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04-5821 (RPL)T4hf 4 4 a" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number . . . Property Address . . . . APN: Application description Property Zoning . . . . . Application valuation . . Owner CRV LA QUINTA 70 LP C/O CAPSTONE ADVISORS 9255 TOWNE CENTER DR 520 SAN DIEGO CA 92121 BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-�Jr 3 04-00005821 80773 BELLERIVE 775 -360 -024 - POOL - RESIDENTIAL LOW DENSITY RESIDENT 29000 Contractor Date u�3V TOPMAN BUILDERS P.O. BOX 10202 PALM DESERT CA 92255 (760) 772-7296 WCC: VIRGINIA SURETY WC: 00500019402 01/01/05 CSLB: 455121 11/30/05- CCC: 1/30/05CCC: 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 . . . . . 0 Qty Unit Charge Per Extension BASE FEE '15.00 P.O. Box 1504�� VOICE (760) 777-7012 T-Vf 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: C�[ o Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S 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 Licen is i fTrce and effect. - - - ( 1 License Class- `S n . ALicense No. :1 512, l Date t Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury th I am xempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and. Professions Code: Any city or county that requires a permit to const Iter, 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 Contractors' 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).): 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 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner. 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 pen -nit is _C 1) 1 �� ed:t My w r4 +� s' comp 5ation insurance carri and lacy numbgr e: Carrier 'U V Pte► x)14 6 "[ Policy Number1+ _ I certify that, in the perfonhance of he work for which this permit is issue , 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,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 prc on /f , —&7%!&L& 4 , AppdORKER ---------------------------- WARNING: FAILURE TO SECUOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDDOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of pa 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 Ouinta, 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 infopa n is corect. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county toe err pont bove-mentioned property for inspection purposes. Signatures (Applicant or Agent): Page 2 Application Number. . . . . . 04-00005821 ..Date 8/03/04 Qty Unit Charge Per Extension 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 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 ---- ----------------------------------------------------------------------- Special Notes and Comments POOL & SPA. ANSI Z21-58-1998. ---BBQ FIREPt}{%9(a!QIO�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 July 21, 2004 Architectural Committee PGA WEST Fairways Association P O Box 1658 La Quinta, California 92253 Re: 80321 Merion La Qumta - PGA WESTT" - Property Owner: Houck/Webb 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 WEST M, 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 teams 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 set 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 may be 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. _ . Cc: Carol McKnight Barbara Larsh r'11 1 n REMAIN POOL NV PEBBLE FIN. -5 P8. III J] KITCHEN NOOK EX15T G WALL TO REMAIL Lu N MASTER BEDROOM K RAISED BOND BEAM AT +20° WITH STONE FACE, GONG. GAP AND TWO DINING MASTER BATH +� SPILLING SGONGES LLL } O mCDi N u N 6L 0 - SPA AT -O- WITH TWO CONCRETE COVERED WATERWAYS TO POOL. Z- (L �� m PROPERTY80.00' Q o pO w - - - - - - _L - - REMAIN POOL NV PEBBLE FIN. -5 P8. III J] KITCHEN NOOK EX15T G WALL TO REMAIL � 5 MASTER BEDROOM DINING MASTER BATH m FAMILY LIVING r RAISED F PI T ITH GONG. GAP, ANDOAGE O I- - J 00,Z -- ¢clf= C/3_ = d =:Z II.—o O 2Z`—`QQ a- - im U w IELITO LO BEr2;LECRETE �c�� B $�(1Fiy EGTED Z V T AND APART 4 -LIQ - F- mln C/3W J Z f1 ■ Q C'l- BARBECUE WITH QUARTZITE STONE COUNTERTOP, STAINLESS STEEL GRILL, AND 18" 5TAIKLE55 STEEL BAR -TENDER ELEG. OUTLET, AND STUCCO FACE TO MATCH HOUSE. BBQ COUNTER AT +36°, SEATING AREA WITH 12" CANTILEVERED COUNTERTOP AT +42" EX15T G WALL TO REMAIL Lu I Cq')' Jaci Luo I LLL } O mCDi N 6L 0 Z- (L �� m Q o pO w I w Q 0� EVE