04-5028 (RPL)BUILDING .4z SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012 .
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . .
Property Address
APN:
Application description
Property Zoning . .
Application valuation
Owner
------------------------
MR STAHL
56105 RIVIERA
LA QUINTA CA 92253
04-00005028 Date 6/17/04
=5=6.1.0.5 RIVIERA ,
-7-62-9-24.,
POOL - RESIDENTIAL 112304
LOW DENSITY RESIDENTIAL
15000
Contractor
FAMILY POOL CONSTRUCTION
53300 AVENIDA RAMIREZ
LA QUINTA CA 92253
(760) 564-3655
Qty Unit Charge Per
BASE FEE
vik-
.�9
C/I y
Extension
,15.00
WCC: STATE.FUND
WC: 1340322004
03/01/05
CSLB: 658996
11/30/04
CCC: C53 -EIC
------------------------------------
.
. . .
---------------
. . MECH "POOL
Additional
desc
...
Permit Fee
24.00
Plan Check Fee
6.00
Issue Date
. .
. .
Valuation . . . .
0
Qty
Unit
Charge Per
Extension
BASE ;,FEE,,
, ``"15". 00
1.00
9.0000 EA MECH-PURNAC,E
<=100K
9.00
---------------------------------------------------
Permit .
. . .
------------------------
BLDG POOL PERMIT
--
Additional
desc
Permit Fee
. .
. . 162.00
Plan "Check lee
105.30
Issue Date
. .
. .
Valuation . . . .
15000
Qty
Unit
Charge "Per
Extension
"BASE
FEE
45.00
13.00
9.0000 THOU BLDG
2,001-25',000
117.00
----------------------------------------------------------------------------
Permit .
. . .
. . ELEC POOL PERMIT -"RES
Additional
desc
Permit Fee
. .
. . 45.00
Plai jC-heck Fee
11.25
Issue Date
Val/u?atio
0
Qty Unit Charge Per
BASE FEE
vik-
.�9
C/I y
Extension
,15.00
P.O. Box 1504 •
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: ��" oZy
Applicant: I Architect or Engineer: Date:
Applicant's Mailing Address:
Architect or Engin
Lic. No..
UILDING PERMIT DECLARATIONS
. LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalt of perjury that I am lid rider provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Licepge �g1� force and effect. / .ra✓il` /' /
License Class C/,� rise No.
Date Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am a mpt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
statement that he or she is licensed pursuant to the pro
city or county that requires a permit to construct, all
r, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed
visions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she 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,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.).
U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
[_) I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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 perforcnance
of the work for which this permit is issued.
ave and will maintain workers' compensation insurance, as r wired by Section 3700 of he Labor Code, for the performance of the work for which this permit is
i d. My rkers' pensation irisu nc carrier I ��qu er l�s�
Carrier
Po
Num er C/ 6
_ I certify at, in the performance of the wo for ich this pe it is issued, I shall note ploy any person in any manner so as to become subject to the workers'
Itod
m sation laws of California, and a ee t t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
hp comply with those provisio
Date Iq Applicant
WARNING:ILU4 TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINESIP TO ONE HUNDRED THOUSAND DOLS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND TTORKEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lenders Name
Lenders Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this 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 application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.
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 can Ilation.
I certify t t I ha a read this application and state that the above in ation is correct. I agree to comply with all city and county ordinances and state laws relating to building
constructi n, an hereby authorize representatives of this county to ter u bove-mentioned property for inspection purposes.
Date �C Is Signature (Applicant or Agent):
Page 2
Application Number
. . . 04-00005028
Date 6/17/04
Qty Unit Charge
Per
Extension
1.00 30.0000
EA ELEC
PRIVATE SWIMMING POOL
30.00
Permit . . . . . .
PLUMBING
Additional desc
Permit.Fee.,...
27.00
Plan Check Fee
6.75
Issue Date
Valuation
0
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 6.0000
EA PLB
FIXTURE
6.00
X1..00 3.0000
Ek PLB
WATER INST/ALT/REP
3.00
1.00 3,.0000
EA PLB
GAS PIPE 1-4 OUTLETS
3.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total
258.00
.00 CIO
258.00
Plan Check Total
129.30
.00 00
129.30
Grand Total
387.30
.00 .00._
387.30.
