0208-349 (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
Pro#assionals Code, and my License is in full force and effect.
License# Lia Class Exp. Date
9 4/30102
� .1
lDate 4 4 Signature of Contractor I
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
performance of the work for which this permit is issued.
Q)—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 pAVIF4C 1aMpLoy .'U Policy No. '9V°.IAR N198143118 -
(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 proylsionsl of Section 3700 of the Labor
Code, t to t I fort�,iwith comply with those � AV%io Ss.
Date: olzf Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages.as provided for in Section 3706
of the Labor Code, interest and attorney's foes.,,!
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions -set forth:•on his
application. M
1. Each person upon whose behalf this application -is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all' City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for Ins "action purposes. r /
Signature (Owner/Agent)
fe` Date F���'�
BUILDING PERMIT PERMIT#
* :
DATE VALUATION LOT0.- _. TRACT
ff :,r.� 3S-310,5!50.707-29 , 252449-1
� ; .�C.
JOB SITE
APN
ADDRESS 1s� 6.'Vf ONZr�M',J1
716711M4i29
OWNER
CONTRACTOR/DESIGNER/EN (NEER
`OILS,L"`12k.1Iks. WC
'COLT, W110THMS WC".
.PAi M EMMERT CA 92260
11AIUMESI:F'I7:' CA 92260
(160)04-969,9 ML4 :-832
USE OF PERMIT
SK) . I.X1T d SANTA R09AR A.:t719111MIT D093 1*N:.LCf,20 SiiaC. 19
WAI,A.9, P001111 SPA OR !bWYMaRY AI r!, R,t7A01-f,
CU$Tt. M. CONSPRUCI`ION 1,741.00 3F
PORC:i;°!o3°.A IO 324.00 5y
Cgh' P,Af IIaW.A3?.?KJR "1'00 SP
E917W411TID Cogs 0F COM TION
31.0,
C ONSTTtl,JCTKI M FRE, 101 +fJ1 J R�9Q J $I, 3xCi�1
PLAN CHECK VUE 101-000-4.39-3101 s1,G.1.79
MYCIIANK4&L FEE 101 -000-4,21AD0 WK."
E LUC TRU C AL i`rulp 101•000-420.1000 $179,56
PLUMBINO FER I'M -000-419-000 0.110140
37M." 10 ia4VPION FRE o RESID 101-M-241-000 $3L06
.. � �..,.:.� �.�:� ELsA.��►n.n��7�.�'&rtt7 $15.00
��jj"a.H.till}f.itp�9��4'u1�'ppE'rly�•7,wgyA�.�t �iyyyy
IMPACT iFrylMlf.�t.flip)
yDEVAiLOPUP, pJ'Ai:rZ �-e�tt /t p�/{:+� 2p� pp
A.R IN P$a�i3lidf.-y PLAie:.�.iKS - N 121. 210- 00-4��5?,000
.I:i"d,�..7 •. '1.7itlA)1` �i; .r .4 /`;.E«1.L.+ .i:nC,'J51,1i `C'�}JA%1i4
Ji5g63A.,29
et
=25.2002 TM P-ORx'� EES roUR XON
CITY OF LA AUINTA "
FINANCE DEPT.
RECEIPT
DATE,
BY j,�
DATE ALED
INSP T R
F�r
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
So Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
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
>
Drywall -Int. Lath
_
1/0 04
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
���p �Z�
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
_
to
Appliances
_
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low -Voltage Wiring
Foctu�es
Main Service
-
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
'1
,f
Memo
To: Greg Butler
From: Andy Fraser
CC:
Date: 06/19/02
c
Re: Expiring Permits at PGA West Vistas
ol
As per our conversation last week, I am requesting an extension on the following permits, 81-16Q-81
1140; 81-140, 81-120, 81-100 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,
,I
CIV OF; QUINTA
BUILDING & SAFETY DPT.
APPROVE
Andy Fraser
Project Manager DATE 1 o BY
PGA West t I
1) ('V1Jj�(✓V�� I��1
a St �'
�
7(�SJo�
0 Page 1
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:
81-140 KINGSTON HEATH
Owner of Building: TOLL BROTHERS INC
�Oq"l
Building Official
VN
Bldg. Permit No.: 0208-349
Land Use Zone: RL
Address: 74-923 HOVELY LANE E STE 2-220
City: PALM DESERT, CA 92260
By: DANIEL P. CRAWFORD JR.
Date: 4/24/03
POST IN A CONSPICUOUS PLACE