05-0464 (RER)79792 Arnold Palmer
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BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
FTt 9 78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . 05-000°0`0464 Date 2/07/05
Property Address 79792 ARNOLD PALMER
APN: 775-241-071- - -
Application description . . . REMODEL - RESIDENTIAL
Property Zoning . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 8000
Owner Contractor
------------------------ ------------------------
PGA WEST RESIDENTIAL HOA . OWNER
54320 SOUTHERN HILLS
LA QUINTA CA 92253
------ Structure Information VOLUNTARY SEISMIC RETROFIT ----- - -
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type . . . . . . . DWELLG/LODGING/CONG <=10
Other struct info . . . . . CODE EDITION 2001 ,
------------------------------------------------------------------------ --
Permit . . . BUILDING PERMIT
Additional desc
Permit Fee . . . . 99 . 00 Plan Check Fee . 00
Issue Date Valuation . . . . 8000
Qty Unit Charge Per Extension
BASE FEE 45 . 00
6 . 00 9 . 0000 THOU BLDG 2, 001-25, 000 54 . 00
--------------------------------------------------=-------------------------
Special Notes and Comments D e
Phase 1 Fairways Units Voluntary Seismic
Retrofit . Voluntary seismic upgrade &
selected construction defect repairs FEB 161005
constructed to the 1985 UBC allowable
design values, applided loads conform to CITY
FNANfr-ApEpTTA
the 1997 UBC.
----------------------------------------------------------------------------
Other Fees . . . . . . . . STRONG MOTION (SMI) - RES . 80
Fee summary Charged Paid Credited. Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 99 . 00 . 00 . 00 99 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total . 80 . 00 . 00 . 80
Grand Total 99 . 80 . 00 . 00 99 . 80
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: 0 - (,p Date: oZ • /S•O5-
Applicant: Architect or Engineer:
Applicant's Mailing Address: Architect or Engineer's Address:
[A
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S 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 Class License No.
Date Contractor
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors'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 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).):
U 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.).
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.).
U I am exempt under Sec. ,BA P.C.for this reason
atat ° caner
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 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 Policy Number
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,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 provisions.
1 ,D
ate `
"
cant
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.
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
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 that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building
construction,and hereby authorize representatives of this county to en r upon the above-mentioned property for inspection purposes.
/Date 16 Signature(Applicant or Agent):
III1311IIIIIIIIIII311 74 "
IE 44
P.O. BOX 1504 No. 06484
Building 78-105 CALLE ESTADO
Address 79-792 Arnold Palter LA QUINTA,CALIFORNIA 92253
Owner DiniOIId
Mailing \ BUILDING: TYPE CONST. OCC.GRP.
Address
Sam A.P..Number PCA West
City Zip Tel.
Let Quintst 92253 771--0424 Legal Description
Contractor Project Description Pool
California Poole
Address
41-910 Boardwalk
City Zip Tela
Pals Desert 92250 340-9000
State Lic. 18102 City
&Classif. Lic.# 355 Sq.Ft. No. No.Dw.
Arch.,Engr.,
Size Stories Units
Designer New ❑ Add ❑ Alter❑ Repair❑ Demolition ❑
Address Tel.
City Zip State
Lic.#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
7000)of Division 3 of the Business and Professions Code,and my license is in full force and
effect
SIGNATURE DATE
OWNER-BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following 18,000
reason: (Sec. 7031.5,13usiness and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any stricture, prior to Its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that.he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.
subjects the applicant to a civ9 penalty of not more than live hundred dollars($500).
❑I,as owner of the property,or my employees with wages as their sole compensation,will Plan Chk. Bal. 122.85
do the work,and the structure is not intended or offered for sale.(Sec. 7044,Buisness and Const. 1$9.00
Professions Code: The Contractors License Law does not apply to an owner of property who
di/ds or#,proves thereon and who does such work himself or through his own employees,
provided that such Improvements are not intended or offered for sale. If, however, the building Mech. 310.00
orimprovement is sokf within one year of completion, the owner-builder will have the burden Electrical 27.00
of proving that he did not buAd or#,prove for the purpose of sale.)
❑I,as owner of the property,am exclusively contracting with licensed contractors to con- Plumbing 24.00
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. 1.26
such projects with a contractor(s)licensed pursuant to the Contractor's License Law.)
Grading
❑I am exempt under Sec. B.&P.C.for this reason
Driveway Enc.
Date owner Infrastructure
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self-insure, or a certificate of
Worker's Compensation Insurance,or a certified copy thereof.(Sec.3800,Labor Code.)
