0208-348 (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
Date Signature of Contractor (
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 o 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:.
Cartier PACIFUC, EMPLO" -98#1 Policy No. " lffbk 043084319
(This section need not be completed if the permit valuation is for $100.00 or less).
() I certify that in the performance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subject to the
workers' compensation laws of California,` and agree that if I should become
subject to theiworkgg"'' compensation provi$ions of Section 3700 of the Labor
Code, I shall fort�j 4th comply with th/otse pr Diisions. �
Date: A 11 ` � Applicant i 111 1 J
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to.$100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on .his
`. application.`
k 1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall; indemnify
& hold harmless the City of La Quinta, its officers, agents and employees
2. Any permit issued as a result of this application becomes null and void i
work is not commenced within 180 days from date of issuance of suc
permit, or cessation of work for 180 days will subject permit to cancellation
I certify that I have read this application and state that the above Information i
correct. I agree to comply with all City, and State laws relating to the�buildin
construction, and hereby authorize representatives of this City to enter, upo
the above-mentioned property foVinsp'ectlon purposes. i
� �
Signature (Owner/Agent). Date
PE
BUILDING PERMIT RMIT# -
Iix�lE$
6'yy q LOT — � TRACT
DATE VALUATION S336,714.10
,JOB SITE
ADDRESS a - % t� i �1 ir? 3~.l�J r
APN .� 767-4904,)01
OWNER
CONTRACTOR/DESIGNER/ENGINEER
*MILL US INC
TOLL !3�#Y.Cry17t�d••ivEIRS WC
)I3yy€i``��8:�'T--�vvfM� � p ow � y��^ f /�
d'�4-7+23 JP}��� d°�-N 1s�7�t�` E, Ern?��'Jzi.4 SUIT `,�f."A 20
y7� �y ;<y�y� �p }y
'7�4,^p,2a3 i'�S`✓ �i'd:�3.��5'.�id„i�' %�r.V Ais?d� .1o��U I..S:-2-2 0
.V
PALM'DESIET?.T CA 91260
PALM. Er IA—Wl` CA '.02261
(766)'04-9699 0,1:314. �R GS2
USE OF PERMIT
SFI) - LOT 1 VN�a TAXA . PLRD I r DOES 'NOT INI1.4::01W BLOCK 'VIAL1,
P004 SPS. OR D.R.WMA? APPROACH,
d .
.€ O-RCHIPA.TIO SP'
e'.ftyRACM—AR ORT S,Ot1 o
XMVATW C01 -r OF l;.'ONSiINVOIC)I
336,'g4.10
P:£:e%MToI'. CH iSUMNUAR
CONS11RUCTION FX9 101e000-438400 V.46%00
MA.14 4' 'HECK F}PX 101-000-439-31 N
t4iEC;1•IANMIAL FEE 1401.000.421-000 3I:Z60
E1,S.a TR1CAL — 101-000-420-000 $208.62
1� IAtiFII3R3t1 E �. :. 1 I4000 -419•I100 &f5
rt1Z-kA.°0 MOTIIS3NYRZ , AMID 1I3I.000-241-000
.101-000-423-000 8; '. t►U
ReEVI I' ,OPB;Ft 1A?3'€ ACT FEE, �i8,A415:0U
ART 1;N PU,61,10, ?pLAC Z��a..' - :PONE Z70-000.40.00 V$41170
ffup-ry.I O;OtN. S �'j'AND pM.y Ch
I
SEP 2 5 2002 a '
C00FLAQUINTA f .
FINANCEDEPT
RECEIPT
DATE �}4
`�Y ! /� �^ 7
BY „.
t� i
DATE IN ED
'. E � .�
INSPECTOR
dr
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts .
Forms 8 Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing L7
A.
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
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
jJ `(j 2
Heater Final
Water,Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool over
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:
l a
®11 r®thers, GInc®
,i
Quality Homes by Design'
August 8, 2001
City of La Quinta
.Building & Safety Department�r
P.O. Box 1504
La Quinta, CA 92253
Fax: 777.7011
s .
