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9901-119 (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 .3of the Business and Professionals Code, and my License is in full force and'effect. -License # Lic. Class Exp. Date '478699 13 te2 lz, F "Y Signature of Contractor, OWNERBUILDER DECLARATION It hereby affirm tinder penalty of perju ry that I am exempt from the Contractor's License Law for the following reason: -as owner of the property, or my employees with wages as their sole compensation, 1will.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 I ).:tam exempt under Section B&P.C�'for this reason Date-, Signature of Owner WORKER'S COMPENSATION DECLARATION 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' b6rrrpensat'ion,' as,,provided for by Section' 3700 of the Labor Code, for, the Oerformincb, of the work for which this permit is issued. 1, haveand will maintain workers' compensation insurance, as required by SZ66 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. GOLDEN E.AGLE NWC 54?701400 (This.,S.ection neednot be Completed if the permit valuation* is for $100.00,or less). i,( 'I certify that'in the 'performance of the work for which this permit is issued, I. C .1 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 ocle I shall fortowith comply with thos" provisions. /Date:?2- ei � 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 Laiboi Code, interest and attorney's fees.. IMPORTANT Applicatiori is hereby made to the Director of Building and Safety for..�-a permit subject to the conditions and restrictions. set forth on his application. A.'Each person upon whosebehalf this application is made & each person at w6ose' request..6nd 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-Imeritic'ned property for inspection purposes.- Dal� ril' ,/Signature ',(Owner/Agent) BUILDING PERMIT PERMIT # DATE VALUATION .12, .56146&00 LOT t TRACT '29774 .5. r1cl JOB SITEAPN ADDRESS 60801iTHERNMUS 769-SWO26 OWNER CONTRACTOR/DESIGNER/ENGINEER SOUMERN HILLS, LIX j R.C. HOBBS dba SOUffIERN HILLS, LLC 1430 E- CHAPMAN AVE, Ste 100 55-90 PGA SM ORANGE CA .02846 LA QUWTA CA 92253 (71-4)633-7260 CW 5487 .USE OF PERMIT SINGLE f-ANOLY DWELLING 'LOT 4,'PLAN 2AR -'.SFD- PEPMFI'DOES 1411T INC LUM SLOM WALLS OR POOT.Sy PLAN C14ECK FFM REDUCE 7,5% FOR NitULTIPLE ISSUANCE OF SAW. PLAN nW. 4 CUSTOM CONS' ' rRUCT TON 3,020,00 SF PORCMPAVO ' 326,00 8F 0ARAWCARPORT 1865,00 SF WITIMATE D 0091' 0.1+ CONSMUCTION 256,468.11)(1 PERI%Irf FEE SUMMARY CONSTRU MION FEE PLAN CHECK FEE 101-000-439318 5242.44 ASkMAMCAL M 101-000-421-000 $111.50 ELECTRICAL FEE iol-60-420-000 $180." PLTAfBfNG FEE 101-0)10 4MttW $186.50 STRONQ NIOT101q FEE - MfD 101-000-24.1-.000 $25.65 GRADING i+ 101-000-423-400 $20.00 INFRASTRILIC-WRE 2:Z5.000440-342 $5,674.71 ART IN PUBLIC PLACES- REWC 701-000-255-000 $39).17 SUD-TGTAL CONMRLJC�ON AND PLAN CHECK '� LESS PRE -PAID FEES TOTAL PC, RMIT FEES DUE NOW $8,021.53 RECEIPT DATEBY DATE FINALED INSPECTOR V, v INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings 1A4 Ducts Slab Grade Return Air Steel Combustion Air Roof Deck S Exhaust Fans 0. 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 Drywall - Int. Lath • Final Final4W& XPOOLS - SPAS BLOCKWALL APPROVAL'S steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. 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 Q 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) r i f Oct -2,9-99 09: 50A { The DanDee C mWmm y L>. L ic, 732542_ ROMING AND CONSTRUCT/ON Roofing Proposal P.O. Box 277 Thouvw& P.This, CA .92276 Phone (760) 343-3385 Fax (760) 343-3096 BIDS TO : JOB NAME: THE R.C. HOBBS COMPANY MONTECITO COLLECTION 55-960 PGA BLVD. PHASE# 1, LA QUINTA, CA 92253 LA QUINTA, CA 92253 PHONE# 564-1551 FAX# 564-5091 DATE 10-28-99 THE DAN DEE COMPANY INC. HAS SUPPLIED, AND INSTALLED THE FOLLOWING AMOUNT OF O-HAGIN ROOF VENTS. SOT# S OF VENTS 1 16 2 17 3 16 s 16 6 17 7 16 8 15 8 16 ---------------------------------------------------------------------------------------------------------------------------------� NOTICE Under the Mechanics' lien I,aw icalifomia Code or civil t wArfure section I ioi et st:rJ ). any conirarvm'. srihcnntrctor. laborer. suppltcr other w3m ne helps to impiuve your properly but is nor