05-0497 (RER)79816 Arnold Palmer
11111 III 11111 IN 16
IE
oz
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 i (760).777-7012
'OF Tt 78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number 05:70.OA_OA-476-7-,.-,,'-- Date 2/07/05
Property Address . . . 79816 ARNOLD PALMER
APN:. 775-241-074-
Application description . . . REMODEL - RESIDENTIAL
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation 8000
Owner
------ Contractor
PGA WEST RESIDENTIAL HOA --
54320 SOUTHERN HILLS OWNER
LA QUINTA CA 92253
Structure Information VOLUNTARY SEISMIC RETROFIT
Construction Type TYPE V - NON RATED
Occupancy Type DWELLG/LODGING/LONG <=10
-----Other-struct info _- ------CODE-EDITION
' 2001
---- ..
Permit . . BUILDING PERMIT
Additional desc
Permit Fee 99 . 00 Plan Check Fee .
Issue Date . 00
• Valuation . . . . 8000
Qty Unit Charge Per
BASE FEE Extension
6 . 00 9. 0000 THOU BLDG 2, 001-25, 000 54 . 00
45 . 00
--------------------------- -----
-------------------------------------------------
Special Notes and Comments
Phase 1 Fairways Units Voluntary Seismic D e
Retrofit . Voluntary seismic upgrade &
selected construction defect repairs
constructed to the 1985 UBC allowable FEB 162005
design values, applided loads conform to
the 1997 UBC. CITY OFL,AQUINTA
----------------- FIr CEOEPIt,
---
------------
Other Fees ------------- • 80-----
STRONG MOTION (SMI) - RES
Fee summary Charged Paid
---------- Credited Due
Permit Fee Total 99 . 00
Plan Check Total 00 • 00 99 . 00
. 00 . 00 . 00
Other Fee Total . 80 . 00 . 00
Grand Total • 00 • 80
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: Date: /.�•O S
Applicant: Architect or Engineer:
Applicant's Mailing Address: Architect or Engineer's Address:
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 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,
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.).
L) I am exempt under Sec. ,BA P.C.for this reason
d—o
at ner J(
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
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.
l � /
J��plicantd
. c
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 1.4
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 rize representatives of this county to enter upop the above-mentioned property for inspection purposes.
ate A_Signature(Applicant or Agent):
1111111111111111111111111 » 4 4 " >
IE 1 r v1 2
P.O. BOX 1504
Building78-105 CALLE ESTADO
Address •A, 79-816 Arnold Palmer LA QUINTA,,CALIFORNIA 9225.3
Owner ,
_ ' ST3i*lirise Comip nv
Mailing BUILDING: TYPE CONST. OCC.GRP.
Address 75-005 Country Club T, ive PGA West - The Vai"ays
A.P.Number
City Zip 71,
+-
e A¢2sF3ext 92260 M2 $. , . Legal Description
Contractor Project Description Plan 1?2R
Vetit nal mortgage
Address
Sam
City Zip Tel.
State Lic. City
&Classif. 288130 Lic.# 398 Sq.Ft. 2645. 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 Contractors License Law for the foNowin9 VQ�S
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a _
permit to construct, alter, 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. [. (yei
subjects theapplicantto a civil penalty of not more than five hundred dollars($500). Plan Chk. Bal. 1j �JG y V ii
O I,as owner of the property,or my employees with wages as their sole compensation,will 660450
r p 0y
do the work,and the structure is not intended or offered for sale.(Sec. 7044,Buisness and Const. CA V♦ .V
Professions Code: The Contractor's License Law does not apply to an owner of property who y 5
builds or improves thereon and who does such work himself or through his own employees, Mech. 39.00
provided that such Improvements are not intended or offered for sale. If, however, the building t�ry
or improvement is sold within one year of completion, the owner-builder will have the burden Electrical y:7 q
of proving that he did not build or improve for the purpose of sale.) yp 6t
❑I,as owner of the property,am exclusively contracting with licensed contractors to con- Plumbing 114,�00
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law A
does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I.
such projects with a contractor(s)licensed pursuant to the Contractor's License Law.)
Grading
❑1 am exempt under Sec. B.&P.C.for this reason
Driveway Enc.
Date Owner Infrastructure9 2..7 •f15
05 axe-. 2y 37„aJ1
M 11� Yi N
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. O Certified copy is hereby furnished. ^ "
TOTAL 4 A"06+r^a A10 C.J)
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS'COMPENSATION INSURANCE a�,r e,hM��11 ry�t��s �1 .1� Yyk .n 1
(This section need not be completed it the permit is for one hundred dollars ($100) valuation W'>WWO VL-'f V Tl7.y� 06-L3KPJ0.i/$ IQ
or less.)
.I certify that in the performance of thg work for which this permit Is issued,I shall not
employ any parson in any manner so as to become subject to the Workers'Compensation !
Laws of California.
