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04-7469 (RPL)P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760),777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . .- . .. 04-00007469 Date 11/24/0 'Property Address . . . . . 79810 TANGELO APN: 772-230-008- - - Application description POOL - RES.IDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 12000 Owner '":.Contractor ------------------------ JEFF PENCE -------------------- DOLAN CONSTRUCTION, ---- J.A. 79810 TANGELO ---7=4-040 HIGHWAY 111, STE #L-207 �LA QUINTA CA-922--5�3 PALM DESERT CA 92260 � (760) 340-0905 WCC: STATE FUND NOV 4� 204 P WC:: 2290020047 01/01,'05 CSLB. 645369 05/3.1!06 CCC: B ----------- - --------------------------- -------------------- Permit � I�IE�C�H� P OOL Additional desc . Permit Fee 24.00 Plan Check Fee 6..)0 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.)0 1.00 9.0000 EA MECH.FURNACE <=100K 9.)0 -------------------------------------.----;---------- ----.--------------------- Permit BLDG POOL PERMIT Additional desc , Permit Fee .. 135.00 Plan Check Fee 87.75 Issue Date . . . . Valuation •120)0 Qty Unit Charge Per Extensi'Dn BASE FEE 45.00 10.00 9.0000 THOU BLDG 2,001-25,000. 90.00 ------------7---------------------------------------------------------------- Permit ELEC POOL PERMIT -RES Additional desc Permit Fee 45.00 Plan Check Fee 3.75 Issue Date Valuation . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 Permit . . . . . . PLUMBING Additional desc Permit Fee 27.00 ,;Plan Check Fee 5.25 P.O. Box 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Applicant: Applicant's Mailing Address: C&If 4 4 " BUILDING & SAFETY DEPARTMENT Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: It Architect or Engineer's d eSS: Lic. No.: t$UILUING 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 he Business and Professionals Code, and Licen, is in full force and elle f License Class M1, ens No. lO Date �� T O� Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the ollowing reason (Sec. 7031.5, Businss.and 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 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 1, 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 or 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 he Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and-odcy number are: Carrier �7C1 F Policy Number 4.4—rff Abd �pV'7 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ arty person in any manner so as to become subject to the workers' compensation laws of California, and agre I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ns. Date JiZC Applicant WARNING: FAILURE TO SECURE WORK ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO SAND DOLLARS ($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. I hereby affirm under penalty of perjury that there is a construction lending Ig age cyorJthe peAGENCYING performance of he work for which his permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address APPLICANT IMPORTANT Application is hereby made to the Director of Buildin and SaACKNOWLEDGEMENT Aand set forth on this 1. Each person upon whose behalf this application is made, each person atwh sle request and for Morse benefit work isnperformed under or pulrsuant 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 his 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 information i I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county ter on e a ve-mentioned property for inspection purposes. Date Signature (Applicant or Agent): Page L Application Number 04-000074.69 Date 11/24/04 Issue Date . . Valuation- 0 Qty Unit Charge Per Extension BASE FEE. 15.00 1.00 6.0000 EA PLB FIXTURE 6.C-0 1.00 3.0000 EA PLB,WATER INST/ALT/REP 3.C10 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3_00 Special Notes and Comments RELOCATION.OF SPAS. RELOCATION/REMODEL OF EXISTING SPA. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PREPLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged , 'Paid Credited Due Permit Fee,Total 231.00 .00 .00 231.00 Plan Check. Total 102.75 .00 .'00 102.75 Grand Total 333.75 .00 .00 333.75. COURSE HOMEOWNERS ASSOCIATION October 25, 2004 Mr. Jeff Pence 79810 Tangelo Street La Quinta CA 92253 Reference: 79 -810 -Tangelo Street ~ Architectural Application Dear Mr. Pence: The members of the Architectural Committee have reviewed.the application to move the spa and grant approval to that project with the following:conditions: 1. All traces of construction material and debris should be cleaned up daily including the street and the common areas should be returned to the condition they were before the project was started: 2. A backyard landscape plan must be submitted for approval. Upon completion of this improvement project you will be required to