10-1404 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Applicant:
4::GW M¢L?o,w,
`ter 4'4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
ZDENISC "ei-714 'IR,
_"k 334¢ Cp
LICENSED CONTRACTOR'S DECLARATION
I hereby ffirm under penalty of perjury thatI m licensed under provisions of Chapter 9 (commencing with
Section 000) Division 3 of the B i ess nd P si aIs Code, an my License is in full force and effect.
cense lass: < License No. 684857
Date: v Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance,. also. requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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 isnot intended or offered for sale ISec. 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 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.).
(_) 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.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
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.).
Lender's Name:
Lender's Address:
LQPERislIT
Owner:
TOM MCDANIEL
56405 RIVIERA
LA QUINTA, CA 92253
Contractor:
EDWARDS CONSTRUCTION
51455 DESERT CLUB DR:
LA QUINTA, CA 92253
(760)777-8202
LiC. No.: 684857
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: • 1/12/11
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.
_ 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 and policy number are:
Carrier GRANITE STATE Policy Number WC1914223
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
arson in any me as t eco je to the workers' c mpensation laws of California,
J3700
nd agree that, I sho b oma ubj t e workers' co nsation provisions of Section
of a Lab r C e, I all f ith o ly with those ovi ions.
Date:I Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION.COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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.
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 Quinta, 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 cancellation.
I certify th t I have read this application and state that the above orm ti n is rr ct. I agree to comply with all
city and t/
unty rdinances and state laws relating to buil ' on tr ' ' n, an her y authorize representatives
9f this cc my enter upon the above-mentioned prop y f in ion ur ose .
Date:� ignature (Applicant or Agent):
L _Application Number:
10-00001404r
Property Address:
56405 RIVIERA
APN:
762-022-005- - -
Application description:
PATIO COVER - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application.valuation:
3 844
Applicant:
4::GW M¢L?o,w,
`ter 4'4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
ZDENISC "ei-714 'IR,
_"k 334¢ Cp
LICENSED CONTRACTOR'S DECLARATION
I hereby ffirm under penalty of perjury thatI m licensed under provisions of Chapter 9 (commencing with
Section 000) Division 3 of the B i ess nd P si aIs Code, an my License is in full force and effect.
cense lass: < License No. 684857
Date: v Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance,. also. requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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 isnot intended or offered for sale ISec. 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 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.).
(_) 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.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
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.).
Lender's Name:
Lender's Address:
LQPERislIT
Owner:
TOM MCDANIEL
56405 RIVIERA
LA QUINTA, CA 92253
Contractor:
EDWARDS CONSTRUCTION
51455 DESERT CLUB DR:
LA QUINTA, CA 92253
(760)777-8202
LiC. No.: 684857
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: • 1/12/11
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.
_ 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 and policy number are:
Carrier GRANITE STATE Policy Number WC1914223
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
arson in any me as t eco je to the workers' c mpensation laws of California,
J3700
nd agree that, I sho b oma ubj t e workers' co nsation provisions of Section
of a Lab r C e, I all f ith o ly with those ovi ions.
Date:I Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION.COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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.
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 Quinta, 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 cancellation.
I certify th t I have read this application and state that the above orm ti n is rr ct. I agree to comply with all
city and t/
unty rdinances and state laws relating to buil ' on tr ' ' n, an her y authorize representatives
9f this cc my enter upon the above-mentioned prop y f in ion ur ose .
Date:� ignature (Applicant or Agent):
Application Number . . 10-00001404
Permit . . . .
. PATIO COVER PERMIT
Additional desc
289 SF WOOD TRELLIS
Permit Fee
63.00 Plan Check
Fee
40.95
Issue Date
Valuation
. . .
. 3844
Expiration Date
7/11/11
Qty Unit Charge Per
Extension
BASE FEE
45.00
2.00 9.0000 THOU BLDG 2,001-25,000
18.00
----------------------------------------------------------------------------
Special Notes and
Comments
28'9 SF WOOD TRELLIS AT REAR OF RESIDENCE
- 2 LOCATIONS PER
ENGINEERED PLANS. 2007
CODES.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
STRONG MOTION (SMI)
- RES
.50
Fee summary
Charged Paid Credited
----------------------------------------
Due
-----------------
Permit Fee Total
63.00 .00
.00
63.00
Plan Check Total
40.95 .00
.00
40.•95
Other Fee Total
1.50 .00
.00
1.50
Grand Total.
105.45 .00
.00
105.45
LQPERAIIT
rOU r re 1.)10 r. 101
PGA WEST II MID)1 NTIALASSOCIAnOIST, INC.
