ti i:(:±08131.C:1G`K. WALL rjR
:.us-Toi:(?iJS'mun-lo."J yF l.13fi sr.,
7i}.t�k t'375°{I }.'iC1 320.00 SF
S1!'Citr?;s3?�f� /if@dp(il<'i 865.06 St: '
XM
C+✓Yt'i'3MY.xf."'11ON FAL;F~ 16,1-00-418-000 uAlf9.00
iw 'Y
� •,
IM AN CT X.FI ! 111.O 439-3 i R $247.44
ibtfZIM-MNICAL fM 10..1400-421.000 S1.n.v
y .
101''•Gf)ii-4h.0-4 Y�4 u.�ti
t
PLIf", ,fit;#'IFM 101-000.139-000 Sf3t`r.9.i
i' c7?+T .• �Qsi'T'ic 5ta .F°4 :l Iz f 43(}(2-' 4 t1p>3 $25A5
GRAMM, a+EEsLft-WO•A".A�.r
ART 111411U.6 3LIC PLt I(T-1.,� -A{'f3.3£C 701--(X)0-255- �'i�F.:@7 '
* F ' ; (•
SET -1,r i AI, CONIS"g''rR:UI(MOR' AND
i,.A.'N CHECK
. -
1rftv,PRE-PAID . ERS
t1V.�Jir
TO VER. l'i..ff A' a l's,E.1; IL/1UR, A74✓`'Y
.Cr`7r.1 Yra7os.S4D
RECEIPT
DATE
BY V,
DATEFINALED
INSPECTOR
1
r`
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
/
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
3 O9
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
2�J
Drywall - Int. Lath
9
/ 00
Final
Final
POOLS - SPAS
BLOCKWALL
APPROV S
Steel
Set Hacks
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final 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
/
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)
e
? AUG -07-2000 MON 12:25 PM SPATES FABRICATORS FAX -NO 7603974724-P, 02
FABRICA,rORS. INC.
Rt:sideittinl; conirne;rcial'& Floor "T'russe's
i
t. .
August 7, 2000
Re: Monteeito Collection by RC: Hobbs Co., Phase 3 y,
To Whom Tt May Concern: A ;;
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, '!o
the top cord of the trusses was cut as deeply as 1-% 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 ''A inch MUST be repaired. using the, appropriate repair .
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 o�crsee the y
CORRECT repairs on,these trusses. They are responsible for restoring the safety. and
functioning of these compromised trusses.
Sincerely, s
i
David Spates `
• Vice President `
Y,.
85-435 MIDDLETON STREET, THERMAL, CALIFORNIA 92274 • (760) 397-4122 - FAX (760) 397-4724 '
J � i.
08iI8i2000.10i47 -FAY 760 347 9679 Emerald Roofing
s. Einer°'a➢d hoofing, Inc. 4
79470 HIGHWAY 111, STE. 1.74
LA QUINTA , CA 92253 '
UC# 770910
(760)347-9869
1901
'PROPOSAL
:1 Y DATE - - } PROPOSAL Y
,
i MONTECITO AT PGA WEST
THE R.C. HOBBS COMPANY .y
LOTS.10.16 pHAGIN VENT'S) �
554V SOUTHERN MLLS t
ILA QUTAITA CA 92293: '
f ul S
1DESCRI"IOM TOTAL —f
j TO IVBOR9 IT MAY
EMERALD ROOFING HAS INSTALLED O-HAGiN VENTS •AT MONTECIOT I '
HOMES AT PGA WEST.RELOW'ARE THE ADDRESS AND NUMBER OF VENTS
f INSTALLED. ! +
I � ,
LOT N PLAN N AIDIDMSS N OF VENTS
r 10 2 -AA $4-614 SOUTHERN HELLS 17
1I "..2-2 y 54.836 SOUTHEE8N BELLS 17 ,
!2 _ ?"2•C 54.03 SOUTHERN; HILLS 17 ,-
13 1-A 34-"0 SOUTHERN HILLS 17_
14 1-D 54-702 9OiTi'HIERN HILLS ' 17 :
34--724 SOVTIIERN HILLS 17 ; �>
16 54-746 SOUTHERN W1.1 S 17
1John Jones. President
TOTAL' S0.80
TIM: ABOVE PRICES- ffBCKnCATI AND CoxaDrn�o wib SATH$iACfOAY AAD —----_�_
ARL MMERV ACC@P•I'BD. YOU ARE AUTRORIZBD TO DO THE WORK AS SPgCWMD. �
PAYMENT WILL BE MADE ASmemaCDABOvL
SIGNATL11E
909 686 8786 P.17i19
JUN -02-12000-.10:59 WESTERN INSULATION
N INSULA"rH0lyNC- , 9
��TER .� , INC-, -
' ,' 4211 Latham Street, amide, California 92501
T'L (909) 686-8760" Fax (909) 686-8786
INSULATION CERTIFICATE
' THIS IS TO CERTIFY THAT INSUL•ATION'HAS BEEN INSTALLED IN CONFORMANCE WITH I
THE CURRENT ENERGY REGULATION, CALIFORNIA.ADMINISTRATIVE CODE, TITLE 24,."
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT;'
TRACT / PHASE: MONTECITO - TRACT # 28776
LOTS
SITE ADDRESS: 54658 SOUTHERN HILLS
---------- ------=----------"-------------'------------------- --
EXTERIOR WALLS• ,
• MANUFACTURER: 'Johns -Manville THICKNESS:. 5 1/2' R -VALUE: R-21
CEILINGS: ffinville
- BLOW
MANUFACTURER: Jo -THICKNESS: 13" R -VALUE: R-38
CEILINGS_ BATTS
MANUFACTURER: Gieehstvne THICKNESS: 10.3" R -VALUE: R-38
GENERAL CONTRACTOR: CENTURY AMERICAN DEVELOPMENT
LICENSE NUMBER:
BY:
TITLE: -
DATE:
*' INSULATION CONTRACT: WESTERN INSULATION, INC.
LICENSE NUMBER: 481278
BY: -
TITLE: PR ODU MANAG . -
DATE JUNE.tAO00
rip
C U
curffir#cate,-of
f pancy
1
�r
City .I.Quinta
�a
nt
Building and
Safety
This Certificate issued pursuant to the ,requirements of Section 909 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: 54-658 SOUTHERWHILLS
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9907-150
Occupancy Group: R-3 Type of Construction: VN Land Use, Zone: RL
Owner of Building: SOUTHERN HILLS LLC . Address: 1430,E .CHAPMAN AVE STE 100
92886
Building Official
1-1 Ly: ORANGE, CA.,
By: DANIEL P. CRAWFORD JR.
Date: 9/29/2000
Pj$T IN A CONSPICUOUS PLACE
I