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9906-239 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of HChapter 9 (commencing with Section 7000) of Division 3 of the Business and cv W �' Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date 0 U 7191.13 B — 02129/2(( LU l �����/t• oZ r --ate Signature of Contractor . , U C) OWNER -BUILDER DECLARATION W W I hereby affirm under penalty of perjury that I am exempt from the Contractor's ~ 13_ 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 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). ce) () I am exempt under Section , B&P.C. for this reason U') N Date Signature of Owner 0 c\J 0) Q WORKER'S COMPENSATION DECLARATION CL j 2 Z I hereby affirm under penalty of perjury one of the following declarations: n � 0 () 1 have and will maintain a certificate of consent to self -insure for workers'' K LU compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _C)(� I have and will maintain workers' compensation insurance, as required by j U Q Section 3700 of the Labor Code, for the performance of the work for which this L' rn 1 --permit is issued. My workers' compensation insurance carrier & policy no. are: "t Z Carrier Policy No. o.O Ci�7'LC)F.DT,UAC;e`. 1INS, P3�7a`L: t1.7Fil1sS U J (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•pr6VQons of Section 3.7.00 of the -Labor Code, I shIl/fort/hjwith comply with tFiose.provisidns. gate: ;¢ Applica/ntj' "X."% Warning: Failure to secure:Workers' Compensation coverage is 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 the above-mentioned property for inspection purposes. y.4ignature (Owner/Agee --�-�a�e BUILDING PERMIT PERMITS"0-239 ' DATE VALUATION $2.2.5.749.116 L LOT .5 t TRACT /1 14iq �r JOB SITE W t f APN 761.,5jJf1_0U ADDRESS OWNER CONTRACTOR / DESIGNER / ENGINEER ;21�1�1 .1?^4';"r,1r�C. : IELLY lit N. A.AES5, INIC. 23 C ORPORME PLAZA, 024.5 23 COMR.A'it PLAZA#245 NEWPORT BEACH CA 92W NEWPORT BEACH CA 92.6160 (949)7tt -4975 CBI,#- 5337 USE OF PERMIT SINGLE MARL Y DWELLING ttrO - 'LOT 50 P,L.AN 7.CR - PlvRlvtt7i DOO 14TOT fNCLUiX BLOCK 'WAt, L CDR f'0M. CUSTOM C,JNS 1 rn.U'...5 ION, 2493.00 i- 1 I PORC HiPAJ-10 1.,344.00 W' GARAtiMA"ORT 7;7.410 8F E'S'TWA,f AiI,.B/!4+OS.iI 63R,\.O M�•d•6.U♦...4IVJ. it ��Ci17�V..iti PERINUT FU SUMMARY C'ONSTRLIC'1'JON FEZ 100 -OW -419-0) $3.,41$0,50 PLAN' CF01P�, -f"4A-?t8 x1750 C1INgC�E 0OWj000 ;t„31 EU-CMIC`AL FCC 10.i-000-420-000 $1159.15 d,,1,i.3MWtvG FEE 101-000-419.000 siftSU _fvtt�TfCiN.ra7 . tiBSP )PZs-(►t►0-24.t-otlfi t.;NAf7l° -43 Ff., r, 1.01-,(M-423.400 420x01? ;N IkAS1.rRUCTUPit-.. 212_`OW.443-342 AW7' JN PILIOLIC PLACES-:Rmir.' 701-000-255-1100 $3.44.37 O:N'AN:I�l'.t,ANCHECK $7,458.54 ESS P:Kf:-PAUD FEES $0.00 "YO':XAL PERM IT 1FLES ID:19NOW $7.,458.54 F-1 RECEIPT DATE BYE 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 P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath / Final Final D POOLS - SPAS BLOCKWALL APPROVA S 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 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 Appliances Final COMMENTS: s 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) NOV-08-2000 15:03 WESTERN INSULATION 909 686 8786 P.06i20 WESTERN. INSULA'T'ION t INC. 4211 Latham Street, Riverside, California 92501 Tel. (909) 686-8760 Fax (909) 686-8786 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: PGA WEST - PHASE 1 B LOT # : 50 SITE ADDRESS: 81-135 GOLF