0105-186 (RPL)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
F394' C'6'�, r'* 363I�d�
Date �. Signature of Contract r
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).
( . ) 1, 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.0 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:
Carver Policy No.
9WE FUND
(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 pr&Jsions of Section 3700 of the Labor
Code,_I Shajl for4hwith comply ,witfi;+thos�p?o�s ons;, f) ,'
Warning: Failure tasecure 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 andSafety"'.''
for a permit subject to the conditions and restrictions set forth on"his $R
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 property for inspection purposes. '
Signature ,(Owner/Agent)• Date
FT-
..' BUILDING PERMIT PERMIT# . ;
DATE VALUATION LOT ��,ij..l�j TRACT
JOB SITE
APN
ADDRESS
OWNER
CONTRACTOR/DESIGNER/EN INEER
W=RR POO
)4��ff-7y24� E 'tA 3 13a3.�E
'yy���.3��,-p5pp5,,�5 ,I�I.�O��?��yy�` AY 111 '
_92260
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LA ��)Vtl.�.`i'1/.',A CA. 92253 �
/�yy� ee���99!ry�' //��
.L'[S.LM Dt'+I.l'Y?ni"•n.` .:.nf"d .Y.G260
(760)46.6125 ML0 000
USE OF PERMIT
POCYL Ml'3A)p MI A
PO:F1„dVA, ,t9LA.it,drilS10ARl LER.; NRIALL BE IN PLACE, P.T PRk,-PLASTER
POOL, }v';,QUIPMRNT ANOWSUIRE NOT M5.:.'4.4 DET).
EYMMIND C10a` r OF W.4:'1KT:dA';dJMON
22,041£E.4W .
�bepp7��LyyiYpA.[1pp1aSLyggV3�1�++ARyAylky
.
st5
,q y p 946135.
E101-OW-4,7119-210
FEE
CON. OXI IO FEE 10 1 -WO-41 8.000 $224.013
YSt+. CHMIKAl. FEE •- POOL 101 -NO -421-000 $24,00
iF.J.; Y 1'R2,td: AL tom% ,n POOL 101-000-42c7-0.00 $45.00
P811iMBIWO FEE — .1100:4,, 101 fi000.419.000 $27.00
#SIC;'iIC?t� Awl) :t��+.x3 2"�5 �'
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RECEIL - ,�
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BY
DATE FINALED
INSPECTOR
�'- /�,,;
:ice
-•r-^--^
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
! Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
! Compressor
Insulation
I Vents
Fireplace P.L.
! Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
I
Exterior Lath
Drywall - Int. Lath
I Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
Set Backs
Steel
Electric Bond
fl
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
Sewer Connection
Pool Cover
Encapsulation
_
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Terra . Power Pole
Underground Conduit
Rough Wiring
Low'Jonage 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 N0: 7603974724 P.' 02
PATES
FABRICA,rORS INC:
Re:siderntial, C:dmrnercial & Floor-rrussos
August 7, 2000 .
d
Re: Montecito 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 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-% 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 Y4 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) 39.7=4724
08/18/2000 10:47 FAX 780 347 9879 Emerald Roofing- (bol
Emerald RoAoig, Ince PROPOSAL
7"70 HIGHWAY 11 l,' STE.1.74 -
LA QUINTA XA 92253 ' DATE reorosAl N
Lie# 770940 _J
(760)349-9 :.. 1a4s ..
NAS / AODRsss
JOB ADORM
MONTECITO AT FGA WEST
TETE D.C. Hosni COMPANY - LOTS 10.14 IVHAt",DV VXNT$) i
$5-487 SOtr=RN M LLS
LA QUINTA CA 9n53 e j
T®TAY. . ' — ......_
i TO WHOM IT KAY C'ONCEIRN: -- - - - ----- --- ---
EIMEI;AI.D ROOFING HAS INSTALLED O-RAGIN VENTS AT kONTEECIOT
BOMMS AT PGA WEST.BELOW AXE THE ADDRESS
AND NUMBER OF VENTS
INSTALLED, 1
LOT O PLAN* A®D11GSS 0 OF VENTS � I
Io 2•AII 54.634 SOUTRIERM HILLS 17
t 11 2-8 54-636 SO' u7w1n HELLS 17
12 2-C 94:658 SOUTHERN HYLLS »
13 1-A S4 -"o SOUTHERN Hu'.1 17 j
114 l -D S4-702_SOL"I�_E_RI6VEHLLS. - _17� -
f
!-IS ..• C-_ y54-724 SOVT>IIM#[LJ4
16 2-1$ ' so4, 6 SOUTHERN Hn i.S 17_ ,
•
J�ho Jones. "PrftWent ------
..._ T .
T= MOVED'RIC�, OiC09CATION$ AND C®l�DMOM ARZ SATU ACTOMY AND
'AU H�DtZRtf, ACCEFUD. YOU ARB AUTMRIM TO DO T= WMK AS S P' LCUU D. �
PAYM 14T WILL BE MADE AS OUTLUCD ABOVE.
SIGNATURE:
f
JUN -02-2000 10:58 " -, WESTERN INSULATION" 909 686.8786' P.14i19
A
1Z11i I11iLATIOIIT, I11T �t
E
4211 Latham StICtt,
Rv=side ; CaWmia 92501. ' }
' TeL (909) 686-8760 Fax (909) 686-8786
TNsvLAaloN CERTIFICATE ,
.. r: .
THIS IS TO CEATIFY.THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT. ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24;
STATE OF CALIFORNIA, IN THE,SUILDING LOCATED AT:
TRACT !PHASE. MONTECITO - TRACT• # 28776 z� `
LOT# X1:5
SITE ADDRESS: 54-724,SOUTHERN HILLS
-------------
-------------
EXTE IOR WALLS:
MANUFACTURER: - Johns -Manville THICKNESS: 5 112" R -VALUE: R•21
CEILINGS-BA"TTS`' 'BLOW t;
- • MANUFACTURER: Johns-Manville',THICKNESS: 13" R -VALUE: R-38 '
CEILINGS: BATTS
MANUFACTURER: Gieenstone • THICKNESS: 10.3 R -VALUE: R48
r ------------------- ------
GENERAL CONTRACT R: - CENTURY AMERICAN DEVELOPMENT
LICENSE NUMBER:
BY: -
TITLE: '
DATE: -
INSULATION CONTRACTOR:_ WESTERN INSULATION,. INC.
" LICENSE NUMBER- 481278 y
TITLE:- - 'PRO TION MANAG R
DATE, JUNr 2,2000 -