9907-149 (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 forde and effect.
License # Lic. Class Exp: Date
ate Signature of Contrac
V0.
OWN ItR-BUI ILDER'DECLARAT.16N
I hereby affirm Linder penalty'.of perjury that'l am exempt from the Contractor's
License Law for the following reason:
1, as 'owner of the property,. or my *employees with wag - es * as their. sole
compensation, Will d6the work, and the structure is not 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).*
1''am exempt under Sectio . n B&P.C. for this reason,
Date Signature ,of Owner
WORKER'S COMPENSATION: DECLARATION
I hereby affirm under,penalty of perjur'yone of'the following cleclarationb:
.1 have and -will maintain a certificate of consent to self -insure forwi
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., mai ntaiff. workers' compensation insurance, as required. -by
Section 3700 of the Labor Code, for tfie'performahce of the work for which :this
Permit is issued. My workers' -compensation, insurance, carrier. &,'pol . icy no: are:
Carrier r Policy No.
(This section need not be completed*if the. permit.valuati.on'isfor $100.09 or.less),
O I certify that in the pe rformance of the work for which this permit is issued;
I shall not employ any perso . n in 'any manner so as to become, su bject'to. the
workers' compensation laws oi'Califdmia, and agree that if 1 should become
subject to the worker6' compensation provisions of 'Section 3100 of'th6 Labor.
4se pro i�'.k
ns17,
Code, I shall forthwit comply with4M6
Datb: 10� U? ..$,Applicant— 7 14
VWarniin4: Failure to secure Workers' Compensation coverage is unlawful and
shall'subject an,ernRloyer to criminal -penalties -and,civil.fines'LIO..to $100"000,.ih
addition to the cost of compens6tion,.dainages as. provided for in Section 3706
of the Labor Code, interest and. attorney's fees.,
IMPORTANT Application is hereby made to the Director of Building and Safety
for 6 permit ermit subject.'to -:'the, conditions, and. restrictions Set. forth on ".his
application.
1.. Each person upon whose behalf this application is, made & each person at
whose request and'for Whose benefit work is performed under or pursuant to
any permit issued as a result of this'apolicaton agrees to, & shall*, indemnify
& hold harmless the City'o�! La,Quinta, its officers, agents. and - employees.
*2. Any permit issued. as a -result of this, application b ' ecomes null and void if
work is not commenced within 180'days. from date. of issuance of, such
pe - rmit, or cessation of work for 180AaVs. will subject permit to . cancellation.
I Certify that I have -read this'application and state that the.ab6ve ihforhiation is
Correct. I agree to comply! with all City; and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
f inspection I
the above-mentioned property Ar Ipurposes.
Signature (Owne'r/AgEint) : Date'
BUILDINGPERMIT PERMIT#
LOT TRACT
DATEjq 1.9
.�1,011. _9VA�LUATION I
JOB SITE
ADDRESS
TAPN
OWNER
CONTRACTOR/DESIGNER/ENGINEER -
013VIS, ''I C.
14310T CIVVINIA14 Ait iTNE 100
53.9Q, PIC"IrA BLVD
ORANGE (M) !��M
1A QUDUA (A 92253
(744)01�,14260
USE OF PERMIT
SWC111V FAMILY IYWRI"IMS0
8M LOT I I PL.AN ZJA ItRfwn X)oUrNOT-mcwD. W'Xi"Ll'olk
POOL.75P/4 PLAN FOR'. MU11141PLE MMUlf MIAL
3.0210.00 air.
PORCHPA.Tfo 3V.00 Sr.!
GA1U\ZYVCARP0Kr so.ofj SF
EITI&I D CaT.r or (XIII.N.T141. RUCTION
PERMIT M'SUIAWARY
CON 8TkWfY3N FTM 18100
FLAN CAW' 0K FEE 3
.W, C AL FUM
MDLIkicAL.nt 314(00
PLUMBR40 FM - W)AM4194)OD S 186. 50,
C� -
VONGMCAPONVEF� XR--V 91K) 101
alt "No 1 �10 r-rz, A
3
ART IN PURUC PLACE$ k3sw" 703,
Zo
IN VEIOPEK IMPACTY YE S
A
V
SIU 84TA-Al CONSTAVC110N AND PLAN C
LESS- MLE-PAUPTH
$0
-&At 'Pip AV
S4,2M.76
RECEIPT
DATEBY
1
F.INAILED
INSPECTOR
0161,
+ •a ; • ►r • � ,
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS.
Set Backs
Underground Ducts
Forms & Footings Qtr ,L
Slab Grade o
o?