VIEW DR, WEST COVINA, CA EXTERIOR WALLS- MANUFACTURER: N LLS: MANUFACTURER: JOHNS MANVILLE THICKNESS: 3 5/8 " R -VALUE: R-13 CEILINGS: eAD BLOW MANUFACTURER: JOH MANVILLE THICKNESS: 63/4" R -VALUE: R-19 FILINGS: ATTS BLOW MANUFACTURER: JOH S MANVILLE THICKNESS: 116 R -VALUE: R-30 GENERAL CONTRACTOR: RIELLY HOMES BY: TITLE: DATE: INSU LATION CONT RAC : WESTERN INSULATION, INC. LICENSE NUMBER: 4812 BY: (q- 'tO- TITLE: PRODUCTION MANA DATE NOVEMBER 8, 2000 CAVEY. ROOFING INC. August 17, 2000 Mr. Steve Gibson Rielly Homes 81-120 Legeods Way La Quirita, CA 92253 Re: Legends @ PGA West, La Quinta, California Dear Steve: Below is a listing by lot number of O'Hagen vents installed per your roof plan specifications: 8 2 48 3RA 25 49 4B 26 50 2RC P, 51 3B 24 52 4RA 26 53 6C 27 CAVEY. ROOFING INC. August 17, 2000 Mr. Steve Gibson Rielly Homes 81-120 Legeods Way La Quirita, CA 92253 Re: Legends @ PGA West, La Quinta, California Dear Steve: Below is a listing by lot number of O'Hagen vents installed per your roof plan specifications: If you have any questions; please feel free to contact me at 949-260-7925. --I' P Aick OU' Y Vice President, Operations 17182 AQWMONG AMPA MM, CA 92614 94WM-79M 949/852-4160 FAK 48 3RA 25 49 4B 26 50 2RC 23 51 3B 24 52 4RA 26 53 6C 27 58 5RA 26 59 X 24 60 6RB 27 61 4C 26 62 6RA 27 63 5B 26 70 5A 26 71 4RB 26 72 2A 23 73 5C 26 74 2RB 23 .75 3A 25 If you have any questions; please feel free to contact me at 949-260-7925. --I' P Aick OU' Y Vice President, Operations 17182 AQWMONG AMPA MM, CA 92614 94WM-79M 949/852-4160 FAK Certificate of Insulation Your Home has been insulated with CertainTeed Fiberglass Insulation products, which are designed for today's safety standards and tomorrow's energy requirements. Fiberglass is inorganic and therefore permanently noncombustible, so it does not have to be treated with fire -retardant chemicals that will likely lose their effectiveness over time. It has not been treated with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it settle over time as may other insulation materials. This also certifies that CertainTeed Fiber Glass Insulation has. been professionally installed in this home to provide the following thermal performance.. Job Name: Tournament Collection Tract: Tr21846-2 Plan #: 2AR Phase: Phase H Lot No.: 22 Job Address: 55-066 Tanglewood Ceiling Area: R-38 Blown Fiberglass Exterior Walls: R-13 Unfaced Batts Knee Walls: R-13 Unfaced Batts Signed Garage Ceiling: With Living Above Overhangs: With Living Above Interior Walls: R-11 Unfaced Batts Subcontractor.. OJInsulation Co., Inc. Tom Berry, General M� Rio Njdo, Temecula, Ca 92590 Branch Non Access: _ & Sloping Areas Access Attic: Between Floor: R- means resistance to heat flow. The higher the R- value, the greater the insulating power. Ask your builder for the fact sheet on R- values. Keep this certificate with your other valued papers. If you ever sell this home, this certificate should be passed on to the buyer. Certificate of Occupancy City of La Quinta Building and Safety Department 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 ADDRESS: 81-135 GOLF VIEW DRIVE Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9906-239 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: RIELLY HOMES, INC.. Building Official Address: 23 CORPORATE PLAZA, #245 City: NEWPORT BEACH, CA., 92660 By: DANIEL P. CRAWFORD JR. Date: 10/24/2000 POST IN A CONSPICUOUS PLACE