0006-318 (SFD)LICENSED CONTRACTOR DECLARATION
1.1hereby 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
ate ,719113 B
Signature of Contra�.� •- _ _
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason: r,�
( ) 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).
( ) I am exempt under Section �. B&P.C. for this reason
Date I 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 OOLDgW RA01.I{ 1ivS, Policy No. NSC 976fl$3-G%
(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
(ode, I shall forthwith comply with those pr,0 ISlons".,/,_zp _
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 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 rr p esentatives of this City to enter upon
the above-mentioned property,for inspe -tion=purposes
6�� rf
Ignature (Owner/Agent" Date �^
BUILDING PERMIT PERMIT#
8
"q
DATE VALUATION LOT- >
,746.10
TRACT
288:48-2
JOB SITE
ADDRESS _ ..E�. M •.iIV1AlX
APN
�
OWNER
CONTRACTOR/DESIGNER/EN (NEER
Wr. T LY HOMES, WC.
&MLLY HOMES, INC.
23, CORP OR IT. PLAZA, 0.24 45
23 CORP01W.k P%MA 0245
NtWPORT REAC14 CA. 92660
NEWPORT B =H
CA
92660
(949)719-4975
CMA, 533.7
/
USE OFPERMIT'
OF/IX Sp►Mdq 'Yi?,�fflrw0^y�
v11'il LOT37 PLAN 2A PERANT '009S NOT INCLUDE BLOCK WALLS OR
F'OC'AL. '" 1% PLO CHECK FEE REDUCTION FOR ISSUANCE OF SAME
PLAN TYPE
CUSTOM CONSTRUCTION 2,40100 tri?
PO RCIMPATIO 1,344.00 Sly
0A.RAOFW1#1`'f•'CJRT (SVR 14,443,20
ES'%AT'F) COh' OF CONS-MUCn0fi
225,746,10
PERM1'fPEP, SUMMARY
CONVIR"UC'TION FEE 101-000-418-000 - 5!,0$01519
PLAR CHECK FEE 101-000-439.318 $27131
MECHANICA.I.FEE 101.000-421-000 *11750
E,LTXTRJCAL PIPE 101-000,420-000
PLUMBING FEE 101-000-419.000 5I�0.50
t )
S`i`RCENO MOTION PER - RWID 101-000-241-000
-I $20,00
Z is it)94Cf0t4=4` 3k60:1 X10.00
I1 ., -
DiVEIDPERIMPACT FUE $1,907.22
ART 113 PUBLIC FLAOP-RL4M 701.000.255.000 `544 3iM
�-�
;
•
w
910 -R -TOTAL COXfffRiTMTOR AND P1 A14 C:IECIC.
$3,773.30
LESS PRE -PAIL? WS
$0.10D
UYTAL I _,F*Xa T 1.�' S DUE, NOW
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
TINSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
_a pn
Ducts
Slab Grade
��� _ �!
Return Air
Steel
Combustion Air
Roof Deck
4
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation
D
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
/ /8
Drywall - Int. Lath
IOf
71
Final
��0/
Final
POOLS - SPAS
BLOCKWALL APPROVALS
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
77
Electric Final
Waste Lines
h
Heater Final
Wate—F Vi —pi n
Plumbing Final
PI u g Top Out
Equipment Enclosure
hower Pans
O.K. for Finish Plaster
mower Lateral
Aw
Pool Cover
SeaeF.CQnnection
Encapsulation
Gas Piping
Gas Test
Appliances
_
Final
COMM\,ENTS:
Final
�S-f.GVN
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)
FEB -09-2001 14:38 IJESTERN INSULATION 909 686 8786 P. 241t
1:v
WESTERN INSULATIONf INC.
6211 Latham Str—t, Rivcmidc, .Califomia 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: # 28.838/ PHASE 2
LOT #: 37
SITE ADDRESS: 81-030 LEGENDS WAY, CA
-------------------------------------------------------------
EXTERIOR WALLS: '
MANUFACTURER: JOHNS MANVILLE THICKNESS: 6 3/4 " R -VALUE: R-19
CEILINGS: BATTS BLOW
MANUFACTURER JOHN MANVILLE THICKNESS ill, R -VALUE: R-30
GENERAL CONTRACTOR: RIELLY HOMES
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, INC.