Ducts
Return Air
Steel
Roof Deck
_
Combustion Air
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing (,f�,Lf�
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
_
Drywall - Int. Lath
pe
WZ157
Final
Final
POOLS - SPAS
BLOCKWALL
APPROVA S
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
_�
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-0772000•MON 12:25 PM SPATES FABRICATORS FAX NO. 7603974724 P. 02
. SPATES'
FABRICA,rORS. INC.
Rrsici�ntial,' C:ommPrcial & Flog 'I7usses
August 7, 2000
Re: Monteeito Collection by R. C. Hobbs Co.', Phase 3
'
To Whom It May, Concern:
The roof trusses on Phase 3 of the Monteeito Collection have beeri compromised by the
installation of roof -hunted 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 1/4 inch MUST be repaired using the appropriate repau
drawing.
Ir 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 ire 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
JUN -02-2000. 10:59 WESTERN INSULATION 909 686.8786 • P.18/19
WEST
ERN llkvSULE TI0Y1T9 INC.*
4211 Latham StMt, I&midc, California 92501 .
TeL (909) 6WS760 Fax 1909) 686-5786
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 # 28776
LOT#
SITE ADDRESS: 54-636 SOUTHERN HILLS
EXTERIOR WALLS:
{
MANUFACTURER' Vohns-Menville THICKNESS: 5 1/2" R -VALUE: R-21 ,
CEILING BAITS BLOW r
MANUFACTURER: Johns =Manville THICKNESS: 13 R -VALUE: R-38
CEILINGS: , BATTS A B
MANUFACTURER: Greenstone THICKNESS: 10.3" R -VALUE: R-38
------------------------------
GENERAL CONTRACTOR: CENTURY AMERICAN DEVELOPMENT ;
LICENSE NUMBER:
BY: '
TITLE: .
DATE:. ,
INSULATION CONTRACTOR: WESTERN INSULATION, INC.
LICENSE NUM R: 481278 ,
BY:
TITLE: PRO601014 MA AGER :.
DATE JUNE ,2000
08/16/2000 10:47- FAX 7,80 347 9879 Emereld Roofing
Ij01
Emerald Roofing, Inc..
PROPOSAL
7 70 G]MAV 11l9 STE.174
LA QUINTA , CA 92253
i DATA + PaoMAl a
Lie# 7709®0
_ i
(760W74%0
/l6 OO II 1145 �
-----
A164lE AIDDR&M 1�
�
_ ..
MONTECITO AT PGA WEST
J0s
—j
TEM &C.-HO COMPANY
LOTS 10*16 (®'1$A(sIN DENTS)
SS-47 soun=N M.[.4
-
. i LA QUI TA- CA 92193
•
fes_ - -- -
VESiPA"ION
�--_
WHOM
_
^` TOTAL
I i .
' EMERALD HOOFING HAS MSTALLI<D O'®AGIN VENTS AT MONTECIOT
HOMES AT PGA WEST.BE1:OW AEL THE ADDRESS AND NUMBER OF VENTS
I
INSTALLED:
LOT N PLAN 0 ADDRESS # OF VENTS
10 2-AD x=614 SOiITII�RN HILLS 17
11, -- 245+636;SOUTHERN HB�.1.4
12 2-C S6v63®'SOUTHERN HTS . 17
1
j 13 1-A 54-MSOUTHERN HILLS 17
14 1•9 54-702 '9OUTHFRN =LS 1
.
1S :�. S4=i24 SOUTRICAN H1H LS . 17
!
'
16 2-13 54-746 SOUTIiERN HILLS 17
I
TOTAL $0.00 �
rm MOVE P KICM W80MATIOWAND COMMONS ARE aATnWACT0RY jWp —`---
— ----- - —
ARE MMEOV ACCMID. YOU ARK AUTMRIZED $'O'Do 7M WMK AS SPECT UD.
PAYMNNT WILL 6E KADS ASOMLMDAMOVE
SIGNATURE` ..
X(Certifica'te of
City Quintal
of La s
Building and Sa'fety De artment op f
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 buildiiig construction or use. For the following:
BUILDING ADDRESS: 54-636 SOUTHERN HILLS
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 99097-149
Occupancy Group:. R-3 Type of Construction: VN Land Use -Zone: RL
Owner of Building: SOUTHERN HILLS LLC a Address: 1430 E CHAPMAN AVE STE 100
City: ORANGE, CA., 92886
,r� b By: DANIEL P. CRAWFORD JR.
Date: 10/6/2000
Building Official
POST IN A CONSPICUOUS PLACE