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0305-213 (RPL)I hereby affirm under penalty of perjury that I am licensed under provisions of HChapter 9 (commencing with Section 7000) of Division 3 of the Business and CV co Professionals Code, and my License is in full force and effect. M License # Lic. Class Exp. Date Z r- Date 14 i�, Signature of Contractor—, � 0. r- � J U CD OWNER -BUILDER DECLARATION HLU rl- I hereby affirm under penalty of perjury that I am exempt from the Contractor's U) License Law for the following reason: Z_ ( ) 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). Ch () I am exempt under Section , B&P.C. for this reason C\I Date Signature of Owner O C\ 0) d Q WORKER'S COMPENSATION DECLARATION It . cr I hereby affirm under penalty of perjury one of the following declarations: Lo H O () 1 have and will maintain a certificate of consent to self -insure for workers' X W compensation, as provided for by Section 3700 of the Labor Code, for' the O _ Q performance of the work for which this permit is issued. M Q U (�tJ I have and will maintain workers' compensation insurance, as required by O U Q Section 3700 of the Labor Code, for the performance of the work for which this li rn H permit is issued. My workers' compensation insurance carrier & policy no. are: It Z Carrier VAII: K,.YI 0 Policy No. Cb Q J(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 tho,� provisions. Date V Applicant QQ^ AN n.Y Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his "4 application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is • correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. + J ',,Signature (Owner/Agent)+�'�r�11 'z Date BUILDING PERMIT PERM'S DATE VALUATION Iv%>a c000 LOT TRACT ,� O{e� R,' JOB SITE 9 FOOT ADDRESS ,:`, ,.%: APN OWNER CONTRACTOR / DESIGNER / EN (NEER ".� <��, int, L .�Y_, Cr€,,+',���:, CAN �Tf�°W110I:in.*51 22V1 'B- Tl2w iIn '� tf 1X011Y. 0-41MV, CA 92,09 PALM MPM114"03" CA, 922.62 CMU, 2 110i 3 USE OF PERMIT s".•JiJ,L,.dR1Y� niWfn..:i.i..3$;`i:�l 2,T2>:1222[!Y hfii a2i4'1i'Md, . L`. tid L ?�:uC:• 2'� 6lxi. Ll: i'RFMAIG EA Ke; Ui' MF.' !f VtJ;y'0b0S1JY( - kti)`' NC.l•,I;lDED rM11MA 1 ..D ,V. Train CON YMMC 301 PIAN CHECK 101.0'X-09.318 WIN CO*H TIi i i "?'tC?< ?`?;F I. () 9 4rICi- f~- Qoo MECHANICAL 1.1-kI ­P00L 101 _000-4 I _000 EL`,'C'!,'P.IC,f?L F'';7s„ s":) O'L 96)4-Cf41�E-d?•`s�?�(D013 �d�.ftfr {�'L,iit>f1:�SAifi�r�ai+'.,•_i'=:�r'�I., l�3'3y�U(f�>lxf,©©� Wk"t.�i� A REP '�'�Y.AND Pi�t t:�� � V jKMALRECEIPT DATE BY d y5 FI ED 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 & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVALS steel POOLS - SPAS !!7 1�4 7,�— . Set Backs Electric Bond X/ 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 A 19 Sewer Connection Encapsulation 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: - 05/23/2003 08:46 76056 29 PGAWEST PAGE 06/08 o FAIRWAYS ASSOCIATION May 22, 2003 y I& & Mrs. Terry Clark 