0006-152 (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
�
777699
Date Signature of Contractor`` •� n��,�
OWNER -BUILDER DECLARATION
.11 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 wage's 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). ;
O 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.
rd�ave and will maintain workers' compensation insurance, as required by
See ion 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 0EN1 RAL.ACCIT) N9 Policy No. •i 00461101.07
(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 OLSection 3700 of the Labor
Code, I shal orth ,ith comply with those pro ions
Date: "Applicant 7• �!*`.
Warning: Fai lure 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 for inspection purposes.
Signature (Owner/Agent)- Dated
r -,/?., "-BUILDING PERMIT PERMIT#
DATE VALUATION MIMSAO LOT �15` TRACT 29349-1
JOB SITE
ADDRESS �.-._ +�'!�'a'�r'.L-,i�.i � .:1�
'R1�
!�
APN
7674.9"15
OWNER
CONTRACTOR/DESIGNER/EN (NEER
i'Oi L J3R0THM 1lWC
IrOIL BR0Ca1.i. AS IITC
74.923 HtiWLY 1 AM EA I' 3 IM -12.220
74.923 H01s`t- LY LANE UAW =rE2.220
PALM D&I-Wr CA 92260
PALM..17ESERT CA 92260
(760)674.9699 (ML#. 3832
USE OF PERMIT
RING LE FAMILY D•k IaJ.ING3•
SPO FL.ANVENTANAW GASITA LOT13: PLRMI`P OOPESS Nat INCLUDF,
BLOCK Ilt+"A.LES OR. PGDL.
CUSTOM CONSTRUCTION 4,374,00 OF
PORCHIPATIO 514.00 SF
OARAMICARPORT CSF) 13,837.60
JCi'f!!lAZED COST € F € ONufRIT'G"1`ION
361,408.40
PERMT M SUiAli1V1"y
CON aTRUCTION 1EE 101.000.41"00 $1,S3G.80
PLAN CHECK FEE 101-00-439-218 $1,240.15
MECHANICAL FEE 101--000.421.0010 S110100
1✓1.ECTI:IC:AL . �L: 101-000-420-000 $219.71
PLUMBING FE[� 101.000.419.000 8180.50
STRONG MOTION FPE - RLr.SII7 101-000-241-000 $;36,14
GRADING FTSE 101.000-423-000 $20,€14
30F,VPL0PE-R IMPACT VEEP $3,907.00
.ART I'14 PUBLIC PLA �1 - X11: 701.000.255.000 $403.5
6 -TOTAL COISWRLl•=0N AND PL.AM C1 TEaK
$5j673.82
LESS PRE -PAM ME=$0100
TMAL PMfff 1 6 D1;Z NOW
55,673=
k Jfa
RECEIPT
DATE VI
BY I �/
DATE FINALED
INSPECTOR
r
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
I 1
Underground Ducts
Forms & Footings
Ab A
Ducts
Slab Grade
3
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap _
F.A.U.
Framing
Compressor
Insulation i
Fireplace P.L.
Vents
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
414v—
Drywall - Int. Lath,
Final
Final o
BLOCKWALL APPROVALS
Steel
POOLS - SPAS
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
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp, Power Pole
Underground Conduit
Rough Wiring
Low Vottage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
74 i
Z0'd _ld101
C2 CA -IL q#".. IL (*sA $iq WIP
4kk
-
me
CITY OF LA OUINTA
BUILDING & SAFETY DEPARTMENT
777-7012
INSPECTION REQUEST LINE
777.7lS3
Owner TOLL BROTHERS
ContractorTOLL BROTHERS jut 2 5 2000
006-152 � r
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
WARWA
DOES NOT INCLUDE BLOCKWALL OR. POOL
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
W1�5 7a -
FOOTING STEEL
-
MAIN GROUND SYSTEM n
vrlvYl�v rVVmp11�W - J
WfvW-O.V� A4 7VO I el
PRE-GUNITE
00 NOT POUR CONCRETE UNTIL ALL BOVE HAS BEEN SIGNED
CONCRETE SLAB I WMA I N71 . n
NOT POU CON RETE UNTIL ALL ABOVE HAS BEEN &I .vED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST 6_1
HEATING & VENT -A/C
O.K. TO WRAP
GROUT 0 4' 0 8'
e
FRAMING
INSULATION On
PRE -ROOF
COVER NO WOR UNTIL, ABOVE tJAS BEEN SIGN
DRYWALL INTERIORWoestra
EXTERIOR LATH
POOL PRE PLASTER
M2.64ENCE & GATE
�'$k'VVER . EPTIC TANK 1.
.� FINALS
ELECTRICAL s C7
PLUMBING
FINAL GAS TEST '� d
WING - A/C _
...FUSE NUMBERS rr
TEMP POWER
ABOVE APPROVALS UO NOT INCLUDE RIGHT TO
TI iRW nm j mi mec no rv.,,, jnv of 111 .,1...,
i0'd 96STLLL 09L 1S3M UOd S0Z1g 774:............ tiS:SZ TOOE-SE-Nnf
i., X-15-2001 WED 01:34 PM AL MILLER & SONS ROOFING FAX NO. 3 P. 01
It
IV Miller a sons
At Mitler Bc Sons Rooting Phone: 760/396-1.234
Cathedrral Cil
Booing Ines 760 al Cil t Ur.
Cy, Ga 922'34 F.ix: 760/311-7097
Fad
.r" Gary / AWy(r T0H Brofi- is PGA West
rax: 777-1.596
From; Russ Miller =4--
Date: August 15, 2001
Re: Inspection_��
Pages: 1 I.i Nast N
Q v N
T- r" C.
Gary / Andy,
We have .inspected all the Roofs at PGA West (Vistas and
Reserve). All vents are installed per the 4'Hagin
specifications and per your plans
Thank you,
Fuss Miller
Toll �rotherS. elnco
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 # J % ,j cs. c /v% g(- 3'i5 Ki.NG,b-vao
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
15-2001 WED 01:34 PM AL MILLER & SONS ROOFING FAX NO. 3 P. 01
Ju mmer a sons
' Al iLiillcr & Sons Ro4tipt;
Ro-Al-ng
InCal 68-760 Sununit Ur. Phone: 760/346-1.21.4
Cathedral c;iiy, ca 9223,1 FM! 760/321-7097
Facsimile
r.ia Gaw / A IyC«nbIl%iilels PGA West
ftx: 777-1.596
From: Russ Miller
Date: August 15, X001 6 \4 15T^a,
Re: Inspection
Pages: 1. 'l k N Cts-M/J
Lit GO k N � c,x,
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
Thank you,
Fuss Miller
v
`T 1
J
Toll 93rotherS, 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 # 16 Vi s- grsl 481-365, W o6 G.Stolj
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 922.60
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: VN
81-345 KINGSTON HEATH
Owner of Building: TOLL BROTHERS INC.
Tom
• Building Official
Bldg. Permit No.: 0006-152
Land Use Zone: RL
Address: 74-923 HOVELY LANE STE 220
City: PALM DESERT, CA., 92260
By: RICHARD K. KIRKLAND
Date: 6/25/01
POST IN A CONSPICUOUS PLACE