13-1519 (SOTB)79730 Arnold Palmer
IIIIIIIIIIIIIIIIIIIIIIIII 66 I, I /
P.O. BOX 1504 - IE Tiht 4-- - ' 1ff N^ VOICE(760) 777-7012
78-495 CALLE TAMPICO FAX(760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS(760) 777-7153
BUILDING PERMIT
Date: 12/02/13
Application Number: 13-00001519 Owner:
Property Address: 79730 ARNOLD PALMER MADRIEENE FLORANCE
APN: 775-241-029- - - 79730 ARNOLD PALMER
Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 22000
Contractor: D
Applicant: G / Architect or Engineer: F & F CONSTRUCTION INC d
AA-
/j 77775 JACKAL DR, STE G
/ `- Vl/•VJ.- PALM DESERT, CA 92211
(760)275-5189 /n/
Lic. No. : 802281 DISC 0210,3
CiryOF
FI AAIC QUlfytA
- ----- - --- - - ---- - --- -- - - -- - - - -------- - - ----- -------------- - ---- ---- ----- - - - - - ----------
E SEPT.
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am lnnsseio nder provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000)of Division 3 of the Busine s and Pals Code,and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
License Class: 13 License No.: 802281 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
I ///''' //' t issued.
/\ Date: 1 J ,'/ 1 1 Contractor. _ I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor
/ T' F— Code,for the performance of the work for which this permit is issued. My workers'compensation
OWNER-BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE INS Policy Number 1542839
following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to _ I certify that,in the performance of the work for which this permit is issued,I shall not employ any
construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any manner so as to be subject to the workers'compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that,if I s hot4d becom ubje t to the workers'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the Labor Cod I s 11 f rthwi mply with those provisions.
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).: Date: 2-2 1 Applicant:
1_) 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 ISec.7044,Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL
Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees,provided that the DOLLARS($100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
(_) 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon,and who contracts for the projects with a contractorls)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for
pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. ,B.&P.C.for this reason 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this applicationnd state that the bove' formaon is correct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.1. city and county ordinances and state law relating to build rnt
g structicn and hereby authorize representatives
/ of this county to enter upon the above-mentionespectio oses.
Lender's Name:
Date: Signature(Applicant or Age
Lender's Address:
l I
LQPERMIT '
Application Number . . . . . 13-00001519
Permit . . . . ELECTRICAL 2013
Additional desc .
Permit Fee . . . . 23 .83 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date 5/31/14
Qty Unit Charge Per Extension
1.00 23 .8300 LS ELEC FIXTURES, FIRST 20 23.83
----------------------------------------------------------------------------
Permit PLUMBING 2013
Additional desc . .
Permit Fee . . . . 23.84 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . 5/31/14
Qty Unit Charge Per Extension
1.00 11.9200 EA PLBG WATER INST/ALT/REP. 11.92
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92
----------------------------------------------------------------------------
Permit WALL/.FENCE PERMIT 2013
Additional desc .
Permit Fee . . . . 47.19 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 22000
Expiration Date 5/31/14
Qty Unit Charge Per Extension
1.00 47.1900 LS MISC WALL, FIRST 100 LF 47.19
----------------------------------------------------------------------------
Special Notes and Comments
ADD FIREPIT WATERFALL FEATURE COLUMNS
AND FLAT WORK AND GASLINE FOR FIREPIT
FOUNTAIN WILL NOT TOUCH WALL WALL NOT
DESIGNED TO SUPPORT 121X8' ORCO
STANDARDS 2010 CODES APPROVED PER J.J.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . PLAN CHECK, BUILDING 1.00
PLAN CHECK, ELECTRICAL 47.66
PERMIT ISSUANCE M/P/E 90.57
PLAN CHECK, PLUMBING 23.83
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 94.86 .00 .00 94.86
Plan Check Total .00 .00 .00 .00
Other Fee Total 163.06 :00 .00 163 .06
LQPERMIT .
Bin# Qty Of La Quinta
Building K Safety Division
Permit# \ck P.O. Box 1504, 78-495 Calle Tampico
1/ La Quinta,CA 92253-(760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: y'— 4'3 o ,. -iA-ice°Ul, b PAt.,sjM Owner's Name: a /Z,#tit
A.P.Number: Address:
Legal Description: City,ST,Zip: L�qr Q�1 Vj,, q
Contractor: Telephone: f
Address: '} _ S j'hC(Lkl. bA_. S Project Description: ��;( �y� l,_ WA
City,ST,Zip: P A—LM
Telephone:
P (A(10215-541 :.«
A-mj D v-00CyC G0AC i22zt7ee"iu
State Lic:#: �()Z City Lic.#.: PJ�. � �(G1
V
Arch.,Engr.,Designer (01 AA CA � n P'Q— L L
C
y
Address:
City.,ST,Zip: ,
Telephone: Construction
:><:;:s;%;>:;�::>s:�;;�>:::::;:c< :;£ ••::>.:: o Type: Occupancy:
State Lic.# A"` '"3i'`` Project type circle one): New Add'n Alter' Repair Demo
Name of Contact Person: J b N J;-7V -T0-& Sq.Ft.: #Stories: #Units:
Telephone#ofContact Person: (,1, --rj% Estimated Value of Project: ZZ•iCr�v-
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Cates. Reviewed,ready for corrections Plan Check Deposit
Truss Cala. Called Contact Person Plan Cheek Balance
Title 24 Cala. Plans picked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan 2°"Review,ready for corrections/issue Electrical
Subcontactor List Called Contact Person Plumbing
Grant Deed Plans picked up S.M.I.
