BPAT2015-0009 (BPAT)79900 Arnold Palmer
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VOICE(760)777-7125
78-495 CALLE TAMPICO FAX(760)777-7011
LA QUINTA,CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS(760)777-7153
BUILDING PERMIT
Date: 3/26/2015
Application Number: BPAT2015-0009 Owner:
Property Address: 79900 ARNOLD PALMER PGA HOMEOWNERS ASSOCIATION INC
APN: 775241078 54320 SOUTHERN HILLS
Application Description: PGA WEST(2)PATIO COVERS D [r LA QUINTA,CA 92253
Property Zoning:
Application Valuation: $15,300.00 MAR 2 7 2015
Applicant: CITY OF LA QUINTA Contractor:
PGA HOMEOWNERS ASSOCIATION INC COMMUNITY DEVELOPMENT DEPARTMENT PGA HOMEOWNERS ASSOCIATION INC
54320 SOUTHERN HILLS 54320 SOUTHERN HILLS
LA QUINTA,CA 92253 LA QUINTA,CA 92253
(760)771-1234
Llc.No.::AZA:1501211138573766
---------------- ----------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9(commencing with Section 7000)of Division 3 of the Business and Professions Code, _ I have and will maintain a certificate of consent to self-insure for workers'
and my License is in full force and effect. compensation,as provided for by Section 3700 of the Labor Code,for the performance
License Class: License No.::AZA:1501211138573766 of the work for which this permit is issued.
/ _ I have and will maintain workers'compensation insurance,as required by
Dat 3- a.7 e Contra"` P: ' 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:
OWNER BUILDER DECLARATION Carrier:- Policy Number:_
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State _ I certify that in the performance of the work for which this permit is issued,I
License Law for the following reason(Sec.7031.5,Business and Professions Code:Any shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct,alter,improve,demolish,or repair compensation laws of California,and agree that,if I should become subject to the
any structure,prior to its issuance,also requires the applicant for the permit to file a workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the comply with th se pr visions.
Contractor's State License Law(Chapter 9(commencing with Section 7000)of Division 3 r
of the Business and Professions Code)or that he or she is exempt therefrom and the Dat A?OR
nt: Lil
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 WARNING:FAILURE TO SECURE KERS'COMPENSATION COVERAGE IS UNLAWFUL,
($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
( )I,as owner of the property,or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS($100,000). IN ADDITION TO THE COST OF
compensation;will do the work,and the structure is not intended or offered for sale. COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec.7044,Business and Professions Code:The Contractors'State License Law does not INTEREST,AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If,however,the building or improvement is sold IMPORTANT:Application is hereby made to the Building Official for a permit subject to
within one year of completion,the owner-builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made,each person at whose
(_)I,as owner of the property,am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit_
to construct the project. (Sec.7044,Business and Professions Code:The Contractors' issued as a result of this application,the owner,and the applicant, each agrees to,and
State License Law does.not apply to an owner of property who builds or improves shall defend,indemnify and hold harmless the City of La Quinta,its officers,agents,and
thereon,and who contracts for the projects with a contractor(s)licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors'State License Law.). following issuance of this permit.
( I am exempt under Sec. .B.&P.C.for this reason 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.
Date: Owner:
I certify that I have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for construction,and hereby authorize representatives of this city to enter upon the above•
the performance of the work for which this permit is issued(Sec.3097,Civ.C.). mentioned pro erty or inspection purposes.
Lender's Name: Date: 7 Signature(Applicant
C _
Lender's Address:
FINANCIAL • ' + •
DESCRIPTION ' 'ACCOUNT QTY AMOUNT PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
PAID BY METHOD RECEIPT# CHECK# CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE
PATIO COVER,STD,OPEN 101-0000-42404 0 $97.17 $0.00
PAID BY METHOD RECEIPT# CHECK# CLTD BY
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE
PATIO COVER,STD,OPEN PC 101-0000-42600 0 $95.72 $0.00
PAID BY METHOD RECEIPT# CHECK# CLTD BY
Total Paid for PATIO COVER/COVERED PORCH/LATTICE $192.89 $0.00
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE
SMI-RESIDENTIAL 101-0000-20308 0 $1.99 $0.00
PAID BY METHOD RECEIPT# CHECK# CLTD BY
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.99 $0.00
• + $0.00
a �G
$� Permit
Details
City • • : 'A 1 160 '
Description:PGA WEST(2)PATIO COVERS -
Type:PATIO COVER Subtype: Status:APPROVED Applied:2/26/2015 PJU
Parcel No:775241078 Site Address:79900 ARNOLD PALMER LA QUINTA,CA 92253 Approved:3/26/2015 JJO
Subdivision:TR 21381-3 SEE ASSESSORS MB 769-41 Block: Lot:2 Issued: 28
40 FOR CMS
Lot Scl Ft:0 Building Scl Ft:0 Zoning: Finaled:
Valuation:$15,300.00 Occupancy Type: Construction Type: Expired:
No.Buildings:0 No.Stories:0 No.Unites:0
Details: THIS PERMIT DOES NOT INCLUDR HELIOCOL SOLAR PANELS.
