9705-001 (AR)11I6ENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury`.that I am licensed under provisions
CHApter 9 (commencing with Section 7000) of Division 3 of the Business a
Professionals Code, and my License is in full force and effect.
License # - Lic. Class Exp. Date
S 004 R 3/3I'A*
liDate �� ` �� Signature nature of Contractor '
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractc
License Law for the following reason:
( ) I, as owner of the property, or my employees with wages as their sc
compensation, will do the work, and the structure is not intended or offered
sale (Sec. 7044, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licens
contractors to construct the project (Sec. 7044, Business & Profession;
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 declaratior
( ) I have and will maintain a certificate of consent to self -insure for worke
compensation, as provided for by Section 3700 of the Labor Code, for t
performance of the work for which this permit is issued.
X I have and will maintain workers' compensation insurance, as required
Section 3700 of the Labor Code, for the performance of the work for which tl
permit is issued. My workers' compensation insurance carrier & policy no. a
Cartier Policy No.
STIV.1%
(This section need not be completed if the permit valuation is for $100.00 or les
( ) I certify that in the performance of the work for which this permit is issue
I shall not employ any person in any manner so as to become subject to t
workers' compensation laws of California, and agree that if I should becor
subject to the workers' compensation provisions of Section 3700 of the Lat
Code, I sh$II fo hwith comply with those°pr vislo "� C
Date: / :u �(1 Applicant -' '7�� =,)SCA .
Warning: Failure to secure Workers' Compensation coverage is unlawful a
shall subject an employer to criminal penalties and civil fines up to $100,000,
addition to the cost of compensation, damages as provided for in Section 37
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safe
for a permit subject to the conditions and restrictions set forth on f
application.
1. Each person upon whose behalf this application is made & each person
whose request and for whose benefit work is performed under or pursuant
any permit issued as a result of this applicaton agrees to, & shall, indemn
& hold harmless the City of La Quinta, its officers, agents and employee
2. Any permit issued as a result of this application becomes null and voic
work is not commenced within 180 days from date of issuance of su
permit, or cessation of work for 180 days will subject permit to cancellatic
1 certify that I have read this application and state that the above information
correct. I agree to comply with all City, and State laws relating to the buildil
construction, and hereby authorize representatives of this City to enter up
e above-mentioned property for inspection purposes. +
r ^�
Signature (Owner/Agent) Date 2v
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BUILDING PERMIT PERMIT#
CONTROL#
DATE �' -/ 5 07'5
js� VALUATION!* I0.9j) LOT TRACT
I
ADDRESS 79--670 �IOWFIMWI) JOB SITE
APN
761-461-044
OWNER ..
CONTRACTOR/DESIGNER/ENGINEER
RZONIFWt' J & SUSAN 7 MC IFAD JALD
CAI.'iTC H BUILDERS
is
'1*M NC)X'1'I4W0 0)
5 !'1 I �'I 1.:1SC G
[,UA.QUINrlACA!l2253
LA(,1t WJ'A
CA WTS3
)le
('7Fifl)S1i=1-13t1a
CIILP .4021
For
USE OF PERMIT
ed
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RE EIPT
DATE .
BY :
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set 84cks
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
OX to Wrap A
F.A.U.
Framing 7
Compressor
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 APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. 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)
i
I
I
CONSTRUCTION ESTIMATE
40. ELECTRICAL FEES
NO. oLUMBING FEES
'ST FI_,
2N0 FL.
POR
GAR
CAR P
WALL
ESTIMATED CONSTRUCTION
5,] FT ,t S
UNITS
ROUGH PLUM\
SO. FT. 71
YARD SPKLR SYSTEM
MOBILEHOME SVC.
50. FT ri.
BAR SINK
SO. FT •d POWER OUTLET
ROOF DRAINS
I jO. FT ,D
DRAINAGE PIPING
SO FT It
DRINKING FOUNTAIN '
50 cT. #'
URINAL
VALUATION f
WATER PIPING
NOTE. Not to to �soo as arocany :a: +a!uation
TEMP, POLE
FLOOR DRAIN
MECHANICAL FEES
GROUT
WATER SOFTENER
VENT SYSTEM ;AN EVAP.000L '"000
SIGN
WASHER(AUTOMOISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FINAL INSP.
