9907-124 (SFD)LICENSED CONTRACTOR DECLARATION '
I hareby 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
' 47869 . r ,/'rn'q r1 i/AF a'+JibVi
,/!car •-,.�,,.,.._..,..,�.�•�n,
Date € 2-O 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). ,.
O 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'
VXC N=01400
(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, 1 shall forthwith comply with,those provisions.
ate'. f �� } Applicant' ` ^•1%1^^.g; ""°_� ,,
Warning: -Failure to secure Workers' Compensation. coverage is unlawful and
shall subject an employer fo 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 applicatiowis 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 Q.uinta, 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)- �__. Dater
PERMIT#
I
BUILDING PERMIT��,rw;,
� .
DATE 1 (/7a 1j` VALUATION LOT p TRACT
'1781 r ®N
76
JOB SITE t
ADDRESS�E�%)e,err�.t:�J
OWNER
CONTRACTOR / DESIGNER / ENGINEER
S.CU1"FER».
fi.w.3(dbal l� ts L ,
1430 _a"I4pY:N Li Vb
C+"qy) f;:, A, e(Vry.
OkANOE. CA 97886
LA Q�!-3MA ' c :A. 42253
-7,7;60 C1?t N 5497-
USE OF PERMIT
SM -.R-OT.l :l'f iii+t .16� 'ic �Ct�tli.A ua �T' IN X,UD1.. BLOCK K+.f4il,l: OR
fat z0L.7�VY* P 1,AZ4 (A-fb ; K HEOVK'M{.. N APPLIED b'QU MUL-TIP1.1 '.3V SibtA.t"f'AL
PcORCE=;L`PXf10 3113.00 Sill
. CiA1tAlUE:IS:°AA#II+'t:1:ti.'D' 'ii3i).CNl.`�!'
. •.E. IS O,•.U.iA3C P. ED i,r{• IN {W'i-.O1:'i.IS R'llUY e,IL MT �
,6-20,6.d:4 .20
PERMIT FEE' SMMAM.
a'RNINMUCTION Fr -E 101-000-4:> M) SL'273.001
-
ill it"d;➢'1:E:;'ai'. i .. t,�S-tat: ZB- I1 2,4.11)0
T+3,.13NOANG,:Ita1:
����^tN►� �2t}?'dt'YP,3 �7>f:.fT, �.I�.��t�1;1 ..1d3?.-�i.�fl.ry,d'Y�-�5,�1 "✓5�:�.
iif ri'�e 1iI (s 's -m o
ART IN ±AIJ33LX PL.A.CZE.3 -- Wilt 701 -0il0-25 -(X)0 :XI
LESS PRE-11AIDPEES
10. 0 (11
"JafAl VERNiVU FEES' ES' i IC' iviCBW
54,45&"
RECEIPT
DATE
BY'
DATE FINALED
INSPECTOR
INSPECTION RECORD
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
Vents
Fireplace .L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
6
Drywall - Int. Lath
/
Final
Final
BLOCKWALL APPROVA S
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
O.K for Finish Plaster
Sewer Lateral
444 114
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 . / O p
Utility Notice (Perm)
COMMENTS:
OCT -19-2000 12:13 WESTERN INSULATION 909.686,8?86 P.:08/16-
it
FS
HNU 'A, ION91 MCo
• • '• i n
"4211 1,athem Slr I t, Riverside, Ca forma 82501
Ce1. • (909) 6866'760, Fax (909)+686-8786
][1�SULATION CEIMFICAT -
THIS IS TO CERTIFY THAT INS ULATION.HAS BEEWINSTALLED IN CONFORMANCE WITH`.,
THE CURRENT ENERGY REGULATION; CALIFORNIA ADMINISTRATIVE CODE, TITLE `24,..'u ,
f -'R STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: '
t r
'TRACT /PHASE: MONTECITO COLLECTION- 28776 PHASE 3A y
LOT. # gJ� :r
SITE ADDRESS
' 54-812 SOUTHERWHILLS, LA QUINTA, CA °
---
------:-- ------.---•-'-- - -_ - --.
'EXTERIOR WALLS:
MANUFACTURER: GREENSTONE ' , THICKNESS: 10.3" R -VALUE R=3@ ;
CEILINGS: BATTS BL0 ,,"
* MANUFACTURER:'; „ JOHNS MANVILLE THICKNESS: 1.3" R`VALUE: R-38 '
C Lig: j. r BATTS t` ` BLOW
MANUFACTURER: .JOHNS VILLE THICKNESS: _ 5.5" R.VALUE: R-21i�-
GENE L
CONTRACTOR: R . • C. HOBBS CO.. ^.
LICENSE NUMBER:
TITLE:
DATE:
NS LAT ..N CONTRACTOR: WESTERN INSULATION, INC. �
LICENSE'NUMBER:.481278
BY: Y • .
TITLE: OFFICE MANAGER
OCTOBER, 19; 2000. 4: t
♦ !DATE. . OC
R R
AUG -07-2000 MON 12:25 PM SPATES FABRICATORS ;FRX NO. -7603974724 %P, 02 .
'Y `
PATE!";'
F ;" ABRICA0 R S INC ;
Res ideritial, (:ommercial & Floor-I-russes•
August 7, 2000
Re: Montecito Collection by RC. Hobbs Co., Phase 3 ;M
To 'Whom It May Concern:
The roof trusses on Phase 3 of the Montecito Collection have been eompromis 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-%a inches.
Spates Fabricators has,'provided 3 separate repair diawinis (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
drawings
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, tci oversee the
CORRECT repairs on these tresses. They are responsible for restoring the safety and
fiuictioning of these compromised trusses...,.
Sincerely;
David Spates
We 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
`
4
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# PL AN#
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 2-0
54-878 SOUTHERN HILLS
17
23 2-A
54-900.SO.UTHERN HILLS
-17,
24 3 -CR
54=922 SOUTHERN HILLS
16
PHASE 3-B TRACT# 28776
LOT# PLAN# -
'ADDRESS ._
# OF VENTS
25 3 -AR',
54-944 SOUTHERN HILLS
16
26 2-C
'54-966 SOUTHERN HILLS
17 "
27 2-A
28
54-988 SOUTHERN HILLS
• 17
1-<1
55-010 SOUTHERN HILLS
17 a
29 1-13
55-032 SOUTHERN HILLS
17
30 1 -CR
55-054 SOUTHERN HILLS
17
31 1 -AR
55 -076 -SOUTHERN HILLS
17
THANK YOU,
'
JOHN JONES
PRESIDENT
Certificate of,Occupanc y.'
City of La. Q 'intal : F
Building and Safety Department OF.-�
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 bui/ding construction or use. For the following:
BUILDING ADDRESS: 54-812 SOUTHERN HILLS
Use Classification: SINGLE FAMILY DWELLING _ Bldg. Permit No.: 9907-124
J
Occupancy Group: R-3 Type of Construction. VN Land Use Zone: RL .
Owner of Building: SOUTHERN HILLS LLC Address: 1430, E CHAPMAN AVE STE 1.00
City: ORANGE, CA., 92886
By: DANIEL P. CRAWFORD JR.
Date: 11/3/2000
Building Official
`
POST .IN A CONSPICUOUS PLACE