14211 (RPL)r P.O. BOX 1504 No. 14211
Building 78-105 CALLE ESTADO
Address 55--539 Oakhill LA,OUINTA, CALIFORNIA 92253
Owner Charles Catalano
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address 121 Pembroke
A.P. Number
City Zip Tel.
Forest, 11L 60045 564-4940 Legal Description
irContractor Project Description Spa/Fountain/Garden mall
Lund Conztruction
Ad9res195 ,y 111 0361
Ca Quinta , CA l'ip92253 T1U4-4940
State Lic. B 475655 City 2979
& Classif. Lic. # Sq. Ft. No. No. Dw.
Size Stories Units
Arch.; Engr., -
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
000) of Divisi rw3*o th Business and Professions Code, andmylic/ense,is in full force and
effect. (.1i`l_. / 0/%Z le 1 r♦ q 0'0
"SIGNATURE �� - DATE Wall 303.
OWNER -BUILDER DECLARATION Estimated Valuation v
I hereby affirm that I am exempt from the Contractor's License Law for the following t�i 13,900.00
�
Spa/Fountain reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a Spa • QQ •®Q
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 PERMIT AMOUNT
the provisions or 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 Plan Chk. Dep. /}
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
0 I, as owner of the property, or my employees with wages as their sole compensation, will g�
Plan Chk. BBI. ��"7 .Sy
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 168.00
Professions Code: The Contractor's License Law does not apply to an owner or property who
builds or improves thereon and who does such work himself or through his own employees, Mech. �� QQ
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 Electrical 45.00
of proving that he did not build or improve for the purpose of sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 27.00
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 .S.M.1.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
O 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date Owner Infrastructure
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.
TOTAL 363.45
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE ^
(This section need not be completed if the permit is for one hundred dollars ($100) valuation 1%
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 mannerso*to become subject to the Workers' Compensation
Laws of California.
d
�y.te_/_T_t__"1LOwner
OCE0 If, after making this Certificate of Exemption you should become ZONE: BY'
ubject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback 'fan T 1
comply with such provisions or this permit shall be deemed revoked.
ron etback from CenJ�Jqte in
e r Setback from Rear Prop. ine
CONSTRUCTION LENDING AGENCY Str 2i�BC O — r Line
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.) Slde Jetback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
This is a building permit when properly filled out, signed and validated, and is subject to J
expiration if work thereunder is suspended for 180 days. ate Permit
I certify that I have read this application and state that the above information is correct.. Issued by:
I agree to comply with all city and county ordinances and state laws relating to building /
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes. Validated by:
Signature of applicant —Date—
Mailing
ateMailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
FOR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
I
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN.
SQ FT ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING r
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
i
LATHING
SO. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
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 APPJEQUIP.
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 r
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
i
LATHING
MESH
IN SULATIONISOU N D
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL 7d
5
I ARCHITECTURAL/LANDSCAPE VARIANCE APPLICATION
PGA WEST RESIDENTIAL ASSOCIATION, INC.
Please complete and include this request form, along with
four (4)sets of your proposed home improvement plans to:
PGA WEST RESIDENTIAL ASSOCIATION, INC.
P.O. Box 1060
La Quinta, CA 92253
or, 55-940 PGA Boulevard
La Quinta, CA 92253
Attn: Property Manager
NAME: eRq eL&-s Gq7-,94A o DATE: G%/Uq% M
ADDRESS : -r-4'S3,7 40 4K9tL4. - ,L 4 nueAtM eT, 4 rj ZZS3 I /
/Z / j4�7rJB•Cal p.2 a .1-A A, U-cd�¢.�3T /4 6 ao 44;
PHONE :110f9).5; *-J-z V9 <70 99 14S S;2z4 UNIT:
PROPOSED STARTING DATE: /, /444
APP OML,ETION DATE:
Signature
The following appropriate information should accompany your
completed application:
1.✓ Four (4) sets of complete plans to include:
a!' Improvements and/demolitions
b.►- Plot plan
c.✓ All dimensions proposed
d.✓ Relationship to neighboring units
e.✓ Material and color scheme
f. -"'Planned modifications of all external systems (landscape,
sprinklers, gas lines, electrical, etc.)
2. -/Agreement and Covenant Running with the Land completed and
notarized. Two (2) original.
3.✓Conditions of Approval and Disclaimer form (signed)
4.✓Facing.and Adjacent Neighbor form (if applicable)
Construction Regulations form (signed)
ELECTRICAL [ ] Approved [ ] Disapproved
Signature
Date
LANDSCAPE [ ] Approved [.] Disapproved
Signature
Date
ARCHITECTURAL COMMI TEE ��] Approved [ ] Disapproved
Signature Date IL
ARCH/Rev 6/94 1
LA QUINTA SUB LIST
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TRADE SUB -CONTRACTOR STATE WORKMANS LA QUINTA
NAME CONTRACTOR
COMP
MY
LICENSE ON FILE LICENSE
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EXCAVATE/DEMO JIM ELKINS
418936'NO
EMPLOYEE
399-5373
STEEL
)
PLUMBING
)
ELECTRICAL
GUNITE
) GAPPO POOLS
573948
NO EMPLOYEE
n/v
TILE
) 398-0866
PLASTER
) 347-1617
DECK
AJSTER CEMENT FINISHING
478301 i
YES
`/ 3356,
568-6924
MASONRY
TOM STONE
494257
YES
1228
564-2128
FENCING
EJ FENCE COMPANY
433396
329-4334
Page 1