0006-315 (SFD)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
?1 J�1,r13 13
Dat 1_`'_"S�Signature of ContractL001,
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).
( ) I am exempt under Section , B&RC. 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 (JOLDEN RAOI.'in W& Policy No. NWC 4760542
(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;-andaglee that if I should become
subject to the workers' compensation provls�s'obf Sec Ion 3700o Ah`e Labor
ode,_JI shall forthwith comply �witliosec. r vis9rss. f
Warning: Failure to secure Workers' Compe6sation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees. ;
z'
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1: Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize re • resentatives of this City to enter upon
the above-mentioned property forpection,pu'r� ses
Signature (Owner/A�t - Date
BUILDING PERMIT PERMIT#
DATE VALUATION LOT TRACT
2 i%i,901r$tI 34 1 2835-2
JOB SITE
ADDRESS % �r/A (GEN Akey
APN
4
763,• "0-W4
WNER —�
CONTRACTOR/DESIGNER/EN INEER
i?Tls<i.,3 r HOWA INC.
WELLY 110MI rE3, INC.
23 C!OEI'U"RATE.P.LA A MAA
23 CORPORATE- PIAZA, 4245
NMPDXf BES CA 92660
M—WPOR.T REACH CA 92660
(949)719.49'15 CBSA 5337
USE OF PERMIT
SWGL9>?PICLY T.7V4E'f' _WG
SVD LOT N PLAN 4AR PERM T DOES NOT INCLUDE BLOCK 'ti7VALL,S OR
POOL 73 % PLAN CHECK FFE REDUCTION FOR VS.0U1.0CkZ OF 113A &
PLAN TYPE
CUSTOM CONSTRUCTION r 3,222,00 -SP
PORCII/PATIO 040.00 SF
OAkAC#WARPORT (NI1 13,403.60
7( CS'I'.IMA.T" C06:117 or CO.eTmtrarlom
270,901.40
YERWIX rim SIT11O,f1Ry
CONSTRUCTION ITE 101 000.4.18000 $1,266.00
PIAN CHECK FF 101-000-439-318 $257.35
} •.�
MECHANICAL FIX 101-000-421.000 3411140
I;,il+.,CTR€CAL FPS 101-000-.420-000 $185,99
PI.1liklBD40 FRE 101.000.419-000 S199M
J`+ t
STRONO MOTION FIVE _ RF310 101-000-241-000
Ypp'i" $ppnn9
w
@@3,f
43RAD-TH 3 F�1�E I O i �t100M423 aiY00 i�{F. V V
p�'��•r`:
` i� "yw�
DEV9LOPER.IMPACT FEE $1,907.00
ART N PU13LIC PLACES - RESIr 701 -GOO-255-000
-TOAL C0.11T 1T UCnON AND PLAN C10.1OX
�4,i `12r^a3
i.'91''�:•1'.t�XTd�
X0,00
r
RECEIPT
DATE ,
(a'
ABY L
DATE FINALED
INSPECTOR
?A
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
1.9%
Ducts
Slab Grade V. 1
o�
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
0. K. to Wrap
_
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
D
Final
Final0
BLOCKWALL APPROVAILS
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
1
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
6
Appliances
Final
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 IrAa
Utility Notice (Perm)
COMMENTS:
..
FEB -09-2001 14:3? ESTERN INSULATION 909 686 8786 P. 21124
WEE STERN INSULATION INC.
4211 Latham Street, Riverside, CaUornla 92501
Tel. (909) 686-8760 Fax ('909) 686-8786
INSULATION CERTIFICATE
THIS lS 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: # 28838/ PHASE 2
LOT # : 34
SITE ADDRESS: 81-060 LEGENDS WAY, CA
EXTERIOR WALLS:
MANUFACTURER: JOHNS MANVILLE THICKNESS: 6 3/4 " R -VALUE: R-19
CEILINGS: BATT BLOW
MANUFACTURER JOHN MANVILLE THICKNESS 1 1 „ R -VALUE: R-30
GENERAL CONTRACTOR' RIELLY HOMES
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, INC,
LICENSE NUMBER: 481278
BY:.
TITLE: PRODUCTION QANAGER
DATE FEBRUARY 9, 2001
F,
If
i
DAVEY
ROOFING INC
March 22, 2001
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.
%nilerely
a.
Vice Pr sident-Operations
17182 AR
TR
AVENUE
IRVINE, CA 92614
9491260-7900
9491852-1160 FAX
www.doveyroo/ing,com
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
81-060 LEGENDS WAY
Owner of Building: RIELLY HOMES, INC,
Building Official
VN
Bldg. Permit No.: 0006-315
Land Use Zone: RL
Address: 23 CORPORATE PLAZA, #245
City: NEWPORT BEACH, CA., 92660
By: v DANIEL P. CRAWFORD JR.
Date: 9/24/01
POST IN A CONSPICUOUS PLACE