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AR (0206-050)r LICENSED CONTRACTOR 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 # Lic. Class Exp. Date 0311!3 1 12M J Date�t ' Signature of Contractor OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ` ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business &- Professionals Code). ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner 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 & policy no. are: Carrier pfaffrivd &M910yer fo Policy No. (DP010-1 (This section need not be completed if the permit valuation is for $100.00 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 Califoka,-aha agree that if I should become subject to t1�'e workers' compenysation�F�prf't'v oions of Sect 3700 of the Labor Code, l shall forthwith comply with tholsions/Date: I ��ADolicant1fzc• t Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth' on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby uthorize Pepresentatives of this City to enter upon the above-mentioned property for Inspectior(`purposes. { ignature (Owner/Agent) �, rt f Date r� a BUILDING PERMIT PERMIT " DATE 0610101/2M 610 f2MVALUATION i ' 1 60 LOT TRACTJOB SITE ADDRESS ..5.7••1, f3 ME.OT1 t APN s , OWNER CONTRACTOR / DESIGNER / EN (NEER 57133.: 1iTON 75-.9.20 IMT1,7103RIVE. Tu'i Q'o:i:mzfe, CA 92W I.,:!"� C31 =A %k. 92253 (766)'37349 33 C< p 3212 - 1sUSE - USE OF PERMIT R' MENTIA ,.AS.[yYl1,'ii014 ATTACHED W:1 Y C.A: f QAP A09 ADDITION (230 S.N.) o � CETYOF--" . QUINTA . FlNAN S M E11T DA,kT W C:Q.1Vr OF W rTRUC:".il,Ofi1 tClI�SEC"K.1p�CF Yi1`Cd�71n�t� m: P�+3Ar�AN 1011-06-439.318 SpUn C.`ONS°P UC TION Frl{ft $"a00 Ed.1 C?3AICALFFXI 101-000.420.000 $24,75 STRO.112ct MOTUYN ME, USIr 101.-000-241=000 $150 G:RA�DTi•6•CaI''€.�' );p1-0Cti3CF-�234iifl� ��i�.DE1 SIM- Ptom.. C"!Oi�':i':1`R C,'TON AM k;..f!i1:3 MIX—X: $ 64.M IM3 ITZE-PAI M,10 0, 0o RECEIPT. DATE B DATE FI ALE INSP C O INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS OQ MECHANICAL APPROVALS Set Backs/fl, /.., - I j Underground Ducts Forms & FootingsDucts Slab Grade Return Air Steel Combustion Air Roof Deck ffi.Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath (D Final Final BLOCKWALL APPROVA S POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gds Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G. F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) 4.1 a Apr113.02 03:02p• Tom Murphy 760-564-9848 p.2 ' PGA WEST I1 RESIDENTIAL ASSOCIATION, INC. — ft -L P.O. BOX 1282, LA QUINTA, CA 92253 (760) 776-5100 FAX (760) 776-5111 March 21, 2002 1 Mr. & Mrs. Tom Murphy 919 San Ramon Valley Blvd., Suite *255 ' Danville, CA 945264051 Reference: 57-133 Merton r Architectural Change Request - Addition of Golf Cart Garage Dear Mr. & Mrs. Murphy: r The Architectural Committee unanirnwrsly approved your plans for the installation of a cart . Please reference page 5 of the Mthitectural Rules, that state: 'In homes originally bulk whhf sectional eP garage doors, the golf cart garage door must be a sectional roll up. In homes with one crit up garage doors, garage and golf cat garage doors may beowner P� chooses, with a sectional roll up door. In all instances, the new and replacement�� as closely az possible the original design facade. V you do not have a sectional roll up garage door and decide to replace it later, the golf cart garage will need to be changed to match. The color of the can garage door must match the existing color the garage door and trim to match existing strutisrre:-MmVeon'ttie roof must-niatrh exisOt -ftf. • ' . ... Review by the Committee is only for general conformance ' with the Architectural Rules. It. is the responsibility -of the owner to f * undersbnd and eonbomn to the Architectural Rules O teria whether or not all deficiencies are noted during review. It is also the owner's hill responsibility to field verify all existing conditions. The Committee's decision with regard to project desqn will be final. Please refer to the Architectural Rules and Application for Architectural Change for all required submittals. The landscape committee approved your application but has the following comments: • Nandina dormestica is on the plant palette as a shrub; the drawing submitted . appears to be -a tree. There are no nandina dom>estica trees on the plant page. • Header board to be like the new header board that was installed at the condos. a If Mediterranean fan palm that is to be moved dies within one year, the tree ,shall be replaced at homeowner's expense. please contact Javier Contreras, supervisor for Valley Gardening Service at 760/399-1844 and Carol Ftiller, the Association Manager, prior to any irrigation modifications associated with the change. Damage to the landscaping, ie., shrubs, bees, bowers and turf is the responsibility of the contractor. The landscaping must be brought back to Its original condition when the project is cormptetied. Approvals given by the Ardnitecbudl Com bee are good fbr only six ift hd hm the date on the approval letter. After that tame a new application must be submitted. Upon comPletim'of YOW project, please compiete'and return The Notice of Completion of Architeural Change. .. _ . N i N �SPECIAL INSPECTION SERVICE' REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 • Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY O POST TENSIONED CONCRETE O ASPHALT O REINFORCED MASONRY. O FIRE PROOFING O KOTHER �P p Ki� JOB LOCATION REPORT SEOUENCE NO. TYPE OF STRUCTURE 1: -� -� "-�—PERMIT 5• NO: --Z--. 