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HomeMy WebLinkAbout9907-131 (SFD),_t 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 yDa� ' "t Signature of 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). J ( ) 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. (y) 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: CarrierPolicy No. GOLDEN EAGLE NWL: _M-rW403 (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 sub1ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseprovisions. Pate: jz • "ri •'+ Applicant Ij �- — —-----�-�" 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.] 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 (Owrer/Agent)., ���'�- �- Date PERMIT# BUILDING PERMIT C -7 --pr DATE 1 VALUATION 21 TRACT — 28770 ADDRESS' /P�1�l.l7IYNrIn3,- APN It►9-310-0? OWNER CONTRACTOR/DESIGNER/ENGINEER sa y? -J NIN H:rLI'S 11110 R-0.14013'RS d1m sOMHEK'N HILLS, LLC 1430 E C:HAPMNAIS1 A VE STE 100 .55.960 PGABLVD ORANGE CA 92886 LA QIJfNTAk CA, 92253 (714)633-7260 T CMA 5487 USE OF PERMIT SINGLE RANULY DWELLINO S`D -.LOT 26 'PL k T 2C .ryt:TelvE.i DOES N+J f TNCLUDR BLOCK WALL O KXYL.75% PLAN C'61}3L''.K..RFI)UCTIO N APPLIED FOR MULTIPLE SUBW1 CAL Ct.1SO,Vt COIKSTRUCT1074 3,075,00 SF PORC,'ftiPKF10 3210M SF C3AKAil %t AkiJ;K ltt I` !i ttC AKI SF ES'.t'MA7 I'M COSI' CSV f:'.43NS':C'RUC. ION, 2&59,674,50 PERNOT MIE SUMMARY COtNKTItLICTIONN VEE 101 -WO -418-000 S i,1J9. E1) MIA:NCHECKI-F 1Oi-000-4 9.318 1141..5370 a*.T.`,Ctt1t.NryCAL it7101-000-421-000 G�4ryI L-LECT'RICA.L F-ri 10 i -0100-420-M $18133 PLU.MB.11 NO 1-17B $136.% S'!'(?C�S�CY'�ita'i'tf31�3=i��-:ftr»�:Ey.3 '1€�i-q)ttf?-gal-itfll� R"5,� GRAMM- 101.000 -423 -CM $?O.Qati DEV&Olalu'R NPACT PEE 3:I,v07.QQ A.RJ* IN 11LI ILIC PLACES - tZmu 70I -00W-255-004 S34{1.19 S(jA_'KY1'At. Ct:.91VSTRT, MMON4 AND PLAN C14FICK $4,275.36 LESS PRE -PAM FEES $0.()0 TOTAL PE1t1V[Yr 1?>' R.% OUE'lvOW $4,27.5.36 RECEIPT DATE BY ` DATE FINALED INSPECTOR w s INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs on Underground Ducts Forms 8 Footings a Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing / Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath 0'>7 Drywall - Int. Lath 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 A PROVALS 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 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: OCT -19-2000 12:15 WESTERN INSULATION 909 686 8786 P.15i16 r WES'T'ERN INSULATION, INC. 4211 Latham Street, Rivereidc, CWilbmia 92501 Tei. (909) 686.8760 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 COLLECTION- 28776 PHASE 3A LOT # �2V' - I SITE ADDRESS 54966 SOUTHERN HILLS, LA QUINTA, CA EXTERIOR WALLS: MANUFACTURER: GREENSTONE THICKNESS: 10.3" R -VALUE: R-38 CEM : BATTS LO MANUFACTURER: JOHNS MANVILLE THICKNESS: 13" R -VALUE: R-38 CEfLINGS: S BLOW MANUFACTURER: JOHNS MANVILLE THICKNESS: 5.5" R -VALUE: R-21 -------------------------------------- GENERAL CONTRACTOR: R. C. HOBBS CO. LICENSE NUMBER: BY: TITLE: DATE: INSULATION CONTRACTOR: WESTERN INSULATION, INC. LICENSE NUMBER: 481278 BY: (&� TITLE: OFFICE MANAGER DATE OCTOBER 19, 2000 AUG -07-2000 MON 12:25 PM SPATES FABRICATORS FAX NO. 7603974724 P. 02 PATES FASRICA"TORS • INC. Resideritial. Cornmercial & Floor "Trusses 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 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'/, 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 oversee 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 EMERALD ROOFING, INC. 78-670 HIGHWAY 111, STE. 174 25 LA QUINTA, CA 92253 26 License No. 770940 27 (760)347-9869 October 26, 2000 1-A MONTECITO AT PGA WEST 1-B THE R.C. HOBBS COMPANY 1 -CR 55-487 SOUTHERN HILLS 1 -AR LA QUINTA, CA 92253 THANK YOU, TO WHOM IT MAY CONCERN: JOHN JONES EMERALD ROOFING HAS INSTALLED O'HAGIN VENTS AT MONTECITO HOMES AT PGA WEST. BELOW ARE THE ADDRESS AND NUMBER OF VENTS INSTALLED. PHASE 3-A TRACT# 28776 LOT# PLAN# ADDRESS # OF VENTS 17 3-C 54-768 SOUTHERN HILLS 16 18 .3-A 54-790 SOUTHERN HILLS 16 19 3-C 54-812 SOUTHERN HILLS 16 20 2-A 54-834 SOUTHERN HILLS 17 21 2-B 54-856 SOUTHERN HILLS 17 22 2-C 54-878 SOUTHERN HILLS 17 23 2-A 54-900 SOUTHERN HILLS 17 24 3 -CR 54-922 SOUTHERN HILLS 16 PHASE 3-B TRACT# 28776 LOT# PLAN# 25 3 -AR 26 2-C 27 2-A 28 1-A 29 1-B 30 1 -CR 31 1 -AR ADDRESS # OF VENTS 54-944 SOUTHERN HILLS 16 54-966 SOUTHERN HILLS 17 54-988 SOUTHERN HILLS 17 55-010 SOUTHERN HILLS 17 55-032 SOUTHERN HILLS 17 55-054 SOUTHERN HILLS 17 55.076 SOUTHERN HILLS 17 THANK YOU, JOHN JONES PRESIDENT S ,- Certificate of Occupanc..Y U - ��IGf'IN� `.� Lrco�ouitn .� G� OF'T9� Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure. was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING'ADDRESS: 54-966 SOUTHERN HILLS Use classification: SINGLE FAMILY DWELLING Building Permit No.: 9907-131 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 City, ST, ZIP: ORANGE, CA 92886 _. By: DANIEL P. CRAWFORD, JR. Date: DECEMBER 5, 2000 Building Official POST IN A CONSPICUOUS PLACE _ i