provide ,the Association a written Notice of Completion. If you have any questions, please call. Sincerely, On behalf of The Citrus Course HOA Architectural Committee �az�b�r�r �nzrce�ler . Barbara Vanscoder, CCAM Association Manager ! cc: Chair ;File P.O. Box 12920 Palm Desert; CA 92255 - 75061 Mediterranean,. Suite B, Palm Desert, California 760.346.9000 • FAX 760.346.9997 www.citruscoursehoa.com APPENDIX III. ARCHITECTURAL E& LANDS HOMES APPROVAL REQUEST FORM F ALL f Tract No. oC. ` el i0—t ®� Date of Request: Lot Name of Owner/Applicant: Address: 1 �� Local Telephone Number 22S "3�` f 7 Other Telephone Number: D vide a complete narrative description of the proposed modifion and include Description of rovement: (Please pro drawings as appropriatek���, P Estimated Completion Date: f f Starting Date: .� FOR POOL, SPA, WATER FEATURE, AND/OR DECK INSTALLATIONS: I p Applicant requests approvalLca iomm�la on of landscape materials and/or co dance with Step 6, Paragraphs a and'bn systems as part of this appy on page 13 related to Demolition/ Replacement of Landscape, Irrigation System, Walls, and Hardscape. Estimated date 'of demolition/7 • p Applicant requests approval of demolition of wall and/or hardscape as part of this ith Step 6, Paag raphs a and b on page 13 related to application in accordance w Demolition/ Replacement of Landscape, Irrigation System, Walls, and Hardscape. Estimated date of demolition: THE APPLICANT UNDERSTANDS AND AGREES TO THE FOLLOWING: 1. The modifications will be made in strict compliance with the approved plans and specifications submitted with this application. Should any changes be required at any time during the project, those changes must be approved by the Architectural and, if applicable, the Landscape Committee and noted on The Architectural and, if applicable, Landscape Committee may grant variances from the this application. requirements these Architectural/Landscaping Rules, provided that such variance is reasonably necessary in order to carry out the general purpose and intent of the Governing Documents or is necessary to avoid, ting and extensive hardship, expense or impossibility ofonform li e in include payment of the applicable variance ppcation feeC The granting of ane. Any variance anuest shall b y variance (shall not constitute a waiver of any Architectural/Landscaping Rules or hinder the enforcement thereof; nor shall any variance be permitted which violates any of the use restrictions -contained within the CC&Rs. on harmless from all liability related to any 2. Owner shall hold thereon, Ass any, common area property -and/or golf course, wherever located within residences, improvements 31 RESTATED ARCHITECTURAL & LANDSCAPING RULES I2121]031 M:,GGD,,AHOA1GOvMCS W RCS6.13o%96-flaAL-rt8rm .,, Architectural & Landscaping Approval Request Form for New and Existing Homes, page 2 the Citrus Course Community, resulting from the installation/construction of this improvement or modification. Applicant shall advise Association office promptly upon completion of the work. 3. Any application shall be deemed incomplete, and the Architectural and, if applicable, Landscape Committee shall disapprove, any and all plans and/or specifications submitted to itfor approval if the Owner fails to deliver the required fee and security deposit referenced herein. 4. Applicant shall comply with the Architectural & Landscaping Rules,5tandards and Guidelines for the Citrus Course Homeowners Association, and furnish copies of these provisions to the contractor(s) engaged by Owner for the improvement. Applicant further understands that it is Owner's responsibility to ensure that. his/her contractor(s) also complies with these provisions. 5. In the event Applicant desires to use power excavation equipment, he/she shall indicate with the application which areas have: Landscape materials will be required to be removed/replaced and/or Walls and hardscape will be required to be removed/replaced. Applicant shall include Contractor's construction schedule, so that construction activity may be monitored by Association. - 6. The modifications will be made in strict compliance with the approved plans and specifications submitted with this application. Should any changes be required at any time during the project, those changes must be approved by the Architectural and Landscape Committees and noted on this application. 7. Applicant shall secure proper building permits, if required 'by the local governmental entity. Applicant understands thatthe City of La Quinta may not approve any plans which have not yet been approved by the Association's Architectural Committee. 