62 <o:::;� y.T DATE l0-1/-� DAY OF WEEK ves MA RIAL DESCRIPTION on O ARCHITECT 1 o 4 �n G IN CTOR HRS. CHARGED �k 2 ENGINEER u t' ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL SUB CONTRACTOR — — CONTRACTOR_ - _ i 1 b ocA 12 �D S n 11hbs hrk;,., O M , ps s a COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. NATURE OF GISTERED INSPECTOR 2 lCa6 ��1571 7/7r$V DATE OF REPORT REGISTER NUMRFR 414a P.O. BOX 1504 N o . 07248 Building 78-105 CALLE ESTADO Address 57 -133 Merion LA QUINTA, CALIFORNIA 92253 Mailing BUILDING: TYPE CONST. OCC: GRP., Address 42„ 6010 Cook Street Suit 200 A.P. Number Legal Description Project Description PGA Tract Phase 5H — Plan H3A City Pmol Desert Palm Deserd Zip 92260 Tel. 568-282a Contractor National k-3vrtgage 6 hand ' Address . Same City Zip Tela State Lic. City - & Classif. 2.88130 Lic. # 348 Sq. Ft. 2899 Size No. No. Dw. Stories Units, ' Arch., Engr., New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION . herebyaffirm that 1 am licensed under provisions of Chapter 9 (commencing with Section Division 3 of the Business and Professions Code, and my license is in full force and =Of ' SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affipn that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Bus hers and •Professions Code: Any city or county which requires a Permit to construct, ater, improve, demolish, or repair any structure, prior to its issuance also . repines the applicant for such permit to Igo a signed statement that he is licensed pursuant to the provisions of go Cenbador5 License Law, Chapter 9 (commencing with Section 7000) of aivision 3 of the Bhsihess-and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption- Arty violation of Section. 7031.5 by any applicant for a permit subjects the appicant to a chd penally 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 Contractors License Law does not apply to an owner of property who bmaids or improves therein and w7ho 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 imonivenw.nt is sold w0b one year of completion, the owner -builder will have the burden of pro" that he did not braid or improve for the purpose of sale.) Estimated Valuation $2IQ X23 % PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. . . Const.s �.i} Mech. 3• Electrical Plumbing 166. 5u— ' ❑ 1, 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 of property who burp or improves thereon, and who contracts for such projects with a contractor(s) icensed pursuant to the Contractor's License Law.) ElI am exempt under Sec- w_ & P.C. for this reason S. M.1. Grading Driveway Enc. Date owner Infrastructure 44, Vii. i'SS Crectil z Z1,417.89 WORKERS' COMPENSATION DECLARATION Infra Due I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Work'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 WORKERS' COMPENSATION INSURANCE ([his section need not be completed ff the permit is for one hundred dollars ($100) valuation or fess.) . 1 certify that in the performance of thg work for which this permit is issued, I shall not -ploy airy ppeerrssoon in any manner so as to become subject to the Workers' Compensation Laws of Cal ifomi REMARKS ri > r oly7 _s. A %R - L4 4.)`V, 3: FC. It tL f, ' 14JQ i - Date Owner ' N07XE TO APPLICANT. 9, after makig Oils Certificate of Exemption you should become subject to life IAbrkers' Compensation provisions of the Labor Code, you must forthwith compy with such provisions or this permit shall be deemed revoked. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY 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 Street Setback from Center Line Side Setback from Property Line Lenders Name Lenders AMFINAL . This is a building permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certity that 1 have read this application and state that the above information is correct: �e toto comply with all city and county ordinances and state laws relating to building on arid hereby authorize representatives of this city to enter the above. mentioned Property for inspection purposes DATE Issued by: Validated by:—' INSPECTOR RS /2fI /�i5 Date 6I i7I V Permit Signature of applicant Date Mailing Address Validation: City,. State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS COLL. AREA 2ND FL SQ. FT. \ YARD SPKLR SYSTEM BONDING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® OR SEPTIC GAR. SO. FT. ® POWER OUTLET ROOF DRAINS 71/60UND. REINF. -qz &! (ROUGH)P-.2 DRAINAGE PIPING CAR P. SQ. FT. HEATING (FINAL) OTHER APPJEQUIP. WALL SQ. FT. GAS (FINAL) DRINKING FOUNTAIN. SO FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER HEATER WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRYTRAY AIR HANDLING UNIT CFM IKITCHEN 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. SQ. FT. ® c BATH TUB FIREPLACE SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL SQ.FT.GAR @ V4c 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 OUND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA // / — SLAB GRADE C - ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMSEWER OR SEPTIC ROUGH WIRING DUCT WORK ROCK STORAGE 71/60UND. REINF. -qz &! (ROUGH)P-.2 � 1 vV 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.1DlAL INSP. 0.� FRAMING FINAL INSP. /. �ZXROOFING ��L REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING MESH VINSULATION/SOUND ` /2 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL