0103-199 (SFD)LICENSED CONTRACTOR DECLARATION - PERMIT#
'^' I hereby affi?m under penalty of perjury that I am licensed under provisions of BUILDING PERMIT
%H� Chapter 9 (commencing with Section 7000) of Division 3 of the Business and DATE VALUATION LOT d�(j,L•hTRACT
C14 LU Professionals Code, and my License is in full force and effect. -
r0 �,� License Lic. Class Exp. Date tm.J�4.16 �� 253349-1
C) C JOB SITE _ APN
���qq�q� /l��yy ADDRESS cyyt ppryry,, 7 +�y 4 +Py�,•�� Qty[, A�q+��/ rp+9y p�
I` ..,d"�� t£3 4.�"IM.7'd'f Ail. 4'T.1-21, 0 X*TNG1.Y�A'kJJ.V .GV�C.da..�{ 1 ' 2491-47'0-0.1:'s�
I, Fl—k0ate °Signature of ContractorCID { OWNER CONTRACTOR /DESIGNER / EN (NEER
OZ OH
J UCD OWNER-BUILDER DECLARATION TO)"'ILBac`r'%RP11.% T9C MILLBROW MRSWc
UJI H d I hereby affirm under penalty of perjury that I am exempt from the Contractor's 74.923 HO'Er.I LY1,10M,E¢ DT C3.�'.MZ-220 ' 4.5214 HOW-m I � n��sT s''C9 n.-22•20
License Law for the following reason: i'.�LM hn. VERT CA 92260 PALMJC3�r3IR CA 92260
Z ( ) 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 +*760)674. 699 r"IBIR i3ir
sale (Sec. 7044, Business & Professionals Code). USE OF PERMIT
( ; ) I, as owner of the property, am exclusively contracting with licensed
�;.
contractors to construct the project (Sec. 7044, Business & Professionals MGfA,'DMILNG
C'') l
() deam exempt under Section , B&P.C. for this reason:V D-PL:.AVT i;,DT F, PERMITDOF y 140T IA10C,.i. DS PLOCK'WALUPOOIAPA it
NDate Signature of Owner W.UVEMA1° AtD.PROACH,
O0
d Q WORKER'S COMPENSATION DECLARATION
p Ir I hereby affirm under penalty of perjury one of the following declarations: .
0 O 1 have and will maintain a certificate of consent to self-insure for workers' CUSTOM C014STRIJOT1014 410S? O &T
X W compensation, as provided for by Section 3700 of the Labor Code, for the PORCHIPAXIO fi',R),(►f} SP
O � Q perto° rtnance of the work for which this permit is issued. SE1i2A08b,�� 8Fm Q L) , ave and will maintain workers' compensation insurance, as required by
O Q SCction 3700 of the Labor Code, for the performance of the work for which this
C rn I— permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier Policy No. •'t �i3s.S.s.`rc
o' Z PACIFIC EF�d�l4a0`t''%r�Lr° ` 1,4 f �."viSR4318 ESTID f;i3+a�." OF 0fJ'1'Yo�9�"IRUC 100 °�' 6, 73,4.10
r- 0
Q (This section need not be completed if the permit valuation is for $100.00 or less).`•'~' k/S+afe'
( ) I certify that in the performance of the work for which this permit is issued, CON r`i RUCI ION ME
I shall not employ any person in any manner so as to become subject to the P AN OiECK FE
-'workers' compensation laws of California, and agree that if I should become MECHANICAL FER 01-000-421.0003S92.00—
sutil'ect to the workers' com ensation_ revisions-oLSection-37-00-of-the-Labor— — "I"T '' , L 3Z�I-000-426-000
Co�be, I sh II fort ith comply with those provisions. Bi3� G;4
£te:" ., Applicant'"?IiI�9'kIy 10�-O�aa4�I�^MP3 $ILp�fs
S't'I�ONI O MOTION 1? RESIO !. G R -000--24 t 4t� d
n : $3
WarniFailure to secure Workers' Compensation coverage is unlawful and c�€ R540 � 1411-� 00. 42ate(1 i3
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 I.G1Ps.% IMPACT E / $5,109.011
of the Labor Code, interest and attorney's fees. .,fiRle IN PUBLIC P-LAM3 - kbMa 7031
IMPORTANT Application is hereby made to the Director of Building and SafetytJ' ;
for a permit subject to the conditions and restrictions set forth on his
application. {� r
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit.work is performed under or pursuant to HAM, i0TAL 1;`�%�$'�`",[`,tILY�' {r1i� t kd C�€ ��� $5,4(10.` 0
any permit issued as a result of this applicaton agrees to, & shall, indemnify WS sI=P?W x j $0.00
& 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 LIT) OF
work is not commenced within 180 days from date of issuance of Such ��' �`''''W'4"
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 insp ti n pur es.
r RECEIPT DATE f + rB A E ,INSP,ECTOR
L
4 r _
-fir
S gnature (Owner/Agent) Date
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
/ b l
Return
Retum Air
Steel
Roof Deck
�
Combustion Air
Exhaust Fans
O.K. to Wrap
j s r 6
F.A.U.
