9907-152 (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
4781699 B
ate _ 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). �• .
( .) 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 declaration's:
() 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
peV9,,`mance of the work for which this permit'is issued.
(,)95 1 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'
M;1„DEVTEAGLE ti iVVaCS%`f7�1`8it�
(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' compensation provislonp of ection 3700 of the Labor
Code, I ePalJ. ort;wdf?Applicant-
Warning:
comply withtthose provisions. 1
Applicant
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 representatives of this City to enter upon
the above-mentioned properrty fo"r inspection purposes. /
,,Signature (Owner/Agent°—t Date
JJ`
-BUILDING PERMIT PERMIT t1-
DATE I� �.7 TRACT
JOB SITE
ADDRESS ( t : aa���r "�_'! .
%_7f) -Sotj
APN
7659•••81.0.006
OWNER
CONTRACTOR / DESIGNER / ENGINEER
Qle-m Ptt"�., *Wf llw tY '! V :{ 9' f-1 •
a1t`)1„J D
81 0 9:3f'ti'� 't n �'"�+ it JIM ' iZ'�i d.'��A �. Ca [ L
!1 / 5.1 �.. .7 �. / ..P i / Jh%, fl ,a
1430.r, Clitt..t°M.F'•N #1VM 5,M 1W?
--5.960 RGABL. D
ORANGE l�A 9VJ416
LA. Q�.tlid�'k'i CA ���5�
f 7ba11(i3 7� C SQ.A 5487
USE OF PERMIT
•• 1.t, T iii :['Lrw .113 ! 6wT T,>aL.3 w1ur OR
PLAN QHEr, K P.i'i3tiC7ri bN A. ?Pd.IED VM1V1.VJ;C1PU. SUIDMI.'i•'A',rA6.
4 S l( (yl • i fxa eTI:IZvMAtJiVi:, t 9if.i u
,00kC1VPX1,10 3301h) 8F
Of*RAGWC.A1§?QI1<T 030.00 SF
'',I�i�i'rit'�.3,,H�!,�y.4CD�
23-9.17949
PERMIT VERSVIMMARY
4)):}�f9,tN'��]S•�k'''�1:[�4;1.�Vf�;'i7j1.+J?`ryA� PrX 101-0004.18M $!@, t�
.
(►.@S4�f
!�74 �Jl43N•l �:1.. y,'T�
iltf+C31.,ANX'`AL I{FEE Ito.4it3
)iLB::TR A,L ;FEE l.41 � 11.92t3��SgG 21'73:40
PLUA,l33iNO PE8 $186.50.”
M h "i
TrrK**A4GM, ()'!'3.r3'�dFEE, %311. �4)?-0%-241-(?t1L►
OiuAi")ENG 1"Uri 1�?t-l3tNJ J 2��tiUlJ Rp Css
) E ,
AP,T Ii i FAMia4C PLACES - :r(F—SM 701•-000-2554*0 $347.95;;
; c j r
1'3>uW 0M 1W_AC ► `f�1:�s,r
r1rS-TWA1,'C�3:° " t� #'� 1�� � rN�IPLA:. CHM:
LES i?i: -PAM FE
. . F1.,0,:1 A AL MAWC ]L .l' R VES DUENOW
s9�ry4��Y.Y
A, `
RECEIPT
DATE
BY ; y•%
DATE FINALED
INSPECTOR
r
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
f 3
Ducts
Slab Grade
/
Return Air
Steel
j
Combustion Air
Roof Deck
/
Exhaust Fans
O.K. to Wrap
pp i
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
D II - Int. Lath
_
Final
Final
POOLS -SPAS
BLOCKWALL APPROV LS
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
Waste Lines
Gas Test
Electric Final
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 -07-2000 MON 12:25 PM SPATES FABRICATORS FAX NO. 7603974724' P..02 .
FABR-I.CA,r.0RS INC.
R(tsidential, Commercial & Floor 'rrusse.s
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 been eompromi%ed by the
installation of roof -mounted vents called "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 ''h inch MUST be repaired using the appropriate repair
s , 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,
1A
David Spates
Vice President
w
85-435 MIDDLETON STREET, THERMAL, CALIFORNIA 92274 • (760) 397-4122 • FAX (760) 397-4724
0s/16/20K10:-47,—'FAX 780 3479879 Emerald Roofing . 01
g, Inc. :'
iy
PROPOSAL
79470 HIGHWAY I l I, STE. 174-
LA QUNTA , CA 92233'
'L !',DATE' rtatDvosAL
Ucl# 7709®0'
�----.-- i
. • "" . �J16d°0® *,1145
(7607-9869
��
,
NAM$ I AD UM •
I -- . f `
- _... i
MOAITECI'TO AT FGA WEST
JOg/vOM' y
1 ILC I;oBw COMp
� LOTS 1'0.16 QO'IIAG�T ViNT3J
ss-w SOIPrliEiiN k.Ls
.
