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9810-128 (PATIO)79784 Arnold Palmer LICENSED CONTRACTOR DECLARATION PERMIT# CONTROL# ,U' I hereby affirm under penalty of perjury that I am licensed under provisions of _BUILDING PERMIT lil2!-12fi H Chapter 9 (commencing with Section 7000) of Division 3 of the Business and DATE VALUATION S,4,780.4() LOT TRACT 8485 ! 04 W - Professionals Code,and my License is in full force and effect. ; Il' /17( n License# Lic.Class Exp.Date ; JOB SITE APN CY 590'90 13 1311ttIOU . ADDRESS 7y7ti4 t Ii1 iOL.1J Tt'r1L111 :IiZ 769-411-070 f` r- ( t i . ... :1 1 k..; t C-1 OWNER CONTRACTOR/DESIGNER/ENGINEER /Date ureZSignatof ContractoroR013EIiI. CAL THCCI 11WILMIRS I.— C) OWNER-BUILDER DECLARATION ( — U 79-784 ARNOLD PALMER. 32-7111 AVENIDA VELASCO r1 H aW I hereby affirm under penalty,of perjury that I am exempt from the Contractor's 1A t (fIN'4:4 CA 92253 !,R f lolly 11F1 CA 42253 N License Law for the following reason: Z ( ) ' I, as owner of the property, or my employees with wages as their sole f7t o4-1304 CFii.11 4A2 C compensation,will do the work,and the structure is not intended or offered for C sale(Sec.7044,Business&Professionals Code). USE OF PERMIT ( ) I, as owner of the property, am exclusively contracting with licensed RRSID1'NI7AL ADI MON contractors to-construct the project (Sec. 7044, Business & Professionals Code). 74:,'.I".PA.V0 GAFc' .+JSi c1 C () I am exempt under Section B&P.C.for this reason N Date Signature of Owner i O rn f U Q WORKER'S COMPENSATION DECLARATION CL — p 2 Z I hereby affirm under penalty of perjury one of the following declarations: Lo H O ( ) I have and will maintain a certificate of consent to self-insure for workers' ' '`T01i % 3tOti 4.iu l.4tI .4; X w LIL compensatiori, as provided for by Section 3700 of the Labor Code, for the mJ Q performance of the work for which this permit is issued. Q U (' ) I have and will maintain workers'compensation insurance,as required by Q U Q Section 3700 of the Labor Code, for the performance of the work for which this LO Z permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier Policy No. ;.Y IAIOC1'E1)COST OF CONS' %«iC:T',ION oD Z) `TATr Ti F'►.'.ND 1297971-98 r O A EI11$.i.i L+' a SUMMARY(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, P1.A.N(.,H kXX FEE 104.000-4391318 dti.bt) I shall not employ any person in any manner so as to become subject to the C'ONSIt'RIR71'10n1R# 1 M11-(Y)CF-41 9-W 4721v', workers' compensation laws of California, and agree that if I should become PLECT4:ICAL j'1; I©i Q£2C-I2C CCC 3i:'.51 subject to the workers'compensation provisions of Section 3700 of the Labor S7'12c)N0 fuiOT=1U FEE-42[srS39 10I-00C -2 3I-DtIf4 i &.St) Code, I s all forthwith comply with those provisions. t ✓Date: ' ' 'i If Applicant . + -{! +.. -i UEtAl)fAii'i E'< I 101- -423 $:Sj tact 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 i 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 / M for a permit subject to the conditions and restrictions set forth on his NOV 2 ® 1998 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, &shallindemnify & hold harmless the City of La Quinta, its officers, agents and employees. LESS i'I "Pt 11H CC 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 'I'O'•(AL 3;'ENlNIT F+F:EN 1:11 CN(AV $)56.119 permit, or cessation of work for 180 days will subject permit to cancellation. _ F_ I certify that I have read this application and state that the above information is / IIIIIIII VIII IIIIIIIIIIII • correct. I agree to comply with all City, and State laws relating to the building 63 construction, and hereby authorize representatives of this City to enter upon 4 -a IE the>a`bove-mentioned property for inspection purposes. I ( RECEIPT DATE BY DATE FINALED INSPECTOR /Signature (Owner/Agent) —' ` ' $' + `fDate i -/,r i INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms&Footings Ducts Slab Grade 7` Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K.to Wrap / F.A.U. Framing 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 POOLS - SPAS BLOCKWALL APPROVALS 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 COMMENTS: Final Utility Notice(Gas) ELECTRICAL APPROVALS Temp.Pourer Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp.Use of Power t r• Final kh ty Notice(Perm) I IIIII�I VIII III VIII IIII 64 -- M PGA WEST RESIDENTIAL ASSOCIATION, INC. PGA WEST RESIDENTIAL ASSOCIATION,INC. Notice of Architectural Approval This shall serve as written notification to the City of La Quinta that Mr. and Mrs. Lawrence of 79- 784 Arnold Palm have gained written approval from the PGA West Residential Association, Inc. Architectural Committee and from a Management Employee of the Homeowner Association. Specifically,Mr.and Mrs. Lawrence have the approval to proceed with the enclosure of the existing covered patio. This signed approval must precede the issuance of permits from the City of La Quinta. Architectural mmittee Date 41 !ZF Z11-�z HO A Date P.O. Box 1060, La Quinta, California 92253,Telephone 760-771-1234 FAX 760-771-5125 Desert Sands Unified School District ' 47-950 Dune Palms Road r Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 11/19/98 APN# 769-411-070 No. 18013 Jurisdiction La Quinta owner NameRobert Lawrence Permit# No. 79-784 Street Arnold Palmer Log# City La Quinta Zip 92253 Study Area Tract# Lot# Square Footage 74 Type of Development Residential Addition No. of Units 1 Comments 74 sq. ft. patio enclosure. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways,residential additions under 500 square feet,detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 0.00 X 74 or$ 0.00 the property listed above and that;building permits and/or Certificates of Occupancy for this square footage in this proposed project�inay rf w be issue. Fees Paid By N/A- Cal Tech. Builders `°Telephone 564-1309' Name on the check By Dr. Doris Wilson Superintendent '.t=" Fee collected/exempted by Juanita Green Exempt $0.00 Check No. N/A Signature NOTICE: Pursuant of As bly 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 will begin to run fr 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 collect 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. 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