KITCHEN SINK
ABSORPTION SYSTEM B.T U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE. TEWPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. a e
BATH TUB
SO. FT. D c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID 4 1% c
SEWAGE DISPOSAL
SO.FT.GAR 0 zsc
HOUSE SEWER :
GAS RP" -
PERMIT FEE
IPERMIT FEE
PERMIT FEE
0BL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CILFEE
CONST. FEE ELECT. FEE
SMI FEE PLUME FEE
STRUCTURE PLUMBING ELECTRICAL HEATING RI AIR 0011111141 SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL AREA
SLAB GRADE
ROUGH PLUM\
BONDING
HEATING INOLK"
STORAGE TANK
FORMS
SEWER OR SEPM TANK
ROUGH WIRING,
DUCT WORM,
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH!
METER LOOP
HFATM (FINAL♦
OTHER APPJEOUIR
REINF. STEEL
GAS (FINAL)
TEMP, POLE
GROUT
WATER HEATER
SERVICE
FINAL MIS'.
BOND BEAM
WATER SYSTEM
MOM
CIL Y0.
LUMBER OR
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
`
RlMAIMI>f
VENTILATION
FIRE ZONE ROOFING
FIREPLACE ,
SPARK ARRESTOR
GAR FIREWALL
LATHING
MESH
INBUTATW WSOUHO
FINISH GPAOIN.G
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
GARDEN WALL FINAL
Notice:
Document Cannot Be Duplicated
Date 5/2/97
No. 15481
Desert Sands Unified School District
82-879 Highway 111
Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
APN # 761-461-044
Jurisdiction La Quinta
Owner Name Robert J & Susan J. McDonald Permit #
N0.79670 Street Northwood Log #
City La Quinta Zip 92253 Study Area
Tract # Lot # Square Footage '271
Type of Development Residential Addition No. of Units 1
Comments
At the present time, the Desert Sands Unified School District -does 'hof collect fees on gariges/carports, covered
patios/walkways, residential additions under 500 squ,'are,feet;'detach`ed accessory "structures or replacement mobilehomes..
V ,..
It has been determined the above -named --owner, is exempt-from--paying-school-• fees at this time due to the following
reason:
Residential Addition 500 Sq Feet,or Less _
.EXEMPT
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of
0.00 X 271 or $ 0.00 the property listed above and that building
permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued
Fees Paid By n/a
Name on the check
By Dr. Carol McGrew
Administrator in Charge
.Telephone 564-1309
s
r
Fee collected /exempted by Pauline Pearson Exempt $0.00
r� . Check'No" n;a_: .
Signature lA P ,u JJ kU
40TICE: Pursuant of Assembly Bill 3081.(CHAP 549, STATS. 1996) this will serve,lo notify,you that the 90 -day. approval period in which you may protest the fees or other payment ident�ed
above will begin to run from the dale on which the building or installation permit foi'this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
:ollect them on the District('s)(s') behalf, whichever is earlier. r: ir' r , -
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
PGA WEST II RESIDENTIAL ASSOCIATION, INC.
P.O. BOX 1282, LA QUINTA, CA 92253
(619) 776-5100 FAX (619) 776-5111
PGA WE ST
April 7, 1997
Robert McDonald
79-670 Northwood
La Quinta CA 92253
Re: Architectural Variance - Room Addition
Dear Mr. McDonald:
Thank you for your submittal of.plans for a room addition at the above-referenced
residence. The Board of. Directors and Architectural Committee of PGA WEST 11.
Residential Association has approved your submittal, subject to the following conditions:
1) No landscape plans are needed as there will be no affect on existing landscaped
areas adjacent the room addition.
.2) Plans and construction comply with all applicable city building codes and
ordinances.
3) $2,500.00 Construction Deposit (refundable) must be remitted to the
Association.
Please contact me with any questions. We look forward to this addition to your home at
PGA WEST.