lAA QUINTA CA 9n`
DESCRIPTION
--- _�
TOTAL
• I TO VV®®A9 IT 1`'lAY.L'OAlCERN;
_ ,
y
EMERALD ROOFING RAS INSTALLED-O-IIAGIN VENTS AT MONTCCIOT
YI
HOMES AT PGA',WEST.BEI,6W. ARE THE ADDRESS AND NUMBER Off'
VEtiTS.
.
I INSTALLED.
• _
•
i i
I
LOT M , 'PLAN 0 , ADDRESS M OF VEP475
F
10 2-Ali 54-614 SOUTHERN HILLS, 17
r
. 111
2-B 54.636 SOUfffrAN 1HII,ls 17
s
I - • '
112
2-C 34.656 SOUTHERN DILLSf
17
113
.I
1-A 34.6abo SOUT�EIiN HDY,D,S -fl7:
14 -_ --; -- �•- - 54702 SO U'i�F,IgN:1iILI:s • _ .'".'I;7 ;
F
!.
15 '.-C 54-724.SOUTDE1tNBii3.l.5 X17
116
2-8 54-746 SOUTHERN M.LS I7
i
John Jones„ !President i
L
TTOTAL 50.00
T1� ABOVb; PItICi$ �CIV4CAT[ON®AM9 COlrD4TiQf�➢8 ASYA2'1D
6�A'rlgl�w,Cr®SPDlKY A
.- ---
fi
ARE NMErBY ACC FMD. YOU An AUTFIORIM TO DO T� w� AS
"
,
PAYMPIT ®HILL BE MADE ASOUTLUMDABOY6
,
. SIGNATURE
• '
JUN -02-2000 10:58 y WESTERN INSULATION 909 686 8786 P.15/19
N INSULATION, . I11iC
WESTER
T 4211 Latham Street, Riverside, California 92501
Tel. (909) 686.8760 Feu (909)686-8786 '
• y 'x
I11iS[TLATION CEIZTI�I�ATE
THIS IS TO CERTIFY -THAT INSULATIONHAS. 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• y
LOT# 14
SITE ADDRESS: 547702 SOUTHERN HILLS
EXTERIOR WAILS: _ r
MANUFACTURER: Johns-N/enville THICKNESS: 5 1/2 R -VALUE: R=21
CEILINGS: _ BATTS SLOW,
3 r
MANUFACTURER: Johns -Manville THICKNESS: 13"_ R -VALUE: R-38
CEILINGS: j BATTS BLOW
MANUFACTURER: -Greenstone' THICKNESS: :10.3" R -VALUE: R-38
------------------------------------------
- -
GENERA .CO TR CT R: CENTURY AMERICAN 'DEVELOPMENT
LICENSE NUMBER:
• BY: .. _ .
TITLE:
DATE:
INSULATION CO TRACTOR: WESTERN INSULATION, INC.
' LICENSE NUMBER: 481278 „
TITLE: ,P 0 ON ANA '
DATE JUI • 2,2000
•
r
o t� ��Plan4
..
° f. '� - �� y� � � -Y^IFCS (�.♦ .R'rs L � � -��O � 7
• Y _T 4 S{}C1' ®n t& , V ♦ "tea .; �.f � 1
Uiic7i n g., andi";1
e� a fb.D� art.
> t CF`s%0F
L
This Certificate issued 'pursuait7t�fo�itiie'requirements •of Se6tion"T09. of. the Uniform Building Code,'
certifying that, at the tune• df issuance,this structure was in -compliance with the various ordinances.«
of the City regulating building,tonstrOction�or use. For'the fohowing: Y
-BUILDING ADDRESS; : ,*° : , .54-702 SOUTHERWHILLS
Use Classification:'- SINGLE FAMILY'DWELLING '• > ,Bldg.�rPermit No.: 9907-152
Occupancy Group: R-3Type,,'of;Conptruction: VN • �rLand*Use Zone: RL
711 .Owner of Building: SOUTHERN' HILLS`LLC Address: j •1430 -E CHAPMAN AVE STE 100
City:' 'ORANGE; CA., 92886
_ . By;- DANIEL P. CRAWFORD JR. '
�' •T. _
r I Date: 8/16/2000 -
Building Official:,',,_ -`*..L
'POST INA CONSPICUOUS,PWL E