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0401-389 (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. License # Lic. Class Exp. Date 7ir?t?: eJ B 111tr A `fr �il�IA5 Date Signature of Contractor fid" °"'° ! N 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. (!o,)' 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: CartierSINCE FUND 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 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date`' R2? - -2 'YXApplicant — Warning: Failure to secure Work`'' -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 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) L< AC 0%04 Date �� Z � BUILDING PERMIT PERMIT# DATE VAVa!ATION-.cV LOT T — " ^� TRACT P.t.K) :+ JOB SITE ADDRESS, APN OWNER CONTRACTOR / DESIGNER / EN INEER 60.553 JUNK'RR3..ANVE 78401 DIGHWAY Al1, MU".{" FV.2 LA QLS -WTA CA 92253 LA T"TA CA, 92233 e'1fsC3YM "3593 CPU 5830 USE OF PERMIT PATIO 10 1F..A1AJMAWO0D PA'S O COVER 1xt31tt;i1liti,ATIO 109. DO 3 - zbr°rstF1#`A'}< a') GOA' Ui' cowju fC" ari 1,436.40 PIAN ClIECK F�P, 101 -OM -439-338 �B3.a5 CONSTRUCTION FEE 101.-033•418-000 �S5.Q0 NI3.:3•i O MOT1414 FEE - RESID 101-1000-241-000 $.SD LEOR Pic 4?A W r1Z `aPO ©f1 x� PCOMESDUE HO's "28 RE IPT °--•--•--- DATE—.; C BY E FI LED INS OR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE TINSPECTOR 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 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 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 Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS T"p. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: 01/26/2004 12:54 9094841891 ACTION PROPERTY MGMT PAGE 01 Trilogy at La Quinta Maintenance Association January 15, 2004 (t WILLIAM D. & MARJORY E. GUENTZLER Property Address: 60553 JUNIPER LANE Dear MR. & MRS. GUENTZLER_ We are pleased to inform you that your plans for installation of a rear yard, patio cover, and irrigation have been conditionally approved by the Design Review Committee per the attached condition. Please bg advised that the putting area and replacement of (ween Pa1m&1avLbgjB denied. Please see application for additional information needed on these improvements. This approval does not constitute consent by the Association for the applicant to encroach, trespass, or build on any property other than that of the applicant. This approval is related solely to the items reserved for approval by the CC&R's in accordance with the Architectural Guidelines. The approval does not extend to the quality of work done by your architect, or contractor, or to any structural engineering, soils engineering, or -site grading and drainage design. You are urged to obtain the services of a state licensed professional for consultation as needed. Please be advised that this approval does not relieve you from obtaining any necessary building permits from the governmental agencies involved. If any portion of the common area is damaged during construction, repair of same will be done by the Maintenance Association's contracted landscaper and fees for the work will be deducted from your security deposit. Thank you for your patience in this matter and for complying with the Association's policies and standards. Sincerely, For the Architectural Committee Dayton Dickey, CCM Association Manager Enclosures Professionally Managed by Action Property Management, Inc. 29B Technology Drive, Suite 100, Irvine, CA 92618 949-450-0202 800-400-2284 949-450-0303 fax www.action-ontine.com D CDS Fax# 760-771-493: A ~ —MID NWOT BUILDING PttODU( .INC. ALUM OEPRAND LAGUNA ORDFR FORM ROMOLAND, CA ORDER DATE I / O D,,- I i v� 800.350.5209 Fax - 800-530-9222 "/ PUP / C7 �� CUSTOMER C.D.S., Inc. / Totally CITY La uinta PO /Customer Name: G PHONE ( LENGTH LIVE LOAD— MPH -90 ATTACHED RESIDENTIAL 19 ATTACHMENT WALL EAVES ❑ MOBILE HOME JB1 SLAB ❑ LA CITY 1313 FREE -STAND PATIO Q0%/F5 r3 COMMERCIAL FOOTING vl%AGUNA /Lattice STD SPACE 3' ❑ STD SPACE 4" O.C. WITH 2" TUBES 14 caps=beveled COLORS A WHITE ❑ DESERT SAND ❑ SONORA BEIGE ❑ ADOBE ❑ MOJAVE TAN ❑ FLAT k MITERED ❑ CORBEL NEWPORT/Solid HITE STEEL C -BEAMS ❑ 20' E324' ❑30' ❑ DESERT SAND EL CLOVERLEAF ❑ 10' ❑ 12' ❑ 14' 13 SONORA BEIGE ❑ ADOB POST HEIGHTS: ❑ MOJAV N ❑ RF �S ❑ ALASKAN C# $ �E 801/006 ONLY SUPER 61 ❑ WHITE ❑ So q 13❑ S 018 CIWg032 'SAND 13.10k 8024 g032 BEIGE 0.0 13,024 ❑.032 ❑.018 0.024 13.032 TAN ❑.018 0.024 8032 ALL COVERS ORDERED AS PACKAGE MUST CONFORM TO ENGINEERING PRINTS. LAYOUT PLOT PLAN (SHOW GENERAL LAYOUT OF HOUSE AND COVER LOCATIONS). Please draw In arotwrtien was Aar„ Visit our web ala 91 'Ce I V ` Total Sq. Ft. -2f S .NO EXCEPTIONS! August 2002