9907-123 (SFD)LICENSED CONTRACTOR DECLARATION
P 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
7 �6sq il ,, ;1 . 024 .Yi
i ate Signature of Contractor' rt
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 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:
Carrier Policy No.
(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 provisions' of Section 3700 of the Labor
Code, Ilshall .forthwith comply with', thQ mpovisions.��
lDate: P` `�'// Applicant -� 4
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
the7above-mentioned property fo inspection purposes.
"Signature (Owner/Agent)Date
BUILDING PERMIT PERMT#
_
N i
DATE VALUATION LOT TRACT
4
JOB SITE
APN
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ADDRESS �91X�,. � �i M
769410.010
OWNER
CONTRACTOR DESIGNER ENGIINELEI R
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USE OF PERMIT
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INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
7,
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
Da
F.A.U.
Framing
/
Compressor
Insulation
Vents
Fireplace .L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
(j
Drywall - Int. Lath
-�
Qo
Final
Final
BLOCKWALL APPROV LS
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
Heater Final
Water Piping
7
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
OX 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. 12:13 WESTERN INSULATION 909 686`8786 P..^07/16
q {
rjuo
TZRX INSULATIO1 INC o .: .
4211 Latham Saeet, Riversidc, California 92501
TeL (909) 686-8760 Fax (909) 686-8786 a ;
INSULATION CERTIFICATE
' THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH"
THE CURRENT ENERGY REGULATIOW CALIFORNIA ADMINISTRATIVE CODE,'TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: q
TRACT / PHASE: MONTECITO COLLECTION- 28776 PHASE 3A
LOT # 1$
SITE ADDRESS ' 54-790 SOUTHERN HILLS, LA QUINTA, CA ------------------------
E
EXTER R WALLS!"N
MANUFACTURER: GREENSTONE' .THICKNESS 10:3 R -VALUE: R-38''
i
•
CEILINGS: ` • BATTS 0 ;h
MANUFACTURER: JOHNS MANVILLE . •' THTC NESS: 13' fl-VALUUE:. R-38; "
CEILINGS: BAITS SLOW'
MANUFACTURER: JOS VILLE THICKNESS: 5.5" R=VA
HNLY E: R-21"
GENERAL CONTRACTOR: R. C. HOBBS CO.
LICENSE NUMBER: '
BY: '
~ •TITLE; y 3
DATE:
INSULATION CONTACTOR: 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. 7603914724 P,.02,
I SPATES
FABRICATORS INC.
Residential, Commercial Floor "1-russos
August 7, 2000
Re: Montecito Collection by R.C. Hobbs Co., Phase 3
To Whom Tt May Concern:
The roof trusses on Phase 3 of the Montecito Collection have been compromised by the
iristatlation of roof -mounted vents called "O'Hagan".. In the pracesssof 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 '/4 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
LA QUINTA, CA 92253
-
..
License No. 770940
(760)347-9869
October 26, 2000
MONTECITO AT PGA WEST
,
THE R.C. HOBBS COMPANY
' 55-487 SOUTHERN HILLS
LA QUINTA, CA 92253
TO WHOM IT MAY CONCERN;
-
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
54-078 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#
ADDRESS
# OF VENTS
• 25 3 -AR'
54944 SOUTHERN HILLS,
16
26 2-C
54-966 SOUTHERN HILLS
17
27 2-A a
54-988 SOUTHERN HILLS
'17
28 1-A
55-01.0 SOUTHERN HILLS
17
29 1-8
155-032 SOUTHERN HILLS
17
30 1 -CR
55-054 SOUTHERN HILLS
17
31 1 -AR
55.076 SOUTHERN HILLS
17 -
THANK YOU,
JOHN JONES.
'
PRESIDENT
4111—
r ificate of OccupCYan1
Cet --�-�{L
a�
City of La Quinta'
4
Building and Safety Department hof°
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
ollowing:BUILDING ADDRESS: 54-790 SOUTHERN HILLS
Use Classification:: SINGLE FAMILY DWELLING Bldg. Permit No:: 9907-123
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: ORANGE, CA., 92886.
tea, By: DANIEL P. CRAWFORD JR.
Date: 12/6/2000
..Building Official
POST IN'A CONSPICUOUS PLACE