PAT (07-1669)P.O t BOX 1504
* 78-495 CALLE TAMPICO
LA QUINTA,.CALIFORNIA 92253
Application Number:
07-00001669 i
Property Address:
56705 MERION
APN:
7.62-023-026- - -
Application description:
PATIO COVER - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
15000
Applicant:
-1
Architect or Engineer:
Of&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT.
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: B license No.: 684857
Date: 77_2 — <Q7Contr
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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 (5500):
1 _ I 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 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.).
1—) 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.). '
I—) I am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
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:
LQPERA11T
Owner:
JEFF SCHAFER
56-705 MERION
LA QUINTA, CA 92253
Contractor:
EDWARDS CONSTRUCTION
51455 DESERT CLUB DRI
LA QUINTA, CA 92253
(760)777-8202
Lic. No.: 684857
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/26/07
BOBJUL 2 7 2007
CITY OF Lq JUNTA
FINANCE DEPS
WORKER'S 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
O r issued.
X I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
CCode, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier GRANITE STATE Policy Number 3368904-
I
3689041 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 theSfr, s Fawith comply with those provisions.
Date: Applicant:
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.
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 informatior�jsoo s I ag to c0 ly with all
city and county ordinances and state laws reI I' to-building-oons t onl�nd ereby authori re tatives
of this county to enter upon the above-mentione erty for ins p ion luposes
Date: ��"� �7 Signature (Applicant or Agcrryt):
Application Number . . . . 07-00001669
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit.Fee . . . 32.70 Plan Check Fee
8.18
Issue Date Valuation . . .
. 0
Expiration Date 1/22/08•
Qty Unit Charge Per
Extension
BASE FEE
15.00
20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
15.00
6.00. .4500 EA ELEC DEVICE/FIXTURE >20
----------------------------------------------------------------------------
2.70
Permit PATIO COVER PERMIT
Additional desc .
Permit Fee 162.00 Plan Check Fee
105.30
Issue Date . . . . Valuation. . . .
. 15000
Expiration Date 1/22/08
Qty Unit Charge Per
Extension
BASE FEE
45.00
13.00 9.0000 THOU BLDG 2',001-25,000
117.00
--------------------------------------------------------------
Special Notes and Comments
--------------
252 SQ. FT. FREE STRADING PATIO,168 SQ.
FT. ATTATCHED PATIO,BAR/BBQ .AND
FIREPLACE. SPA WILL BE SEPERATE PERMIT.
July 26, 2007 9:19:14 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . ENERGY REVIEW FEE
10.53
STRONG MOTION (SMI) - RES
1.50
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 194.70 .00 .00
194.70
Plan Check Total 113.48 .00 .00
113.48
Other Fee Total 12.03 .00 .00
12.03
Grand Total 320.21 .00 .00
320.21
LQPERMIT
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City of La Quinia
Building st Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
o
Project Address: 56- 70 57'/17,cX 10 A/
Owner's Name: mon 775,7-r Som F El
A. P. Number: .7 62 - O?,3 - O Z (D
Address: 56- 7D,9 �F1rZi �N
Legal Description: „/d0 %OTS/- $ -R Zy V1 #yy
City, ST, Zip: (,,4 quf Al r;1 C14 P 0a 5 -
Contractor: p%3 Ed'WARDS roV 5T. rA) C-
Address: �/� y S J� /� S F= 2 %` LtJ� 712
Telephone:
Project Description:
City, ST, Zip: 1.-.%4 l) A/TA CA 9 Z z 5 31'
12S2 F2F'•S/���r',u PAr`o C�c/E2
Telephone: 7 % " 8a O o�.
m:. 3 �..
fM;l }4.'h,,.,�1 j M1{h f:vJ.� .4:.'t �f •` .YR?4i'i:IP
,yf,iC:u' y •.3ifi,::i:2:'.
x.�.>.'><..>:.;.::>.,;.::�:��>:,:V;,.,;..:::::«>;v;�
City Lic. #; 32-12-
7/ 6 8 '\
/-i7`i-ACfi� U PATifl Coof/E
E-7
State Lic. #: 6 8 g S
f-'�ftR 1313 /� t� P
Arch., Engr., Designer: IFA DeS; yN
FiR� PL ACIE
Address: 7
City., ST, Zip: u, ,,,7 -A L!
SPIE P 11.8E S Y Pe eA r 77
I %
Telephone: %{> - 7% - 20
.. {i:r { �?.. r.�if:`Ar'::t\:firv'ki: '\y$:4:4 ::
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:�.."•:.y;!'
