0009-099 (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 t Exp. Date
'?'✓7'1699 :f3 ,-`- t?41'30lZf
,.,Rate .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:
( ) 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 Sianature 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.
1, have and will maintain workers' compensation insurance, as required by
Acton 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 PACIFIC! FAP1.OY11r# Policy No. WLR 643084318
(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 shall forthwith comply with those provisions.'
Date: .#(3 ��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 fees. 9
IMPORTANT Application ishwereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application. 7
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
yfor 7inspectio� urposes. f f
VS g ature (Owner/Agent) �' _ . ✓ft R' % Date 1_ �/ y
BUILDING PERMIT PERMIT #.
- -
DATE /: �I/ VALUATION C
LOT TRACT
�r,�'q tay a1at� �y Aye
29349-1
29349- 1
JOB SITE
ADDRESS �''"' "
IW3�(Ya57a`.t4vdW6TA—RT.tiibi
APN
767-490-01.3
OWNER
CONTRACTOR / DESIGNER / EN (NEER
TOLL MOM" U401
TnLT, i',ii,C1 rfl :RB D40
74.923 HOVIELY 1 AM- EAST 311=t:'2-22074.923
HOVELY LOAM T W1n,,',2-220
PAI,IbiLiF.:£ ERT CA 92260
PALM f CA 92260
'. (760)6'74.9699 C:k3LA 3632
USE OF PERMIT
SSN(i L.E FAlKttt Y ElVaLLI.WO
SFD. PLAN:ESTANCIA Vi/C IDT 13-PlPRMIT OOMs, Noi, rNCLUDE
is LOC_K>WA" POOUDR.IV'PWAY APPROACH
CUSTOM CONS'T1R.UCTIaN 31533.00 517`
PORCHIPATIO 'iT1'6.00 Sr
R-TrWA7fY'.0 Co" (AF C;ON'u'I UC'''; ON
301,819.v
P39AWIT.117 FEE SUMIARY
CONSTRUCTION I EE11 101.000.418.000 $1,346.$0'
PIAN CHECK FEE � 1(111 �QE20�d3�-3 i 8 $1,096.99
MECHANICAL FEE 101.000421-000 514:3.50
ELZCT tICAL FEE 1131-00"20-040 1±191112
PLUMbINO FEE 101-000.419.000 $199.'73
S'T9ttildG MOTION FEE • REWD 101-000-241-000 $30.10
MADINO M 101.000.423.000 $70100
DEV1 10FEFt4 MPACT P'E1;f_. $1,907.00
An iN PuBLiC PL.AcEs - WME 701 -ii —25S-000 $254.55
S
A StM-'1 OTAL Ct JgMkVC`110H AND PLAN C13 C1'.
$5,192.19
LESS PFX -PAID W.1?a9
$0.00
-PAID: 'I�+.32"ALti' tIVI1I"E I)1YC' -now
OCT 0 3 2000
LA W!"Iff-
RECEIPTDATE
B
DATE FINALED
INSPECTOR
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
d
Exhaust Fans
O.K to Wrap
/
F.A.U.
Framing
_
i7
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
/ a
Dryv Il - Int. Lath
Final
_
Final.
BLOCKWALL APPROVAL S
POOLS - SPAS
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
d� L
A liances
O
D
Final
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)
COMMENTS:
I
'Toll 'Brothers, GInc.
Quality Homes by Design®
. August 8, 2001
City of La Quinta
Building & Safety Department
P.O. Box 1504
La Quinta, CA 92253
Fax: 777.7011
Re: Lot # /3
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
74-923 Hovley Lane East, Suite 2-220 Palm Desert, CA 92260
760-674-9699 Fax 760-674-9081
~
INSULATION CERTIFICATE
This isbucertify that insulation has been installed inconformance h the current energy
regulation, California I Administrative Code, Title 24, State of California, in the building at
0M-3O5KINGSTON HEATH, PALM DESERT
LOT 13
'
TYPE: Fiberglass BATTS MANUFACTURER: Owens/Corning THICKNESS: R-30 9 1/2" BLOW
WALLS: �.
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning TH|CKNESS:F-198 1/2"
GENERAL CONTRACTOR: TOLL BROTHERS LICENSE:
�
.~^. '
BY:
TITLE: �
� ��-------__ �
� "°."".0 INSUL ION CO OfS, INC.
LICENSE #221517 C-2
� !
~ '
� TITLE: PRODUCTION K8ANAGER9/4/01 �
� OATE'
`
. .
- !
' U��UUU�����������8���� �
' — __--'''.-.. CERTIFICATE �
. .
This is to certify that insulation has been installed in conformance with the current energy T
regulation, California Administrative Code, Title 24, State of California, in the building located at
81-305KINGSTON HEATH, PALM DESERT �
LOT 13
'
�
TYPE: Fiberglass BATTS MANUFACTURER:Oweno/Conning THICKNESS: R'30Q1/2^BLOW ;
TYPE: Fiberglass Batts MANUFACTURER:Owens/Corning THICKNESS: R-1901/2" '
GENERAL CONTRACTOR: TOLL BROTHERS
LICENSE #
'
�----__---- ,
BY:
TITLE: �
��----__--- �
"C."°." .mov ON CTOR
S, INC. LICENSE #221517 C-2 �
'
� UY----- '
� -------- UTLE: PRODUCTION MANAGER DATE: 9/4/01 '
b �
Al Miller & Sons
At Miller & sons Roorlp(; phone: 760/346-121.4C
Roofing Inc. C 76U Cil
t Llr.
athedrralal CGil y, Ca 142•_>3.1 F.tX: 760/3.11-7097
Faaimile
rl'tx Gciry / AY�IyCt� oll i3rutht s pCj A'WeSt
Fax: 777-Y.a%
From: Russ Miller
Date:
Re: Inspection
Pages:. .ZvT 13 l�iSTl3
Gary / Andy,
We have inspected all the Roofs at PGA West (Vistas and
Deserve). All vents are installed. per the D'Hagin
specifications and per your plans
r
�Thank you,
-Buss Miller
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:
Occupancy Group:
SINGLE FAMILY DWELLING
R-3
81-305 KINGSTON HEATH
Type of Construction: VN
Owner of Building: TOLL BROTHERS INC
Tom. /4-%
Building Official
Bldg. Permit No.: 0009-099
Land Use Zone: RL
Address:
74-923 HOVELY LANE EAST STE 2-220
City:
PALM DESERT, CA., 92260
By:
DANIEL P. CRAWFORD JR.
Date:
10/03/01
POST IN A CONSPICUOUS PLACE