Policy No. Company
❑Copy is filed with the city. ❑Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM REMARKS )!)`_r!!tom
WORKERS'COMPENSATION INSURANCE
(ibis section need not be conpfeted ff the permit is for one hundred dollars ($100) valuation
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-
Date-Owner
alifornia.DateOwner
NOTICE TO APPLICANT, ff, after mating this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop.Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued.(Sec.3097,Civil Code.) Side Setback from Property Line
Lender's Name
Lenders Address FINAL DATE INSPECTOR
This is a building permit when properly filled out,signed and validated,and is subject to
expiration if work thereunder is suspended for 180 days. 10/5/89
1 cerlity that I have read this application and state that the above information is correct. Issued by: Date Permit
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, zip
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
IST FL. SQ.FT.® $ UNITS
YARD SPKLR SYSTEM
2ND FL SO.FT.
POR. SQ.FT.® MOBILEHOME SVC. BAR SINK
GAR. SQ.FT.® POWER OUTLET ROOF DRAINS
CAR P. I SQ.FT.® DRAINAGE PIPING
WALL SD.FT.
DRINKING FOUNTAIN.
SQ.FT.@ URINAL
ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING
NOTE:Not to be used as property tax valuation FLOOR DRAIN
MECHANICAL FEES WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH)
APPLIANCE DRYER GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM KITCHEN SINK
ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET
COMPRESSOR HP POLE,TEMIPERM LAVATORY
HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER
BOILER. B.T.U. SQ.FT.®c BATH TUB
SO.FT.®c WATER HEATER
MAX HEATER OUTPUT,B.T.U. SO.FT.RESID®1%c SEWAGE DISPOSAL
SO.FT.GAR®31'<c HOUSE SEWER
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE
DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST.FEE ELECT.FEE SMI FEE PLUMB.FEE
STRUCTURE PLUMBING ELECTRICAL HEATING&AIR COND. SOLAR
SETBACK UND PLUMBING"AMV&qDERGROUND A.C.UNIT COLL.AREA
SLAB GRADE ROUGH PLUMB. BONDING HEATING(ROUGH) STORAGE TANK
FORMS SEVYfR OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE
FOUND.REINF. (ROUGH)! METER LOOP HEATING(FINAL) OTHER APPIEQUIP.
REINF.STEEL GAS(FINAL) TEMP.POLE
GROUT WATER HEATER SERVICE FINAL INSP.
BOND BEAM WATER SYSTEM
GRADING
LUMBER GR. FINAL INSP. cu.yd.
FRAMING FINAL INSP. $-Plus-x$-=$
REMARKS:
ROOFING
VENTILATION /
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION- I,
CERT. OCC.
FENCE FINAL
- INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
IIIIIIIIIIIIIIIIIIIIIIIII 75
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P.O. BOX 1504
BuildingX9"'792' Arnold Palmer LA QUINT
Address A CALIFORNIA 92253.
.
Owner
` Sulwifse Company BUILDING: TYPE CONST. OCC.GRP.
Mailing
Address 7�-005 Ct311! try Club Drive A.P. Number PGA West - The Fairwave
r
City Zip Tel.
Pro, sftFi�rt 0226 Legal Description
Contractor Project Description +kate! i3AR
T nsri.Am
Address
City Zip Tel.
State Lic. City
&Classif. 28818: Lic.# 398 Sq.Ft. _3038 3438 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter❑ Repair ❑ Demolition ❑
Address ° Tel.
City Zip State
Lic.#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 em licensed under provisions of Chapter 9(commencing with Section
•
.7000)of Division 3 of the Business- and Professions Code,and my license is in full force and
. . effect:°+;;ki_�%"' � J
SIGNATURE•-. - - DATE
•' ' OWNER-BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following° �'� ' ,
reason:,(Sec. 7031.5,Business and Professions Code: Any city or county which requires a $
permit to construct, after, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he Is licensed pursuant to PERMIT AMOUNT
the provisions of_the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that.he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than five hundred dollars($500). Plan Chk. Bal. • t3
❑1,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,Buisness and Const.
•
Professions Code: The Contractor's License Law does not apply to an owner of property who -
builds or improves thereon and who does such work himself or through his own employees, Mech.
provided that such Improvements are not intended or offered for sale. If, however, the building
JV 0 Vu
or improvement is sold within one year of completion, the owner-builder will have the burden Electrical s 9i!
of proving that he did not build or improve for the purpose of sale.)
❑ 1,as owner of the property,am exclusively contracting with licensed contractors to con- Plumbing •
strut( the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.1. l?
such projects with a contractor(s)licensed pursuant to the Contractor's License Law.)
Grading
O I am exempt under Sec. B.8 P.C.for this reason
Driveway Enc.
Date Owner Infrastructure 0 r r<U
Leas i re—CXX1v 4044)r 34
WORKERS'COMPENSATION DECLARATION Ilei Infrastructure c' ure t3:)
I hereby affirm that I have a certificate of consent to self-insure, or a certificate of
Worker's Compensation Insurance,or a certified copy thereof.(Sec.3800,Labor Code.)