Construction Type: Occupancy:
Project type circle one New Add'n Alter Repair Demo
Sq. Ft.: #Stories: #Units:
State Lic. #:
Name of Contact Person: E� � ALL
Telephone # of Contact Person: -7 162,0Z 7 162.Estimated
Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Z
Plan Sets
Plan Check submitted 717Item
Amount
Z
Structural Calcs.
Reviewed, ready for corrections b Plan Check Deposit
II
Called Contact Person ` Plan Check Balance •
Title 24 Calcs.
Plans picked up � Construction
Flood plain plan
Plans resubmitted (q Q% Mechanical
Grading plan
2" Review, ready for correctio /issu Electrical
Subcontactor List
Called Contact Person 't Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''" Review, ready for corrections/issue Developer Impact Fee
Planning Approval
Callptlentact Pers
A.I.P.P.
Pub. Wks. Appr
% p
a of permit issu
School Fees
�
1
AA •
ermit Fees
�/as s�0/e �
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. AXZ- 6�A4) v G-- 7 —6-7
1(,-)-7 (101 04- " nb T�
SW774
Notes• 6• De,
NOTE : Th,; ►S R CUNd D CNORT�, i�RT;'o Cowes Does NoT Exceed ro-rAt', r
Bin #
ON
City La
of Quinta
Building 8r Safety Division
Permit #
b$N P.O. Box 1504, 78-495 Calle Tampico
07 ' �6
La Quinta, CA 92253 - (760) 777-7012
Building
Permit Application and Tracking Sheet
Project Address: Jr6' 70 S /h 910/v
Owner's Name: M//V) ��� s� f� f f �' �R
A. P. Number:. .% �jz - oZ3 - o 2. (0
Address: -56- 709 /1')E�i ON
Legal Description: ,Jdo GOTS/- 8 "?Z Zy So #yY
City, ST, Zip: L,4 ' (Jt n/ %4 04 y 2Z S3'
Contractor: f� 0 (3 E WA 2 S S% �/(/C
w
Telephone:
Address: L0/3 DA2
Project Description:
City, ST, Zip: 1-%� U,.17 -A CA g Z 2 - 3 !
�2$ Z �.
F,eF s�,�d,,� PAr�b �Jv�Z
7> � �-••
Telephone: „: � • " :: .. �. • � • .f,:: <; ,
8 02:. A.,.A.:`<
'/ 6 8 A Acst� a PA -VO couE,2
State Lic. # : (09q'95-7 city Lic.
Arch., Engr., Designer. Dcs; 6N
F/R � PL AC E
Address: 7 - t 5-0 Y► �i� i�M tQr (�Z�Sr3
p �, /�
City, sT, Zip: L f'r 4 U, 6iTA &
SPH tVr ll. SE BY-�PM4re 106CA,T -
Telephoner %� �- /-ZO 1 V.r v '.'; Construction Type' Occupancy:
State Lic.
r Project type (circle one): New Add'n Alter R air Demo
Name of Contact Person: f<� / 1/t ALL Sq. FL: # Stories:. #Units:
Telephone # of Contact Person: 7 7 8� Z r /M Estimated Value of Project: �'6 ��
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
2
Plan Sets
Plan Check submitted
T
r U.
Nam , ���
.
Structural Calcs.
Reviewed, ready for corrections
1
11'
Called Contact person
'4-'
p IJoJI
Title 14 Calcs.
Plans picked up
Flood
plain plan
Plans resubmitted
.
58 �1,928�'
Grading plan
2a° Review, ready for correctionsfissne
_
3 . �rx �-S
Suticontactor List
Called Contact Person
Grant Deed
Plans picked up
P-�w►"�,,) ,T�
H.O.A. Approval
Plans resubmitted
IN HOUSE:-
3"' Review, ready for correctionsPissue.
Developer Impact Fee
A.Lp.p.
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
.1 n� 1
F
6 r %12L.4
B «DQ q P—
To '� Peter iRice;n` I
L
FOR CONSTRUCTIONTE,-_gy
SO -7774
v r rv. �... avu ii. vv a'[ata vay. n�a.vl.v
June 21, 2007
Jeffrey D. Schafer
1352.Graffienburg Rd.
New -Hartford, N.Y. 13413-3600
ua;aaaa ca` lYJ V V L
PGA WEST U RESIDEIdTL L ASSOCIATION, INC.
42-600 CAROLINE COURT, SUITE 101
PALM DESERT, CALIFORNIA 92211
PHONE (760) 776-5100 • FAX (760) 716-5111
Reference: 56-705 Merion, La Quinta - Architectural Change Request .
