0007-115 (SFD)LICENSED CONTRACTOR DECLARATION
U) ; I hereby affirm under penalty of perjury that I am licensed under provisions of
1-- Chapter 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.
0 C) Lice se # Lic. Class Exp. Date
O 71912 i5 ` �"'9/2(
F_ Z r- Date Signature of Contra to T�
cfl O ' 9
I- I.–o OWNER -BUILDER DECLARATION
-. U
W aW I hereby affirm under penalty of perjury that I am exempt from the Contractor's
Cn License Law for the following reason: t
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). 11
c'') () I am exempt under Section , B&P.C. for this reason
Ln
N Date Signature of Owner
O ,N„
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:
CartierWLD W, uq IN.9Policy No. C 4760542
(This section need not becompleted 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
sub'ct to the workers' compensation provis ons of Section 3700,of the Labor
ode,P II forthwith comply with tho§e`provlision
ate• r�j/:.'Mpplica,t�
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 this City to enter upon
the a ove-mentioned prop rty-1;r, purposes:` '
ignature (Owner/Age tJ"
BUILDING PERMIT PERMIT#
DATE C414VALUATION LOT�•�� TRACT
$314,478.204,4$314,478.20I�1'S --ij'2,8838.1
JOB SITE
APN
ADDRESS S-1' �$ svvi►i
.g�ATn 1� r
7659.^170-039
OWNER -•
CONTRACTOR /DESIGNER / EN (NEER
:c2I1,LLY HON , Zt1C.
RT1 �.Y IIC)1 9, Il�C.
23 COIF RA313 PT A7 A, .#245
23 CORPO RATF- PLS 624 5
Na``I�WPt' -k EACH CA 920660
1:7I~'I 01ZTBWHI CA 92660
(949)719.4975 CBL# 53.-A7
USE OF PERMIT
sw(HIF FAMLY DW»O
S;F'D > LOT 15 PLAN 6AR P,ZRMIT UOFS NOT INCLUD9 POOL OR BLOCK
WA= 75% PLAN C14ECIC REDUCTION FOR MULTIPLE ISSUANCE
CUSTOM CONSTRUCTION 3,695,00 3F
PORCHJPATIO 712.00 SF'
0AI2AOrUCARPORT (81' tk934,40
X 51.'A?ATED COST OF CONS'Jf7i 1UCMON
31447830
pyatwi`FU STYUKAW
CONSTRUCTION FE.L 101.0004.le-000 S1,39100
PLAN CHECK FEE 101.000439a 31 3 $791.41
,
MECHANICAL FEE 101.000.421-000 VIVO
ELEC,TR.ICAL FEE 101 -OW -420-000 $204,21
PTIUMB INN FRE 101,000.419.000 %199:?5
STROloO MOTIM I ;j = ;+I SIL' 1.01 �OVV-211-000 0IA5
--
GRADING FEE 1.01.000.423.000 S".00
DAV ELOP9P.'IMPACT V-0 F+ $1,90'1:00
ART 1N PUBLIC PLACES-1LFS1E 70.1.0001-255.000 1;2t36,�0
SUB -TOTAL CONFf tUCTT0M AND PLAN C'FI: ,M,
$4,439.52
1X33 PR'9^PA1D ��'
$0.00
_7
TOrYAL PV—NM'f SME NOW
$4,4W.52
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
I DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Ail
Return Air
Steel
X
Combustion Air
Roof Deck
3p
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
44wv
Compressor
InsulationE
p
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
BLOCKWALL APPROVALS
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
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:
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: 81-155 LEGENDS WAY
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0007-115
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: 1/7/02
POST IN A CONSPICUOUS PLACE -
FEB -09-2001 14:36 .mESTERN INSULATION 909 686 8786 P.16/24
WEeS'TERN INSULATION - INC.
4211 Latham Street, 12iveraide, Caaomia 92,501
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: # 28838/ PHASE 2
LOT # : 15
SITE ADDRESS: 81-156 LEGENDS WAY, CA
------------------------------
EX-TEEiIORWALLS:
MANUFACTURER: ,JOHNS MANVILLE THICKNESS: 6 3/4 " R -VALUE:. R-19
CEILINGS: ATS 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; PRODUCT N 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: I i
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.
S Cnoerely
atli�ol a
Vice Pr sident-Operations
17182 AR HONG AVENUE
IRVINE, CA 92614
94 912 60-7900
949/852-1160 FAX
wwwdaveyroofing.com