9907-151 (SFD)LICENSED CONTRACTOR DECLARATION'
!.hereby affirm under penalry,of perjury that I am licensed under provisions of
F -V Chapter 9 (commencing with Section 7000) of Division.3 of.the Business and
• � W�� Professionals Code, and my License is in full foice'and.effect.
License #' Lic. Class Exp. Date
LO
_ _o Z r— ate h
r{ '_y. Signature of, Contracto- 3
cfl0�
J U OWNER-BUILDER','DECLARATION
•W w I.hereby affirm under penalty.of perjury that I,.am exempt from the Contractor's
~. License Law for the following reason: .
Z_ ( ) I; as owner of the. property, or.my.' employees with wages. as: their sole
Compensation, will do the work, and the structure is noi,intended or offered -foe
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). 5
ce) O, I am exempt`under.Section B&P.C. for this reason
N Date ' Signature of Owner +
O
d Q WORKER'S'COMPENSATION DECLARATION
0'..
p zI hereby affirm' under pe11 nalty of perj
ury, one , oneof the following declarations:
L <0
I have and will maintain. a certificate of consent to self:insure for workers'
r F_ O.
X W LL compensation; as' provided •for by Section 3700 of the' Labo(Code, for .the
"O J Q performance of the work for which this permit is issued.` ,7
CO Q .0 (V .I have and will maintain workers' compensation insurance; as required by
.00 U Q Section 3700 of the Labor'Code; for the performance of'the work for which this
ra• LO H permit is issued. My workers' compensation insurance carrier & policy no. are:
,t Z . Carrier ` r •�,T y (<' �q Policy No. �J/ . q �!�] y0
t_.00 = i3\J7.+Gj tV r�.tt.? - '>�o"Yk..�?yl X01 , „.
r Q (This section need not be completed if the permit valuation is for $100.00 or less).
'J O 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 ofCalifornia, and agree that if I, should become
subject to the work ers'•comperisaUon provisions of Section 3700 of the Labor
Code, •shall fortNh comply.withAhose provisions. t
Applicant__!/f :!r .� ..� was.. tom,
/� r
"War,ning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an 'employer, to criminal penalties and civil fines 601o,$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'Bu lding and"Safety
fora permit. subject to the conditions . and restncUons 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 uport
the above-mentioned proper[ fo � inspection purposes
VS
ignature (Owner/Agent)'"` Da��"�~�
BUILDING PERMIT PERMIT#
DATE io�- m09VALUATION 52.34%4.79.00 LOT �� �ti TRACT - `!' ?776
JOB SITE ADDRESS . V,4405 11OU � -1fi t
APN
OWNER
CONTRACTOR / DESIGNER / ENGINEER
S-nU1'FJJr1DAr TATT UK, r` r �r.." - -
liAA.•
= n r� 'Lilluiae ��� cri?p^s��rc�lr.r
! ib.: Vti lxS. !,.
Mir .l.AifA.,iv
.1430 h C:.H:MMANAVE .�,'t_�C' 04
vt•sj� .�,,
55r_yn()PGA BX:.YD '
C"A92
I�h �iiJ9F�"f:'A- ;.. ACEI 9:i?53
li'6.=i}ti 3-1260 ! CDO 5497
t
USE OF PERMIT
81"W(:iLBI i'?.fl�l2if."i X�i&r
C - L�i't' 13 P.L. l faro 's! � I^f a}aS NCIH ih1t. EW�T:OC.7: Wr�.k,t.. OR'
Pool".
GIS 11VA Oiifkra 1b pi t; }I IT-
T��2V \`�S1G7 L•. fy !" i�1i A? [TT • :
T r�•r .
C0t48'r1WC"TiC)N @"Ir?ti
P1__XN C"ECK F'.t!. a 1f3x:tiW-ail; _"118
M UCHIV*QC'At.;_ 93!3 ttF! �Bi r�9, 1- i�fS• .t 3.t1t�
MWTiBTi:fiaL FES
.1166,50
cam.+�;a�c� t.. +,00
r k t` CDe P'UR k i UP W 701-s200-255-000'
,PLAufi5
f + V3att >ftFt.14tPAt;'8 d f f `D:t 5+3�',tr41
•4.
a,•�'�?1++@�t,�
�eT 7 �7
Ay��CHECK
y�+�1 y� ��•�,y�� 1�I1 1 r� r��+•pit,5 AND
48 9.7'3.TJ�i,R'�Ie �.�ONSOJ. Y.�F X4..1 i'1.,7[`t .G'S'1.'a'DN/ T"�..^S.9v l.,.Yd,G'.4r..F�.. �'�
}"
J. /���
:x.1~5 s.'•:�SP b?i� tiv.
