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GRES (9603-033)LICENSED CONTRACTOR DECLARATION I hereby affirm 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 # Licj:Class S Exp. Date (iiki Date Signatureof Contractor OWNER -BUILDER DECLARATION I hereby affirm that 1 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 Policy No. (This section^aieed r 6Vbb completed if the permit valuationai'fo' r'•$1'bb.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 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. Pate: Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application agrees to, & shall, indemnify & hold harmless the City of Indian Wells, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. FS nature (Owner/Agent) Date ALCM BUILDING PERMIT PERMITi r s.e, a we x DATE VALUATION LOT TRACT " W 8/96 JOB SITE ADDRESS APN R OWNER `" ` ` CONTRACTOR ` 1161t VT)t,'t!A1RPS', t ,O NS i.R11 r "PON _. It%cmf 4) C i irsiD',n itItVIVfir It 0. �,I A.,'t MCKI SAL ?t{),i t--M$'A1 "ria rh'U17',jCc"�'n l.,Y�rl: -a „t14. r-tt L1. +Tlf At.Efllt;Af LAQii.ttv;tll (°A "12253 Iak (A JINT4 VA 97213 �..:.... DESIGNER/ENGINEER USE OF PERMIT FEE DESCRIPTION FEES U1U A',4 fCrlti;k'f Kt 175.00 St ESTIMATED G03T OF CO1of `Tkt[►C`is ION .3,4 30.00 f'jh'RM.1T FRE SUMMARY KAN CHFCf: W, 10tAX110-439-31.5 $=13:67 CONS''rRIX i". ON VCurti 101...0001 418-000 563.01) J1r_1C1.C111Ci\L FRE, 101-WOA20-000 SGML 0 S'PC)NCrNIOT10N 1 - It:[Mn 101-000-241-OW$:50 GRADING T;iFi 101-000-423-000 520.00 St.WrO'iA.iL CONS"M1.1MON AND PLAN CHE,C K S151,67 LESS PRP -.PATI) FEIS s0,(9) o -,.s Art, PERNUT. vr,, :ouF, stow S�!�iot'r7 MAR 11 1996 BY RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE TINSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing W I J 9Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL AP ROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Ping. 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 Gas 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) 1U `.j 0 u11 11 !4 ++1a1IV! V 1Wk rk U fl V a V U i Y 7 11 V; �,; PGA WEST II RESIDENTIAL ASSOCIATION, I.NC. P.0, Box 1282,i La 00inia, CA 92253 March 8,'1996 John & Linda Muckel 6024 Ocean Terrace Rancho Palos Verdes CA 9027> Re: Architectural Variance Request -,57-205 Merion: A -Dear Mr. & Mrs. Muckel: 10 -'Tha'for nkyou your request io conitr'uct a cart garage at the above -referenced addiAs at'PGA or West. The plahs submitted were approved, subject to the following conditions: 1) Plans and Specifications for the cart garage comply with all applicable La Quinta building codes/safety ordinances. 2), Submit a sample.6f both the Arizona sun pebbles and native Granite stained r boulders prior to purchase and installation for review and approval by the Architectural Committee.- Please review front yard boulders at 56-690 Merion for approved size and locations. Native Granite stained boulders must be similar or, less in size and exhibit similar brown tones' `3)''5iibnut a'p icture " of the Crown of Thorns to our manager John plant property Handel, for review and approval by the Committee: 4) Subn-Lit a sample or installed location for the hardscape proposed on plans.,,,,',, Both the Board and, Architectural Committee are pleased with the design of the cart garage I proposed on your plan s. Please note that any further exterior change orders to that which is depicted on these plans MUSt first be sub-mAted to the Architectural Committee for their approval - prior to the work cornmen6ig. We lo&- fonvard to th6 finished product, and should your"'; contractor have any questions, he may contact John Handel at, 360•-4161'., Sincerely, PGA WEST 11 RESIDENTIAL ASSOCIATION Don Troy, Chairman' Architectural Committee -rt M. Board of Directors John Handel, The Nionarch &UP \\mooarcb\users%john\pgari-,Tvm%ickelarch. approva[3,8.96.doc. 40 TA YP.O. BOX 1504 , N Q'. 07228" Building78-105 CALLE ESTADO Address57_205 He rion LA QUINTA, CALIFORNIA 92253' Owner 1— - Sunrise.Company f BUILDING: -TYPE CONST. - OCC: GRP. - .. Mailing ~ Address42400 Cook Street Suite 200 A.P. Number PGA - City Zip - Tel. Desert 92260 568-2828 Legal Description Tract. 