0007-114 (SFD)LICENSED CONTRACTOR DECLARATION
1`her6y 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
�h,..
.,Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
7159113. B 02 1'1(
/ate�9 Signature of Contra toi�ell
r^ .
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).
( ) 1, 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.
( ) 1 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 iiO3:O11VZAf3lp INS Policy No. NWO 47005-0
(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
worker compensation laws of California, :and agree that if I should become
subj,pct to the workers' compensation provision of Section 3700 of the Labor
Cg6e, I s II forthwith comply with those�provislo•,ns - �`� _ ��� �✓
ate: Applicant--�"�
Warning: Failure to secureorkers' 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,this City to enter upon
the above-mentioned propertyfor ins ectionn.purposes`
Z
t:Fignature (Owner/Agen .h� Date
BUILDING PERMIT PERMIT#
nT
DATE VALUATION LOT '� '� TRACT
$2�� � 1$,W.Q V, 4"k;
d4/
JOB SITZ
ADDRESS
APN
761-170-039
OWNER
CONTRACTOR / DESIGNER / EN INFER
R1 GI. Y H(UMM, INC.
RiE}zy omn, n4c.
23 CORPORATE YLA7 , 4243
23 CORPORATE Pi,, ZA,1 3
NEWPORT BEACiR CA 92650
14EW1POR.TBN ££..11i CA 42560
(:,49)739.49? CBL -9 5337
USE OF PERMIT
BIA OLa? FAIN Y T3WM L3i2 G
SM • LOT 14 PLAN 4A PERMIT DOES NOT INCLUDE POOL OR BLOCK '
WALLS,75% PLAN CHECK REDUCTION FOR MULTIPLE ISISUANCE
CUSTOM CONSTRUC'TIUM 3,222,09 SP
PORCHIPATIO 944.00 SP
0A AWCAR,PORT (0jv f A ,b4
VsTdJ:1fFA'. Cory OF CODS71RUCU,014
278.901AO
CONSTRUCTION FEE 101.000.415.0(30 $1,266,00
PLAN CHECK FEE 1X11-QQ(i-439-3$ $ $257.33
MECHANICAL FV 101-000.421.300 $111.00
11ACTrUCA), VEZ 101-000-420-000 $19s.09
PLUMBINQ FEE, 101-000-419-000 $199.75
STRONG MOTION .PEI, . RESII3 101-000-2A 1-000 $27.89
ORADiNc0 r7rE 1011.000.4423-000 $20.00
CIEVELOPtTIR IMPACT FZS $1,901.04
ART RJ PUBLIC PLACES - R.ISSIE 701.000.255.000 $197,2$
SUS -TOTAL CONSTRL7'C110N AND PLAN CIMCK
$4,172.23
IY-SS PRE -PAM VFM
50100
�, ���3� ir• �,K„� _ ,
i'UI A. L P1hRWT �+'0` mai I= NOW
9
$411 1=3
^Wi*7
RECEIPT
DATE
BYE
DyTE INALED
!� '
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE 7
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & FootingsDucts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
p
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 �O 6
BLOCKWALL APPROVALS
Steel
POOLS -SPAS
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
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:
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Gr✓� i2 c4,4 -e-
'''FEB -09-2001 14:36, ESTERN INSULATION 909 686 8786 P.15i24
VMSTERN INSULA'T'ION INC
4211 Latham Street, Riverside, California 92,501
Tcl. (909) 686-8760 Pax (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 # : -14
SITE ADDRESS: 81-145 LEGENDS WAY, CA
-----------------------------------
EXTERIOR WALLS:
MANUFACTURER: JOHNS M
ANV
ILLE THICKNESS: 6 3/4 " R -VALUE: R-19
CEILINGS: BATTS J BLOW
MANUFACTURER JOHN MANVILLE THICKNESS 11" R -VALUE: R-30
GENERAL CONTRACTOR: RIELLY HOMES
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, INC.
LICENSE NUMBER: 481278
BY:
TITLE: PRODUCTIM MANAGER
DATE FEBRUARY 9, 2001
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.
erely
t�i`ck�!a
Vice Pr sident-Operations
17182 AR TRONG AVENUE
IRVINE, CA 92614
9491260-7900
9491852-1160 FAX
wwwdoveyroofing. cbm
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
81-145 LEGENDS WAY
Bldg. Permit No.: 0007-114
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: GARY HARTMAN
Date: 10/23/01
POST IN A CONSPICUOUS PLACE
JIJ w 03-2003 TUE 03:50 PM 82413 FAX N0, 760 778 2012 P. 01
Riverside County Assessor -Clerk -Recorder
3255 E. Tahquitz Carryon Way, ##114
Palm Springs, CA 92262.6962
(760) 778-2400
Fax: (760) 778-2413
FAX TRANSMISSION COVER SHEET
Date: (p dow, .2 Now
To: K&Y gsO 7-) ~ �Q
Fax: —
Re: a/- / Q1V �� W
Sender: Bryan Elsner Direct line: (760) 778-2423
Appraiser II E -Mail: belsner@co.riverside.ca.us
Residential Division
7 78� a012-
YOU
012YOU SHOULD RECEIVE 2— PAGE(S), INCLUDING THIS COVER SHEET. IF
YOU DO NOT RECEIVE ALL THE PAGES. PLEASE COI I 17Rm 7791-'2enn
S
JUN-03-2003 TUE 03:50 PM 82413 FAX N0, 760 778 2012 P. 02
6ezFA4S
♦ CONSTRUCTION PROGRESS RECORD
APN'� P.C.
PERMIT PERMIT VISIT %
NUMBER DATE PURPOSE DATE APPi:Z. W COMPLETE COMMENTS
GUIDELINES
ITEM
Plumbing sewer connections and
rough -In
Excavation, foundation and piers
Cinder, floor joist and subfloor
PERCETCU4
OF TOTRCENT
4
7
5
M.
11
16
Wall framing and ceiling joist
Rafters, sheating and flashing
10
5
26
31
Roof Covering _
_
4
35
PERCEN
A rant.
Year
Wiring
Exterior stucco or siding ^`
Interior lathing and plaster
Sash and doors
Built -Ins and Interior trim
Plumbing fixtures (including water
heater)
Light fixtures
_
3
g
10
7
38
47
57
64
6
9
3
70
79
Finish hardware
2
Painting and decorating
8
d92
Flnish floors (including kitchen and
bath)
8
Percont
complete AQpr. # Comnionts
Of�
ASR -925-20 (REV 1 il01 ) �