0006-136 (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 E Exp. Date
%717699 B ry 4 04/3012(
Date ignature 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 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
perfor ance of the work for which this permit is issued.
jk.Tl 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 C1ENFRA1 ACCIDEN1 Policy No. lYCO461102-07
(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 the workers' compensation,provisions of Section 3700 of the Labor
Code, I sh I fort4vith comply with those pro isl s.
Date: ! 'fir Applicant Com, �Y
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees, to, & shall, indemnify
& hold harmless the City of La Quinta, its officers agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property forilispectio`,p poses.
Signature (Owner/Agent)��� .�`-.%•� ' Date ��
l
BUILDING PERMIT PERMITM
DATE VALUATION LOT TRACT
061,408,40. 29349•1
JOB SITE k }
APN
ADDRESS -to$i G,�, Jt.A i /
74674X]1 6003
OWNER
CONTRACTOR / DESIGNER / EN (NEER
i t
'T!ti^U,13ROTfML41 J C
TOLL $ROTI ERS i1<aC
74-923HOMY U- NE EAST SC.TrM-220
14.923 HOMELY LANE rQ4V1'.! T'EE!.2-220
F_ALM DESERT CA 92260
PALINf UEBRRT CA 92260
(760)674.9699 CBLO 3832
USE OF PERMIT
Swc nAZt LY Dvm1ale
SF0- PLAAi ENTANA. W CASITA LOT'3 PERMIT DOn, NOT iNC..UDE
�si.4C �AL19 OR POOL
CUSTOM C014STRUCTION 4,3w.00 SP
PORCHIPATIO 514.00 SF
GARA(3PJCARPOR.T (SI')'• . 1.3,337,50
ES'M1A= COST OF C01VffR:UCnON
361.40&40
CONSTRUCTION FEE 101.000-418-.000 $1,356,50
ALAN CHECK IEEE 1.01-000-439-318 S1,740AS
MECHANICAL FEE 101.000-421-000 $110,00
XLEC RItCA L FEE 101-000-420-000 V19171
PlAYM rHO T'�L 101000.419.000 $180,50
STROme nxr n0*9 M - Rum 101 _00 L141-000 sok 4a
G AI3WO KBE 101-000-4"-000 �20,Et0
OLVELOPER IMPACT FEE . , �1,9Q?00
ART 113 PUBLIC PLAC&S - RESIC 701 -OW -255.000 �d03.S3
IEE DEPOSIT 101-Q X439 -3Y 8
40O
t
ti
SM-TOYAL CO'NTTtUMON AM PLAIST C°HEC K
$3,673.82
U. SS P PAM RW
41.000100
TOTAL FF -MMI -X919 919 ME NOW
$4,613102
e
RECEIPT
DATE
BY '"'�
DF D
AT03
INSP CT
�'
\ :.rJ
NOV1t-
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
Q
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.f.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wali Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWAL
APPROVAL
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
s O
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)
12/_05. ZU13 23:54 FAA
v ,
r
INSULATION CERTIFICATE
WJvVL
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Coder Title 24, State of California, in the building located at:
81-085 Kingston Heath, Lot 2, The Vistas Q PGA West (Models), La Quints, California
i
CEILINGS:
TYPE: BLOW MANUFACTURER Certainteed Thickness.- R-30
WALLS:
TYPE: 5ATTS MANUFACTURER: Certainteed Thickness: R-19
GENERAL CONTRACTOR: TOLL BROTHERS, INC. LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE # 63:2072
i
BY' I I I LE, ADMINISTRATIVE ASSISTANT DATE: 1/31/2003
f
,r..w!.r.wr.�.r..".��rwwrr.r,.r!r+sr.w"Nwvwa_'.�'inA,.•NMA'NM'iH.a[:s.A'iv.s'MM.v�r✓'Iio"w^wdws/++.:-'I w�:�II.�!Tri+MNMa!NM.��!/:Y wAw.A'A:�+w. r. �MwKn'v r.:
,rw I
I
` INSULATION CERTIFICATE
I
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.
81.105 Kingston Hetith, Lot 3, The Vistas Q PGA West (Models), La Quinta, California
CEILINGS:
TYPE: BLOW
WALLS:
TYPE: BATTS
GENERAL CONTRACTOR:
BY:
PAANUFACTURER.! CERTAINTEED THICKNESS: R-38
I
MANUFACTURER:- CERTAINTEED THICKNESS: R-21
1
TOLL BROTHERS INC. LICENSE #
TIITLE:
PARAGON SCHMID BUILDING PRODUCTS, A MASCO COMPANY LICENSE # 632072
B _ TITLE: ADMINISTRATIVE ASSISTANT DATE: 1/31/2003
mmer & sons
Al lVlillcr &Sons Itt?otittp
Boon Inc., tib-]6U�Sununit Dr. hhOrie: 760/3�lfi-12.1.4
Cacli�rlral c:ify, Ca s2L3•I �'.uc: 760/321-7097
FiiNimiln.
. C
A-ndy(i
FXX:
7'77-1.5,%
From:
Russ Miller
Date:
Z -J63103
Re:
Inspection
Pages:
' 1.
Bruthel'S PGA West
r a V1mid- S
Gary / Andy,
We have inspected all the Roofs at PGA West (Vistas and
Deserve). All vents afire installed per the Q'Hagin
Specifications and per your plans
Thank you,
Russ Miller
"T
i s
T0,11 `Brother, cInc.
I Quality Homes by Design®
lig
August 8, 2001
i
City of La Quinta
Building & Safety Department
P.O. Box 1504
La Quinta, CA 92253
Fax: 777.7011
Re: Lot #
3
Project�istasract # 29349-1) -or- Reserve (Tract #29348-2) (circle one)
To Whom It May Concern:
E
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.
Sincerely,
Andy Fraser
'I
Project Manager
Toll Brothers @ PGA West
i
74-923 Hovley Lane East, Suite 2-220 Palm Desert, CA 92260
760-674-9699 Fax 760-674-9081
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
Occupancy Group: R-3 Type of Construction:
81-105 KINGSTON HEATH
Owner of Building: TOLL BROTHERS INC
Building Official
vni
Bldg. Permit No.: 0006-136
Land Use Zone: RL
Address: 74-923 HOVELY LANE E STE 2-220
City: PALM DESERT, CA 92260
By: DANIEL P. CRAWFORD JR.
Date: 2/6/02
POST IN A CONSPICUOUS PLACE