Framing/
��
Compressor
Insulation
6�
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wali Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
_
Drywall - Int. Lath
Final IS�?a�o2
w�Go,...
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
Waste Lines
_
Z%
Electric Final
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
a
Pool Cover
Sewer Connection
���
Encapsulation
Gas Piping
Gas Test
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)
i
E1 �
I
7
'roll `Brothers, GInc.
Quality Homes by Design®
August 8, 2001
City of La Quinta
Building & Safety Department
P.O. Box 1504 J
La Quinta, CA 92253 j
Fax: 777.7011
3
Re: Lot # 2.b
Project:istDs 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,
s
Andy Fraser
Project Manager
Toll Brothers @ PGA West
i�
i
r
74-923 Hovley Lane East, Suite 2-220 Palm Desert, CA 92260
760-674-9699 Fax 760-674-9081
I
Al M-1111er & sons
Al !Miller & Sons itc)Otilip
Rog-fibig Inc. U-760 Summit 11r. Phone: 760/340-121.4
Cathedral City, Ca 92234 F,', X: 760/321-7097
(C
sim
ile
pC
fax: i77l.a9C
From, Russ 101liller
Date:3�211b2 Z� vl�,A-
Re. lnspectien
,c
Pages:.
i
Gari; / Andy,
We have inspected all the Roofs at PGA West (Vistas and
k
Ieserve). All vents are installed per, the 4'Hag in
Spec',ifications and per your plans
it
Thank you,
i�
r
Russ'Miller
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 at
81-220 KINGSTON HEATH, LA QUINTA, CALIFORNIA 92253
i TBI 25
CEILINGS:
TYPE: Fiberglass BATTS MANUFACTURER: Owens/Corning THICKNESS: R-30 9 1/2" BLOW
WALLS:
TYPE: Fiberglass Batts MANUFACTURER: NOwens/Corning THICKNESS:R-19 6 1/2"
GENERAL CONTRACTOR: TOLL BROTHERS, INC. LICENSE:
BY: TITLE:
SCHMI �10N CONTRACTORS, INC'. LICENSE #221517 C-2
r
gY: TITLE: PRODUCTION MANAGER DATE: 1/17/02
INSULATION CERTIFICATE
I.
This is to certify triat insulation has beeminstalled in conformance with the current energy
regulation, California Administrative) Code, Title 24, State of California, in the building located at
81-220 KINGSTON HEATH, LA QUINTA, CALIFORNIA 92253
1 TBI 25
CEILINGS: , L'
TYPE: Fiberglass BATTS MANUFACTURER: Owens/Corning
WALLS.-
TYPE:
ALLS:TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning
GENERAL CONTRACTOR: TOLLI BROTHERS, INC.
BY: I TITLE:
SCHMID f CJLQTION CONTRACTORS, INC.
THICKNESS: R-30 9 1/2" BLOW
THICKNESS: R-19 6 1/2"
LICENSE #
LICENSE #221517 C-2
TITLE: PRODUCTION MANAGER DATE: 1/17/02
f
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
Occuaancv Groun_: R-3 T-v-nP-nf (--nnct
, tOwner of Building: TOLL BROTHERS INC
Building Official
81-220 KINGSTON HEATH
Bldg. Permit No.: 0103-199
tion-: VN -and Use Zone: RL
Address: 74-923 HOVELY LANE E STE 2-220
City: PALM DESERT, CA 9220
By: BILL GORDON
Date: 3/21/02
POST IN A CONSPICUOUS PLACE
Certificate of Occupancy'
City of La Quinta
Building and Safety Department o,nE°`
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: 81-220 KINGSTON HEATH
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0103-199
Occu anc G`rou R-3 T .VN _. Land Use -Zone: RL - - --
p y ` p: Type of Construction:. .
Owner of Building: TOLL BROTHERS INC Address: 74-923 HOVELY LANE E STE 2-220
City: PALM DESERT, CA., 92260
By: BILL GORDON
Date: 3/21/02
Building Official
POST IN A CONSPICUOUS PLACE