8. Owner shall pay a refundable security deposit and non-refundable administrative and/or variance request fee to the Citrus Course Homeowners Association, as set forth in the Fee and Security Deposit Schedule (Appendix I) to process this Architectural and Landscape Approval Request Form and the security deposit as specified in the-4ssociation'sArchitectural & Landscaping Rules, Standards and Guidelines, the terms of which qfe ncorpof"ated herein by this reference Signatures: of xAer t�� ' � Tom'^ Date Owner Date Neighbor Comments: (The comments of any owners of any home adjacent to the property lines of the applicant's Improvement shall be required.) I/We, the undersigned, have reviewed the plans and specifications for the above requested improvement and I/we either: (1) do not object to this improvement; or (2) object with the following comments: M:%GGDoc9HGA1GOVMCSW2C'86-130198•fl0ALrt8fin 32 RESTATED ARCHITECTURAL & LANDSCAPING RULES (M(M) I FRtGW.IWOAWVMC SWtC'98.130iiiD-MALaIM ` . 38 RESTATED ARCMIfOTURAI d IANDS01PiNG RULES (2/Zm3) Show plumbing lines including sites <<, Location of light junction'tioxes for all lights (both pool and spa) Location of future lighting stubs with junction box locations ., -"i ,= w Location of p -trap (I required) Elevations relative to surrounding area (use cross section, if necessary) Location of fight switches Location of all return fittings (specify type of fitting, eyeball, etc-) Location of cleaner sub plumb, if any . POOL AND DECK SPECIFICATIONS Location of skimmer(s) (not to be located in raised bond biim) - Location of deddng, specifying color and finish. Give square footage - r Specify. drainage in al affected arms ° Specify all masonry materials and firishes + Specify brand, type and capacities of all pool equipment ' Show all steps In d"ng, Indicate fooling in decking (if required) Show pool depths - Show steps, ledges, angel seats, swim -outs Location and height of rated bondbeam(e) .' •; ' SPA SPECWICATiONS ° Spa dimensions, including detall on dam walL Is it a deep end spa? , Spa step locations Number of spa jets, location and heights Bench heights -in spa Spa airline location and termination, incWding air -blower and switch location �.. Nr bar .. ' /ti ;;! t FRtGW.IWOAWVMC SWtC'98.130iiiD-MALaIM ` . 38 RESTATED ARCMIfOTURAI d IANDS01PiNG RULES (2/Zm3) - w ' 4 FRtGW.IWOAWVMC SWtC'98.130iiiD-MALaIM ` . 38 RESTATED ARCMIfOTURAI d IANDS01PiNG RULES (2/Zm3) (Lq8 in3q &4UI) ,cfnil 117, -c: i:!lrVrJ n.d:ntti, 'g+, 5n ritx7Saf,J !� Z%L'��E�01 K�'1' S;7('i�f;.` �::l�t g;lrti? :•I.�1;1�Jw':t1.'i3�1 �0 (1�'1'1Fi`'?J ;i i:2on -,wj ♦�rUfAl r�! ?C�4 .. irn `�.wLi �:.:��� ��•.�.�t t�tl ��'.:""wl �:: t3fi!�Il� �t!ji9riSlili:�i' "i? C[L'i.�c':S�:.i '�pa10 .:i+Llil brot Ic", 1'r.,.cr.4 i ll.i +� �•i� ,Ll 2.`!t)wC`. �:7 i1;r . „i:f1 :fit ,� a3UG' ��r7S7�19!) ?i iC:rt:t 1!5 Y•.^.f�2 rtssttup.,,ii; C,uxbnt ru n,-Ocol :;imitn1 '{ f»Z.�B I ;c:ott _:�� 1?e+:r•.}i'i tris ctwalol T:: •3 r'L r5 S:. ') 1glul:1a; ,_mow...,... -.....•.._..,;,r.,.. .....•�,,......._---�_......�_............-.,._._.._.M v '� ?`flLi°rfi i3ff i .1 lla�1�1 �a.s�, u1i' 'a In Liwk. , (;.11'u0u; ,rd!cr lfn,,SJ bru, nd)t;-•)l etdo hf.t 6 r? �! Ind i11{ Ey.:.1FCl.ljwJ.=t1l a-!AAlrtwlR-lPAG.tT.;:?A, at n'Ari.-LV;?.(Y_yUi,WTWjlwOiYOi f/5�7fV.��:l.•i!'.1 APPENDD( V. — OiECKLTST FOR POOL, SPA, WATER -MATURE, AND/OR DECK INSTALLATIONS ; KA000aeAHOAtG0VWCSIARC96-1396-U0AL r M 37 RESTATED ARCMTWTURAL 8 LANDSOWMG RULES MA") r GENERAL DIFORMATION Contractor's construction schedule f s Location of Landscape which will be required to.be iemoved / replaced to allow access by excavation equipment Location of Hardscape (such as perimeter or lot line wall) which will be required to be removed replaced to alow access by excavation equipment l' . GENERAL PLAN REQUIREMENTS - Pool location and dimensions on plan, indudng setbacks and clearances to residence, existing lot Ones, walls, building on scaled ste plan North directional arrow _ Access arrow , • . Width of access Pool dimensions, Including radius points, width, length, etc.. Wall / Fence / Gate location, including type and height . �j (3 cL a Location of all pool equipment, pursuant to city and county code, including screening material and height Indicate any existing obstructions, overhead lines, concrete walkways, patio, etc. Indicate pool decking and/or hardscape features and extent Indicate permanent barbecues, showing dimensional scaled plan, elevations, and materials/ colors, induding appliances s ; Indicate overflow line; if included Indicate any easements on Property tiff Owner sign -off on plans- lans-Show Showthe choice contract / plan .. • rr, Overlay for landscape - • fu� = ELECTRICAL /STUB LOCATIONS Electric meter location. Type of panel: Gas.rrieter location Ck': Gas barbeque and/or fire -pt stub location R Hose bib location (fill ine). Must be unobstructed. 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