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0006-311 (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 _7 19113 Date, '^/,A'—�Signature of Contra bto�""!-�z'! 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&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 001,19EN RAOLE RiS Policy No. p IWI 4-7605S.02 (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 s�Ibject to the workers' compensation provisions of Section. 3700 of;,t a Labor ode, Lshall fgr�hwith comply with hoseapre •.Islons. Date:/ Applicant rte'"'`v"" r• 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 representatives of.ttiis City to enter upon thebove-mentioned propertyforinspection purpose`s. jSignature (Owner/Agent) /' � re r l l �- -ilf Q BUILDING PERMIT PERMIT#!_ DATE VALUATION LOT•RACT $277X. AO ` 28838.2 JOB SITE ADDRESS M 7f?1����i �39 OWNER CONTRACTOR /DESIGNER / EN INFER R1a%I ,LY 1•T{SIMIE,S, b1C. 1 1Ly H© s, b1c. 23 COMIZATE PLAZA #245 23 CORPORAM PLA,?A, #245 NEWPORTLEACH CA 92660 1T9WP0 :[ MI&H CA 92660 (949)71S),4975 MR 5337 USE OF PERMIT SENR ; X FA1 lj Y T3"WW.M0 SYD Lf:4T 7 FLAN 4AR PEWIT 1,101K. ; NOT tNCLU09 SWCK WA:I,L3 OR POOL '?S %FL -AN CN°CK TL. E W.)UCTION h"OR ISSUA.NCK O!?.,A PI CUSTOM CONSTRUCTION U22.00 SF PORCHIPATIO 940,0o sp 0ARA {F,: CARPORT (SF) 15,405,60 ES�T.t1V1:.�3ATAW CM OF COI!iYMIC,''�'3ON 279$01.40 CONSTRUCTION RX, 101.000.418.000 511266100 PLAN CHECK 614E 101-000-29-318 $IN7.35 MECHANICAL FEE 101-00OV421-000 S111.00 MECTRICA,L FES: 101-000-420-000 5185.99 •a FLi1 � 1NOFEE1 I01-000.419.000 $199,115 STRONO° MOTION PEE - MID 101=000-241-000 $27.39 ORADINGFKF 101.000.423.000 $20.00 s �� NFIVEWPER IMPACT -;E $1,907.00 AFT IN P!JBUC PI,AMN - RF,SSIE 701-000-255.000 $197.25 SM -TOTAL Ci?i RTRUC°i TOT AND PLAN CIRWX $4,172.23 L=S PRT:-PAIOIi'l $0,00 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 _ TIM 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 Final Final D BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground PI . 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 0 Appiances 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 Utility Notice (Perm) COMMENTS: 4r i FEB -09-2001 14:35 'JESTERN INSULATION 909 686 8786 P. 09/24 WESTERN INSULATION, INC. 4211 Latham Street, Riverside, Callfontia 92501 Tel. (909) 686-8750 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: # 28838/ PHASE 2 LOT # : 7 SITE ADDRESS: 81-075 LEGENDS WAY, CA EXTERIOR WALLS ------ -------------------------------------------- MANUFACTURER: JOHNS MANVILLE THICKNESS: 6 3/4 " R -VALUE: R-19 CEILINGS: MANUFACTURER B JOHN MANVILLE .;ENERAL CONTRACTOR: BLOW THICKNESS ill, RIELLY HOMES BY: TITLE: DATE: INSULATION CONTRACTOR: WESTERN INSULATION, INC. LICENSE NUMBER: 481278 BY: TITLE: PRODUCTIO ANAGER DATE FEBRUARY 9, 2001 R -VALUE: R-30 �. ` 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 3 RC 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. rerely atnck !a� Vice Pr sident-Operations 17182 AR TRONG AVENUE IRVINE. CA 92614 9491260-7900 9491852.1160 FAX www daveyroofir)g. com Certificate of Occupancy City of La uinta 73 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 building construction or use. For the following: BUILDING ADDRESS: 81-075 LEGENDS WAY Use Classification: SINGLE FAMILY DWELLING -Occupancy Group: R-3 Type of Construction Owner of Building: RIELLY HOMES, INC Building Official Bldg. Permit No. VN Land Use Zone 0006-311 RL Address: 23 CORPORATE PLAZA, #245 City: NEWPORT BEACH, CA., 92660 By: DANIEL P. CRAWFORD JR. Date: 6/8/01 POST IN A CONSPICUOUS PLACE