Policy No. Company
❑Copy is filed with the city. ❑Certified copy is hereby furnished.
TOTAL ;q lr 04 U!
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS'COMPENSATION INSURANCE nt 1
(This section need not be completed If the permit is for one hundred dollars ($100) valuation - saA} ,+. l�j �- -�.+ iJA�i 64 XQ
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.
Date Owner
NOTICE TO APPLICANT: ff, after making this Certificate of Exemption youshould become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
' CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued.(Sec.3097,Civil Code.) Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INgPEtCTO,R
This is a building permit when properly filled out,signed and validated;and is subject to 7 R 7 j�,(�
expiration if work thereunder is suspended for 180 days. 7 r
1 certify that I have read this application and state that the above information is correct.' Issued by: Date Permit
I agree to comply with all city and county ordinances andstatelaws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes. Validated by:
�1 Signature of applicant Date
Mailing Address Validation:
City,'State, Zip
WHITE FINANCE PINK-APPLICANT,GREEN,-BUILDING,GOLDENROD-ASSESSOR'S OFFICE,HARD COPY-FILE
aa:'... 4! r.CS.'•..�� i V, � r .... f;- . _. .. Y...,_.k' ..w '.JIB ...._. .w�!'.� .[,-e .��r 4"' 4-'f.... 1":. .... . � ..... �, .._ .......... ' '
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
IST FL SO FT (a S UNITS
YARD SPKLR SYSTEM
2ND FL SO FT.a
POR SO FT.a MOBILEHOME SVC. BAR SINK
GAR SO.FT.0POWER OUTLET ROOF DRAINS
CAR P. SO FT.Q• DRAINAGE PIPING
WALL SO.FT.fJ DRINKING FOUNTAIN
SO.FT.ra
URINAL
ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING
NOTE:Not to be used as property tax valuation FLOOR DRAIN
MECHANICAL FEES WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTONDISH)
APPLIANCE DRYER GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY
AIR HANDLING UNIT CFM KITCHEN SINK
ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET
COMPRESSOR HP POLE,TEMIPERM LAVATORY
HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER
BOILER B.T.U. SO.FT.®c BATH TUB
SO.FT.@ c WATER HEATER
MAX.HEATER OUTPUT,B.T.U. SO.FT.RESID i V C SEWAGE DISPOSAL
SO.FT.GAR 3/4c HOUSE SEWER
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE
DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST.FEE ELECT.FEE SMI FEE PLUMB,FEE
STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR
SETBACK GROUND PLUMBING UNDERGROUND A.C.UNIT COLL.AREA
SLAB GRADE ROUGH PLUMB BONDING HEATING(ROUGH) STORAGE TANK
FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE
FOUND.REINF. GAS(ROUGH) METER LOOP HEATING(FINAL) OTHER APP,IEOUIP.
REINF.STEEL GAS(FIN TEMP.POLE
GROUT WATER HEATER SERVICE FINAL INSP.
BOND BEAM WATER SYSTEM
GRADING
i
LUMBER GR. L INSP. .2 Cu.yd.
FRAMING FINAL INSP. $ plus x$ c$ ,
ROOFING REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR,
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
F ISH GRADING
I ION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL
.. »-......y-,<. �...a,,,+,.�« •.tet'.�+�t�. .�.:.....:.3�'.x'r -i^vaY.. �-"w'...T+.,;=� ;:#�''Ya,3.''U`'..-.r w.`��.L-... y ..
Page�_of
IIIIIIIIIIIIIIIIIIIIIIIII 76 DAVE STEAVENS
)E Inspection Services
PROJECT P(P, u)�ST- F-A�SZwtay S PROJECT # aOD S- 1 c1
ADDRESS CLIENT
DATE 5 AP2t t— . 9-oo5
BLDG. PERMIT # p _ 4- ARCHITECT �o R A\rz c-%,-I
ENGINEER ,,, Tj c.._ CONTRACTOR
INSPECTION TYPE
. .INSPECTION REPORT
� z
1 C wt To, ..l
P, S--I'
� GTAfI_ A .\h �ly t�A� c � 81-1Ja a ,N. ��rti'�
CERTIFICATION OF COMPLIANCE:To the best of our knowledge, all of the reported work, unless otherwise.noted,
substantially complies with approved.plans, specifications and applicable sections of the building codes.This report covers
the locations of the work inspected only and does not constitute engineering opinion or project control.
CERT.NO. O INSPECTOR NAME ig S—Fr-
A
(Pr i t Clearty)
DATE MA `{ ZUd INSPECTOR SIGNATURE��.,_J _