H.O.A.Approval Plans resubmitted Grading
IN HOUSE:- 3"'Review,ready for corrections/issue Developer Impact Fee
Planning Approval Called Contact Person• A.I.P.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees
A MAL
Pagel of 2
PGA WEST.
RESIDENTIAL ASSOCIATION,INC.
October 29,2013
Ms.K.Madrienne Florance
37 Marabella
San Clemente,CA 92673
RE: 79-730 Arnold Palmer—Architectural Variance Pro'ect r
Dear Ms.Florance,
The Architectural Committee has reviewed your Architectural Variance submittal. Your proposed
courtyard project includes the following; 1) the removal and replacement of existing hardscape,
the new code specified concrete to be coated with a Polycrete Triflagstone design in accordance
`with the manufacturer's recommendations,2)new fire pit with new gas line, 3)waterfall feature
with a small basin and a bronze statue and new planter beds all based upon the drawings and
samples Provided on September 6,2013 by estora. This scope of modification is subject to the
conditions and requirements as noted herein This modification is acceptable in accordance with
the Architectural Guidelines . Homeowner's Association CC&R's and Maintenance and
Indemnity Agreement.
The following comments.and requirements are applicable:
1. Contractor to schedule a meeting with Bill BobbiLandscape and Irrigation
Manager, .
and William Aceves,Lighting&Maintenance Manager,prior to starting any demolition.
It is the responsibility of the homeowner to coordinate this and to assure the Association
that the contractor will repair and/or replace any damage to the landscape, lighting_,
drainage,irrigation system,hardscape or street surface to the satisfaction of the HOA.
2. Any electrical wiring exposed during construction must be reported to the HOA.
3.--All modifications to the existing sprinkler system,landscaping and drain work are to be
made by the contractor,to the satisfaction of the HOA.
4. The contractor is responsible for providing proper. drainage• for all new concrete
hardscape.
5.. The contractor cannot stockpile the demolition material in the street.
6. The contractor is to keep the street clean daily. The street gutters are not to be used for
concrete and construction material clean up: The contractor cannot wash debris down the
street gutter.
7. The contractor is to observe all Association rules and regulations. Contractor vehicles are
to be-parked on one side of the street.
54-320 Southern Hills, La Quinta,Califomia 92253-5665,Telephone 760-771-1234 FAX 760-771-5125
Page 2 of 2
8. All new or relocated electrical lighting and water feature power to be on homeowner's
circuit.
9. All new concrete extensions are to be installed with required rebar doweling and slab
reinforcing.
10.The fire pit is to be a City of La Quinta approved unit or system with a permit and
inspection card
11-The water feature water supply is to be from the homeowner's water.
12.Provide code required surface slope to planters and drainage devices.
13.All landscape removal and replacement is to be done by the homeowner.
14.Provide a City of La Quinta permit for the 8-foot tall block pillars and new electrical
wiring.
15. The homeowner, the contractor, the landscape and maintenance managers to walk the
project prior to filing a`Notice of Completion'form.
16.A copy of the signed-off City of La Quinta Inspection Caird for the extended gas line
must be submitted-prior to the `Notice of Completion'form.
17.A Maintenance and Indemnity A eement shall be-signed prior to the start of work and
reviewed at the completion of the project Same shall delineate all applicable work,
which current and future owners shall be compelled to solely maintain and/or replace as
needed and the document shall be recorded with the County of Riverside and runs with
the land.
We reserve the right to make a final inspection of this change to make sure that it matches the
original request. An approval is based only on the aesthetics of your proposed plan and should
not be taken as any certification as to the construction worthiness or structural integrity of the
proposed change.
We appreciate your cooperation in submitting this request for approval. If I may be of further
assistance,please contact me at the HOA office at(760) 771-1234,Extension 15.
Cordially,
Ke 'ard
Operations Manager
For the Architectural Committee
KWbvf
cc:Architectural Committee
CRCD STANDARD 6' TC 8'. CIT SITE WALLS
OPTIONAL RAT GAP DESIGN OUTEXIA;PER THE 2010 C8C
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BUILDING & SAFETY DEPT. ~ C31925
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NOTES:
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