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0006-154 (SFD)LICENSED CONTRACTOR DECLARATION —Chapter 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 p� Date Signature of Contractor •QCT ��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 DateSignature 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. ((! h'PfBve 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 CiI~�t' gR.AL ACCIDENT Policy No. WC046.1102-07 (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�io700 of the Labor Code, I sh f fortl�iwith comply with tl�oseujsio' Date: _=- / Applicant (0Qtl 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. 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 p .rpo�/es�r Signature (O ner/Agent)���°° ''°"'<-� Date7��' BUILDING PERMIT PERMITh� + DATE VALUATION $:V1,S1930 LOT "!7 t - TRACT 29349-1 d nA JOB SITE ADDRESS ..8 C3� 0Nf1�:.A.'�i �- APN 767-49i�- 17 OWNER CONTRACTOR / DESIGNER / ENGINEER T,—)I.L BROTims iadC TOLL B120MPIS 19O 74.923 HOVELY IME R,BT SUM-= -= 74.923110VJn.X 1AM E ` € SUM2-224 PALM DESIMT CA 512260 PALM 17F.. ERT CA 92260 (760)674-9699 MR.:3$32 USE OF PERMIT RMLE T�AiPiI.1� Ilii �iC3 SIrD PIA4N:L ;TXNC1.A W C ASITA 1,Vr:l? k'1 RMIT DOHS NOT INCi.t r)3Tt, BLOCK WALLS OR POOL CIT: 1©lri CONa$i'RilC 1C)N 3ag.3.00 3F PORCHIPNrlo 7D6.00 Si? OARAC{I;J ARPORT (SF) XS"1'11bSATED COST OF CO!lTMUCITOR 3.01.,819.3 CONSTRUCTION 101.000.418-000 $1,346.50 PLAN CHECK M 101-000"4.39-328 $1,06.0 MECHANICAL FEZ 101.000-421.000 51050 ELECTRICAL P72, 101-000.420-000 $01?2 PIL1U1U1Jk3INO FEE 101.000.419.000 $199,75 STRO-90 MOTION PE E • RESIN 1 Q I -OOD-2.41-000 $3C►,18 GRADINO FEE 101 -000-423-000 009 DEVELOPER IMPACT F89 s:,907.00 AAT IN PUBLIC.PLACF.0 s R SIC 701.000.255-000 $254.$1 SCFE= t'C:i'1AL COm!'RdCmox A,�ID PLAiT r'r':imic $5,192.19 IM PRE -P IDIS $0.00 TcYiAl, X'ER1�JT1+'.I S DUX BOW ":192.19 6 RECEIPT DATE BY f DATE FINALED INSPECTOR I 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 / p p/ Exhaust Fans O.K. to Wrap 6/ F.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 DNwall - ht. Lath Final - Final . 2 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 Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral 17 Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: h. Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp, Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fxtures Main Service Sub Panels Exterior Receptacles G. F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) 4 Toll 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 # 1''/ Project: tas ract # 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 RUG 24 2001 8:08RM SCHMID-COMTRRCTORS 760 3471897 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 THE VISTAS AT PGA WEST - PALM DESERT, CA LOT 17 CEILINGS: TYPE: Fiberglass BATTS MANUFACTURER: Owens/Coming THICKNESS: R-309112" WALLS: TYPE: Fiberglass Batts MANUFACTURER: Owens/Coming THICKNESS:R-19 6112" GENERAL CONTRACTOR: -TOLL BROTHERS, INC LICENSE: BY: TITLE: SCHMID INSULATION CONTRACTORS, INC. LICENSE #221517 C-2 BY: TITLE: PRODUCTION MANAGER DATE: 08/24/01 INSULATION CERTIFICATE This is bo 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 AT PGA WEST - PALM DESERT, CA .:LOT 17 CEILINGS: TYPE: Fiberglass BATTS MANUFACTURER: Owens/Coming THICKNESS: R-30 9 1/2" WALLS: , TYPE: Fiberglass Batts MANUFACTURER: Owens/Coming THICKNESS: R-19 6112" GENERAL CONTRACTOR: TOLL BRTOHERS, INC LICENSE # BY:. r ',:, ' TITLE: SCHMID INSULATION CONTRACTORS, INC. LICENSE #221517 C-2 BY: TITLE`. PRODUCTION MANAGER DATE: 08124/01 p. 5 _- m mmer a som At Miticr & Spm Roofilig Phone: 760/3�1f�121.4 ROunn� JUCO C 760 ral Chit Ur. Cathedral Cily, Ga 9223.1 Ftix: 7601321-9097 Facsimile '.i'm Gary / AWy@ToH Br dws PGTA West Fax: 777-0% Fromm, Russ Miller Date: Re: Inspection Pages: 1. Gary / Andy, We have inspected all the Roofs at PGA West (Vistas and Deserve). All vents are installed per the 4'Hagin specifications and per your plans Thank you, Fuss Miller Certificate of Occupancy City of La Q'uinta Building and Safety Department T ' 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: 81-385 KINGSTON HEATH Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0006-154 Occupancy `Group: R-3 Type of Construction: VN Land Use Zone: RL. Owner of Building: TOOL BROTHERS INC Building Official Address: 74-923 HOVELY LANE E. STE 2-220 City: PALM DESERT, CA., 92260 By: GARY 'HARTMAN Date: 11 /2/01 POST IN A CONSPICUOUS PLACE