J Applied to Approved
f
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE :STAFF NAME ACTION DATE COMPLETION DATE NOTES
NOTE PHILIP JUAREZ 3/13/2015 RETURNED PLANS TO PHILIP TO CONTACT PLANNING DEPT
FOR APPROVAL,BUILD PERMIT AND CONTACT APPLICANT
PLAN CHECK SUBMITTAL PHILIP JUAREZ 2/25/2015 2/26/2015 AJ SAID GIVE TO JIM JOHNSON TO REVIEW
RECEIVED
RESUBMITTAL PHILIP JUAREZ 3/11/2015 3/11/2015 APPLICANT CAME IN AND SPOKE WITH JJ&DID
CORRECTIONS ON AT COUNTER.
TELEPHONE CALL PHILIP JUAREZ 3/2/2015 3/2/2015 CONTACTED STEPHEN HERTHEL WITH PLAN CHECK
COMMENTS.
CONDITIONS
Printed:Thursday,March 26,2015 6:03:30 PM 1 of 3 iRWYSrEMS
�t
_6Permit Details PERMIT NUMBER
City of La Quinta
: • 0,00•
OF TNF' '
CONTACTS
NAMETYPE NAME ADDRESSI CITY STATE_ . - :ZIP PHONE FAX EMAIL.
APPLICANT PGA HOMEOWNERS ASSOCIATION 54320 SOUTHERN HILLS LA QUINTA CA 92253 (760)771-1234
INC
CONTRACTOR PGA HOMEOWNERS ASSOCIATION 54320 SOUTHERN HILLS LA QUINTA CA 92253 (760)771-1234
INC
OWNER PGA HOMEOWNERS ASSOCIATION 54320 SOUTHERN HILLS LA QUINTA CA 92253 (760)771-1234
INC
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# -CHECK#, -METHOD PAID BY; CLTDBY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
PATIO COVER,STD, 101-0000-42404 0 $97.17 $0.00
OPEN
PATIO COVER,STD, 101-0000-42600 0 $95.72 $0.00
OPEN PC
Total Paid for PATIO COVER/COVERED PORCH/LATTICE $192.89 $0.00
SMI-RESIDENTIAL 1 101-0000-20308 0 $1.99 1 $0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SM! $1.99 $0.00
TOTALS: • ••
INSPECTIONS
-SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
FINAL"
PROJECTSPARENT
REVIEWS
Printed:Thursday,March 26,2015 6:03:30 PM 2 of 3
RWSYSTfMS
v 5
. _6 Permit Details PERMIT NUMBER
City • : • d 0009
La Quinta
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
-SHOW DISTANCE FROM POOL/SPA TO NEW
ALUM TRELLIS
-IF TRELLIS IS WATHIN 5 FT.TRELLIS WILL BE
REQUIRED TO BE BOUNDED.
NON-STRUCTURAL JIM JOHNSON 2/26/2015 3/3/2015 3/3/2015 REVISIONS REQUIRED (INSIDE WALL OF POOL)
#8 AWG
-PLANNING REVIEW REQUIRED UPON
RESUBMITTAL.
PER JIM JOHNSON.
NON-STRUCTURAL JIM JOHNSON 1 3/11/2015. 3/18/2015 1 3/13/2015 1 APPROVED APPROVED
PLANNING WALLY NESBI7 3/12/2015 1 3/19/2015 1 3/26/2015 1 APPROVED approved
BOND INFORMATION
ATTACHMENTS
Printed:Thursday,March 26,2015 6:03:30 PM 3 of 3 ��WYSTEMS
Qin# City of La Quin to.
Building$1:Safety Division
Permit;<# /� P.O. Box 1504, 78-495 Calle Tampico .
\� La Quinta, CA 92253- (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:A do (( �/ Owner's Nam - � / �L
VJW WWI
A.P.Number:' Address:
Legal Description: City,ST,Zip: ZZS3
ntract
Co or: (! Tele hone: z>s"
P 23
Address: j-20 r Project Description:
City,ST,Zip: ZZ93.
Tele
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P .
I
State Lic.#: CityLic.#; x
Arch.,Engr.,Designer:
Address:
City.,ST,Zip
Telephone
Construction 0
n TYPe•
O
ecuP cY
�
State Lic.#: Project type(circle one): New Add'n Alter Repair Demo
1 IX
Name of Contact Person: Sq.Ft.: ,2 #Stories: #Units:
Telephone#,of Contact Pers n: t% Estimated Value of Project:t
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd = TRACKING PERMIT FEES
Plan Sets Plan Check submitted tem Amount
Structural Calcs. Reviewed,ready for corrections Plan Check Deposit
Truss Calcs. Called Contact Person Plan Check Balance.
Title 24 Calcs. Plans picked up -Construction
Flood plain plan ..t,. Plans resubmitted Mechanical
Grading plan 2°"Review,ready for corrections/issue Electrical
Subcontactor List Called Contact Person Plumbing
Grant Decd Plans picked up S.M.I.
y H.O.A.Approval Plans resubmitted Grading
IN HOUSE:- 'rd Review,ready for eorrcctionsrissue Developer Impact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees
�'� Stephen W.'Herthel
i Reconstruction Manager
PGA WEST
RESIDENTIAL ASSOCIATION,INC.
ste4er@pgawest.org (760)771-1234 Ext. 19
54-320 Southern Hills Cell(760)397-3520
La Quinta,CA 92253-5665 Fax(760)771-5125
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