Barbecue, fireplace w/entertainment center, trellis, patio decking extension,
spa, wall and landscaping
Dear Homeowners:
The Architectural Committee and Landscape Committee respectively reviewed and approved your
revised plans.
The Architectural Committee has the following comments:
• All concrete used in PGA WEST II Residential Association shall be in accordance with that
shown in "Concrete Mix!', Appendix 3, enclosed for your convenience.
• Barbecue —;height of countertop cannot exceed 36";`total height including courhtectop
cannot exceed 54"
Per the Architectural Rules and Application for Change (revised 7/01/04), "All outdoor .
fireplaces shall be natural gas and shaff meet City of La Quints :cedes and rules "
• : "Quiet" pumps shall be utilized for all pool and spainstaUations'and shall meet the.
minimum requirement of the indusbys "quieti' pump standards.
• The contractor shall ensure that the make-up water for the automatic water feed device
be tapped ahead of the main dwelling. shutoff. Existing hose bibs cannot be used for this
purpose
• Per the Archferxural Rules and Application for Change (revised 7/01/04), 'All outdoor
firevlaces shall be natural gas and shall meet City of La .Quinta codes and rules "
The Landscape Committee has the following comments:
Gardenias do not do well in most places; therefore, the Association will not be
responsible for the maintenance or replacement should they die. The homeowner
has agreed to this.
• Roses - hybrid teas are not on the Association's Plant Palette; therefore, the
Association will not be responsible for the maintenance or replacement should they
die. The homeowner has agreed to this.
• Added irrigation must be drip system with rigid pipe, 'schedule, 40; one dripper per
shrub.
Your contractor must warranty the trees and shrubs for one year.
The Association owns, and the landscape contractor operates, a TORO irrigation
system. —Modifications to existing, or installation of new irrigation *equipment:, shall be
coordinated with the landscape committee. All sprinklers shall be Rainbird, 1804 or
1806 SAM body assembly.
• , Added shrub irrigation shall be connected to a separate station on the irrigation timer
so It will not be wagered with the turf.
Letter of Transmittal
To:
City of La Quinta Today's Date:
G_Zk_O-?
Your Review
❑
78-495 Calle Tampico City Due Date
-Zp _p?
❑
La Quinta, Ca 92253 Project Address:
Attn:
Plan Check #:
0:7 �(Oldq
Submittal: 1St
❑ 4th
2nd
❑ 5th
❑ 3`d
❑ Other:
A
We are forwarding: ❑ By Messenger ❑ By Mail (Fed Ex or UPS)
❑ Your Pickup
Includes: # Of Descriptions: Includes: # Of
Descriptions:
Copies:
Copies:
PQ
Structural Plans
❑
Revised Structural Plans
Structural Calcs
❑
Revised Structural Calcs
❑
Truss Calcs
❑
Revised Truss Calcs
❑
Soils Report
❑
Revised Soils Report
Correction List
❑
Approved Structural Plans
❑
Redlined Structural Plans
❑
Approved Structural Calcs
❑
Redlined Structural Calcs
❑
Approved Truss Calcs
❑
Redlined Truss Calcs
❑
Approved Soils Report
❑
Redlined Soils Reports
❑
Other:
Thank vou!
This Material Sent for:
❑
Your Files
❑
Your Review
❑
Checking
Other:
❑
Per Your Request
Approval
❑ At the request of:
By: ����
Palm Desert Office: ❑ # (760) 360-5770
Washington Office: ❑ # (760) 404-9556
`} Z�> C /�b o o f Rte- 01v Ly 11,V PZ,-_A0A/
>orDz P F eP'Ls4ce Om 0
CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET 1�0X6a'/ COVeR.
PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT AREA.
Form updated & effective 11/17/2006
-1-11 oneei approvals -are forwarded to the Building & Safety Department directly b .Public Works.
Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department
until ALL requirements listed below are. complete. Incomplete applications or applications which cannot
be processed will be returned to applicant.
Date: Developer: Igo 6 �VL-IA/2o4S CONS%• ��✓-
Tract No.: 24Ap Tract. Name:
.Address(s).:
Lot No. (s): /- g
The following are the requirements for Public Works Clearance to authorize issuance of a building permit
from the Building & Safety Department:
°•• CUSTOM HOMES: PROVIDE ITEMS #2 #3 #4 AND #5 BELOW
❖ TRACT HOMES:. PROVIDE ITEMS #1 #2 #3 #4 AS APPLICABLE AND #6 BELOW
COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS .#1 #2 #3 AND #5 BELOW
WALLS: PROVIDE ITEMS #7 BELOW
❖ SIGNS: PROVIDE ITEMS #8 BELOW
1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building
Pad. (maximum allowable deviation of +/- 0.1 foot)• Pad Elevation Certificates must be current
(within 6 months of current date). If a precise grading plan creates thepad for a
withhold green sheet submittal until a Pad Elevation Certificate can be provided. approval, please
2. Attach geotechnical certification of grading. plan compliance.
3. Attach recorded final map.showing proposed building locations are legal lots.
4. Attach a completed < 1 acre per lot or infill project Fugitive Dust Control project information form,
PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference
number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot)
are submitted separately with grading plans & are subject to additional requirements.
