0212-113 (PAT)LICENSED CONTRACTOR 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 the Business and
Professionals Code, and my License is in full force and effect.
LicehsT# Lic. Class Exp. Date
$05442 B HTC
,.•Dater=`—�•=Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044, Business & P.rofessionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
( ) I.have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
• ( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier`�'It$� Policy No
(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 provisio,ps-o Secti n 3700 of the Labor
Code, I shall forthwith comply witthd'se pro Isi ns.
,ete: q t Applicant +� f
Warning: Failure to secure V i e s C pe sati . n coverage is unlawful a d
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.
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 a d�state that the above information is
correct. I agree to comply with all City1 ark State laws relating to the building
construction, and hereby authorize repress ritat'ves of this City to enter upon
the above-mentioned prope fo i sjpecti
'Signature (OwnedA nt) . Date �
BUILDING PERMIT PERMIT T##
0212-113
DATE r VALUATION CAT;= LOT TRACT
JOB SITE -
APN
ADDRESS :Rtqy WAY
OWNER
CONTRACTOR/DESIGNER/EN (NEER
.._J:4 stma X
Id1 T)UPKI'<ONOOI4IMUCTiOYET
5 5-7 05 111m . EIR Y
.69683 PMAWP-GROVE
TSA Qt .A CA 92233
C�Pt;I'F %3'i7.�;.. CTI Y CA 9`234
0760)378-4040
USE OF PERMIT
PAITO
COVE,I;,90 PATIO COVER. 8'X 27 P10. E3d01NLPLPZD PIANS,
�+'81M1 nD CM OF COMYrR'l7iUCT'10Iq
2.877,20
PERIVOT Y'.�i;i 9UKM >.RY
11LW CH IMIX FEE 103.000-439-316 $35,10
CONS`i'RUC'PlOdhK FEE 101.000.4-18-000 04.00
RON G MOTION ME - RIM211D 101-000-241-000
)I
a
BUIL-'1.O"Tiu, CrOMMUCiTOW AND PLAK CHECK
W.60
n LFW PRA -PAW I
'—�
$0.00
—
TAL P>'.. '� y FA%9IT11 now
.�
JAN 9 L 03
s
CITY OF LA G UMIT'A
FfaaA:�c� c�Pa
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
/_C /-
f
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 F.A.U.
Framing Compressor
Insulation I Vents
Fireplace P.L. Grills
Fireplace T.O. Fans 8 Controls
Party Wall Insulation Condensate Lines
Party Wail 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 I I
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 I
Gas Test
Appliances
Final
COMMENTS:
I
i
i
,
j
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)
T •� 01-21.2003 05:34pm From— . • T-364 P-003/005 F-651 A
li
01-21-2003 05:34pm From- T-364 P.002/005 F-651
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APPROVED
FOR CONSTRUCTIOI
LATEAg�k6 BY
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70 �00
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0 _
COURTYARD
55l Ar x 16• 24FV OmF
CAMBER - 4 X112' MucT I P.W. DECK w!
(EJPATIO / CLASS A 3 PLY BOLT -UP ROOF OVER
SLOPE 1W / FT.DRAINAGE OFF EDGE
m t
h 0 D 7A
F.D.
� �2 x 10 LEDGER
�7h3' THK STUCCO CEIUN3 AND RAP BEAM
. COLOR AND
^HOUSE
I
_ 1
PLOTPLAY SALF 178" -0„
SHOWING NEW PROPOSED OVERIL4,NG FRAMING
r
TEXTURE TO MAT EXISTING
CASITA
je
10 ,
Din #
Ilk
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
I — b
Permit #
&� ',
Project Address: 5 73fo-S
%%mcr's Name:
A. P. Number:Address:
Legal Description:
City. ST. Zip: LA
Contractor: Nve--� S) OV-IK—�
Address: 93 -?L-(z-k5f" T �WYL
>4(relephone: 4 L ':-:1 -2, (5� 0
Project Description: MQ S-� cr_� ot7--011h"
City. ST. Zip:
C� C -IN 1�V r
Telephone: 3f 0 445140
State Lic. #: City Lic. 0: ft(Agi
Arch.. Ener.. Designer:
Address:
City. ST. Zip:
Telephone: ... .... .... ... .. ..
State Lic.
0 Name of Contact Person: �ftj�-- WtV—�T-j
Constction Type: OccupancN
Prqje%kcjc-_Q): Nex% Add*n Alter Repair Demo
SrFt :- Re Stories:
124 (pA -t Units:
Telephone # of Contact Person: -4o - 5 ,-Tg - 49
rEstimated Value of Poicrt- 4V C) ()C)W— 25172 115
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TPUCKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
2.
StructuraIC21CS.
Reviewed. ready for corrections
Plan Check Deposit
Truss CaIcs.
Called Contact Person
Plan Check Balance V
kp
Title 24 CaIcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for correction 'l'ss!v
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I. Ap
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
t 0
School Fees
aCF-
0
Total Permit Fees
q, &C>
%V6VA4',C— * "J %-I�t.07'K
- CA19-LA-0 /C;1 K ew 0
YOUNG ENGINEERING SERVICES
®Engineering •Architecture•Surveying- Building & Safety Services
Letter of Transmittal
To: City of La Quinta Date: 12-20-02
Project. PC 0212-113 (1St check)
55-705 Turnberry
Attn: Greg / Ed W. 0.:
Tel No.: Tract No.:
We are forwarding: X By Messenger By Mail Your Pickup
No. of Copies . Description:
1 Plans
1 Structural calculations
Comments:
Engineer of Record shall stamp and wetsign plans.
Structural content is approvable.
This Material Sent for:
Your Files X Per Your Request
Your Review Approval
Checking At the request of-
Other
fOther
By: John W. Thompson
Phone # 360-5770 ext. 102
77-804 Wildcat Drive, Ste. C • Palm Desert, CA 92211 . (760) 360-5770
•Bron Young •
:12/25/.2002 14:38 7603284266 MARK DURkTON CONST PAGE. 01.
DEC -17-2002 TUE 02:13 PM KSI: DEVELOPMENT CORP FAX -40, 760 5648090 P. 01
DEVELOPMENT CORPORATION .
December 4, 2002
Andrew Levine
Tumerry Collection
50855 Washington Street
Suite 237
La Quinta, CA 92253
RE; KSL Land Corporation; Construction Plan Approval
Via FAQ61Mi e
Andrew:
Please let this letter serve as an approval of,the Mark Durkton Construction Plans for the proposed overhang
for 55705 Tumberry Way, dated November 17, 2002,
By way of this letter, I am forwarding a set of the blacklines to Donne Marinaccio of the Fairways Association
for her flies,
For future, please leave all submissions with the main receptionist al KSL. She will stamp them and Insure I.
receive. Thank you for your assistance in this matter.
Sincerely,
Cynthia Zamorez
Director of Land ManagementlProject Director
c: Hili Dodds (w/Enclosure: Final Approved Plans)
Donna Marinacclo (w/Enclosure: Final Approved plans)
50905 Avenida Bermudas La Quints, California 92253 (760) 5648000 Fax (760) 5648090