Sincerely,
PGA WEST 11 RESIDENTIAL ASSOCIATION
For the -Architectural Committee
By
JOHN HANDEL, ASSOC. MGR
cc: Don Troy, Chairman
John Monahan, Asst. Mgr:
Steve Nieto, General Contractor
Unit File
\\monarch\users\john\pgares2\mcdonald arch var approval 4.7.97.doc
(t:5,10 1/ 9 7 15: 09 F�1 7607761=112 M We I� k 2
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-..36C► 1. t)I:Kht;tH 1✓11i L. ROM) " s a ! , (_AUFf=)Cl'4IA 9060I -.2
A sulrsic/i.i(y i clfifttr.liiCul i jittr �ItYF'fIl 4LtCinal Confers:<'f1C_+''r.)( lhlil ftflj; 0l'11(A"liS
t r Ilelmi t I Iu. 4063
EVALUATION REMITffcl3si!> t! nr,li- ,, 1995
('upynuhl 0 1995 IC80 fv;t(u,(lut, 55C.1 via c, 1n;:.
filing Category: SKY1i11-111S AND SMOKE VENTS 123 2)
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SKYVIEW SKYLIGHTS
SuLAR IflouSTMES, INVIRPOnAT.EII
POST OFFICE 60X 27337
IUCSUil, ARIZONA 1157.2.6-7!317
I. Subject: shyyievi Sl:yliohis
It. Description: A. general, Tha S�^;+vir,',v.u:4+llgl'ts are eilher piastic-
tlutrled af glass -plated stcyiRjllts 11111 uru Will of (.ieCk 11101rnfCd.
1 _ Plasiie•Dorned Sl�yilglils: N he donitrs tits: to[11ted Irons af.fytic
tic streets, and are attached by the 5ill frame
and alurrlfnurn retainer cap witltrorfasion resislunt screws. illi'. 0I fra1118
acts as a code complying Curb lot dack•fnounteiE riniis_ A 2. by wood inern-
ber a+:is as ilio curb for cufb-nloutlted +anils. The sltyllghts ala fixed Or
nfgtiable, anis have either singie or (lotlbld doillas- Tables i and 2 list
,,;model nuinbors, dilmensions, andallcswalAo 1030:,, HOLYCS 1, 2, and 3 pra-
Vidd CA detilk •
2. Glass -Glazed SE-tilluhts: M Ile' club -0100111 Sky11gIAS
aro similar in ronstfuction to the plaAc-dowEd s�yli0hts c.•xcepl. for the
glaring material and the sl;ape of 1116 alowinull Table 3 lists
model numbers, di,itansions, and allmraids. ioa(ls. Howe 4 provides cure
details. •
B.'Malerlals: 1. plastic Domes: Plaslio donees are Type 147K Lucile
mylic plastic. See Evalualion Repoli. NO. 1900. The plaslic his a CG2
Eta ssilicalion.
2. Glass Glazlna' Glazing Is Insulating r�lass wfttl a tup lite of 3/1h inch
thick Tempered pass and a bottom lire al lamivaled olass. The lanlinaled .
tftass boitoro lite consists of two plius of 0.122•inch•I1l60 anopaled class
with a polyvinyl butyral inlerlayar. Tilt! iruulaled tllass glazing complies
with ASTM E 714 and E 773.
3. Aluittilnunf Frame and Rolainer Gait: f:A.truded aluminunl alloy iypa
6061 75 eoltlpliu$ with Chapter 20, Division If, of Ilia code and ASTM 6
209.
4. Fasieners': a. Screws; FItlGrotla1va111ret1, Nu. 8, 1I2-ifich•10ng, self-
dfilling, lampof-proof steel scrtaws.
b. Nails: Galvaiti2ad Gd conlinon twils.
5. ftasbinU: P,ljninuun �Jn. 2Li Oar�L`rcfrl4siun •iesisfdnt <riet8l.
6. Cucbs: Wood Cm Us ale Rldrlfilruil: 1101"iNt Size, Gro(ap
If spocies lumber.
