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13-1016 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, .CALIFORNIA 92.253 Application Number: -13-00001016 Property Address: 81100 SHINNECOCK HILLS APN: 762-340-002- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 40000 Ap icant: Architect or Engineer: 4 "- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 ✓// INSPECTIONS (760) 777-7153 4 1 Owner: KENNETH & KATHLEE 81100 SHINNECOCK S G LA QUINTA, CA 92 Q Contractor: / C/Ty PREMIER OUTDOOR pIN�F�Q 1 77588 EL DUNA COURT, 4 PALM DESERT, CA 92211 T (760)345-9791 Lia. No.: 963116 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of per' ry_ at 1 am 1' ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of th eusine s and ofessionals Code, and my License is in full force and effect. Licensees Class: Ci53 License No.: 963116 tDate: tl �� �+ Contractor: -BUILDER DECLARATION - I hereby affirm under penalty of peVulh., I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Buand 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 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 (5500).: (_) 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.). (_ 1 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 contractors) licensed pursuant to the Contractors' State License Law.): .. (._ 1 I am exempt under Sec. , B.&P.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 Date 8/14/13 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 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 CALIF INS Policy Number 4600301104 I certify that, in thepadQrmance o e work for which this permit is issued, I shall not employ any person in any anner So a subject to the workers' compensation laws of California, and agree tha , if I shou be a bject to the workers' compensation provisions of Section 3700 of the L or Code I shall f hwith comply with those provisions. Date 1� 1 ). Applicant: WARNING: FAILURE TO SECURE KERS' MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI I AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDIT 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&,,d. r cessation of work for 180 days will subject permit to cancellation: I certify that I have read this application and state thmation is correc agree to comply with all city and county ordinances and state laws relating totion, and y authorize representatives of this unty enter upon the above-mentioned prion p ses. Date: Signature (Applicant or Agent): Application Number . . . . . 13-00001016 Permit . . . ELECTRICAL 2013 Additional desc . Permit Fee . . . . 23.83 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/09/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC FIXTURES, FIRST 20 ----------------------------------------------------------------------------- 23.83 Permit POOL 2013 Additional desc . Permit Fee . . . . 178.75 Plan.Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date.. 2/09/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA --------------------------------------------------------- ------------------ 178.75 Permit . . PLUMBING 2013 Additional desc . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/09/14 Qty Unit Charge Per Extension 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92 --------;-------------------------------------------------------------------- Special Notes and Comments INSTALL POOL, SPA, BBQ WITH 150 L.F. OF 2 INCH GAS LINE. EQUIPMENT SHALL BE INSTALLED•IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODE. ----------=------=---------------------------.------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, POOL 97.24 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 214.50 .00 .00 214.50 Plan Check Total .00 .00 .00 .00 Other Fee Total 98.24 .00 .00 98.24 Grand Total 312.74 .00 .00 312.74 LQPERMIT Bin # City of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit# Project Address: — Q S 9iAI /S ,-6t Ie I-}'j L4S Owner's Name: V5/y Lh( A. P. Number: Address: 9j Q (, 51 fi /V/v4 Q C[( HTLtS Legal Descri an: City, ST, Zip: Contractor: Telephone: Address: �����b Vl Y C S j �, (% L Q Project Description: City,sT,Zip: �� ��542i GA-���I� 6QL SPS Tele � hone: P76 3 L 7 "Lie. ' 'Em � State Lic. # : ' C City #. Arch., Engr., Designer: AUG 1-0 Address: C17Y City., ST, zip:UNITY Q INTq Telephone: :::?«;:;::::;<:;:;#<:#:'::::: Construction Type: occupancy: T P Y� tate Lic. #:tYP Pro'ect a circle one): New Add'n Alter Repair Demo J Name of Contact Person: rj 4 Sq. Ft.: # Stories: #Units: Telephone #,of Contact Person: G % �r j Estimated Value of Project: L� 0 666. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: '^' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees CITY I IIKI J% BUILDING Tot: FOR CONSTRUCTION EXHIBIT C COARLiANCE REVIEW -REQUEST Owners are urged to ' provide appropriate notice to the Architectural Committee as to the progress of the construction, reconstruction or the alteration of 4inprovements particularly in the case of major construction, reconstruction or alterations. Requests for compliance reviews should be made upon completion of the approved installations. It is the Owner's specific responsibility to insure that all Improvements are completed in strict compliance with the approved plans and specifications, governmental requirements, and Regulations including but not limited to setbacks, elevations, grading, colors, and landscaping. Architectural Committee compliance reviews are independent of governmental inspections. Committee approval does not constitute or - eliminate the need for governmental inspections'. TO: PGA WEST Fairways Association P.O. BOX 1690 La Quinta, CA 92247 Attn: ARCHITECTURAL COMMITTEE FAX: (760) 776-5111 - NAME OF OWNER: ' PROPERTY ADDRESS: MAILING ADDRESS: TELEPHONE #: Indicate below the Improvements that have been completed for which a request for inspection is being made pursuant .to this request. A description of type of work that should be compfleted at each of the following stages of the construction follows. OWNER'S SIGNATURE: _ DATE: Compliance Review Fee Schedule: First Review Second Review Additional Reviews Minor Application Included $25.00 $25.00 Moderate/Major Application r Deposit of $500-$5,000 Included' $50.00 $100.00 Deposit of $5,001415,000 Included $50.00 $100.00 Deposit of $15,001 and over Included $50.00 $100.00 Architect Review • Actual Cost $-100.00 + $200.00 +. Actual Cost - t Actual Cost Exhibit "C" Page 1 of°1 A PGA WEST FAIRWAYS ASSOCIATION August 7, 2013 Kenneth and Kathleen Black 4 Ladbrook Grove Coto De Caza, CA -92679 Re: Architectural Application — 81100 Shinnecock Hills Dear Homeowner: The Architectural Committee has reviewed your request to remodel the pool, spa, deck and landscaping in the rear yard of your residence. I am pleased to inform you that the Architectural Committee has approved the application_ as submitted subject to the submittal of an accurate cost estimate for the total project, an additional performance deposit, photos and description of the plants not on the approved plant palette and the updated copy of your contractors' license and insurance information. Enclosed is Exhibit C — the Compliance Review Request form. Please complete this form after the work is completed and return it by mail or fax to the address below so the completed project can be inspected. If you have any questions, please contact Cassie Gertz, Operations Manager at 760-776-5100 Ext. 345 or - email Cassie.Gertz@ anagementtrust.com. -Sincerely; For the Architectural Committee PIVA WEST Fairways Association 3 CCAM, PCAM Exhibit C — Compliance Review Request cc: Lot File Architectural Committee RECEIVED AUG 1''2 2013 coih�j� OFL4 QUINT NITy pEVECOPMENT Post Office Box 1.690 - La Quinta, California 92247 - Phone (760) 776-5100 - Fax (760) 776-5.111 CITY OF LA QUI.NTA. BUILDING & SAFETY DEPT. ..APPROVED FOR CONSTRUCTION DATd 13 BY 4- 15� �` 614s cfty