9802-090 (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 DiviVon 3 of the Business and
PPofessionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
487584 1 C l i)U 2x29/00
kDate—10ignature 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 & 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
perfor arice of the work for which this permit is issued.
ApKI 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 Policy No.
NfID C€3*,Q*I 1INS. C NO; 03-2,V93
(This section need not be completed if t e 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 anI anner so as to become subject to the
Workers' compensation laws of Calif ia, and agreethat if I should become
subject to the workers' compensatio/ rovisions of Section 3700 of the Labor
Code, I shah . rt ii h Vmply.with th , e provisions
Date: A •• plicant
Warning: Failure to secure Workersf/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.
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 applicaj ton 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 author
Arrepresentatives of this City to enter upon
the above-mentioned property oT spection purposes.
Signature (Owner/Agent)
BUILDING PERMIT PERMIT# CONTROL#
(V-1 1L 9807-1190
DATE VALUATION. .-� LOT TRACT
6 8 5 4
JOB SITE
ADDRESS 57.415 fNT�'.HLOCKIRlN bIt ` APN
OWNER CONTRACTOR / DESIGNER / ENGINEER
57-61-5
LA QLAN"j A CA 92251
USE OF PERMIT
NOW)
P0iZCHr1aA1,' ,3'
A &t M C.1Mti`CRLjCi' 0N.
7"70 CA LIX3 CADIZ
LAQUli`d`fA CA 9=53
l7Ct()1 ��tn 2 i:'R i ". 626
Sbl,QO SF
1111NT Nt1 bd/ MT or ..�4d vn3��it l�. A•5+..°+'i'k
1--cama naS," surmTO'bo`St'
C'3.•AN CHECK 'MX . 101. -000 -?3-0-318
�`•{�iYS'f l iii :'k fi )N -A`ik[y t 01-1"10041
1! 1"1t�f'#}0-el'�i1{��0�0gj� $7
�i i��.\`d4Vr�3 VV i�SVr 1•,S "i�.fi1�'�33! /.Vl.i^ilV 'IF't "'100
! imp
90
04)
FA
i
FEB 2 011998
CITYOO L;
. j
COIN MM.Y TION AND PLAN CHECK
LESS PRE -PAR.) MILES
TOTAL P1,31 -MIT Mltf"S DUE N(Ar $1_0-30
V
RECEIPT DATE BY =ATA INSP CT Y
INSPECTION RECORD -
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Forms & Footings
���
Underground Ducts
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
zCompressor
'
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
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
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
Gas Test '
Appliances
Final
Final
Utility Notice (Gas)
. ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Vottage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power.
i
c
Final
Utility Notice (Perm)
COMMENTS:
I
1'07/23D 1995 23:35 17751954
PGA
I"STti
November 26, 1997
.�
Mr`
. &
DUWJS LANDSCAPE
PAGE 01
PGA WEST tI RES: :NTIAL ASSOCIATION, INC.
P.O. BOX 1282, LA QUINTA, CA 92253
(619) 776-510o PAX(619)776,5111
STi-�15Interlac er
La Quinta,
RE: Architectural Variance Request
Dear Mr. & Mrs. Cross:
The Architectural Committee of the PGA WEST II Residential Association is
pleased to Inform you that it has approved the pians for the landscaping and
shade structure for the courtyard at your PGA WEST home, This approval is
good for a period of six months, any work not completed within this time frame
will need further committee approval.
.Please contact me at (760) 776-5100 If you have any questions or concerns.
Sincerely,
r
John J, Monahan--
Assistant
onahan -Assistant Association Manager
CC: John Handel, AsWlabon Manager Architectural Committee Board of Oiredors
Rob Parket; Ronald Gregory and Associates
13
y.
ITEM
ho4k(IS
� E,�• � LdA�D
n
B.G. STRUCTURAL
ENGINEERING
ON L`r
10,0 P.S,F.
-0— 4,0V Km -...Js
FIT
n
SHEET NO I S
oN.
DATE
ENGINEER Q
JAN 2�
CITY OF LA Q, UuNT`
BUILDING & SAFETY DEPARTMENT
COND7,10NALLY
ACCEPTED FOR CONSTIRui-� , ic"IN.
SUBJECT TO INSTALLATION AS P
REQ
AND ALL APPLICABLI_ C 'DES
BY I "!�
PROJECT
G1ZOS5 7'YLtL%-15
ITEM
B.G. STRUCTURAL .
ENGINEERING
LA -r ers-pin_
6 6o (lei I�v> = 33-0
(a6,
30/-4,c;plLS .Dg
/•OI
(SSE
SHEET NO Z of :J
JOB NO. ZL
GATE f &
c ASS
.1
L.
PROJECT SHEET NO
R.G. STRUCTURAL zt
x.
JOB N0.
OAll
ITEM ENGINEERING ENGINEER"9$
LA-rmlaAt-Clwa a .o1✓ 5
POLE FOOTING DESIGN
LAT. SBP= 200 psf/ft LDF = 1.33
b = 24 in.
CONSTRAINED CONDITION:
d =(4.25*P*H/(S3*b))^0.5 S3=(LAT. SBP*d)*LDF
NONCONSTRAINED CONDITION:
d=(A/2)*(1 +(1 +4.36*H/A)^0.5)
S1=(LAT. SBP*d/3)*LDF
A=2.34*P/(S1 *b)
REQUIRED DEPTHS FOR POLE FTGS
P = 330 LBS
H = 8.5 FT
CONSTRAINED: NONCONSTRAINED:
d= 2. ft. d= 3 ft.
10 in. 10 in.
L 14co (Tr) $1
7 S+ -5,0*
1/27/98