24801, � Contractor. Project Description •.Phase H Pi�>f} H18 stint Address r -' t I`•r State Lic. & ClassiP 130 ' Arch., Engr,,• , Designer - Address. ` Tel.. - . I Lic' �9E3 Sq. Ft. 233 No. No. Dw. Size Stories Units •• New ❑ Add ❑.: Alter ❑ Repair ❑ Demolition (i ' _.. .City Zip State Lic. # l - S LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed urider provisions of Chapter 9 (commencing with Section • 70D0) of Division!3 of the 'Business -and Professions Code, and my license is•in fultforce and effect{ d - SIGNATURE DATE- _ ' '' r. ' • OWNER -BUILDER DECLARATION ' I hereby, aftirm that I am exempt from the Contractor's License Law for the following, • reason (Sec., 7031.5,Bustness, and Professions Code: Any city or county which requires a ,• permit to constnxt, atter, 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 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 ' 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 Estimated Valuation • ,q pti �y , S/ V W0.470 ' PERMIT AMOUNT - . _ .. Plan Chk. Dep., - Plan Chk. Bal. i �Y CODS{. ` builds or unproves 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 .,of proving that he did not build or unprove for the purpose of sale.) - i � Mech. •; l Ll. ' , , 70,50: - Y 0 e Electrical 11.7' •c , Plumbing ��d ' O I, as owner of the property, am exclusively' contracting with licensed contractors to coo- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law -- _ S. M.1. - •. s+�•. does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) ' ❑ I am exempt under Sec B. 8 P.C. for this reason Grading Driveway Enc. :Date owner Infrastructure P3,.835.60 ,•Less. Credit , 1,917.8?; _ WORKERS' COMPENSATION DECLARATION ' s 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.) Infra Due• � ���. fl _ Policy No. Company ' ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. 3 r` TOTAL415 -A �y ' CERTIFICATE OF EXEMPTION FROM WORKERW 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 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 c REMARKS - T .a s<vn n a ;14 > z -_?a O }. i (•^ -y(r� ' Date ... •Owner - v . ' NOTICE TO APPLICANT: ft, 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. - .- � ZONE: BY: - - - Minimum Setback_ Distances: Front Setback from Center Line • Rear Setback from Rear Prop. Line ' 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, Civil Code.), . _ Lender's Name Side Street Setback from Center Line n Side Setback from Property Line - ' , Lenders Address FINAL DATE- INSPECTOR ;, c� �.g�ty� ; - This is a building permit when properly filled out, signed and validated, and is subject to expiration it work Ihereunderis suspended for 180 days. I Ce5ity that 1 have read this application and state that the above information is correct 1 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. , d property for inspection purposes Y , ...of Issued by Date Gf i3 7 Permit ' V8l idated by ' .Signature applicant Date' Mailing Address ? - Validation: 4 r City,- State, Zip 5`7r �ti•'• • ,ti.1 ..t •'^ 1,: 7'"i 'k•,• `t � , '.I.:.'.F. '. •.i - � .. • `. • `4 `i, tti~ 4 ~ n .l.l r CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL SO. FT. STORAGE TANK FORMS EWER OR S?rTL AL MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® ROCK STORAGE 14TOUND. REINF. __?_ ry V !/ GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. I SQ. FT. ® TEMP. POLE WALL SQ. FT. DRINKING FOUNTAIN, SQ FT ® URINAL 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 WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED r// w 3 LAUNDRY TRAY 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 SPARK ARRESTOR SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL LATHING SO.FT.GAR ® 3/ac 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 OUND PLUMPIG i� UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS EWER OR S?rTL AL ROUGH WIRING DUCT WORK ROCK STORAGE 14TOUND. REINF. __?_ ry V !/ AS (ROUGFy!E'-�j v METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REIN F. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING— 'ROOFING FINAL INSP. ,q � � ! r// w 3 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH SULATION/SOUND� f2�v FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL 1