5. Attach an approved precise grading plan for the building location(s). AO flood zone developments
will require an approved flood plain development plan.
6. Attach an approved rough grading plan for the building location(s).
7. Attach wall plan & related approved grading.plan.
8. Attach sign layout/plan & related precise grading/landscape plan.
I have reviewed and confirmed the requirements listed above as presented and find the improvements to
be sufficiently complete for construction of the prop ed buildings/structures/walls/signs on the subject
lot(s). Pursuant t findings, t bov project ay be released for building permit issuance.
Recommended by: Dated: /77/a-%
Public Works Distribution: (_Green Sheet to Building & Safety counter
(_) Green Sheet to Community Development
Declined for approval for reason(s) as folio w(s), please correct and resubmit:
City of La Quinta - PM 10 Project Information ( < 1 acre per. Lot or Infill Project) Page 1 of 3
Form updated & effective 8/25/2005
Project Information
Project Contractor:
Project Phase
° 16 Fd S CONS _7 C -iV �.
Project Phase
(Check One):
Project Name:
SGhA Fi_ /1 ReS,deA) C e -
❑ Construction
Project Tract
Number:
Demolition
61-D 7
Anticipated Start Date:
Lot Number(s):
N- yy
�- r
Anticipated
Completion:
2qp
Project Street
Address:
Total acres in active
construction (< 1 acre
per Lot):
Project Contact
Information
Please Note: Dust control is required 24 hours a day, 7 days a week,
regardless of construction status. Person listed below is responsible
for dust control during business and non- business. hours.
Name:
45CO 1-/—
/Title:
Title:
VI C>= %12e S, de,✓7T
Company Name:
G-6 F= l Mjs /VSr T' L
Mailing Address:
S
City:
v -Al -l -,q
State:
Zip Code:
2Z
Primary Telephone
Number:
760" 7 7�'- gL0 Z C5qT l D 2
Fax:
7 7 7- It 3
24 Hour
Access/Emergency
Phone:
.76 o - Zq
/
Cell Phone:
PM 10 Certificate
Number:
�p ' e� 3 Y R /�So
❖ Expanded PM 10 plans for commercial and residential developments > 1 acre are required by
the City of La Quinta.
PM 16'(< 1 acre per Lot or' Infill Project) Fugitive Dust Control Plan Page 2 of 3
Plan updated & effective 8/25/2005
This plan shall take into account applicable SCAQMD Rule 403 regulations. Training may be obtained by
contacting SCAQMD (Sharon Zamora - Phone: (909) 396.2183.). This plan shall consist of the following
action items:
WATERING: Continuous watering is required to prevent dust and must occur a minimum of4
times daily. Water shall be applied to dry soils to stop:
• Visible dust emissions over 20% opacity
• Visible dust emissions that travel over 100 feet.
• Water source 3/4 hch water meter at front (south) side of pad.
❖ EDUCATION: Responsible. Dust Control Individual and key personnel shall attend SCAQMD PM10
class and obtain PM 10 certificate number prior to construction activity.
❖ WEATHER MONITORING: Wind predictions shall be monitored.
SIGNAGE: Use Coachella Valley Fugitive Dust Control Plan Handbook Construction Site Signage
Guidelines.
TRAFFIC: Construction traffic shall not be allowed on the pad, unless absolutely necessary. If
vehicles operate on pad, pad shall be kept firm and moist through hose watering or sprinklers.
Fugitive Dust shall be prevented by fencing off site to prevent unauthorized traffic on pad. (15
mph maximum traffic speed).
•: PARKING: Parking is not allowed on the pad. All vehicles must park on street (at designated
areas only).
TRACK OUT: Provide 24 hour street cleaning and track out system as approved by City Public
Works Inspector. (No dirt on public or private roads). 'Track out shall be cleaned up within one
hour of incident.
❖ DIRT PILES: Dirt piles shall. be limited to 50 cubic yards and built per California Building Code
grading requirements. Piles shall be kept moist.or covered with tarp material. Larger dirt piles will
require stockpile.or grading permit.
