0006-139 (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
777699, �s r. eCi t}I2C
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:
( ) 1, 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.
�t(_,.)N 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:
CarrierC4L�ld�.41.AC IT: ENI Policy No. WC046.1J0,2.07
-t-inls-sectlon-neea-not-oe-completea 1r the permit valuation Is for Zliiuu.uu 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 the workers' compensation,provisions o Section 3700 of the Labor
Code,,l shall forthwith comply with thoseevtions
Date: te"`� . ��( _oApplicant /i% )% l ' "
Warning: Fail re to secure Workers' Comnensatinn coverage is 1--l—awful! 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 whos6�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. property ffjo�r inspection purp^oless./
Signature (Owner/Agent) Date / r ,
A
BUILDING PERMIT PERMIT"
w-"-
DATE VALUATION LOT '. TRACT
�31O'sw70 ,1 29349.1
JOB SITE 7t ♦
ADDRESS asliw— 1�c THW..�
APN
767-49 002
OWNER
CONTRACTOR / DESIGNER / EN INEER
i OLL LAktE)'1°1Slt�, WC
TOLI. BkOTIMI'd S INC
74.923110VELY LAR E.Ai r 3i3SMZ-220
74-923 HOVELY �� Wf :3't irS'�� Z-224
U,. 92260
PALM L`MERT CA 92260
(760)674.969`3 CBI* 3832
USE OF PERMIT
HOUR F'AWL>Y ]bWULUNC
SM PL 914: SANTAROSA.3741 J.OT 2 PFAM1 T ]DOES'NOT Jk4CGL.iJ.0 9
BLOCK NALL13 OR POOL
r
CU ATOM CONSTRUCTION 3,,41:190 SF
PORCT3 PATIO 32A.00 fits
GA.nAORICARPORT (811 i 14,817.60
D COS' Off' CONS'�B.rJMON
11430,-W- 70
yy;� �T !�'t77�����,yyy'��Rd� ��:FE?'•b-17.N.>rAIT-
PERAW �L 67131YRP.tliA AY .
CONSTRUCTImi nk 101.0100-418.000 51,373,00
PLAN CKSCK FEE 101-000-439-318 $1,044.10
MECI#ANXCAL AE 101,-000.421-006 $48,50
EUCTRICAL N9? 1? 101 -0100 -420 -ODD $17+.56
PLUMBINO PEI; 101.00+0.419.000 $160,00
STfi GNG MOTICYN FSE - RESID 101-000-24.1-000 $3T.06
ORfiClINQFEE ev1^vv^^vatA'aA VVV
D1+VT_P APER IMI ACT FRF ` $1,907.00
ART IN PUBLIC: PLACES - RES11701-000-253.000 $27C.39
P7% DEPOSIT 10] X000_439*318 •$750.017
€7 AL Cv1v TRU M,16014 A -AD PLAbT t''.1M
$5,145.29
I= PRR-PAM MS '
4750,00
'1."OYA1, Px'1!' :!3' 1�1MS DUE 1'�'OVY
`• .� %1 9
i
00 �y[
DATE
BY �' 1 DATE INALEP
INSPE OR r
(RECEIPT
y�
1_'
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings 41FODucts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck /
Exhaust Fans
O.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
DrAwall - Int. t
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
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 p
Appliances
Final
COMMENTS: /
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)
August 8, 2001
I'r
AM `Br6thers, (Ync,
Quality domes by Design®
City of La Quinta
Building & Safety Department
P.O. Box 1504 '
La Quinta, CA 92253
Fax: 777.7011
Re: Lot # 2
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.
Should you require any further information, please let us know.
Sincerely,
Andy Fraser
Project Manager ;
Toll Brothers @ PGA West
I,
74-923 Hovley Lane East, Suite 2-220 Palm Desert, CA 92260
760-67419699! Fax 760-674-9081
f,
} r
Al Miller &
ions
Rooflng Al t Sc Spur Rc?pfittp
Ine
N
613-760 sunun►t Lir. Phone: 760/346-121.4
Ci thedral (.'ily. Ca 92,)3,1 FWX-' 7(30/321-7097
Gary /Andy
FaX: 777-1.5.9E
From;; Rus iller
Bmtllej',s PGA West
D►ate:,3 D3
Re: } Inspection eXVT 2 -
Page 1.
�r
Gary / An,dy,
We have inspected
Reserve). All vent,
Specifications and p
Thank you',
Russ Nlilleyr
I the Roofs at PGA West (Vistas and
are installed per the O'Hagin
your plans
12; u5; .ui3 23:51"d FAA i
INSULATION CERTIFICATE
16002 ' .
I�;
This is to certify that insulzation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building located at:
81-085 Kingston Heath, Lot 2, the Vistas @ PGA West (Models), La Quints, California
CEILINGS:
TYPE: BLOW MANUFACTURER: Certainteed Thickness: R-30
WALLS: I
TYPE: BATTS MANUFACTURER: Certainteed Thickness: R-19
GENERAL CONTRACTOR: TOLL BROTHERS, INC. LICENSE #
BY: iTITLE:
PARAGON SCHMID BUILDING PRODUCTS; A MASCO COMPANY
i
LICENSE # 632072
Y: TITLE: ADMINISTRATIVE ASSISTANT DATE: 1/3112003
.I
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, ITitle 24, State of California, in the building located at:
81-105 Kingston Heath, Lot 3, The Vistas Q PGA West (Models), La Quints California
CEILINGS. I.
TYPE: FLOW MANUFACTURER: CERTAINTEED THICKNESS: R-38
WALLS:
TYPE: BATTS MANUFACTURER: CERTAINTEED THICKNESS: R-21
GENERAL CONTRACTOR: TOLL BROTHERS, INC. LICENSE #
BY: I
TITLE:
PARAGON SCHMID BUILDING PRODUCTSJA MASCO COMPANY LICENSE # 632072
BI -
'— TITLE: ADMINISTRATIVE ASSISTANT DATE: 1/31/2003
.1
I
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
ollowing.
BUILDING ADDRESS:
Use Classification:
Occupancy Group:
SINGLE FAMILY DWELLING
81-085 KINGSTON HEATH
R-3 Type of Construction: VN
Owner of Building: TOLL BROTHERS INC
Building Official
Bldg. Permit No.: 0006-139
Land Use Zone: RL
Address: 74-923 HOVELY LANE E STE 2-220
City: PALM DESERT, CA 92260
By: DANIEL P. CRAWFORD JR.
Date: 3/5/03
POST IN A CONSPICUOUS PLACE