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12-0361 (PLBG). P; O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number. - 12°000003'61 Property Address: 551_T1 PINEHURST APN: 775-241-057- - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2000 Applicant: Tit!t 4.4 Qle"_ Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SCOTT URIE 55611 PINEHURST LA QUINTA, CA 922 Contractor: BUBBLE SPRINGS VOICE.(760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 APR G 3 2n�2 Date: 4/04/12 _ P.O. BOX 1046 RANCHO MIRAGE, (2 9227.O�+Y(� via J \� . fit` y � (760) 341-2336 ��—" LiC. No.: 128796 --�-• _ ----------------------------------------------- '• ; ' LICENSED CONTRACTOR'S DECLARATION - -- WORKER'S COMPENSATION DECLARATION" _ hereby affirm under lierialty of perjury that:I am licensed under p visions of Chapter 9:(commencing -with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3.of the Business an rofession ,.and my License is in full force and effect. _. I have and will maintain a certificate of consent to self -insure for workers compensation, as provided license Class: 17531035 . ce e;No .;728796 for 6y Section 3700 of the Labor: Code, for the performance of the�work for, which this: permit is t issued. �I-haveand as required,by Section3700 of the Labor ..:Date.... _ontractor. - will _maintain workers'.compensetion,insurance, Code, far_the performance of thework for which this permit is,issued �My workers' compensation - OWN - ILDER DECLARATION ;: insurance carrieEand policy num6erare: - I hereby affirm under penalty -of perjury thaTtam'ex pt from�the Contractor's State License1aw for the Carrier EVEREST'.NATL -_ Policy Number 76 0 0 016 3 5111• following reason (Sec. 7031.5, Business`andProfessions Code. Any city orcounty that requires a permit to _ I certify thatlin the performance of the ;work .for which -this permit is issued, I shall not employ any sous become compensation -laws of California, construct, alter, improve, demolish, or repair;any.structure, prior to its.issuanceralso requires,the applicant for the ,' personin any manner to subjec the workers' • permit to file a signed statement that he o'r'she is'licensed pursuant to the -provisions of,the Contractor's State and agree that, if I should b subject h workers' compensation provisions of Section License Law (Chapter 9-icommencing with Section�70001 of.Division 3 of the Business and Professions Code) or 3700 of thE,Labor Code sha .fpyt(�wit y rth thos.e'provisions. '. .,� h. ..! that he or she is exempt therefrom and tha 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 I, as"owner of the property, or my employees with wages as their sole compensation, will do the work, and the'structure isnotintended or.offeredfor 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.). (_ ) I am exempt under Sec. , BAP.C. for this reason, Date: Owner: CONSTRUCTION LENDING AGENCY 1 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 WARNING: FAI URE TO SECUR RKERS' COMP,E ��TIONCOVERAGE IS -UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES D CIVIL FINES UP -TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN:ADDITION TO.THE CO OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, .. ':APPLICANTACKNOWLEDGEMENT IMPORTANT Application'is hereby. made to,ttfe 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 underor 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 ofsuchpermit, or cessation of work for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that the above informaI is correct. I agr t mPly with all city and county ordinances and state laws relating to building constru�n�and,bereby a re resentatives of this Aunty to enter upon the above-mentioned property for ins to u es te�. ,! i / � Si atura (Applicant or Agent): Application Number . . . 12-00000361 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/01/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ----------------- ------------------------------------------------------------ Special Notes and Comments RUN 200 L.F. 1" GAS LINE FROM METER TO FIRE PIT LOCATION. 2010 CODES. ----------------------- Other Fees . . . ------------------ . . . . . . BLDG --------------------- STDS ADMIN (SB1473) -------------- 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 18.00 .00 .00 18.00 Plan Check Total 4.50 .00 .00 4.50 Other Fee Total 1.00 00 .00 1.00 Grand Total 23.50 .00 :00 23.50 LQPERMIT PGA WEST RESIDENTIAL ASSOCIATION, INC. Page I of 2 March 28, 2012 Mr. & Mrs. Scott Urie 16505 9th Pl. NW Shoreline, WA 981'77 RE: 55-611 Pinehurst - Lake Side — Alumawood Cover Remove and Replace Existing Patio, Misting System, Fire Pit and New Gas Line Dear Mr. & Mrs. Urie, The Architectural Committee- has received and reviewed your Architectural Variance Application submittal dated March 19, 2012. The proposed. modifications and/or additions include: 1) Removal of existing concrete hardscape (800 sq.ft.). 2) Construct new colored, salt finish concrete hardscape (.1157 sq.ft.). 3) Install, fire pit with a new gas service line. 4) Construct a 15'-0"x18'-0" Alumawood.shade structure with stucco wood framed support column enclosures. 