JUN-15-2004(TUE) 16;16
PGA WWT U RESIDENTIAL ASSOCIATION, INC.
P.O. BOX 1282, LA QUTNTA. CA 92253
(760) 776-5100 FAX (760) 776-5111
lune 15.2004
Mr. & Mrs Christopher Stall
2100 W. Anaheim Street
Long Such, CA 90813
Reference: 56-105 Rivlora, La Quints. CA
Archrt=WW Change ReVest— Spa, barbecue, Fiirrrpit and additional landscaping
Dear Mr. & Mrs. Stahl:
The Architectural Commttoo and LvWscme Commirox rMpcc very reviewed your plans to add a spa,
barbecue, firepit and additional landscaping.
As a =alt ora tetter received from Bob 5dwards, the committee approved your original plans for the spa
cquiprivatt location.
PIC= note the following:
• " Qcuct" pumps shall be utilized for all pool and spa hutaltations and shalt moot the minimum
xegWn:ment of the industry's "quill' pump stamim&
• The contractor shall coram: that the make-up water for the automatic water food device be tapped
ahead of the main dwaUing shinorr, Existing hose bclxs cannot be used for this purpose.
• Barbecue — height of couutc iop cannot rioted 319 total heigbt including countertop carrot
oxeced 54"
• If natural gas is to be used in the barbecue and/or fixopit, the insWisdon must be permitted and
inspoctW by The City of La Quinm
Review by the Committee is only for general confornmcc with the arehitectwal guidelines. It is tlto
responsibility of the owner to My understand and conform to the architectural guidelines criteria whcdior
or not all dciiciencies arc noted during review. It is also the owners roll retlponsibility to field verify all
existing conditions. The Committee's decision with regard to project design will lac final. Please refer to
the Amb4tcotttrel Rules for nll regtired submittals,
Tic L21dscape Committee has the rollowiog comments:
• Side yard planting — althmO the side yard is maintained by the homeowner, the trots to be
planted approximaWy 5-8' from the structure and/or the adjoining neighbor's wall to prevent
Kraping and damage.
• Sego palms jim not on the Association's Recommended Plant Palette. therefor: tbo Association
will not maintain nor replace it should the tree die.
Queen palms are no longer on the Association's Recommcnded Plant PaleUc, homeowner to
maintain and replace the queen palms,
• ()ardenias and Meyer's Forn are not on the Association's Recommended Plant Palette; please
sabstitotc with ;+other choice ham the polcnc.
• Reduce the artm al color beds to "tips" only, which is rho original Went for planting WU21 color.
Additional color will be replaced by the homeowner.
• Mounding on the torp is trot allowed as it is difficult for the mowers to mew.
Your contractor must warranty that trots for one year and the shrubs lbr sbc erottths.
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Mr. & Mr3. Ckistoplw Stahl
JUM 15.2U(J4
Page Two
Please conlad Marco Alva= supervisor Sunshine Landscape at 760/146.3999 and CM) Fuller the
Association Manager, prior to any imgation modAcations assoaatod whit this orange. D=gc to the
landscaping i.e., shrubs, trees, flowers and Md is tho respoesilOty of the 0"0300r. The landscaping
must be broughtback to its original condition when the pmjaCt is Complete &
Approvals given by the Arddtcetrual Committee are good for only As moudis from the date on the
approval late:. If construction has not commenced within dx moths alba the project approvsl date, a new
application roust be submitwd.
Upon completion of your project please complete and reams The Notice of Completion of Arcwwcuz ml
Changc
In the mearuime if you have otry additional gacstions or concerns, please do sot hesitatt to contact Carel .
Fuller, Association Manager. at 760MG-5100. E4 320.
Sincaety,
PGA WEST It RESIDENTIAL ASSOCIATION
For the Architectural Commitlaa
For the Landscape
®Commiacc
Carol Fu11er CCAM
Association Managa
cc: UnitF le
0
A
:)UINTA
=TY DEPT.
/E®
A RE -INSPECTION FEE OF $30
WILL BE CHARGED IF THE APPROVED
PLANS AND 10B CARD ARE NOT ON
THE SITE FOR A SCHEDULED
INSPECTION.
NO EXCEPTIONS!
Construction
Poo%Spas Founlain5
U
� Lic, #650996
00
STArtll tiolliff
56 1o5 9,4*r-a