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RPL (04-4388)BUILDING & SAFETY DEPARTMENT (760).777-7012 o FAX (760) 777-7011 1A 92253 INSPECTION REQUESTS (760) 777-7153 ILDING PERMIT 0000 BUILDING & SAFETY DEPARTMENT (760).777-7012 o FAX (760) 777-7011 1A 92253 INSPECTION REQUESTS (760) 777-7153 ILDING PERMIT App aat\ion 04 0.0"0"04388 J Date 8/03/04 Property. Add�rec,s . . . . �sw _;J 8-0321 MERfiON APN: 762-200-006- - - Applicati°perdescription POOL -.RESIDENTIAL Property Zoning . . . . . LOW DENSITY RESIDENTIAL Application valuation 27000 Owner Contractor ---------------- JIM HOUCK ------------------------ TOPMAN BUILDERS 80321 MERION P.O.. BOX 10202 LA QUINTA CA 92253 PALM DESERT CA 92255 (760) 772-7296 WCC: VIRGINIA SURETY WC: 00500019402 01/01/05 CSLB: 455121 11/30/05 CCC: B -C29 Permit . . . . . . MECH POOL Additional desc Permit Fee 24..00 Plan Check Fee 6.00 Issue Date . . . . Valuation 0' Qty Unit Charge Per Extension BASE FEE, 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 .Permit' BLDG POOL PERMIT. Additional desc-. Permit Fee . . . . 291.00 Plan Check Fee,. 189.15 Issue Date Valuation . . . . 31000 Qty Unit Charge Per Extension BASE FEE 252.00 6.00 6.5000 ---=---------- THOU BLDG 25,001-50,000 39.00 ------------------------------------ Permit . . . . --------------------------- ELEC POOL PERMIT -RES Additional desc Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . Valuation 01 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 s P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: O Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Lic. No.. BUILDING PERMIT DECLARATIONS Date: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Cha ter , (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licen s in ll�ce and effect. ' License Class Oicehse No. �hh Date6 � V _Contractor D �/A_' (/ (f OWNER -BUILDER DECLARATION I hereby affirm under penalty of jury�that I a exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a perm ttruc 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 ntt the provisions of the Contractors'State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or sa pt 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 an five hundred dollars ($500).): U 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 or 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.). U 1, 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.). U 1 am exempt under Sec. , BA P.C. for this reason Date WORKERS' 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 NNW work rs' c pen ion insurance carri�al�nd licy numbe Carrier Its NW Polic Number zi _ I Certify that, in the�,fhanc6 o 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' compensationlaws of Califom' and a e 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�isions. Date f) -b ` VL Ap Dkean WARNING: FAILURE TO S URE WORKS S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H NDRED THOU AND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA R CODE, INT REST, AND ATTORNEY'S FEES. 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 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, indemnity 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 canc ' n. I certify that I have read this application and state that the above info atio is co . I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to ter u n t a ove-mentioned property for inspection purposes. Date � • (J ' l7(1 Signature (Applicant or Agent): Page 2 a Application Number . . . . . 04-00004'3.88 Date .8/03/04. Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 33.00 Plan Check"Fee 8.25 Issue Date.. Valuation . .. 0 r Qty Unit.Charge Per Extension BASE FEE' ''`'` 15 :•00 . 2.00 6.0000 EA- - 'PLB FIXTURE ' '``° ` 12.00 1,.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 i.00 3.0000 EA PLB GAS,PIPE 1-4 OUTLETS 3.00 ------ - - - - --------------- - - - - -- - - - ------ - - - - -- - - -= - 7 ----- Special Notes and Comments. POOL & SPA. BBQ ANSI Z21-58-1998. FIREPi`�9FG'•'�C';i ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION.. Fee summary Charged Paid Credited Due -- - - - - - - - - - - - - - ------ - - - - ------ - - - - ------ - - - - -- Permit Fee Total 393.00 .00 .00. --- 393.00 Plan Check Total 214.65 00 .00 214.65 Grand Total 607.65 -.00 .00 607.65 c. f� m m0 =0 ga y ie /� n DZm T� ppsii a��i N `rn• az@ h �>Cim $ ��" v �mm8�. Z!p'J DmP y 32 R @rel i f f xm p�� PROPERTY LINE m x N m N D m n mol A RE—INSfTtTTMq FEE OF 30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTS! 0zrTi -1 1,:..:. �:.. •'fir:: � _ ..: •... f:: - ,. b D _ •'� o / 5 \ m I � I CI 1( OF LA QUINTA BItDING & 4`ir-ETY DEPT. F10,R CONSIT CTION pF m to A z A i w lf� ai rr n July 21, 2004 Architectural Committee PGA WEST Fairways Association P O Box 1658 La Quinta, California 92253 Re: 80773 Bellerive La Quinta - PGA WESTrm - Property Owner: Vogl Dear Sir/Madam: CNL Desert Resort, LP, formerly known prior to statutory conversion as KSL Desert Resorts, Inc., ("Desert Resorts') is the owner of the golf course property immediately adjacent to the rear property line of the above referenced residential property. Desert Resorts is the holder of a -five (5) foot easement along the rear property line (the "Setback Area') of all of the residential lots located in the Hermitage project at PGA WESTrm, however Desert Resorts is willing to grant its limited consent to a property owner's encroachment and construction of pool improvements within the Setback Area subject to the property owner's compliance with certain terms and conditions. The Property Owner and the pool contractor have requested Desert Resorts' approval of the encroachment of the pool within the Setback Area. This letter shall serve as your notice that Desert Resorts approves of the pool's installation subject to certain terms and conditions including, but not limited to, the following: 1 • : Property Owner agrees to construct and maintain a solid, continuous twenty-four inch (24') wide mow strip which shall be located along the entire length of the Setback Area abutting the rear property line; 2. Property Owner agrees to construct a solid buffer wall along the length of the pool improvements a minimum height of twenty four inches (24'); 3. The pool and related improvements (excluding the mow strip) must be back a minimum of 24" from the golf course property line; and 4. The mow strip, consisting or turf or concrete, shall not extend above the ground, elevation, or maybe a shrub bed at the discretion of Desert Resorts golf course superintendent. If you have any questions, please contact Barbara Larsh at (760) 5648023 or me at (407) 418-6804. 7S'ae el Shamim M. B ey Paralegal Cc: Carol McKnight Barbara Larsh