Re: Lot #
Project • istas Tract # 29349-1) -or- Reserve (Tract #29348-2) (circle one)
To Whom It May Concern:
This letter serves to advise you the O'Hagin roof vents have been inspected by the Toll Brothers'
representative. The vents are as per plan to our satisfaction.
i
Should you require any further information, please let us know.
j
Sincerely,
,i
Andy Fraser.
Project Manager
Toll Brothers @ PGA West r'
74-923 Hovley Lane East, Suite 2-220 Palm Desert, CA 92260
760-674-9699 Fax 760-674-9081
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:
81-065 Kingston Heath, Vistas @ PGA West, Lot 1, La Quinta, California
CEILINGS: I
r TYPE: BLOW MANUFACTURER: CERTAINTEED THICKNESS: R-38
WALLS: 1
TYPE: BATTS MANUFACTURER: CERTAINTEED
GENERAL CONTRACTOR: Toll Brothers, Inc.
BY:
TITLE:
i
PARAG SC BUI • ING PRODUCTS;,AI MASCO COMPANY
j
THICKNESS: R-21
LICENSE #
LICENSE # 632072
BY: ' TI'TLE: ADMINISTRATIVE ASSISTANT DATE: 4/30/2003
.; / ... . • l l / . .. ., !. . 1. c... ...t ... r / r.J4 .. Y.✓/ ;':/.✓/.::✓.I+!✓. l..J'N /N..``N.J.
• �� r I
/i.wr.Y:.✓i.l•:�.✓.✓. �:Y.i/.li.l.�.l. a. .: .✓-r.. l�//.n/,/ a �, ir, wi. i,. .: /. I.,a
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:
81-120 Kingston Heath, Vistas @ PGA West, Lot 30, La Quinta California
CEILINGS:
TYPE: BLOW MANUFACTURER: CERTAINTEED THICKNESS: R-38
WALLS: i
TYPE: BATTS MANUFACTURER: CERTAINTEED THICKNESS: R-21
GENERAL CONTRACTOR: Toll Brothers, Inc: LICENSE #
BY: TITLE:
PARAG(- SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE # 632072
BY: TITLE: ADMINISTRATIVE ASSISTANT DATE: 4/30/2003
• r + • / • •. .. w ,. .. ,. �.! / d .:,WN� J L Y./.lyi. ✓r .: N.. L'✓ h,;:....,,r,....lJ;v.%.G:«.rYr'AY..cldlllllsYn.:✓.'.v/✓1../✓./ir/.,/�f.�N. ✓.•:.Y. ::'.AN.c r!✓.•✓•s.r"r,.r .,Y..... ✓<✓, r,.//o.'
IV Miller &
SSOHSB00fi-
AI R1iUct Sc Spn� ltt�gfiltp
n�n�IN lill 760 Sitnimit !lr- l�hOrie: 760/346-12.1.4
�.ath('dY;II C'HY, Ga 9223,1. i ax., 760/321-7097
Facs�
Tc�
��Y Si -y 1,Aa-Kly
-�'�.
"I7'77 -1.59G1
From;
I
Ijuss M,ller
Cater
03
Fie:
Inspection
Pages:"I
1.
BFU GIaNS PGA West
V1. ;4—
Gary / And'
We have inspected all the Roofs at PGA West (Vistas and
Reserve). IAll vents are installed' er the
P G Hagin
spwcificatiot�s and per your plans
;i
�i
Thank you, I
. S
Ruses Ivillle�.1�
r
7
Certificate of Occupancy
otI.cnro>G+,sv�
OF'I'19� Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 81-065 KINGSTON HEATH
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 0208-348
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
s:
`- Speclial Conditions:
Owner of Building: TOLL BROTHERS INC. Address: 74-923 HOVELY LANE E #2-220
City, ST, ZIP: PALM DESERT, CA 92260
�6 By: STEVE TRAXEL
Date: 06-09-2003
Building Official
POST IN A CONSPICUOUS PLACE