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11-0789 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000789 Property Address: 80505 CEDAR CREST APN: 762-060-010- - - Application description: POOL- RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 22000 Tuvl 4 XP Q" Applicant: Architect or Engineer: y� ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division3 of the Busi ss and Professionals Code, and my License is in full force and effect. License Clas : CS '.10, 0 27 2 License No.: 656128 ate: h %ontractor: 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 3of 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 _ 1 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.). (_) 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 I am exempt under Sec. , BAP.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: MELTON 80-505 CEDAR CREST LA QUINTA, CA 92253 Contractor: TESERRA P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 a ------------------ WORKER'S COMPENSATION DECLARATION Date: 7/25/11 u JUL 25 2011 1. 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 EVEREST NATL IN Policy Number , 7600006481111 _ 1 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 37 of the Labor Cod I s forthwith comply with those provisions. ate: /� pplicant: 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 information is correct. I agree to comply with all city and county ordin nces and state laws relating to building ons jj��ction, and hereby authorize representatives of this county e r upon the above-mentioned property fo n tT.ction purposes. ate: // Sig ure (Applicant or Agent): Application Number . . . . . 11-00000789 Permit . . . BLDG POOL PERMIT ' Additional desc . . Permit Fee . . . . 225.00 Plan Check Fee 146.25 Issue Date• Valuation . . . . 22000 Expiration Date 1/21/12 Qty Unit Charge. Per Extension BASE FEE 45.00 20.00 9.0000 ----------------------------------------------------------- THOU BLDG 2,001-25,000 ---------------- 180.00. Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/21/12 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 1/21/12 •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 . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation 0 Expiration Date 1/21/12 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 1.00 3.0000 ---------------------------------------------------------------------------- EA PLB GAS PIPE 1-4 OUTLETS 3.00 Permit . . . . . . WALL/FENCE PERMIT LQPERMIT Application Number Permit Additional desc . Permit Fee . . . . Issue Date . . . . Expiration Date . . . . . . 11-00000789 WALL/FENCE PERMIT 15.00 Plan Check Fee .00 Valuation . . . . 192 1/21/12 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA, 12 L.F. 4' EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid ---------- Credited -------------------- Due --------------------------- Permit.Fee Total 344.00 .00 .00 344.00 Plan Check Total 172.25 .00 .00 172.25 Other Fee Total 1.00 .00 .00 1.00 Grand Total 517.25 .00 .00 517.25 LQPERMIT 21/JUL/2011/THU 02:42 PM Monarch. Accounting FAX No.760 776 5112 P.002 0 PGA WEST II RESIDENTIAL ASSOCIATION, INC. 39755 BERKEY DRIVE STE A PALM DESERT, CA 92211 PHONE (760) 776-5100 • FAX (760) 776-5111 19, 2011 ;ph M. Melton 1 Preston Rd., Ste., 7511 as, TX 75225 80-505 Cedar Crest, La Quinta, CA Architectural Change Request— Pool & Spa, Decking, Concrete Joseph M. Melton: Architectural Committee met on July 12, 2011 and reviewed and approved your Application architectural Change for your home at 80-505 Cedar Crest subject to the following conditions a met. "Quiet" pumps shall be utilized for all spa Installations and shall meet the minimum requirement of the industry's "quiet" 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. , • All other Architectural Rules & Regulations of PGA WEST II Residential Association dated Revised 8/1/07 pertain. • A Maintenance Agreement will be required, one will be sent to you for proper execution as soon as it is prepared by counsel. PLEASE NOTE that the plans for the improvements must be followed exactly, there is no approval for any changes to the plans submitted & approved on 7-12-11 unless a new submittal is submitted for review. There is no approval for any landscape changes to this property unless a new application is submitted for review prior to making changes. • Absolutely no construction staging in the street. e contact Luis Umana, Sunshine Landscape at 760/346-3999 and Joanne Rose, the :cation Manager, prior to any irrigation modifications associated with this change. age to landscaping, i.e. shrubs, trees, flowers and turf is the responsibility of the contractor. original landscaping must be brought back to its original condition when the project -is contractor must schedule a meeting with Bob Pantanella, Director of Community Services to commencing any work to review the Rules of the Master Association and Rules relating to II regarding construction activity. Mr. Pantanella's phone number is 760/564-1032. 21/JUL/2011/THU 02:42 PM Monarch Accounting FAX No.760 776 5112 P.003 PGA WEST II Res Association Architectural Committee 7-12-11 Page II Melton Pool & Spa Approvals given by the Architectural Committee are good for only six months from the date on the approval letter. If construction has not commenced within six months after the project approval date, a new application must be submitted. Upon completion of your project, please complete and return The Notice of Completion of Architectural Change. For additional information or questions, the Board has directed that you contact Joanne Rose, CCAM, Association Manager, at 760/776-5100, Ext. 320. Sincerely, PGA WEST esidential Association oanne Rose, CCAM Association Manager for Architectural Committee Cc: unit Teserra Peters & Freedman I Bin # City of LQ Quinta Building 8r Safety Division . P.O. Box 1504, 78-495• Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application anq, Tracking Sheet Permit # Project Address: gO SOS Owner's Name: A. P. Number: Address: R0 - S OS T Legal Description: Contractor: ---'-(Z City, ST, Zip: LA 22 NtNT CA- K. Telephone: Address: 96 d A VE; y Project Description: �- City, ST, Zip: C�'AcA+ECS,k C_* 223 So 1 L Telephone: ?-G O 3 P,9 2 Z -Z .:�'�:?i iiY,: Ji'Y^Ci �� S'�{{,v',tij!k::�k: i•: {yti;�i rr .'.<: ;a S State Lie. # : 6 S / 2. g 1 City Lie. C. Arch., Engr., Designer- esignerAddress: Address: City, ST, Zip: Telephone: x .�. '`amu • �.: '�•<• •t�„ ..� 'v; "' �:N<;«:::r:<.:u;';f<>.< w• ,,> !' Construction Type: Occupancy: Project a circle one New Add, n "Alter Repair Demo State Lie. #:lS. Name of Contact Person: o Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: U - 2S O 2Q tP Estimated Value of Project: Z ©O Q APPLICANT: DO NOT WRITE BELOW THIS LINE t! Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2`" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:-. '^' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees