Loading...
0311-164 (AR)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 784794 C29 09r. 012c, f L �lSignaturefContractor����' Date o 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. ( ) 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 op -ANIT& Policy No. 3149215 (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 370 of the Labor Code, I shall forthwith comply ov with those rs o, S. - ,D'ate: A� l n 3 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. 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 thi City to enter upon the above-mentioned property fffoorriinnsspectiofNj purposes. Signature (Owner/Agent) /�''AJA" r'' `� Date 1 -i ,y - 0,3 BUILDING PERMIT' PERMIT/t 03,1-64 DATE VALUATION LOT TRACT -110.8/2W $2.403.90 96 JOB SITE ADDRESS C,0_44$ a'l3.f1`JFJ2 J®AKE APN OWNER CONTRACTOR/DESIGNER/EN INEER II, i 3% ,BCS MA" 1tiiiAI2 rIN UN-4fiNRY t 15.445 JUN1P.M 78-130 kITN AWKY DAY CA 92M BERMLM A:.OTJ?MS CA 92201 � (760)34S -05r17 CBL -4 4171 USE OF PERMIT C°OMBltd jMT 6 Lip 3'WALL-FROXTI 2 MP C;i:3'idfMNS/ 4 LF 4' aLOCIC WALL41i.tl~.PLACM41,F4' ,OGjEEN WAL ld<18* V'ATER fgfffUk& ALL WALLS PER. CITY STANDARD.140A C",OWFIR;MED. -VALUATION X19#s.Q©1Z 6 rr,W ALL .: 2.00 'LF 5 FT, WALL 6100 LF 4#T. WALL 14.00 LF ESTMAIND COSTd' F CO.1 MG".�`4. CSN 2140.3+" PEMKCrFEE SUAGIUKY PWN CHECIK M. 101-000-439-.318 33'4.111 . CONSTRUCTION FIS; 101-000-418-000 MONO M07ION FEE - MID,, 101.000.241.000 3150 P0.11ME.1110 FEE .y 101 u000-419-000 $18.00 ' NOU 1'8 2003 CITY OF L:A OUiNTA FINANCE DEPT— " WB-TOTM, :":t)XMUCIION AWD PI.W Uk WK 2107,60 M133 PRE -PAW FHES to.0o TOTAL PER= .rEES WE NOW RECEIPT DATEa y �� d 1fi'' BY �r�r�A~ DATE FINALED INSPECTOR 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 Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 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 Encapsulatioh = •:. Gas Piping Gas Test Appliances Final 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) COMMENTS: - - e -V- i lure VKIJPERTY "T PAGE 02 Trilogy at La Quinta Maintenance Association November 13, 2003 RICHARD G. & HELEN A. ANDERSONJRUST 60445 JUNIPER LANE , LA QUINTA, CA 92253 Property Address: 60445 JUNIPER LANE 'Dear MR & MRS. ANDERSON: We are pleased to inform you that your plans for installation of a rear yard, patio cover, fountain, wall, gate, fireplace, low voltage lighting, planting, and irrigation have been conditionally approved by the Design Review Committee per the attached conditions. 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 AXchitect ual Guidelines. The approval does not exted t quality of work done by your architect, or contractor, or to any structural engineering, engineering, soils engineering, or grading and drainage design. licensed professional for consultation as needed. You are urged to obtain the services of . a stare Please be advised that this approval does not relieve you from obtabung ' necessary building permits from the governmental agencies involved. if any portion of the common area is damaged during repair of same will be done by the Mairitenance 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 Associatiods policies and stand. Sincerely, For the Architectural drnmittee Dayto Dickey, CCM Association Manager Enclosures Profeulonally Managed byAcdon PropertyManagement, Inc. 298 Technology Drive, Sulle 100, /rvtn,, CA 92618 949-450-0202 800-400-2284 949-450-0303faz www.acilon-online.com WMIKIr% MUL (1) SUNKEN AREA at . PATIO FIREPLACE 18" HIGH STEM WALL 2"V FOR GAS DESCRIPTION SIZE QTY. Y ONLY ASM Acacia smallii 24" box Sweet Acacia emraotawo e%A'rr- ... an C ^I I vuRTYARM 1/411=11-011 CDM Cercidiurn f. 'Desert Museum' 36" box Desert Museum Palo Verde DESCRIPTION SIZE QTY, AV Agave vilmoriniana 15 gal. Octopus Agave BMJ Buxus japonica 5 gal. 4 Japanese Boxwood OCM Carissa macrocarpa 'Green Carpet 5 gal. 8 LRB Green Carpet Natal Plum 5 gal. 2 Leucophyllum CN Cassia nemophila 5 gal. 5 Oj LFT Green Leaf Cassia 5 gal. 3 f, / A CLJ Callistemon virninalis'Liftle John' 5 gal. 3 �OX_ MI Weeping Bottlebrush 5 gal. 3 LMY Lantana m. 'Gold Mound' 5 gal. 7 00 Lantana GROUNDCUVERS/VINES DESCRIPTION SIZE QTY. BBK Bougainvillea 'Barbara Karst' 115 gal. 8 Espalier to wall/column Bougainvillea INERT MATERIALS DESCRIPTION Flagstone Pavers (6) Total 00 Cresta, Boulders (16) Total Planter beds to receive 3/4" Apache Brown 1500 S.f. 0 0 00o 3/4" Salt River Rock Cobble 200 sf. 0 0 DESCRIPTION Enhance hardscape with Stone Paving 550 s.f. Concrete Pads LIGHTING DESCRIPTION ZNX Tree uptight 32 I.f, Em I Ci -k N �y T A MI "Y DEPT. -Q 'L C,)- E D I FGA DATE !Ll By - r FEF - Of $30 HE AFPRO�iED ctiARGED,IF T 01. j Vic' S, AN 0 10B CARE ARE N 0ILED ,:,IT[ � eo A ED ,_Ir- - R 801jil: L INSPECTION- I ljo D(LENtiONS- U LRB Leucophyllurn 'Rio Bravo' 5 gal. 2 Leucophyllum Oj LFT Leucophyllurn frutescens 'Thundercloud' 5 gal. 3 Leucophyllurn �OX_ MI Morea des 5 gal. 3 Fortnight Lily 00 SM Stenocereus marginatus 3' -5'var. lits. 4-5 posts 1 Mexican Fence Post GROUNDCUVERS/VINES DESCRIPTION SIZE QTY. BBK Bougainvillea 'Barbara Karst' 115 gal. 8 Espalier to wall/column Bougainvillea INERT MATERIALS DESCRIPTION Flagstone Pavers (6) Total 00 Cresta, Boulders (16) Total Planter beds to receive 3/4" Apache Brown 1500 S.f. 0 0 00o 3/4" Salt River Rock Cobble 200 sf. 0 0 DESCRIPTION Enhance hardscape with Stone Paving 550 s.f. Concrete Pads LIGHTING DESCRIPTION ZNX Tree uptight 32 I.f, Em I Ci -k N �y T A MI "Y DEPT. -Q 'L C,)- E D I FGA DATE !Ll By - r FEF - Of $30 HE AFPRO�iED ctiARGED,IF T 01. j Vic' S, AN 0 10B CARE ARE N 0ILED ,:,IT[ � eo A ED ,_Ir- - R 801jil: L INSPECTION- I ljo D(LENtiONS- 48, PIV-711"ISIED: 10/10/03 1/81V=11-0?1 Ci U&M-A U 00 00 48, PIV-711"ISIED: 10/10/03 1/81V=11-0?1 Ci U&M-A