Loading...
0004-161 (RPL)LICENSED CONTRACTOR DECLARATION PF 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. License # Lic. Class Exp. Date 5 127 A „: tl$/'.41/2t ,., Date'fhll'�0�Signatup,oftontracto'r_ 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 & Professionals 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. (- -' 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 STATI~ MD Policy No. 046,00400 934 (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 Codre, I shalLforthwith comply with those provsioos:" �C�.,,,.�,... Date: + �� '�Zoi•? Applicant -""� Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 ..of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 4%0. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or. pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation... I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction,` and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature (Owner/Agent)' Date BUILDING PERMIT PERMIT# I et DATE/JI yC?L VALUATION . LOT MMI -16,11. TRACT DATE//] JOB SITE APN ADDRESS 57-615 MIKERM.A.0 MN DIUVE OWNER CONTRACTOR/DESIGNER/ENGINEER I&CrliABL CROSS MEWIDODSWCONT�fcXJ'G'TIOiS 57-6151 �t".lE[tiC.A0I?RWE 73011 COUNTRY CLUB TAR., SCTT.lk,+:t��4 LA Q)TI i 1A CA 192253 P.A,LM T.}ESKR ' CA. 922�4'j �►{ (7610)346.4032 CBL# 1,044 USE OF PERMITI,- POOL AND/OR & POOL & SPA'CMY - ALARNTABA1t:RIE—RIS S1t.AU, BE IN PLACE AT C � PRE-Pi.�STEPt INSPECTION, TION, VALUATION 3 e,000.00 1Z f. E$IWAM COST OF C01gS'n?.UCF1:0K 32,000.00 FERAW I`.It R 9QII;11 ARY ;'LAN CHECK FEE 101.000.439.318 5141,38 , CONSTRt3CTION Fft 101-040-418-000 $297-54 ' MELHAOICAL FEE -- POOH. 101'.00("21'-000 $24400 ELWI UC,AI. YEE -- POOL 101-000-420-000 $aoo PLUMBING. FEE •• POO€, 101.000--419-000 Sd"100 -TOTAT, CON 2UCTION ,AND PLAN' CIMC $586.96 MSS P)R. PAU $0.00 T_ OTAL MkW_'FYE 6 DVE NOW Ilt N . RECEIPT DATE B i7 {1 .Mf� DATE FINALED INSPECTOR 1%J V . 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 OX to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall 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 s ipin PLUMBING APPROVALSGas Test Electric Final Waste Lines -LZ 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 Gas Test Appliances Final 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) =FROM Mike and Betty Cross r .A WAW A E E March 29, 2000 FAX NO. 17148322166 Apr. 11 2000.10:40AM F2 PC;A 'FEST II RESIDENTIAL ASSOCIATION, INC:. S P.O. BOX 1282, LA QU1N'IA.. CA 92253 (760) 776-51W FAX (760) 776-5111 11 Mr. & Mrs. C. Michael Cross 57-615 lntarlachen _.La Quinta, CA 92253 Reference: Architectural Change Request for the Addition of Patio Dec ng, Spa, BQ and Landscaping Dear Mr.. & Mrs. Cross: The Landscape Committee and the PUD Architectural Committee reviewed your request for a room addition and additional landscaping at their meetings on March 9th and March 14th, respectively. The PUD Architectural Committee wishes to advise that your application has been approved as submitted with the following conditions: The boulders cannot encroach on the 5'setback • The maximum height of the boulders may not exceed 24" The Landscape Committee wishes to advise that your application has been approved as submitted with the following conditions: �1 The following plants are not included on the Association's Approved Plant Palette and must be substituted for shrubs that are on the plant palette. For easy identification, these unacceptable plants are identified by the symbol on the drawing as follows: DIB, SG, 5L, LAM, LNG, LSS, OBM. Please note_, on all other homes the bender board is being replaced with' a brownish Trex like material. Review by the Committee is only for general conformance with the architectural guidelines. it