LICENSE NUMBER: 481278
BY:.
TITLE: PRODUCTION MANAGER
DATE FEBRUARY 9, 2001
0
TOTAL P.24
DAVEY
ROOFING INC
March 22, 2001 ,
0
Mr. Steve Gibson
Rielly Homes
81-120 Legends Way
La Quinta, California 92253
Dear Steve:
The following is a listing, by lot number, of the O'Hagin vents installed at Legends at PGA West in La
Quinta, per your roof plan specifications:
LOT NUMBER
ROOF PLAN
NO. OF VENTS
INSTALLED
1
3RC
25
2
3A
25
3
2BR
23
4
4C
26
5
5AR
26
6
3C
24
7
4AR
26
8
6A
27
9
4AR
26
10
4A
26
11
6AR
27
12
6B
27
13
2BR
23
14
4A
26
15
6AR
27
16
6B
27
31
4B
26
32
5CR
26
33
6A
27
34
4AR
26
35
3B
24
36
3CR
24
37
2A
26
If you have any questions, please call me at (949) 260-7925.
Querely
t ck 'a,
Vice Pr sident-Operations
17182 ARMSTRONG AVENUE
IRVINE, CA 92614
9491260.7900
9491852-1160 FAX
www.daveyroofir)g.com
U� CITY OF LA QUINTA
OFTNE� BUILDING & SAFETY DEPARTMENT
777-7012
INSPECTION REQUEST LINE
777-7153
NW))
Owner RIELLY HOMES, INC.
Contractor RIELLY HOMES, INC. JUL
0006-318(;;�U) y"'
Permit Number = �) ��''�
POST ON JOB IN CONSPICUOUS PLACE
.INSPECTOR MUST SIGN ALL APPLICABLE SPACES
81-030 LEDGENDS WAY
JOB ADDRESS
SFD- LOT 37 PLAN 2A PERMIT DOES NOT
INCLUDE BLOCK WALLS OR POOL
TYPE OF INSPECTION
DATE INSP.
FOUNDATION & SE-TDACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
3
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL
L ABOVE HAS BEEN SIGNED
CONCRETE SLAB
7 -J /-pa
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT- A/C
FIREPLACE
BOND BEAM
�^
0. K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION .
PRE -ROOF
_ COVER NO WORK UNTIL ABOVE HAS BEEN SIG D
DRYWALL INTERIOR Dl
EXTERIOR LATH
POOL PRE PLASTER
FENCE & GATE
S E SEPTIC TANK UN -
FINALS FINALS
ELECTRICAL /
PLUMBING
FINAL GAS TES
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED C
TEMP POWER
ENODUEER O M 3 Z� n/
ABOVE APPROVALS DO NOT INC UbE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
I
N.
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:
Use Classification: SINGLE FAMILY DWELLING
Occupancy Group: R-3 Type of Construction: VN
81-030 LEGENDS
Bldg. Permit No.: 0006-318
Land Use Zone: RL
Owner of Building: RIELLY HOMES, INC Address: 23 CORPORATE PLAZA, #245
City: NEWPORT BEACH, CA., 92660
Te -w.
Building Official
C
By: GREG BUTLER
Date: - 3/29/01
POST IN A CONSPICUOUS PLACE
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:
Use Classification: - SINGLE FAMILY DWELLING
Occupancy Grdup: R-3 Type of Construction:
81-030 LEGENDS
VN
Bldg. Permit No.: 0006-318
Land Use Zone: RL
Owner of Building: RIELLY HOMES, INC Address: 23 CORPORATE PLAZA, #245
City: NEWPORT BEACH, CA., 92660
By: GREG BUTLER
�dy"L
Date: 3/29/01
Building Official
POST IN A CONSPICUOUS PLACE