Date__" Owner
NOTICE TO APPLICANT If, after making this Certificate of Exemption you should 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 —INSPECTOR
This is a building permit when properly filled out,signed and validated,and is subject toC��j yy eP �3
expiration it work thereunder is suspended for 180 days. 1B 16/88
I 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 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
I
WHITE-FINANCE,PINK-APPLICANT,GREEN-BUILDING,GOLDENROD-ASSESSOR'S OFFICE,HARD COPY-FILE
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
IST FLSO Fl (p S UNITS
2ND FL SO FT.a YARD SPKLR SYSTEM
POR SO FT.at MOBILEHOME SVC. BAR SINK
GAR SO.FT.Or POWER OUTLET - ROOF DRAINS
CAR P. SO FT.6 DRAINAGE PIPING
WALL SO.FT.a DRINKING FOUNTAIN
SO.FT.
URINAL
43
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 WASH ER(AUTOYDISH)
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,TEM/PERM 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 W 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&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. GA OUGH)/ METER LOOP HEATING(FINAL) OTHER APP./EOUIP.
REINF.STEELNAL) i TEMP.POLE
GROUT WATER HEATER SERVICE FINAL INSP.
BOND BEAM WATER SYSTEM
GRADING
LUMBER GR. FINAL INSP. cu.yd.
FRAMING FINAL INSP. $ plus x$ =$
ROOFING REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR!
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
ISH G DING
NAL INSPECTION '
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
l
IIIIIIIIIIIIIIIIIIIIIIIIIE
4 ��
IE 04771
P.O.BOX 1504
Building79..816nOg ,� , 78-105 CALLE ESTADO
Address LA QUINTA,CALIFORNIA 92253
Owner
Sunrise Desert Partners
Mailing
BUILDING: TYPE CONST. OCC.GRP.
Address 75-005 Country Club A.P. Number PGA Wast,
City Zip Tel.
Palm Desert 92260 1 568-282$ Legal Description
Contractor Project Description Exnai nT11ont Analomi rn
National
Address _ _
C,tt taa •.
City Zip Tel.
State Lic. City
&Classif. Lic.# 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 pro4isioni of Chapter 9(commencing with Section
7000)of Division 33rof the Business and Professions Code,and.my license is in full force and
I t effect... ire�f i� � � "' twX
Y` SIGNATURE ! ,ay DATE
OWNER-BUILDER DECLARATION
I hereby affijin that I am exempt from the Contractors License Law for the following Estimated Valuation
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a $5,000
" 1
permit to construct, atter, improve, demolish, or repair any structure, pdor.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 thathe 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. BBI.
❑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,Buisness and Const. 56• 0
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
or improvement is'sold within one year of completion, the owner-builder will have the burden Electrical
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
struct the,project. (Sec. 7044, Business and Professions Code: The Contractor's License Law vi
does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.1. - ' 50
such projects with a contractor(s)licensed pursuant to the Contractor's License Law.)
O I am exempt under Sec. B.t:P.C.for this reason Grading
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. O Certified copy is hereby furnished.
TOTAL �?,2✓
CERTIFICATE OF EXEMPTION FROM REMARKS rsn n
WORKERS'COMPENSATION INSURANCE f yf"'"4 a,{' r`, by 7 t
(This section need not be completed if the permit is for one hundred dollars ($100) valuation Y l�t' '1 itj: 3 L1 1. i
or less.)
I certify that in the performance of thg 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: If, after making this Certificate of Exemption you should 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 INSPECTOR
This is a building permit when properly filled out,signed and validated,and is subject to 1
expiration if work thereunder is suspended for 180 days. 1 I/•1,a
I 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 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
WHITE-FINANCE,PINK-APPLICANT,GREEN-BUILDING,GOLDENROD-ASSESSOR'S OFFICE,HARD COPY-FILE a
CONSTRUCTION ESTIMATE NO. - ELECTRICAL FEES NO. PLUMBING FEES
IST FL- SO FT y S UNITS
YARD SPKLR SYSTEM
2ND FL SO FT.0
POR SO FT.a MOBILEHOME SVC. BAR SINK
GAR SO.FT.Cr POWER OUTLET ROOF DRAINS
CARP. SOFT. DRAINAGE PIPING
WALL SO.Ff.(aDRINKING FOUNTAIN
URINAL
SO.FT.(d
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 WASH ER(AUTONDISHI
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 1'A c SEWAGE DISPOSAL
SO.FT.GAR 44c HOUSE SEWER
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE
DBL TOTAL FEES MICRO FEE MECH.FEE I L.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. GA (ROUGH) METER LOOP HEATING(FINAL) OTHER APP.IEOUIP.
Al
REINF.STEEL AS IF AL) TEMP.POLE
GROUT WATER HEATER SERVICE FINAL INSP.
BOND BEAM WATER SYSTEM
GRADING
LUMBER GR. FINAL INSP. cu.yd.
FRAMING FINAL INSP. $ plus x$ =$
ROOFING REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR,
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
F ISH GRADING
INSPECTION
117 CERT. OCC. 111
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL