0111-088 (RPL)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisioris of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals -Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
Date_ F �'� Signature of Contractgf-''l -"'��° ^>��"="'•_
�r OWNER-BUILDEWDECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason: ._
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7b44, Business & Professionals
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 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 rthe
performance of the work for which this permit is issued.
(A) 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 & policy no. are:
Carrier
Policy No.
STATE FUND
(This section need not be completed if the permit valuation is for $100.00 or less).
() I 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 3700 of the Labor
Code, I shall forthwith comply with .t ose provisio.
Date: .t k�t':,y.j APPlicant i�J.»..,.�.':.v•o-��>*.-
Warning: Failure to.secure Workers' Compensation coverage. is unlawful and
shall subject an employer to criminal penalties and civil' fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and'Safety
for a permit subject to the conditions and restrictions set forth•'on his
application.t
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and. employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agent Date
BUILDING PERMIT PERM T#
DATE VALUATION LOTTRACT
JOB SITE
APN
ADDRESS "4.3 SPAMST. ]DW
OWNER y
CONTRACTOR/DESIGNER/EN (NEER
80.643 SPAMIT BAY
73011 40-C111MY OU93 Did., UU'M F4
T, A, QUIfiT'.CA LA. 92253
PAM DMXR't CA 92260
Ct'60)346.4032, CKA I0M
USE OF PERMIT
POOL MIDIOR. SM
P001., SPA§ W.&TER t&A`YUR WXf9k FlWf UU, LOCAT D IN
COURTYARD. 41L, F. V UIPWWT WALL - CITY WFAWDARD,
ALAP.10 Alr'.IFIERS SHALL, BE lid PLACE AT VRI&PT,.AMR n4SPECTIU14.
• i�Cyt,71. ATIUJC3�d. SI'�a 7;3�GtiJi�riil3 fl�
4 Ff. WALL 4.00 1,.?
E IT34 A ? CO2W OF CONNWHYXITON
7304.00
PLAN Ckl'I°.CK ME 101.0,00-439" 318
coNs xuaICrPa mr, 101-000,419-000
14W'HANICAL P79 -- PONQ�, 101 -owl 21 *000
KL.lfr4:'TMC.A.1., ME 11`000'4207006
PLUM41HO ME -- Foal, = apa aon0.419.:000
NOV 20 20011
I= YOr LAQUINTA
iz Pi
i
RECEIPT
DATE j
M1o''
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
`. Exhaust Fans
O.K. to Wrap
i F.A.U.
Framing
1 Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
i Fans & Controls
Party Wall Insulation
: Condensate Lines
Party Wall Firewall
Exterior Lath
j
Drywall - Int. Lath
j
j 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
_
3
Final
Gas Piping
�_
PLUMBING APPROVALS
Gas Test
Electric Final
Was4e Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Sewer Connection
Pool Cover
Encapsulation
Gas Piping
Gas Test
Appliances
Final
3tZ1 Er— V
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)
NOV-19-11 MON!" 11:26 AM ;PGA WEST' -HOA ',� �`4AX NO ,`,;',760.•564 2329 r P
iPG
FAIRWAY S,ASSO.CIATIOIV
Novem ar 3 .2001 1�' ^ - { .-�1. , •, � a �.� 4`"� � .;;}� ,r.
.
.r
" Mr: Joseph1~ams'
}
i s r i
_ 220 Nice Lane Suite 308
chCA9� ,
,+ Newport Bea 2663;
Re: 80-'643 S
pabish Bay.