paid for his work nr supplies, nas a right to enforce a claim Against your property. This moans that, aver a midT nearing your propeuy noble be sold by a court officer ano the proceeds of the sate usee to 9ahsty the indebtedness, This can happen even it you have_paid your own contractor in full If the SriWoritractor, Iarwer or supplier remains unpiva anti ii legal action is necessary to collect or enfnrne The tends of this conlraci. the pt evathnll party ShAll tw entitlyd to it, feAsnnable anorney fees plus all costs of suis and interest shall accrue an All sums• which are due 30 days after billing at the rate at id IA per annum. The DanDee Co. Inc. is not responsible fox delays caused by wcafher. stnkP, material shortage or delay 4) ntalenan Grp fMet to rhe job or to any other delay boyorld its contmt irle DanDee Co Inc, total liability unser mil; contract or in negliyetice is; tabled solely to the amount of this c=ittat t We are /ally Covered tyv wgrkrnen's comtlertsetitm and,public liability insurance. Ceaiers names and polity numbers available on request any aheration or deviation from the a otx>ve specifications involving extra cost of material ex lahnr will only be executed upon wtitthn uiders tor' sanw, mit will become an extra diafl)L over the sum mentinned in this proposal. AD agreements must he made in writhing anti is basud ort free access to Wilding for dkect loading from vur trucX3. Prices are based on current costs of material and labor. Increases or decreases, wltl he reflected at time of signing contract. Before and or dwing roofing operations and the corrtpletion of roofing, The DanDee Cc Inc, will not be responsible or liable for damage caused from acts of Goa. such as earthquakes, thunderstorms, hall oe any other weather condidone beyond roofers control. PATF. 1)A•i'I? THE DANDEE Co. PROP ►SAI. VALID FOR - DAYN DEC -29-1999, 09:43 WESTERN INSULATION 909 686 8786..E P.11ii9 { WESTERN -INSULATION INC. = + F 4211 Latham Street, Ri-raide, California 92601 " 1909) 686-8760 (909).686-8786 Fan 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-PHASE' 1 : - TRACT #:28776 LOT#•,. 4.,.. ;• SITE ADDRESS: 54-460 SOUTHERN HILLS, LA QUINTA, CA.' 1 EXTERIOR ALLS ! s MANUFACTURER: 'JOHNS -MANVILLE", THICKNESS:: 5 112" R -VALUE: R-21 CEILINGS : BAITS BLOW 'MANUFACTURER: JOHNS -MANVILLE THICKNESS -.13 " . R -VALUE: R-38 CEILINGS • BAITS BLOW , . f MANUFACTURER: GREENSTONE THICKNESS: 10.3" R -VALUE: R-38' ORAL CONTRACTOR: , ` CENTURY AMERICAN DEVELOPMENT " LICENSE NUMBER: , 'TITLE: . DATE: , __xN uLATION C0NTRACTOR: WESTERN INSULATION, INC. LICENSE NUMBER: 481278 BY: f f TITLE: Produddon nager I, DATE: DECEMBER 29,1999 , uertir7cate wPC a� Cit of La Quinta Building and Safety Department AFM OFti� 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 comp/Vance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: 54-460 SOUTHERN.HILLS Use Classification: SINGLE FAMILY DWELLING Bldg: Permit No.: 9901-119 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: R.C. HOBBS dba SOUTHERN HILLS, LLC Address: 55-960 PGA BLVD City: , LA QUINTA, CA., 92253 B •DANIEL P CRAWFORD JR s Y• Date: 1/111/2000 Building Official POST INA CONSPICUOUS PLACE '67 uertir7cate wPC a� Cit of La Quinta Building and Safety Department AFM OFti� 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 comp/Vance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: 54-460 SOUTHERN.HILLS Use Classification: SINGLE FAMILY DWELLING Bldg: Permit No.: 9901-119 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: R.C. HOBBS dba SOUTHERN HILLS, LLC Address: 55-960 PGA BLVD City: , LA QUINTA, CA., 92253 B •DANIEL P CRAWFORD JR s Y• Date: 1/111/2000 Building Official POST INA CONSPICUOUS PLACE �- Certificate bf Occupanc e 44 LNtoaotnffn�4� - - OF19 -Building'4 Safety Department'. ,- This Certificate is issued•pursuant'to the' requirements -of Section 169 of the California Build_ ing Code, certifying' that,- at the Gime .of -issuance, this;_strui:ture -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: 54-460 SOUTHERN HILLS Use classification: SINGLE FAMILY DWELLING Building Permit No.. 9901-119 "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: JANUARY 11, 2000 '. _ r Building'Official POST IN A CONSPICUOUS PLACE