0106-259 (SFD)LICENSED CONTRACTOR DECLARATION
.I hereby. affirm; under penalty of perjury that I am licensed under p•ovisions 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
Date �� "�'' • +_ Signature of Contractor a••• � �
. ,
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 "" ^j +„� w Signature of Owner ['
t< e,
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'
t 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 Policy No.
30
(This section need hot 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,
d 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 of Section 3700 of the Labor
Code, I shall forthwith comply with tho9e,1,0,roylsls:`
Date: Applicant-
Warning:
pplicant Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines lip to $100;000, in
addition to the cost of compensation, damages as provided for in Section 3706 .
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at .
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnity
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this Clty.to. enter upon
the above-mentioned property for inspection purposes
Signature (Owner/Agent)' r+ '- - Date 11167
BUILDING PERMIT PERMIT#
LOT (}�} �.+�!Q TRACT
DATE VALUATION�s
g
*31.'NnT.,50. 0 .:.31 29349-1
JOB SITE
ADDRESS ?�
APN
OWNER -
CONTRACTOR / DESIGNER / ENGINEER
74.923 H.OV Y LW ��. ,-Tr UTrF -220
74-9-25 R(YV .(1A101” F" ITE12.220 ,
CA 92260
PALM D..MT CA 92260
(760)614-9699 CW 3832
USE OF PERMIT
Y'$��11�.n�T
�yM•1 t� ���pp t
MR117.�i1.rF�.S'd'W7:N...r�S
p YI
.,1113 IDT M,, PLAN SANTA pdC3;;.t3. YMT N Pk1M1':.1 ES NOT lNi l X0Z
BLOCK vik..uwot, OR immmAy Ar1✓14w-v!w. r31a PLAN CHECK Var-,'
P.t1LS
IUMUCTION, ATYPIJED TIOR AAI►U,1°Il' LE SUBMITTALS
CWTOM Ct'aRUTRUCTIO 1741.0 V
'11 ttd bii�a�k%C? 4,iit S�
Wt13.AOXX4,ARPORT 736,00 °I'
X4MN1.1m Cour OF C:ONJMMMON
31015MI70
PReMp1r`:b` RE MMA' `
PIAN C 1 301-000-43M28 U'1.la
MECHANICAL, PK'ir 101.000-121.000 SWO
1.,%L.F;C'1 PJCAL FEE 101 -000 -42i) -k OO $179.55
,YS2t t3�Y . 3 101-000419-000 1160-90
:�'�'�2t71ei+'3�'{fS'E`EI`i3��ix'R,.•.1»�S'tn 3P.tfi•>flMt.��#�[l�'iS3 �at_nn
�:"{12.�.'�db4't�E lt'11-0tB17x�2�.�(�Ca4 1�xr1.�b
13 a' 1 1ai?.R lJk4 Tb�s,C` ; pup. 1,s�7 .ft9
= MAXt '1 tIT to t ESI N 1
sV4.124,20
PRE,-PAID-FEM
Mao
JUL 3 0 2001
TOTAL FF LIVE HOW
&A1,A24A)
CITY OF ? AFllwcE-UEIrL)EPT
RECEIPT
DATE
BY
D FI ED
INSP R
u
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
9
Slab Grade8fi)Z
_
etum Air
LTi
Steel
Roof Deck
O.K to Wrap..
IYji _
combustion Air/
Exhaust Fans
F.A.U.
_
Framing -
Compressor
Insulation r
_
�' `� r __
Vents
Fireplace P.L.
_
Grills
Fireplace T.O.
Fans & Controls
_
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior lath
Drywall, -Int. Lath
_
Final
21
FinalPOOLS
FL
- 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
Waste Lines
/;� /
�l ![(7'�
Electric Final
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Sewer Connection
ld
Pool Cover
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
h
"V
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Mairi Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
u
h
Me
To:
Greg Butler
From:
Andy Fraser
CC:
Date:
06/19/02
Re:
Expiring Permits at PGA West Vistas
As per our conversation last week, I am requesting an extension on the following permits, 81-160, 81-
140, 81-140, 81-120,1$1=100'and 81-065 Kingston: Heath., As I had mentioned, these permits were paid
with the assumption that the construction would have started much sooner
These will be the last six homes to start in the Vistas at PGA West. I greatly appreciate your help in this
request. If you have ant questions, please feel free to contact me at 777-1565.
Sincerely,
Andy Fraser
Project Manager
PGA West
0 Page 1
CITY OF AA QUI�N PA
BUILDING SAFSY R®� D
T.
AP
DATE 1 o BY
�, j �� - Cv�J��Vr✓� (��J
1
,4,
w .\
IU !- 4ON CERTIFICATE
This is to certify that insulation has been instl lied in conform
ane® with the current ene:r
regulation, California Administrative Code, 71tle 24, Stag of California, in tate building located at:
81-180 kiiigs-t7oiiH6ith, Viitis @ PGA West, Lot 39, La Quinta, California
CEILINGS.
TYNE: SLOW
WALLS:
TYP€: BATTS
MANUFACTURER:CERTAINTEED
MANUFACTURER:CERTAINTEED
GENERAL CONTRACTOR, Toll Brothers, Inc.
By -
TITLE!
PARAGON CHUM )ING PRODUCT
BY:
THICKNESS: R-38
THICKNi-ESS: R-21
LICENSE: #
, A, MASCO COMPfANY LICENSE # 632072
ADMINISTRATIVE ASSISTANT DATE; 4130/2003
i
TOR roLII , GInc.
Quality Homes by Resign"
August 8, 2001
City of La Quinta
Building & Safety Department
P.O. Box 1504
La Quinta, CA 92253
Fax: 777.7011
Re: Lot # 31
Project rs as Tract # 29349-1) -or- Reserve (Tract #29348-2) (circle one)
To Whom It May Concern:
4
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,
iii /• ,
Andy Fraser
Project Manager
.Toll Brothers @ PGA West
-- I
74-923 Hovley Lane East, Suite 2-220 Palm Desert, CA 92260
760-674-9699 I Fax 760-674-9081
6 � I
t
H
Al Miller Sons
Roofing Int,
Fi
At Miller &Sons lippfil�p
6u-7lso Sun„nit 1)r- Phone: 760/346-121.4
Cath0(1ral C 1Y, Ca 92:33-1 Fax: 760/321-7097
�.�'tX
1 7
cl1"y Amlyi
Fax:
777-15%
From;
Russ Miller
Gate:
57/9/03
Re:
Inspection
Pages:.
BIS WONS PTA Weq
3) V 15 iA
Gary / And'yf
We have inspected all the Roofs at PGA West Vistas and
. {
Reserve). SII vents are installed per the G'Hagin
sf)ecifications and per your plans
Thank you,
S
Russ Miller'