❖ FENCING: Provide PM 10 fencing at perimeter of. public roads and where applicable. Wood slat
fencing can be installed at rear of property and return 20 feet on either side if HOA restrictions
apply. Block walls can replace.PM10 fencing during the construction phase.
EQUIPMENT: Extra hoses and sprinklers shall be maintained on site.
EXCAVATION MEASURES: -All areas to be excavated or graded shall be pre -watered. Water shall
be applied during excavation or.grading operations also.
DUMP TRUCKS: Open top dump trucks to be wet down, moist and tarped prior to leaving site.
❖ INACTIVE SITE: Within 10 days of ceasing of activities, re -vegetate or permanently stabilize as
required.
I
City of La Quinta - Site Specific Construction Phase PM 10 Agreement Page 3 of 3
Agreement updated & effective 8/25/2005
The signature of the property owner (or authorized representative)
❖ Shall act as his/her acknowledgement of dust control requirements and their enforceability,
pursuant to AQMD Rules 403 and 403.1;
❖ Shall constitute and agreement to comply with all project conditions as identified in the approved
dust control plan;
The property owner (or authorized representative):
•:• Acknowledges that dust control is .required 24 hours a day, 7 days a week, throughout the period
of project performance, regardless of project size or status;
Shall ensure that each and.. every contractor/subcontractor and all other persons associated with
the project shall be in contnuous compliance with all requirements of the approved dust control
plan;
❖ Shall take all necessary. precautions to minimize dust, even if additional measures beyond those
listed in the dust control plan are necessary;
Shall authorize representative of the City/County to enter upon the above mentioned property for
inspection and/or abatement purposes; and
Shall hold harmless the City/County and its representatives from liability for any actions related to
this dust control plan or any City/County initiated abatement activities.
Signature ofPrr—operty Owner or Authorized Representative
I N 4
Printed Name
Title
/' �,�� ate
���,//�(�� Com`' '� �� C_
Company
T4t!t 44a�rw
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
From: Les Johnson, Director -CDD
Permit #: 07-1669
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
To CDD: July 19, 2007
Due Date: Julv 25. 2007
Status: 1 st Review
Building Plans Approval
(This is an approval to issue a Building Permit)
The Community Development Department has reviewed the Building Plans for
the following project:
Description: Trellis & Firepit
Address or General Location: 56-705 Merion
Applicant Contact Ed Randall (760)777-8202
The Community Development Department finds that:
❑ ...these' Building Plans do not require Community Development
Department approval.
..these Building Plans are approved by the Community Development
Department.
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
please return them to the Community Development Department . for
review.
Les ,1,611nson, Director -CDD
'?- / ;9-0-7
Date
T 0 0
litif 4 4 a"
P.O. BOX 1504
Building 56-705 f erivn 7&105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Sunrise Company
Mailing
Address 42_600 Cook St. Suite 200
City Zip Tel.
Pam Desert 92260 1 568-2828
Address
Same
6
Tel.'
State Lic. I City
& Classif. 288no Lic. # 398
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7tof Division 3 of the Business and Professions Code, and my license is in full force and
effec
SIGNATURE DATE
OWNER -BUILDER DECLARATION
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, atter. Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
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
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ 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
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,
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
or proving that he did not build or snprove for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner or property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. & P.C. for this reason
Date owner
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.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
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
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Cin7Code.)
Lender's Name
Lender's Address
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.
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 city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
q,-( -
N0. 07221
LDING: TYPE CONST. OCC. GRP.
P. Number PGA
Legal Description Tract 124801
Project Description phase 411 Pia4'1:t4t
Sq. Ft. 2353 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair O Demolition ❑
Estimated Valuation $170.470
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
boo.
UO
Mech.
Ir 0. 50
Electrical
11J141
Plumbing
Ibb. W
S.M.I.
xt.�
Grading
Driveway Enc.
Infrastructure
su �•
ss Cruair.
1,911.6
Infra que�,�i
.1st
TOTAL
ssu •�=
/
REMARKS
n,,r::t,a.�r. ,arx,R,'t..:r`-AtA, yrl
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
2/28/90
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE ���
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR RII
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT.
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN.
BOND BEAM
WATER SYSTEM
URINAL
SO. FT. ®
=$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
AL INSP. L/
I
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(AUTOXDISH)
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ic
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 GOND. SOLAR
SETBACK �' 1
GROUND PLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE ���
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR RII
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
AL INSP. L/
I
RAMING
FINAL INSP.
A�OOFING G �/
�\ C —
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
`LATHING ?
MESH
/+
NSULATIONISOUN6;
1�/
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL