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07-0001 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00000001 Property Address: 54575 WINGED FOOT APN: 775-110-012- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 35000 Applicant: I &tyl 4 4aQ" BUILDING & SAFETY DEPARTMENT ' BUILDING PERMIT Architect or Engineer: Owner: MARK SOUZA 54575 WINGED FOOT LA QUINTA,* CA 92253 Contractor: LEAK DETECTORS VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/02/01 tJAN 0 9 20Ul� % P.O. BOX flFi74 _� CI OFLgQUINTA PALM SPRINGS, CA 9226L FINANCE DEPT I (760) 773-9070 LiC. No.: 618116 ---------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following.declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Licens Class: C36 C53 - 'License No.: 618116 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ntractor. issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor ' Code, for the performance of the work far which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: - hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier CALIFORNIA INS Policy Number 460089600102 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any • construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to, the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law IChapter`9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the L Code, 1 shall forthwith comply with those provisions. 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 of not more than five hundred dollars ($500).: ate: I -1 451 plicant: 1 _ 1 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). (_ 1 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.). - ( ) I am exempt under Sec. , BAP.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.). - - Lender's Name: Lender's Address: LQPF,RA11T 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 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 app'cation and state that the above information is correct. - I agree to comply with all city and county ordinances a state laws relating to building construction, and hereby authorize representatives of thi ounty to enter up the above-mentioned pr rty for inspection purposes. ) te:l'�_�i� gnature (Applicant or Agent): N. 100. Application Number . . . . . 07-00000001. Permit . . BLDG POOL PERMIT - Additional desc . Permit Fee 311.00 Plan Check.Fee 206.05 Issue Date Valuation 35000 Expiration Date 7./01/07 Qty Unit Charge Per _ Extension BASE FEE. .-252.00 10.00:. 6.5000 THOU BLDG .25,001-50,000 65".0.0 Permit . . . MECH POOL Additional desc . Permit Fee . . 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date 7,'01/07 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 .. 7/01/07 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 . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . Valuation 0 Expiration'Date 7/01/07 Qty Unit Charge "Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB .FIXTURE 12."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 POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERMIT Bin # City of La Quints Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, 'CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:'5 LIS—) 5 w i �,�c �da�. Owner's Name: A. P. Number: Address:, Legal Description: City, ST, Zip: Contractor: Telephoner O'1 —ca Address:Al ?R81I 1 Project Description: a � City, ST, Zip: Telephone: 7 .71 State Lic. # : '04 % �L City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: , Occupancy: � �5 Project type (circle one): New. Add'n Alter Repair Demo Name of Contact Person: J F r�, i S, Sq. Ft.: # Stories: # Units: . Telephone # of Contact Person: i 6 O —4 r U _ 10 03 Estimated Value of Project: 3S O 0Z APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG . PERMIT FEES Plan Sets Plan Check submitted �L n7S Item Amount Structural Calcs. Reviewed read forotioas Plan Check Deposit . Truss Calcs. Called Contact Person Plan Cheek Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading, plan 2' Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted 3rading IN HOUSE:- ''' Review, ready for. correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees PGA WEST II ZESIDENTIAL ASSOCIATION , INC. 42-600 CAROLINE COURT, SUITE 101 ?ALM DESERT, CALIFORNIA 92211 PHONE (760) 776-5100 • FAX (760) 776-5111 Patrick Riordan 'P. 0. Box 1359 Watsonville, CA 95077 -- Reference: 5;4--57-5__Winged otot, La-Quinta;=CA Architectural Change Request —'Patio Decking, Pool & Spa Dear Homeowners: The Architectural Committee reviewed and approved your application, for patio decking, pool and spa. The committee recommends that you review the enclosed specifications for the PGA West concrete mix for consideration prior to the installation of your patio decking. ,y "Quiet" pumps shall be utilized for all pool and spa installations and shall meet the minimum requirement of the industry's "quiet" pump standards. T The contractor shall ensure that the make-up water for the automatic water feed device be' tapped ahead of the main dwelling shutoff. Existing hose bibs cannot be used for this purpose. Please be reminded that once a homeowner installs custom concrete sufiaces, the Association has no responsibility for maintenance or repairs for such modifications. Per the Architectural' Guidelines, reference page 7, Section 6 — Patio Decking & Patio Extensions change to the aforementioned shall be- at the Owner's expense." •��any damage or, Review by the Committee is on/v for oenera/ conformance a th the Anchitectura/ Ru/es It is the resoonsibintvof the owner to f4g& understand and conform to the Arch/tectura/ Ru/ess criteria whether -or not a// deficiencies are noted durin review, It is also the owner's fu// res onsibi/i to field Kewffy a// existin conditions, The Committee's decision with r and to proJect deli n will be final. P/ease refer to the Architecture/Rules for a// Mau/red submittals Approvals given by the Architectural Committee are good for only six months from the date on the approval letter. If construction has not `commenced within six months after the project approval date, a new application must be submitted. This application is approved with the understanding that there will be no additional landscaping. Upon completion of your project, please complete and return The Notice of Completion of Architectural Change. For additional information or questions, the Board has directed that you contact Carol Fuller, Association Manager, at 760/776-5100, Ext. 320. Sincerely, PGA WEST II Residential Association 'e n A ` Pi Hand dig Spa... { 6'1 +18 M . Equipment , wall , > 4.00,000 btu ,6 6�0 0'9 511 heater ..., = _ '8 1 T3 129 ' p ' 32'2 *.1.05 _• PI _ ' 418— f ++ t 4 ` 5'3 PI ;. neighbor 11'3 Existing cover _ - 5'0® ; • , ., 5'0 i. Souza Residence - CITY -OF. L A Q INT 1 , BUILDING & SAFEr Y DEPT 4'6 54575 Winged Foot-,�� O - - - - FOR CONSTRU TION "� - .• .. ,_- _ . • . . DATE/ '19 6 BY. Nocth'ni . • Excluding. landscape _ - - _ 4'8— -