Loading...
9904-137 (AR)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 # Lia Class Exp. Date 68,1857 8 :113t/00 Date —7 - `?4 Signature of Contracto�;L 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`(S6d. /U44, business & t ruiesslund15 Cude). ( ) 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 ( ) 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. ( ) . I 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 - Policy No. ` TA'111 MIND 129-_"-00ftJ32 (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 j 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 ptoovisionsV .6ate: Applicant �/�r'"'AJ L , L-2-• 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 insp/ection purposes. 7 Signature (Owner/Agent) �r� `t-n�- Date BUILDING PERMIT PERMIT# M4.4.':7 DATE VALUATIONBd•�3tli!1& 'jo LOT TRACT ADDRESS 56-140 �,8'n"IE- RA JOB SfTE APN 761-461-007 OWNER CONTRACTOR / DESIGNER / ENGINEER 'N,&1ALL1.A_@1 t' & M. j\RY ILEE1.1101,'MI _:S RIOfa EDryAMS CION 1111,Y7101k; 18:L,YIUt 79-920 FIT'ST.A T)R.1VE IRVINE CA 92612 LA Q LltNTA Lam. 92253 (W)775-71933 CBT ,# 3217 U36 OF PERMIT i ii;E;Si�j�.l•J �.'i.Al, .t�lJl�3'!'�1.3N 574 S.1". ATTAC-WM) OUC rT: Ii{5USE AUDiTIGN 'Mi 101, , - CUS T ON''t 121.00 10F CUSTOM t;;ONSTRUCTI'ON 453SK1 S[' °E S7'IMA'I`E+ D COST OF C"ONSTIZUC',g"If1'i PERMH FEZ 8i1M1iAicR PLAN C'REC;`K.FEE 101 -01W -439-31h' $244.0 Ctli` RTRt K; I tC)1V i i?!a I01 4W-41 8-000 .'Ni IaLtC'11RIC L 1'03 101 000 -X110 -M 09 :s`T110W &101 iCiN F01- ISI -D 101-000-241-000 51.113-'i01'A.1.. Cf3%+1k+""!`1241i"'IIOW .!'±1 C)111,AN 04EY":'1{. glir"! U51 LESS 111111-11AID FEE: $0.00 'i'MAL PE.1$i1U'i!' P1± ES i3i}�, NOW $4".98 RECEIPT DATE BY DATE FINALED INSPECTOR 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 G 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 I WAW/POOLS BLOCKWALL APPROVALS - SPAS 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 Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final 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) COMMENTS: Notice: Document Cannot Be Duplicated Date 5/7/99 No. 18706 ' r Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 760-771-8515 CERTIFICATE OF COMPLIANCE Owner NameWilliam R. & Mary Lee Holmes Jurisdiction APN # 761-46f-007. La Quinta Permit # . No. 56-140 Street Riviera Log # City La Quinta Zip 92253 Study Area Tract # Lot # Type of Development Residential Addition Comments Square Footage 57.4 . kttac.hed guest house a ition Y F No. of Units At the present time, the Desert Sands Unified School District does not collect fees ,on garages/caiports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or teplace'ment mobilehomes. It has been determined the above-named owner is exempt from paying school sfees at this -time due 'to ttie. following'.' r reason: ` �rj4 • f.. r t � .. _ EXEMPTION NOT APPLICABLE',,,," This certifies that school facility fees imposed pursuant to Government Code 53080' in the amount of 1.93 X 574 or $ 1,107.82 the property'listed above and'that,b�'lding 0 permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued \tiA l Fees Paid By CC/1st Bank - Bob Edwards Telephoner 77.5-7933, , Name on the check, By Dr. Doris Wilson - Superintendent „ Fee collected /exempted by Ellen Patmo Payment Received $1 107.82' ' ` �. Check No. 50440,'• Signature 10TICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified bove will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to ollect them on the District('s)(s) behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy-.Applicant/Receipt Copy - Accounting ® �� af, JON TANDY NTA37630 MEdjool Ave. MAY j 8 RSC,® Palm Desert, CA 92211 Office (760) 772-7192 INSPECTIONSPECIAL w �--w- _, ,-VFax (760) 772-7193 REGISTERED INSPECTOR'S WEEKLY REPORT Pager (760) 776-3338 TYPE OF .INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCA N o —( LA Outb REPORT SEQUENCE NO. TVP ��UCTURE 0 � MES PERMIT N0. O=) '�5� 1 DAV OF WEEK MATERIAL DESCRIPTION ARCHITECT INSPcCTOR HRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL C SUB CONTRACTOR O C���� R CONTRACTOR r` S�eL'un aK/ r COPY SENT TO CLIENT O CONTI ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE s NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE $ GOVERNING BUILDING LAWS. _ V TUREEG:STERED INS TOR " - !o q-7 DATE OF REPORT REGISTER NUMBER April 29, 1999 Mr. & Mrs. William Holmes 56-140 Riviera La Quinta, CA 92253 POA WEST II RESIDENTIAL ASSOCIATION, INC. PO. BOX 1282, LA QUINTA, CA 92253 (760) 776-5100 FAX (760) 776-5111 REFERENCE: Architectural Change Request for Landscaping and Lighting Dear Mr. & Mrs. Holmes: The Condominium Architectural Committee has reviewed your landscape and lighting plans and has approved your plans based on the understanding -of a telephone conversation between Ted Martens and Mrs. Holmes on Wednesday, April 28, 1999 as follows. :,: I It was pointed out by Mr. Martens that two species of plants on the `landscaping plan were not in the plant pallet. Your plans specified eleven (11) Myers ferns and five (5) Bird of Paradise. Per our conversation, please substitute something on the approved plant palette (see attached) rather than using the requested plants. The exterior lighting plan has four lighting fixtures. The recommendation is that two of the four exterior lighting fixtures will be Association lighting as were originally on the property and the additional two fixtures to be on the homeowner circuit which will be switched from the house. Sincerely, PGA WEST II RESIDENTIAL ASSOCIATION For the Condominium Architectural Committee Carol Fuller Association Manager Attachment cc: Board of Directors Unit File APR- 1-99 THU 3'.45 PM lviONA CH GROUP Fxn IN. 619 7 6 5111 P. l PGA WEST II RESIDENTIAL ASSOCIATION, INC. P.O. BOX 1282, LA QUINTA, CA 92253 (760) 776-5100 FAX (760) 776=5111 March 23, 1999 Mr. & Mrs. William Holmes 56-140 Riviera La Quinta, CA 92253 RE: Request for permission to build room addition Dear Mr. & Mrs. Holmes: The Condominium Architectural Committee has reviewed your preliminary plans as submitted by Bob Edwards for a room addition at your PGA WEST home. The Committee Is please to Inform you that they have conceptually approved of this addition and upon receipt of final plans including a complete landscape, lighting and irrigation plan the committee will give it's final approval Please contact me at (760) 776-5100` should you have any questions or concerns with this. The next committee meeting is scheduled for April 15, 1999 at 3:00 p.m. Sincerely. For the Condominium Architectural Committee John J. Monahan Association Manager CC: Board of Directors Unit File X. C -of La CityQuinta... Building a Safety. Division P.O.' Box 1504 ..