5) Tnstall a misting system with -equipment and services. The work is to be done as shown on the 8 %2"xl1",site plan sketch dated March 19, 2012, and related details and , product catalogues. The proposed modifications are acceptable for this location in accordance with the Architectural Guidelines, Homeowner','s Association CC&R's and Maintenance and Indemnity Agreement The following conditions and/or requirements are applicable: 1. The `HOA MUST be m receipt `of contractors' current' insurance certificates PRIOR to starting any work. As of today, the HOA has not received proof of insurance for Custom Mist,. Inc., the misting system installers. 2. Contact Bill - -Bobbitt, the Landscape and Irrigation, Manager, and William Aceves, the Maintenance Manager, to have a preconstruction meeting, '(760) 771-1234, extensions 23 and 24,. respectively. 1. The homeowner is` res ponsible for all removal`of existing shrubbery, irrigation and yard lighting. Any modifications ' to .the irrigation ,and yard lighting to be approved by the landscape and maintenance managers. 2. All damage done .to existing HOA property during the construction and installation of utility services. is to be repaired by the contractor and done to the satisfaction of the HOA. 3. The contractor to .repair and/or replace any damaged irrigation,landscape, hardscape, lights or street surface to the satisfaction of the HOA.. 4. The owner to provide additional details on raised fire pit and finish. 5. The color of the new flatwork to be `Dune' by Davis Colors. 54-320 Southern Hills,"La.Quinta, California 92253-5665, Telephone 760-771-1234 FAX 760-771-5125 Page 2 of 2 6. All demolition and construction debris to be removed daily and no stockpiling in the street. 7. The street gutters are not to be used for concrete and construction material clean up. The street is to be broom -washed, as needed each day during -construction. Neither debris nor dirt is t& be washed- down the gutter. 8. The street and, work area are to be kept clean and safe daily. 9. The contractor. is to observe all Association rules and regulations. Contractor vehicles to be parked on one side of the street. 10. The Alumawood -structure must meet .the commercial grade design, specifications for all materials; arid`structure'de'sign. The.'cor tractor to,provide'aletter`of corifi riiation prior to . ordering materials and starting project. 11. All Alumawood.attachments ,to: the exterior stucco wall to be sealed for water intrusion. 12. A building permit"�is required for the shade structure and. a signed inspection card to be presented at the completion of the project. 13. The electric fan to be permitted by the City of La Quinta: 14. The gas service to be permitted by.the-City.of La:Quinta.. 15. The location of the misting system pump equipment is .to be placed 'in a location not visible from the lake common area" and..not be a'rioise issue. 16. The homeowner is required to purchasetwo signs from the Association to be installed on the top of the structure. The verbiage ori each sign issues ,a warning -regarding walking on the overhang. The signs are available from the Associatioin for a fee lof $25:00 each. 17. Upon completion, the homeowner is required' to provide. the Contractor Certification letter (enclosed). 18. A Maintenance and Indemnit4greement shall be signed' to the start of work and at the completion of the project. Same shall delineate all applicablelwork, which current and future owners shall be compelled to solely :maintain and/or replace as needed and the document shall be recorded with the County:.of Riverside "and* runs with the land. We reserve the right to make a final inspection of this change to make sure that.it matches the origuial request. Ari approval is based only -on -the aesthetics ofAyour proposed plainand should not be taken as any certification as to the construction worthiness or structural integrity of the proposed. change. We appreciate your cooperation in .submitting, this request for approval. If I may be of further assistance, please contact me atthe HOA office, (760) 771-1234, Extension 15. Cordiall , G Kell altar Operations Manager For the Architectural Committee KM/bvf Cc: Architectural Committee /D,-;e,14ZIA ol Bin # C, of Lauinta . 60410g q SafetyDivision . . P.O. BOY 1504, •78-495 Calle Tampico 1A.Qd1nta, CA 92253 -:(70) 777-7012 Building Permit Application and Tracking Sheet Permit # ProJeoA Address: .�.. .. ner s Name:. A. P. N.un bbcr Address: Legal Description: City, ST, Zip: Contractor: Telephone: z>..>� : „.. :• ~. Address: 7-' - ,���, ' 0 Project Description:. City, $T, Zip jC 6.1v / Tele hone �Gp— S DC7 r :'� City Lie. 7 O �.o..- � 6 q7�6 State Lic. 4: Arch., Engr., Designer. Address: City, ST, Zip: Telephone: State Lie. #: f ,;� 1 Construction type:. Occupancy: . project type (eirale one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Unita: Name of Contact Person: Telephone # of Contact Person: Estimated Value of Project:70 APPLICANT: DO.NOT WRITE BELOW -THIS UNE # Submittal Req'd Recd TRACMG PERMIT FEES Ptah Sets Plan Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted'. Mechanical Grading plan 2sd Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IM HOUSE:- '"' Review, ready for correctionsirmue Developer Impact Fee Planning Approval _ Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees 17 Total Permit Fees '776.60