.4
C. installation; 1_ l:ilrb-100110 SJ401uhis: CurbJibtll(I S!.yiiol+ls ate
Enstzllad on roofs, incldding Owse that fe ;IJir; no i'alifrimlim slope. wood
curbs'suppoti ilia skyli(jiiis at Ieaa:i 4 inches 21)ove Ilie. (tlol plalle. Tlie
vrociQ curb ataeh;,ie nt to 4111 rcuf stnlcfura is not
rem( ;d.1ed in I6i5lcpuil
„"arid needs j()b!; lfesitJlte(j to fesist Itle iquired wind-upfiil and ordviiy
' loads. Step fldshino ektends 6 ruches beyorid each umb ioembet. ilia
fiashfng, whicll extends up the side lathe top of the colo; is set nI lllaWc
at the root slus,i0lin0, and taciti natli d nr set 1171 fnastiC at the i:uib. l he bap
between ilia wood curb and verlical-n10119,11rlo leo Of Illu i k1illilinlll lidilla
Is maxinmrn 9/16 inch. A Conl nuoUs ll7 inr h-diatl'sefer bead of silicone
sezlalli preVidas a a;ater re:;istant seal tretWeerr the frame dfiO nle ffash-
inr}, The 51cylijild i; fasiencti 10 the cufb wilb Gd conminn ";'its, which
rec;l.Iire a mininfum nail peoeiralion of 1114 incises. See Ial,le 4 im rcquiled
nurriber cf 13'lenerS.
2. heck-Mokint ShVIIptlls: [Deck-Milnt, plaslic-donu:d 546011ls era
.elf•flasshin(j and are i(iitalled o0 rool deeds Mal wiptilc flu Miltirllnill
slapa. The S};yliglii8 arc aliached Willi fid camfilon nulls, ;tt+1L11 rcquiie a
nliailnum nail perleiralion into Structural members ul 1114 iIIC1105. See
Table 4 for furluirdd ruimbef of lasieners•
D. Identification: Each stiylighl unit label beals tfie hlantllii3tiler's
name and address, CVA14011 10011 mllnber, WdSlil: iltik:),na!:,S hefljw.
formin), and_CC2 plastic classilki ation. Addlliun;lll„ ca0i -.4.ytlullt has a
safety tabul was ning ul risk of fail. Glass identilk afiun coo rli:::, wif It Ser.-
tioa 2402 of lho code.
Ill- Evidence Sutlmilted: Data in accordance wills tln: l0i%'i I ."a Acctln-
tance Criteria for Piaslik: Sl,,Vh0h1s dated January, 1'j')4r: earl I(.bU I':3
Acceptance Criteria Ioi Slnpod Glass Glazing ill $olrtmmlS, I'ifliu Guvuls
and Prelabrlcatetf Skylights elated April, 1991.
t ..
Findings
`IV, Findlaus: That the Solar Industries, Inc. Skyvle'w Skyliilhls
described In this reparl comply with the 1994 Uniforrll Uuildilrp Cady-•',
subfecf to the following eondilions:
•1. Inslaflalion.compliu with Sections 2409.4 and 2Gu3.7 of the
Gale, Lite inauiitacfurer's instructions, 8nd this ielimt.
+ 2. A:llowabie loads comply willt Tables f ,.2 and 3, tel Ilds rep ra 1
This rapori Is sltlflt; j to re•examinaton In two yt;ar�. 1�
. • •tin ..� '„ � - �
Eraluufiou rep i,V of 14: Fri)li.•,luatiud.581':1ic;late.- a1f p'iQed j'0ica,/ti.; provlQelilfUrinJfiatl f0 t'tai'�ii otcsijWTi Of 1(31(,1, trfithitar tfaC cads upon Wha, 14 the t pat f
L; bused, k vtlpatlou reports are ttur la be curninac.l u+ t't!preseft(iub tieahetles yr ally i,theraftribulos. not ipc,- (fiVallx 4111 esicd noir as all c),dununt•,+r v r, cwtirtac,a-
dali.att far use of lite iullject llepJrt. •:' �
This ♦epan lr basicd atpm ia,lehendent roa!s ar aehw-h,vlrnical data strbnaiiied by the appli6anl. T -he l t -•ll t1.Enduation Service, III C., fee IfIlieuIasi, jl b'14 t oIich"d ll+e
tett resultsandl,,rwherdata, buldies nalpossessfestfucilificstortukeartiudependentver(ftcnfi;n.Thoau'uowarrantyby1010ht,aluafiauSet ri, o,Ill. !,c.prcii
orirtaplied, astoaAy"F-inding"ar o(her'u,afie: hi the tepottarostu'anyproducf cpycred bythereparf'r7tis'dieMaitnerf�rludel, btuii naftfutited r.,, u,r.t<1„uttuL,lit,.
Patio I UI 4t-3