RPL (07-1979)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00001979
Property Address:
56705 MERION
APN:
762-023-026- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
15000
Tiht- 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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: C53 Lice a No.: 837 48
ate:7—/0'-? ontraaor:
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 ($500).:
(_) 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 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.).
1 1 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:
LQPERMIT
Owner:
JEFF SCHAFER
56705 MERION
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/09/07
Contractor: V-
G `
�
TRIDON POOL & SPA -CONS IONS
48869 PARADISE AVENUE t ,l Q
MORONGO VALLEY, CA 92256 V 07
(760)363-7900 ��1QG Q
Lic. No.: 837648 AA
9
----------------------------- �---------- - - - - - —
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
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 EXEMPT Policy Number EXEMPT
DK 1 certify that, in the performance of the work for which this permit is issued,'( 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 pr 'ions.
r1 lD—% oe ,rant: ��-C✓
WARNING: FAILURE TOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 isnot commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
1 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 c ty to enter�thee-mentioned property for ins ection urposes.ate: —/� •- Scant or Agent):
Application Number . . . . . 07-00001979
Permit . . .
BLDG POOL PERMIT
Additional desc .
Permit Fee
162.00 Plan Check Fee
105.30
Issue Date
Valuation . . .
15000
Expiration Date
1/05/08
Qty Unit Charge
Per
Extension
BASE FEE
45.00
13.00 9.0000
----------------------------------------------=------------
THOU ,BLDG 2,001-25,000
-----------------
117.00
Permit. . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee*.
6.50
Issue Date . . . .
Valuation
0
Expiration Date'.
1/05/08
Qty Unit Charge
Per
Extension
.BASE FEE
15.00
1.00 11.0000
-------------------------------------------
EA MECH FURNACE >100K
---------------------------------
11.00
Permit
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee
45.00 Plan Check Fee
11.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
1/05/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
----------------------------------------------------------------------------
EA ELEC PRIVATE SWIMMING POOL
30.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
27.00 Plan Check Fee
6.75
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
1/05/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
SPA. ALARMS/BARRIERS SHALL BE IN PLACE
LQPERMIT
Application Number . . 07-00001979
----------------------------------------------------------------------------
Special Notes and Comments
AT PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 260.00 .00 .00 260.00
Plan Check Total 129.80 .00 .00 129.80
Grand Total 389.80 .00 .00 389.80
n
LQPERMIT
VVI rVI�,V I yyy 1'i. Vv •'fap V1V I iRLViV
June 21, 2007
Jeffrey D. Schafer
1352.Graffienburg Rd.
New Hartford, N.Y. 13413-3600
JVuaa ca• tea V V t
PGA WEST II RESIDENTIAL ASSOCIATION, INC.
42-600 CAROLINE COURT, SUITE 101
pALM DESERT; CALIFORNIA 92211 _
PHONE (760) 776-5100 • FAX (760) 776-5111
Reference: 56-705 Merton, La Quanta - 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:
• Ail concrete used in PGA WEST II Residential Association shall be in accordance with that
shown in "Concrete Mix", Appendix 3, endosed for your convenience.
• Barbecue height of countertop cannot exceed 36";`total height including countertop
cannot exceed 54"
Per the Architectural Rules and Application for Change (revised 7/01/04), "All outdoor
fireplaces shall be natural gas and sha// meet City of La Quints :cedes and ru/es "
• , "Quiet" pumps shall be utilized for all pool and spa installations and shall meet the . .
minimum requirement of the indusbys •quiet" pump standards.
• The contractor shall ensure that the make-up water for the automatic water feed device
be tapped ahead of tate main dwelling. shutoff. Edsting hose bibs cannot be used for this
purpose.
• Per the Archi'tectural Rules and Application for Change (revised 7/01/04),- "All outdoor
fireplaces shall be natural gas and shall meet City of La .Quints codes and rules p
The Landscape Committee. has the following comments:
• Gardenias do not do well in most places; therefore, the Association will not be
responsible far 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
Assodation 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 irngation-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 watered with the turf. .
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building. Permit Application and Tracking Sheet
Permit # �n
Project Address: S(.705 o
Owner's Name: /72A yc S
A. P. Number:
Address -,T� 7pS E2i o 'J
Legal Description:
City, ST, Zip: L
Contractor: i� o/3 ?6-4,4 D SA9 C'a .� ST/— c T/ci r.l
Telephone:
;
Address: 9 9" y 1'5�1?—fta da
Project Description: '09 5), li it
City, ST, Zip:/4c, /L.�J G o Vt 2-12zS5
Telephone:
State Lic. # : 8,� %�
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 2 o -J
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:J / O " 3,!�I�3
Estimated Value of Project:DO
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
740
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked. up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called'Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CITY OF LA QUINTA SUB-COIIITRAFTOR LIST •—�' _r
JOB ADDRESS r --. _WI-411AT NUMBER OWNER _ BUILDER I lI
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authoriz d to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Fai to comply will remelt in as stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. ."On File" is not an acceptable response.';
Trade / Classification
Contractor
State Contractor's License
workers Com ensation Insurance
City Business License
Company Name
Classification •
(e.g. A, B. C-81
License Number
IXXxxxxl
Exp. Date
(xx/xxixx)
Carrier Name
(e.g. State Fund, CalComp)
Poticy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
Ixxxx)
Exp. Date
(xxhcx/xx)
EA RTHWO RK I C- 121
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ELECTRICAL IC -101
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ROOFING (C-391
SHEET METAL (C-43)
FLOORING (C-16)
GLAZING (C-17).
INSULATION (C-21
SEWAGE DISK IC -42)
PAINTING (C-33)
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING IC -131
LANDSCAPING (C-27)
POOL. IC -53)
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