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0202-236 (RPL)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 6,56", 24 C531UC CIS 10/31/2( 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). il ( ) 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. .( ) 'have 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 OTATE COM'PP'.R£iATT Policy No. 446-02 0006162 (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: 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. 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) Date T PERMIT# .. . .. _ .,� r BUILDING PERMIT,,,,---.',,, ifATE `-'•"' VALUATION LOT M02-236 TRACT JOB SITE :;-.:="� APN ' ADDRESS •{• OWNER CONTRACTOR / DESIGNER / EN (NEER A&M (§ARM C ALHOPITLk POOH Si ` ..&S, CrOP AAi�:z�( t 54.709 OAMIM 74125 JONI 1AdVF,, %, MB PA LA QU.0n.-A CA 92253 PALM lti=RT CA 5r/,Z2 0 CI W 3 4©-9000 CS144 00355 . USE OF PERMIT POOL, .P.?? INOR UPA SP1 IVY17t'i WATERFALL, .N LASYM:sMAriPIER'S SHALL BE 1134 PLACE KJOR TO PREPLAST&% INOPWTION. P001, &WIP9u EWT DICLOglrifil!, MT :. . fl CLUD D 114 PZRM1T.HOA COXF'1ktIAED. POOL ANDIOR SPA 8101-4,40 L2 EUM"TED CO&T Old' i:'i%MMZYM43.YV FYM'klt3' T T'.&E S1311lif ARY PL" CHWK FEE 101-000-439-318 964.:! S CONS'fRU rIC44 F99 1014M--438-000 09.Ca MECHANICAL M • • POOL 101.000 -421 -OW $24,0 tf ; •.. ELECFRACALre9P.--POOL M-Wri--420-00.0 PL,L'�is ki FRY, -. Pool, 101.4100 419.0 0 it r, MAR ,2 12 �- � 121 .,- -PLAN i EiMI)," $2,59,35" LIM,, MZ --,1 AM S TUTAL MIG i 1?ENS DUII: NOW }" RECEIPT DATE -, J BY " DATE•FINA I PECTO �� r, 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 Exhaust Fans O.K. to Wrap 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 Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Electric BondIv 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 Suver Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances _ Final _ =d COMMENTS: .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) March 8; 2002 City of La. Quinta 78-495 Calle. Tampico La Quinta, California q2253. Attention: Building & Safety V Re: 54-709 Oakhill, La Quinta - PGA WEST (the "Property") Property Owner: GARCIA Dear Sir/Madam- KSL Desert Resorts; Inc., ("KSL") is the owner of the golf course property immediately adjacent to the rear property line. --of the Property. Under the terms of Specific Plan 83-002, Amendment 3, dated August 6;..1996,, as approved by the City 'o' La Quinta, Section 3. 1.1 provides for a rear yard -setback of 10 feet under the. Specific Tlan, Residential designation (the "Pool Setback"), with the notation thatswimming pools/spas are allowed to be constructed up to the rear yard property line subject to the approval of the.golf course�owner. .4r Property'Owner and the pool. contractor contacted: KSL regarding KSL's approval of the encroachment of the-pool/spa within the,Poo1 Setback area: This letter shall serve. as your notice that KSL approves of the construction ofa .9oUspa iinproyeinent on the Property within the Pool Setback, as depicted on Exhibit "A" attached`:hereto, subject.to,the following conditions: L' Construction of a solid, continuous buffer wall running: "along ,the length of that portion of the pooUspa, which :'encroaches within an area five feet in width measured from: the ream property line; 2. The top of; the wall height of the buffer wall shall be a minimum of 27 inches from the finished•=grade and 'shall: not_ exceed a height of 36 inches; `and 3.` Property Owner and/or-homeowner'association remains responsible to maintain any landscaping between the pool/spa improvements and.the. rear property line. If you have any questions, please contact Barbara Larsh, Manager of Real Estate Contracts, at (760) 564-8023. Sind ely; Larry E.Lichliter' . Ekecutive Vice'Piesident Cc: PGA WEST Residential Association (via facsimile 760.771.5125) California Pools sand. Spas �2L, �� ty.pgaw.gol.poolapprovalltr.garcia' a WK, aaun 49.49 Eisenhower Drive Post Office Box 60 •'La Quinti, California 92253 Tel (760) 564-4111 Fax (760) .564-76.56 PGAWLSE