is the responsibility of the owner to fully understand and conform to the architedura! guidelines criteria whether or not all deficiencies are noted during review. It is also the owner's full responsibility to field verify all existing conditions. The Committee's decision, with regard to project design will be final. Please refer to the PUD Architectural Guidelines and Application for Change for all required submittals. Please contact Raphael Villareal, supervisor for valley Gardening Service at 760/399-1844 and Carol Fuller, the ASsoCiation Manager, prior to any irrigation modifications associated with this change. Upon completion of changes, please contact Carol Fuller. Damage to the landscaping, i.e., shrubs, trees, flowers and turf is the responsibility of the contractor. The landscaping must be brought back to its original condition when the project is completed. FROM Mike and Fetty Cross FAX NO. 17148322166 Apr. 11 2000 10:40AM P3 y Mr. & Mrs. C. Michael Cross Page Two Approvals given by the Architectural Committee are good for only sic months from the date on the approval letter. After that time a new application must be submitted. If you have any additional questions or concerns, please do not hesitate to contact Carol Fuller, Association Manager, at 760/776-5100, Ext. 20. Sincerely, . AGA WEST II RESIDENTIAL ASSOCIATION For the �PUD �Architectural Committee Cara Fuller Association Manager cc: Board of Directors Unit File P/L P/L SEE ATTACHED PAGES FOR DETAILS 0 0 0 0 v ATTACHED DETAIL PLANS TO GO WITH THIS CONSTRUCTION PLAN BE SURE TO REVIEW ALL PLANS PRIOR TO EACH STAGE OF CONSTRUCTION CONTRACTOR •: .-.nn• aresponsibility danace to . . ... .i u • �. Ile ..v DATE sip -nature r 26'6 NOTE TO CON STRUCTION BOULDERS NOT LESS SLEEVE ALL PLANTERS MAKE SURE TO HAVE ATTACHED THAN 24" SPEC SHEETS FROM ARCHITECT WITH EACH PLAN. NOTE ANY SPECIFIC CALL OUTS FOR �q P/A FINISH DETAILS AS NOTED. -12" _ BBQ BY OTHERS TSI G&E ' _— 9 --SDC ---__ I I I P/ I l---------- A'RE-INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. .NO EXCEPTIONS! EXISTING DECK TO REMAIN - R R8" 1 , \ -5 2� I A \� 5' v �: I P/A 1 I AP I -1- NI AQUASWITCH EXACT LOCATION TO BE DETERMINED C/Ty OF LA QUANT BUILDING & SAFE A � SEPT, �PPR � FOR.Cp ��D NSTRUCTION DATE -L/ eY _ RESIDENCE G 18' 2'-9" 5' P/L R810 '11 '-9 " NOTE EQUIP LOCATION NEAR GAS AND ELEC 1 EQ 20' HAND DIG SPA AND DECKING AREA SURROUNDING SPA RPIPE /8°-_1'�SC NOTE: LANDSCAM-AND FURNII ARE SHOWN FOR ILLUSTRATIO] ONLY AND ARE NOT INCLUDED. GENERAL SPECIFICATIONS SIZE 8 h kREA 40 PERIMETER 24 3'6' FILE CHOICE VM662 sn I Uf WM-W*W0Wb.W — — — — OWA.0 MO%R 4P -------HP FILTER STA RITE 300 SQ FT FILTER RATE 102 GPM HEATER LAARS SIZE 400 BTI TURNOVER 2 HRS SUCTION LINES 2 " RETURN LINES 2 " SKIMMER MODEL AMERICAN " CHECK Sh4L40E-------- GASLINE BY SDC FT. POOL LIGHT 400 W CLOCK An[IA In UIU LLtANt--------HE", ---- PEBBLE SANDY BEACH FrK Ry cnr SO. 1 115 Name* MR AND MRS MIKE CROSS Address: 57-615 INTERLOCHEN DRIVE LA QUINTA TRACT PGA WEST LOT# Do son POO/S PALM DESERT TEMECULA 73-011 COUNTRY 28910 RANCHO CLUB DR. STE F-4 CALIFORNIA RD. PALM DESERT CA. STE 206 92260 TEMECULA CA. (760) 346-4032 92590 (909)676 -SWIM .a DECK TYPE VARIOUS SPEC BY ARCH. STEP FT. SPA SPECS. DESIGNER SIZE 8 RAISED +18" RANDY/EV LITE 100 WATTS TRI LEVEL SEATS.22" 24" 27" DATE DAMWAtL— -1'-E — +T-% — — — — - 3-14-00 DAMWA&�L-T-QR — — — — — s= - SPILL"AT SYLC — r' X- — —'WIDE' REVISED SPI&WA1'- — -f)P W — —-PIfKFn Name* MR AND MRS MIKE CROSS Address: 57-615 INTERLOCHEN DRIVE LA QUINTA TRACT PGA WEST LOT# Do son POO/S PALM DESERT TEMECULA 73-011 COUNTRY 28910 RANCHO CLUB DR. STE F-4 CALIFORNIA RD. PALM DESERT CA. STE 206 92260 TEMECULA CA. (760) 346-4032 92590 (909)676 -SWIM .a