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9993 (AR)P.O. BOX 1504 Building 5��25 �� 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Carlene Smith Mailing BUILDING: TYPE CONST Address same A.P. Number City,Zip Tel. a Quinta 92253 771-1176 Legal Description r.. Contractor I Geretette Construction Address 55888 Yucca Trail. Yucca Vly '92284 365'3889 State Lic. City & Classif. 280103 iLic.# 1{201 Arch., Engr., Designer Address Tel. City j IZjp' (State ! Lic. # I am licensed under provision'saf,Chapter9 (commencing with Section the Business.and Professions Code, and my license is in full force and � . ' OWNER -BUILDER DECLARATION I hereby affirmethat I am exempt from the Contractor's License law for the following reason: (Sec. 703)1.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). . ❑ 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, Buisness and ';Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, .provided that such Improvements are not intended or offered for sale. If, however; the building or. improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure; or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy Is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICAYE OF EXEMPTION FROM WORKERS' COMPENSATION'INSURANCE (This section need not be completed i!. -the permit istfor one hundred dollars ($100) -valuation or less.) S I certify that in the performance ofrthg work for which _thL�;pe mit is issued, I shall not employ any person in any manner so as to become subject to the Workers'_Compensation . Laws of.California. Date �' %— �% Owner✓ NOTICE TO APPLICANT: If, after malnng this Cer ilibate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinancesand state laws relating to building construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant— Date Mailing Address City, State, Zip No. OCC: GRP.: Description Add 0 clear fire place to living rant Sq. Ft. Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ stimated Valuation 4�o0.®a PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 46.80 Const. 72.00 Mech. Electrical Plumbing S.M.I. .50 Grading Driveway Enc. , Infrastructure fTrte .ai"b %rl A"14 d fi0_r1C_%_f4 44 TOTAL i () _ miw I `17MIAU i 119'* Q 30 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date f�'� Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. a $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. S0. FT. ® GAS (ROUGH) DRAINAGE PIPING WALL SQ. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN. SQ FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% c SEWAGE DISPOSAL GAR. FIREWALL SO.FT.GAR ® V4c HOUSE SEWER LATHING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST.•FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING Vk,FINAI- INSPECTIOAGt:)T4571t CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL PGA WEST. RESIDENTIAL,`ASSOCIATION,-INC. August 12, 1991 Robert and Carlene Smith 38 Balboa Coves Newport Beach, CA 92663 R . 54-325OakHi Dear Mr. and Mrs. Smith: Thank you for your Architectural Variance request to add a fireplace, dry bar and entertainment center to your home. Your plans, have been approved as submitted, with, the following conditions: H 1. The attached "Construction Regulations" must be adhered to: 2. Any roof damages ;and future. water entry due to the installation; of the - fireplace are the responsibility of'the-homeowner. 3. Any -roof tiles..that are. walked on 'causing damage, or -:damaged because: ,of sheetmetal and ,plastering work are to'be:repaired by the homeowner or homeowners contractor., If you have any questions,' please contactt,he Management office. Thank you, , Bruce F ,azier, Property Manager on Beha.f of the PGA West Architectural%tand cape Committee Encls. P.O. Box 12710, Palm Desert, California 92255; Telephone. 619-341-0393 FAX 619-346-5632 REQUEST NO. ARCHITECTURAL/LANDSCAPE VARIANCE REQUEST„ DATE: OWNERS NAME(S) PROPERTY ADDRESS 54 5 0A Y_ i 'UNIT/LOT # LOCAL PHONE 6/9- ?-71 - //7� OTHE,R'PHONE MAILING ADDRESS 3,R BA I -130A: 'CO tJIF-5 N'6_)f6kr13gpAc_4 CA (If d,!.ffet6nt.f±omi.'p3:�cipibrty address)': The following modif ication.. is , prop'q's ed and approval,is requested for an Arc hitecturdl /ri"andsc aipo Vwriance in. accordance with the procedure outlined in our C,. C. & R. '8. We have attached the necessary," d oduments -,as outlined in the procedures sheAt. We -also understand -that, approval is gran ted, we will'be responsible for the c-'O"s;"-ts'-Of:-sa�i!i'mod,3*-f-3*.ca,'t'ion and any and'' all '!damage -:may` occur,**' 'to any common ' area property including but not limi"ted to-' sprinkler systems,' utilities, F buildings, lawns and - plants. We,, further.. understand that all building modifications -t9 approval - require h of ...the City of La ­ Quinta and building Permits as may be required. "-The cost of these approvals and permits .will 'be. bothe* byJ'us...:­,We­fur'ther agree that, if approved, thd.modificatIons will --be --,mad6'- in 'strict compliance with the plans submitted with this application'. The modification we proposed is _F i gt 5:-PL_),,+,-ce=- (Please I p 11 rovide a complete lete' E-Aj i lvm c --/VT- CA- p 13 A/FTS. -r.3 /,'S narrative description Of. 'the,pr6p6'sed7 modifti--atIon). 7 -RE oNL-y n t\j DM OWNERS SIGNATURE(S) ppp� REQUEST NO. ARCHITECTURAL/LANDSCAPE VARIANCE REQUEST„ DATE: OWNERS NAME(S) PROPERTY ADDRESS 54 5 0A Y_ i 'UNIT/LOT # LOCAL PHONE 6/9- ?-71 - //7� OTHE,R'PHONE MAILING ADDRESS 3,R BA I -130A: 'CO tJIF-5 N'6_)f6kr13gpAc_4 CA (If d,!.ffet6nt.f±omi.'p3:�cipibrty address)': The following modif ication.. is , prop'q's ed and approval,is requested for an Arc hitecturdl /ri"andsc aipo Vwriance in. accordance with the procedure outlined in our C,. C. & R. '8. We have attached the necessary," d oduments -,as outlined in the procedures sheAt. We -also understand -that, approval is gran ted, we will'be responsible for the c-'O"s;"-ts'-Of:-sa�i!i'mod,3*-f-3*.ca,'t'ion and any and'' all '!damage -:may` occur,**' 'to any common ' area property including but not limi"ted to-' sprinkler systems,' utilities, F buildings, lawns and - plants. We,, further.. understand that all building modifications -t9 approval - require h of ...the City of La ­ Quinta and building Permits as may be required. "-The cost of these approvals and permits .will 'be. bothe* byJ'us...:­,We­fur'ther agree that, if approved, thd.modificatIons will --be --,mad6'- in 'strict compliance with the plans submitted with this application'. The modification we proposed is _F i gt 5:-PL_),,+,-ce=- (Please I p 11 rovide a complete lete' E-Aj i lvm c --/VT- CA- p 13 A/FTS. -r.3 /,'S narrative description Of. 'the,pr6p6'sed7 modifti--atIon). 7 -RE oNL-y n t\j DM OWNERS SIGNATURE(S)