39755 BERKEY DRIW STE A
PALM DESERT, CA 92211
PHONE (760) 776-5100 PAX (760) 776-5111
October 19,201D
Mr. Tom McDaniel
19601 Mayfield Circle
Huntington Beach, CA 92640
Reference: 56-405 Rivera la Quanta, CA 92253
Architectural Change Request - Pool, Pavers, Misting System, and Farep it
remodel, Trellis, Cedar Garage Doors & Gate, New Entry structure
Dear Tom McDaniel:
. '11te Architectural Committee met an October 14, 2010 and reviewed and approved •
architectural plans with the following changes and conditions being met. your
Pool setbacks must be surveyedy
and marked b a licensed Civil Engineer showing lot
corners and 5 foot setbacks and then the Committee will review these pW's submitted
with the marked lot corners and pool setbacks. Please advise management when this has
been done so they may have the Committee review the survey.
a The contractor shall ensure the make-up water for the automatic water feed device be
tapped ahead of the main dwelling shutoff. Existing hose bibs cannot be used for this
purpose.
® More detailed information needs to be submitted In writing on the New Entry Structure
and solid wood door. Please specify material is being used around the door -and opening. .
Where is the ornamental iron?
A Maintenance Agreement will he required, one will be sent to you for proper execution
as soon as it is prepared by counsel.
PLEASE NOTE that the plans for the improvements must be followed exactly, there is
no approval for any changes to the plans submitted & approved on 10-07-10 unless a
new submittal Is submitted for review. There is no approval for pool until the survey is
completed; and new front door and "speakeasy" opening until plans are sLbmitted and
approved.
Adjacent neighbor form from Mr. Rampino must be submitted to the Assod-tion prior to
any of this work commencing.
® Please submit neighbor comment form from the Carlson's relating to, the Cedar Garage
Doors, New Entry with portico roof and Gate.
If your contractor representative Ed Randall would like to meet and go though these
items please have him make an appointment with Joanne Rose, Association (tanager.
review by '[fie Comnvittea is enI for aenPrs.� ^^"forman4 yyi� the
ades- Xt iske iestf elrachl�E�d7rra0
QnS/bI//tY of
sllMk t du,r.9/ Rul" fnr aU �,arsired - &VOLF i Pi a r�� the
�ritta/sr
Please see separate letter concerning the landscape submittal and comments
Committee. from the: landscape
roei r re lalb h', IM
Page II McDaniel
PGA WEST II Res Association
Architectural Commitbee 10-19-10
Approvals given by the Architectural Committee are good for only six months from the date
on the approval letter. If construction has not commenced within sixmonths aper the project
approval date, a new application must be submitted.
Upon completion of your project, please complete and return The Notice of Completion of
Architectural Change.
For additional information or questions, the Board has directed that you contact Joanne Rose,
CCAM, Association Manager, at 760/776-5100, Ext. 320.
Sincerely,
PGA WEST II Residential Association
anne Rose, CCAM Association Manager for
Architectural Committee
Cc: unit
Bob Edwards Construction
Peters & Freedman
M
TOTAL P.02
PGA WEST II RESUDENTL&L ASSOCIATION, INC.
39755 BERKEY DRIVE ST.E A
PALM DESERT, CA 92211
PGAWFM.- PHONE (760) 776-5100 o FAX (760) 776-5111
November 17, 2010
Mr. Tom McDaniel
19601 Mayfield Circle
Huntington Beach, CA 92640
Reference: 56-405 Rivera La Quinta, CA 92253
Architectural Change Request — Pool, Door & New Entry Structure
Dear Tom McDaniel:
The Architectural Committee met on November 11, 2010 and reviewed the additional information
submitted for the new entry structure and door and your request to measure the lot Bine from the
curb back at 56-405 Riviera.
The new entry structure and door are approved as presented. The Committee would like the lot
line to be measured from the curb back and the pool drawn out with paint on the backyard area
so they can review. Please let me, or my assistant, Cathy Clark know when this drawing has
been completed for the Committee members to review.
For additional information or questions, the Board has directed that you contact Jbanne Rose,
CCAM, Association Manager, at 760/776-5100, Ext. 320, or Cathy Clark at ext. 318.
Sincerely,
PGA WEST II Residential Association
Joanne Rose, CCAM Association Manager for
Architectural Committee
Cc: unit
Bob Edwards Construction
Bin #
City of La Quinta
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 5
Owner's Name: M l "( Cc4s(EL
A. P. Number: 76 -z p22 C20
Address: Pf, V T5P�
Legal Description: (%MIr 14 50 T1= 04 &d'
City, ST, Zip: 1� l� �
Conductor: tr�- oc>4.1 `4—" S.
Telephone: "
Address:- <—,- LU hj
Project Description:
City, ST, Zip: L-A- -Q0l f,-(- e
AI
Telephone: 7 2 %
P p
State Lie. # : 0 4 &,S%
City Lie. #•
, Designer: �Of' p /�
Address: % 7 `677
City, ST, Zip:
Telephone: `76o 3 4h
State Lie. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one : New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: 0 d S
Estimated Value of Project: --
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reee'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
�'2 .
Item
Amount
Structural Calcs.
aS
Reviewed, ready for corrections
Plan Check Deposit
Truss Coles.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans Picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2~ Review, ready for correcdo a
y.
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALI.
N.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:-
" Review, ready for correctionsCssue
Developer impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
n
Total Permit Fees
i