• r-» yetiD.(i
RECEIPT .
DATE
BY 1.
DATE FINALED
INSPECTOR
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings 1111-511W
Ducts
Slab Grade Z
Return Air
Steel
Roof Deck BQ
Combustion Air
. Exhaust Fans
O.K. to Wrap
F.A.U.
Framing_/ --r
Compressor
Insulation J��
Vents
Fireplace FYL.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Dry II - Int. Lath
Final
Final 6��
POOLS - SPAS
BLOCKWALL APP OVALS
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 T
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral Of
Pool Cover
Sewer Connection r
Encapsulation
_
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
I
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final XA
Utility Notice (Perm) h�
AUG -07-2000 MON.12:25 Pit SPATES FABRICATORS FAX N0. 7603974724P; 02
- SPATES'.
FABRICA"TORS INC,
Rrside.r}t,ial,. Commercial & Fipor `rrussos
August 7, 2000
�T/3
Re: Montecito. Collection by RC. 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 I -%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 responsibiIity,'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 922741• (760):j-'*
97-4122•FAX (760) 397-4724
08!18/2000 10:47- FAA 780. 347 9879 Emerald Roof ]ng �01
k eftId ®®� �aI�c ' • TitoPOsAL 4
LA QM TA , CA 92253 DATE
Lie# 7709,40
(7607=JOB AXORYM
�-
:
MONTECdli0 AT PGA WEST—
; T ILC. 19096S COMPANY LOTS 10.16 IVHAGIN .VENTS
1 •
55-47 SOU'Q'HUR UL.C.S ,
1.A QUINTA CA X93
i 1C3161 t TOTAL
I0 SUM 1T6Z [
}
EA4URALH ROOFLNG RAS INSTALLED O'BAGLN VENTS AT MONT1ECIOT
HOMES AT PGA WEST.HELOW ARE. THE ADDRESS AND NUMBER OF VENTS
INSTALLED. ! � y
LOT o, rL.AN p ADDRESS # OF VENTS
10 2•Ali 34.814 SOUTHERN HILLS 17 t.
i I1 12`B 54••636 SOUTIFFILN HILLS 17 I +
I '
j 1s a-c U-638 SOUTWRN DILLS 17 I
j !m �1-B - W02 SOVI`IKI+M A,LS 17
i 13 .-C 5 -724 SOUTStUN HILLS 17
D6 .2-9 34-74 SOUTHERN iI1LI.S • . 17 I
Jones. President'
- 1 i
'I
. i 1 1 _ r. . + Vii• .,'. .
I:
• I 1 ,
�OpID
= -T I M Co-OVi iBitaCEE. w'ECE ICAT'C iaaa>m c�vnesio�9 AStB �Arisrr,CTOAv AND,
ARE@lEL4E®K ACCEPiFD. YOU AAS ei>IJ7 i�06i1�ED T10DA T= WORK AS SPECUUD, r t
FAyMNT WML BE WADE A40MLWbAB0vL
• SIGNATUd3F 4 1
4
4 ..ice, _ • t A
' ' 1;
JUN-02-2000 10:58 WESTERN INSULATION 909 686 8786 P.16/19 -
WESTER INSULATIONS INCe
4211 Lat2 am SUM. Riverside, California 92501.
Tcl. (909) 686.8760 Fox (909) 686-8786 t
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 - TRACT 428776
• . ,13,..x.--* .
LOT# .
SITE ADDRESS: 54-680 SOUTHERN HILLS
------------
EXTERIOR WALLS: -
MANUFACTURER: Johns-Manville THICKNESS:.- 5 112" R-VALUE: R-21
CEILINGS: - BATTS SLOW
MANUFACTURER: Johns-M-ihkle THICKNR-VALUE: R-38`
CEI�(NGS • BAITS SLOW
< MANUFACTURER: Gieenstone THICKNESS: 10.3" R-VALUE: R•38'
-------------------------- -----------
GE ERAL CONTRACTOR: CENTURY AMERICAN DEVELOPMF
LICENSE•NUMBER:
TITLE: ,
DATE:.
INSULATION CONTRACTOR: WESTERN INSULATION, INC.
LICENSE NUMBER: 481278'
BY:
TITLE: PROD N MANA90
DATE JUN ,2000.
Q ,
Certificate of Occupancy
City,of La ''inta.'
_
Building "and Safety DeP artment'-, 01F
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 fol%wing:
BUILDING ADDRESS. 54-680 SOUTHERN HILLS.` ,
Use -Classification: _ SINGLE FAMILY DWELLING Bldg: Permit No.: 9907=151
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
47 By: GARY HARTMAN
Date: 10/17/2000
Building Official
POST IN A CONSPICUOUS PLACE