Dear Mr. Joe Farris,
At'the Novemb - l2; 2001 meeting of the Archi r rale 1 '' ka
addition of;a [ectu /Landscape Connmittee, your �r `
pool and.spa request was approved uponthe;following,
conditions:
A. Please co �; -
ntact Barbara �Larstt of KSL fo ` '
(760)'564-8000 r easement agreement. N
if you have an � ` ' r � • - i l:
y questionns, }rou may contact meat -760-564-385.8:
Sincerely, 16 "
a Marin ceio . - ` s
Association ager .. ; "
P.O. 13OX 13710 • PAMDESERT, CALIFORNIA; 92255 • `x'el: (760) 776-5100 • Fax (760) 776-5111
' emall: pgawest@monar0grp.com
r�
TS,' INC: CITE( QF9_A.0JJJ JT
e4
"'BEC 1 REC'®
'T9 „ •�I.,f T f+.,
.. .. ^�+n:yll'e •! i �. � � _. ,.� :ti 'i �):. ., _ 1; �i.. a S � .it 9 .,i J
13l!!Ll?16td fiNQN SAFETY
iJk,'. .. ��e�'/ ��:J .. ��;' :i •�. �:�. �:...., l" ..:'f ..�.• i.l.i, <. �..�. io, t: rr�; t. 1;M r:i 1'F ��S.e .:'�•',
• ., . .. - r-Novemlier`2'9; 200'1':'.. .. .... �:� . f�
C4:6f La Quinta
78-495 Calle Tampico
La Quinta, California 92253
Attention: Building & Safety
Re:. 80-643 Spanish Bay, La'Quinta - PGA WEST TM
Property Owner: Farris
Dear Sir/Madam:
KSL Desert Resorts, Inc., ("KSL") is the owner of the golf course property immediately
adjacent to the rear property line of the above referenced residential property. Under the terms of
Specific Plan 83-002, Amendment 3, dated August 6, 1996, approved by the City of La Quinta,
Section 3.1.1:"rovides for a rear yard setback of 10 feet under the Specific Plan Residential
designation, with the notation that swimming pools are allowed to be constructed up to the rear yard
property line subject to the approval of the golf'course owner. Additionally, KSL is the beneficiary
of a five-foot easement running the length of the rear yard adjacent the golf course, which
specifically prohibits the installation of any water features within said five-foot easement area.
Property Owner and the pool contractor have contacted KSL regarding KSL's approval of
the encroachment of a pool within the 10 foot rear yard setback area and, more particularly, within
the five-foot easement area. This letter shall serve as your notice that KSL approves of the
construction of a pool and/or spa on the above referenced property, as depicted on Exhibit A attached
hereto, subject to the following conditions:
1. Construction of a solid, continuous buffer wall running along the length of that
portion of the pool which encroaches within an area five foot in width from the rear
property line; and
2. The top of the wall height of the buffer wall shall be a minimum of 27 inches from
the finished grade and shall not exceed a height of 36 inches.
If you have any questions, please contact me at 564-8023.
UbJ/
arbara Larsh
Manager of Real Estate Contracts
Cc: PGA WEST Fairways Association
.pgaw. o p laepg�ltrcent�C�
MORT&CLUB 4�4`�`J°l° s ower rive • Post Office Box 69 • La Quinta, California 92253 • Tel (760) 564-4111 Fax (760) 564-7656 PGA ViM.
i
z
CbNTRAcjoa o m-0
Desert God Bdilldehs
DEDICATEh LINE
Not to eXCUBd Tin diameter
cu.bs.skiewalks.dri�,<
18'IRRIGATION
FOR WATFkFALL
PLUMBING.
Gold Quartzite Waterline 8c
t®noes. rElainina Wai N
LAYOUT- DE:
MS FOR FINISH
BOX FOR WATER
Exterlor.Vertictil Fate of S a
:
BY OW c)
UAR1Z •
FVATUAE
REGLq-ATCR
VALVES
WaWrfall� 4'x8'kY HIGH
O
DATE-
ATE
CANTILEVER
CAP -
CAP-
GUNITE PAD
ONLY At o•
4'6° OURVED VESSELS
.-
nIr I'iP@. �
4-36'
�
� /L
+IS' BASIN
RAPT
>
MAX
+ 'BASIN
by SD:IN
18,
(TE Ex nROR SPA
,
/
i t.
+12'0E)
I
FI ERT NO 3
R3 =6"
+24+12"
CANT1LLVER CONCRE-
Volle ball slesVe
GOLDOUAR� .11E EXT o
b
VALVE,KEY k ANSI 44 0
MIA BRIG iT
4�a��
NtANFACTURER; HEAT a
on reb-stat diinmd
4'6" bU V D VLS
LS
t$" SMOOTH CONC
SIMULATEDSLATE:
BEACH
We
I
ENTRY
`
Y
cn
/y
(3) 200'Vtatt
Spd BrJte H91logwd
/
m
---�-�
f
CA
P/L
t7GCK DR A IN -1 EXHIBIT
SANDY IRS -6
WTfH SPA -SIDE SWITCH
FARRl 1J],(�
IPI
L.k QUINJA Hbbi: �
SfUJUALL CROSSEC' N
�.
RESIDENCE
'
f
lioust,