09-0860 (RPL)4 , t
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Q"
Application Number:
09-00000860
Property Address:
55220 LAUREL VALLEY
APN:
775-340-003- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
10000
Applicant: Architect o�eer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
----------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of erjury that I am Ii nsed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 the t iness and f sionals Code, and my License is in full force and effect.
\ Licen�ass: C8�.0, 27, License No.: 656128
Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury th I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business y nd 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 70001 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 ofnot more than five hundred dollars ($500).:
(_) 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.).
(_) 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.).
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.I. _.
Lender's Name:
Lender's Address:
LQPERI%11T
Owner:
KNIPF
55220 LAUREL VALLEY
LA QUINTA, CA 92253
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/10/09
-----------------------------,,;;� ---------------
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 SEABRIGHT Policy Number BB1080510
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in an ner so as to be sub'ect to the workers' compensation laws of California,
and agree t at, if I s uld bec e o the workers' compensation provisions of Section
7Qq of th abor Co I all i comply with those provisions.
Dat Applicant:
WARNING: FAILURE TO SECUR 6A7.1Q,(V_OVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI I ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITIOPY6 THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CO , 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 b nd void if work is not commenced
within 180 days from date of issuance of such ermit, or cess tion of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the a ve information rr gr to comply with all
city and county ordinances and state laws relating to building nstructio , a d au ize representatives
of this co y to r u he above-mentioned property for in c ' n pur
,Date: Signature (Applicant or Agent):
Application Number . . . . . 09-00000860
Permit . . .
BLDG POOL PERMIT
Additional desc
Permit Fee . . . .
117.00 Plan Check Fee
76.05
Issue Date
Valuation . .
10000
Expiration Date
2/06/10
Qty Unit Charge
Per
Extension
BASE FEE
45.00
8..00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
72.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
2/06/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
----------------------------------------------------------------------------
EA MECH FURNACE >100K
11.00
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee
45.00 Plan Check Fee
11.25
Issue Date . .
Valuation . . .
. 0
Expiration Date'.
2/06/10
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
6.75
Issue Date
Valuation . . .
. 0
Expiration Date
2/06/10
Qty Unit Charge
Per -
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
. 3.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
-------------------------------------------------------------------------'---
Special Notes and Comments
SPA, FIREPTI, BBQ, 50
L:F. 1 1/2" GAS
1
LQPERAIIT
Application Number . . . . .
09-00000860
----------------------------------------------------------------------------
Special Notes and Comments
RUN. ALARMS/BARRIERS SHALL BE
IN PLACE
AT PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED. 2007
CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
---------------------------
Paid
----------
Credited
--------------------
Due
Permit Fee Total 215.00
.00
.00
215.00
Plan Check Total 100.55
.00
.00
100.55
Other Fee Total 1.00
.00
.00
1.00
Grand'Total - 316.55
.00
.00
316.55
LQ0Fn11T - '
B'"#
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
0
Project Address. — G p
Owner's Name:
A. P. Number: ��
Address: j� 7100 L /
y
Legal Description:
Contractor:1.� k4
City, ST, Zip: zw
Telephone: 4
Address: g�,— 00 Ay6 s
Project Description:
City, ST, Zip: CD = L
Telephone:
2odl `l%1/
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: `
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: j
# Stories:
# Units:
Telephone # of Contact Person:. 0—
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING .
PERMTT FEES
Plan Sets
Plan Check submitted
n
�(
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Z°" 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:-
'n° 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
Total Permit Fees
AUG/05/2009/WED 02:10 PM Monarch Accounting
y
� Y _
�./
dune 12, 2009
/r d f� /
JWK Management LLG
AKA John Knipf
10821 Skyline Drive
Santa Ana, CA 92705
PAX No. .760 776 5112
PGA WEST II<
PHONE (760) 776-5
Reference: 55-220 Laurel Valley, La Qulnta, CA
Architectural/Landscape Change Request — BBQ, patio
Spa,Firepit, Awning & Landscape changes
Dear John Knlpf:
The Architectural and Landscape Committee reviewed and approved your
plans on June 11, 2009. The Committee has approved the application
following conditions.
• Please be reminded that once a homeowner installs custom concrete su
Association has no responsibility for maintenance or repairs for such me
the Architectural Guidelines, reference page 7, Section 6 — Patio Decldn
Dttonsions......... any damage or change to the aforementioned shall be
dense."
• Barbecue — height of the countertop cannot exceed 36"; total height In
cannot exceed 54".
• "Quiet" pumps shall be utilized for all spa' ristallations and shall rr
requirement of the industry's "quiet" pump standards.
• The contractor shall ensure that the makL-up water for the automatic
be tapped ahead of the main dwelling shutoff. Existing hose bibs Cann
purpose.
• All other Arciltectural Rules & Regulations of PGA WEST U Residential
Revised 8/1/07 pertain.
• A Maintenance Agreement will be required, one will be sent to.you fa
as soon as it is prepared by counsel.
• No Queen Palms are allowed, we recommOpd a Hybrid Flillfara be i
slender or allow more room In the palm location,. reduce the star jasi
planter bed, the landscaper must meet . with Lois Umana, Sunst
760/346-3999 prior to any landscape work "commencing on the pre
Irrigation 'plan, any changes—he notes must be made at owners expen
to add another valve t?o"have sufficient water pressure for watering.
• All plants must be guaranteed by the contractor for 12 months frc
completion by the Architectural & Landscape .Committee.
£ /Z # 69tSt L6W IIOLLLL6
'I P. 003/004
'LIUY
CIATION, INC.
DRIVE SM A.
I: DESERT, CA 92211
FAX (760) 776-5111
upon
the
Per
Owner's
Countertop
a minimum
feed device
ised for this
tion dated
execution
it Is more
1/i in each
wdscape at
review the
may need
inspection
eaassa�;Wd5I�ti0:60-90-80
nvu! UJ! a�w. a. • .. —
r e
Page II Knipf/]WK
Architedurat & Landscape Comrnitbee
6.12.09
Approvolvals given by the ArchiiJectural & Landscape Committee are good for on ly► s,b� months
Ap r. dater the approval letter• Ff construction has not commenced within six.mo, ths after
frothe project approval date, a new application must be submit. i .
ease complete -and mourn The Notice of Cam letion of
Upon completion of your pmje�+ pl
Arrhmeaurai change.. ,
for additional information or questions, the Board has directed that YOU Contac
t ] i re Rte,
CCAM, Association Manager, at 760/776-5100, ext- 320• II
Sincerely,
pGA WEST I[ Residential Association I i
Ar+chftctural & Landscape Committees
£ /E # 69tGt6L606:
IIOLLLL6
I;
eaassa��Wd5l�b0�60-90-80