0006-157 (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 Exp. Date
777099 JFK / -04/30/2(
Dated 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 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.
(rO"7l-fie and will maintain workers' compensation insurance, as required by
Sectyon 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 GENER.ALACv'1IaE?�I1 Policy No. '8VC0461102-07
(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,
Pshall 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 thgeworkers' compensation provisions of Section 700 of the Labor
Code, I sha Irf ct Atha omply with th se ro it PS .
Date: �A'pplicant •» o
Warning; F, ilure 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 Iof-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 inspection purpose .
Signature (Owner/Agent)
dS `-BUILDING PERMIT PERMITN
DATE VALUATION em+
L,41`% 170 LOT `Zl%� TRACT 2934941
s
JOB SITE Qy(j' ' "
ADDRESS �1�1Cil1A
APN n
c67"4I E520
OWNER
CONTRACTOR/DESIGNER/EN (NEER
'.f`f7LI..13R0'hU:' s' INC
TOLL BROTHERS INC
74-923 HOVXLY LANE F.Wf M. A31;2-220
74-923 '110V3r..'Y LA ATF RAST 3UM2.220
PALMDESEERTCA 92260
PALML)MERI' CA 92260
(760)614.9699 MU1.. 3832
USE OF PERMIT
MaGI. FAWL`T IMEEf..7.NG
SFD PLANZA.B;A XOS.A. LUT:W lylS1:.MYt DL.1MS NUI' 1NL.UIDP; ULUC
WAi,LS OR P001.75 QK PLAN CHECK FEIN REDUCTION FOIL ISSUANCE OF
SAME PLAN TYPE
CUOTOM CONEITRUCT1ON x,741100 SF
PO=RIPATIO 324.00 SF
OARAW('A4WORT (01) 14,817,60
Esim"M COST OF CONSIRT1' ATON
20,5.W.7D
L"•ONSTRatJMON FEE 101 ^(3(1(.1=418.000 S; ?X00
PLAN CHICK FXE 101-000439-318 $,3 Z.70
MECHA141CAL VEY, 101.000.421-000 59830
FT. EC'TRICAL FI!.'3? 101-000-420-000 $179.46
PI,UMB1100 FEE 101.000.419.000 8160,00
S'TRON0 MOT 1014 FEla a RESID 101-000-241-000 . $31.06
GRADING FEE 101.000.423.000 U6100
DI�VELOPM IMPACT 111%
ART IN PUSLSC PLACES - RUM 701-000.255.000 $276.30
SLTB-M'TAL CONKInIC 17017 AND MAN CHEM
$4,124-20
LESS PRE -PAR M...S
X0100
'$`t rm P9.Rait Ir S D'IX Oil+ kN
94,324270
C/
RECEIPT ]DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
I
Underground Ducts
Forms & Footings
Ducts
Slab Grade
(f
'Return Air
Steel
Combustion Air
Roof Deck
/,p
Exhaust Fans
O.K to Wrap
4F.A.U.
Framing
VC&ACZ LIECompressor
Insulation A,&- , 21 0
Fireplace P.L.
Vents
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Q/
Drywall - Int. Lath
If
Final
Final _
BLOCKWALL APPROVA
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
I I
Gas Piping
PLUMBING APP OVALS
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
Appliances
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 _ A
Utility Notice (Perm)
COMMENTS:
-
..
t
Certificate of Occupancy V�:
City of La Quintal
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
81-320 KINGSTON HEATH '
Owner of Building: TOLL BROTHERS INC
Building Official
VN
Bldg. Permit No.: 0006-157
Land Use Zone: RL
Address:
74-923 HOVELY LANE EAST STE 220
City:
PALM DESERT, CA., 92260 -
By:
DANIEL P. CRAWFORD JR.
Date:
7/31/01
POST IN A CONSPICUOUS PLACE
JUN 11 2001' 1 : 48PM SCHM I D#CONTRR'CTORS 7603471897'
INSULATION CERTIFICATE
This is to certify thatinsulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, M the building at
THE VISTAS C.PGA WEST
LOT 20
CEILINGS:
TYPE: Fiberglass BATTS MANUFACTURER: Owens/Corning THICKNESS: R-30 91/2" BLOW
TYPE: Fiberglass BATTS MANUFACTURER: Owens/Coming THICKNESS: R-30 9 YY
WALLS:
TYPE:- Fiberglass Batts MANUFACTURER: Owens/Coming THICKNESS R-19 6112"
GENERAL CONTRACTOR: TOL.0 BROS. INC. LICENSE:
BY: TITLE:
SCHMID INSULATION CONTRACTORS, INC. LICENSE #221517 C-2
BY: � TITLE: PRODUCTION MANAGER DATE: 0&11101
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 located at
THE VISTA'S @ PGA WEST
LOT 20
CEILINGS:
TYPE: Fiberglass BATTS MANUFACTURER: Owens/Coming THICKNESS: R-30 9112" BLOW
TYPE: Fiberglass BATTS MANUFACTURER: Owens/Comirig THICKNESS: R-30 9 Ya"
WALLS:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS: R-19 6112"
GENERAL CONTRACTOR: TOLL BROS. INC. LICENSE #
BY: "TITLE:
SCHMID INSULATION CONTRACTORS, INC. LICENSE #221517 C-2
BY TITLE: PRODUCTION MANAGER DATE: 06111101
.d
P.3
s AUG7�15-2001 WED 01;34 PM AL MILLER & SONS ROOFING FAX NO.3 P. 01
MMIllemSons
JnC*
At Alitter & Soils 31
oofit1;
68 -760i Lr. Phone: 760/346-1.22.4Roonng (affiedrai cily,
Ga 92:>3.1 FM: 760/321-7097
Facsimile
'fix Gitly i AmlyCa7Toll Brothels PCwA West
Fax: 777-1.5,%
From: Russ Miller
Date: August 15, 2001 -#Zv
Re: Inspection
Pages: 1.��_�t�
Gary.,/ Andy,
We have inspected all the Roofs at PGA West (Vistas and
Reserve). All vents are installed per the O'Hagin
specifications and per your plans
'hank you,
Russ Miller
`doll brothers, (Inc.
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 # Z- L-> V ls—kPt5, 91 - 3 Zv /1,04 r, -mu I-+-&, t ,
Project: Vistas (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