-Per # . ...... .... ... '78-495 Calle Tampico La.Quinia; CA 92253 . . .... ............. . . . ..... ............. . .............. .................... ation an Tracking Sheet Building Permit Application d Project Address: V V_Q6 Owner's Name: A., P. N umber: Address:: a Legal Description: City,ST. Zip: � GA Contract 0 'Telephone .. ......... * .... ... .... xxxx . . . ................................. . ......... .. . ........ Address: . -?c(—J2_(3 I�Uv Project Description: Ciry'ST, Zip: Qoi T e iepp n e: . ...... . .... ............. . .................... State Lic. City Lic. #: 9?,(2, Arch.. Ener.. Designer: ?lik-W Address: '. 7. Cit,:. ST, Zip: e� ?i� )( Telephone: . ...................................... ............ . x ....... ... ........... Construction Type-(QUkf Occupancy: State Lic. #: .......... ....................... .............. ..... . ................... x-, .............................. : ................. . .............. ...................... P roject type (circle one): New Add'n Alter Re air •Demo p Name of Contact Person: Sq. Ft.:'.St ories; # Units: Telephone of Contact Person: 4� Estimated Value of Project: 5 149 ,.,001f .......... ��­ ............... .................... ................... X ... ........... .. ............ ................... ... APPI-I ............................................. ............ .............. ......... ....... J. - : - . - : . .......... ...... . x ............ ... . .. ..... I .. .. . ....... .................................................. ........... ........................... ........ ........ . .... .... A Subm iiil i4kee.. ............... .............. .......... ... X ..................................... ....... ........................................ .......... .......... .................. ............................ ................................. X.: ...... ........... ............................. .......... ........... . . ..... .... . . .. ...... I. ...... .................... ........ ... .......... .......... ................... ................... ............. ........ . ........ ........ksii#iii ..... ............................ ..... ..... ........... .. if .... ................ ............ ..... . ....... ......... ...................... ... ....................... dt ... ...... .......... . . . ........ . ... . SMUCtUfRO.Mi ........ ... ....... ........ .............. .... ........... . .. . ... ........... ............. . ................ . ....... .... .. .. ....... 4&bi MU M . ..... ........... . . . .... ....... ... .... . .. ................ ......... .... . . .... ........ ..;,r.:Tuss :.,.C- *, a ..... ........ . . ... ..... . ... ........... ........ ... .... ............................... ............... 44 ................ ........... .................. . .............. #Wt % . .............. ....... .......... ........ ............ ........ ........... ... ........... --- - ......... ..... , M .4 M ch. - .. . ............. .... X., ... .. .......... .......................... ..: ............ . .. .. .............. .................. ......... . . - -- . . ................... ......... .... .... ... .... ......... ...... % ....... .. .. ........... .. .. ........................ ..... .... . .... .............. . . ..... . ..... ................. .. ............................... .............................. . .............................................. ................. ...... X ..... Ric .............................. .. . ... .. . ............ .. .. ..................... ......... ............... .............. . ..................... . ................. .................. . ................... .... .. ... .......... .... ......... ....... ...... .......................... .......... .................. ...... ........ ............... ............... ... .................... ............... ............ ....... ......... . . . .... ..... ............. .... ........ ........ ................ ........... ................. ..... .................... . ............. .................... ......... ....... . .. .............. ........................ ............................... ...... . ........ .. . . . . ...... ............................. . ..... ... it: M. ......................... .. ....... .. ............... ...... ..... .. ...... ..... .... ....... ..... ........ ............... ... .... .... ........................ % ......... ......... ................ .................. % .......... ......... ........... . ... .................. .................... ..... . .......... .. .... . . . ............... am. ................. .............................. .... %% . ..... . .... ................... ............. . ... .. . . ............ ....... .. ......... .. ................ .. ........... ....... ............ ...... ......... .............. ............ .. ........... ............... ............... ................ . ........ ... .. . ......... . ..... A ......... . ::: ........ K ......... .. . ............... . .... ... .... .... .................. ... .... .... . ... ... .......... ...................... .................. ............. ....... ... ........ ................. . ............ ....................... ..