11 Willowglade H Dore Canyon CA 92679 " RE: 56-031 Winged Foot , Pool, Spa, Fireplace, BBQ, and Landscaping ; Dear Mr. & Mrs. Clark: At the May 19, 2003 Architectural/Landscape committee meeting the plans that you ' submitted were reviewed and approved with the following conditi=on: r The equipment room needs to be enclosed. • Add bender board behind the planter bed.;, If you have any questions please contact me. Sincemly,' f, aAssociatio cio, CIVICA r nager DM/ncp i AND RHONDI CLARK Tinged Foot lir. (Lot 7) :a CA 9:2253. EAGLE BEND GENERAL SPECIFICATIONS DMENSION$: POOL SPA Length: 4050" '7'0" Width: 17'0" V011 Surface Area: 492 SF 38 SF Perimeter: 114 FT 23 FT Depth: 3'0" to 5'0" 42" MAX Demo: Concrete: N/A Sod / Gravel: NIA Plumbing: Extra Spa to Equipment: 80 LF Raised Spa Bypass w/ck value: YES Dedicated Vac Liner YES Gas 'Line Extra:. 10 LF Gas Line for BBQ/Fire Pit: 401S Spa Jets: FIVE BACK JETS Decking: Color w/salt firdsh: 1630 SF DECKING, CA1' @ RAISED SPA Cantilever Edge: 137 LF BULLNOSE LEDGE STONE 3" Deck Drains (per LF): N/A Step Riser (per LF): N/A Dam Wall: x-18" Raised Bond Beam: 16 LF @ +12", 10'@+18"- 0'@+18"Umbrella UmbrellaSleeve: YES @ TANNING LEDGE Tile/Stone• Basic Tile Croup: 137 LF 6" GROUP 1 OR 2 TILL' Quartzite 6" Waterline: N/A Step Trim: N/A Tile Raised Areas: 10 SF @ DAM WALL, 6 FT QTZ SPILLWAY STACKED STONE / TILE ON RBB 31 S.F. 1�Ia51AII1"V' • Spillway:. 6 FT QUARTZITE STARSTEP SPILLWAY Waterfall: (2);12" CUSTOM CASCADES (CENTERED) (1) 18" CUSTOM CASCADE CENTERED ON RBB BBQ: YES ( SEE, ATTACHED DETAIL) Firepit: N/A Boulders: N/A Access Wall: N/A Equipment Wall: N/A Paint/Stucco/Plaster: STUCCO EXT. RBB. BACKSIDE Pool Finish- White Pool Plaster: N/A Pebble Pool: PEBBLE COAT FINISH Equipment: Pump: HAYWARD NORTHSTAR 2 HP CIRC/SPA Pump: N/A Filter: UAYWARD 500 SF CARTRIDGE -TYPE Heater: HAYWARD 400k BTU LO-NOX Controller: POOL BOSS REMOTE INT, MOUNT Hayward Navigator: N/A Pool Light:. ONE 400 -WATT Spa Light: ONE 100 -WATT Purification System: N/A Water Feudrre: 3 CUSTOM CASCADES ON RBB PER PLAN Land—fie: SEE SEPARATE DETAIL AND CASTING Patio Cover: N/A Fencin . N/A MISC. SPECIFICATIONS: - ALARMS & SPRINC•S PER CITY CODE E0 39dd 9N3 Sd3GNnvs P/L ng wal I quar STUCCO EX +18�� CRASS INSE=RTS, SEE DETAIL FOR FINISH i} bobcat access 14' 760-778-2700 760-320-3667 L996 -0a6 -09L Gb:OT C00Z/ZZ/50 e spillway GOLF COURSE CUSTOM CASCADES P/L J'03 A%� w DIAMOND SAW CUT DECK PATTERN 4- ON CENTER AS SHOWN PLANTER :VE ALL PLANTERS POOL BOSS REMOTE CLARK RESIDENCE LOT 7 EAGLE BEND HOM-5 G/E 55- . BSQ existing wail P H GATE 2295 East Tamarisk Road i :Palm Springs, CA 92262 License No. 779165 00 39Vd ' 9N3 S63QNnvs, . L99E-0�E-09L 6V:01 E00Z/ZZ/S0 ,07/02/2003 .12:12 760-320-3667 SAUNDERS ENG PAGE 01 I LYON VIEW POOLS 3295 E. TAMARISK RD. PALM SPRINGS, CA 92262 Fax 760-320-3667 Phone 760-778-2700 ...., r 6z facsimile transmittal To.--,- p F m: Date: j - O. Re:. Or 14- &I k r� n� Pages 3 ❑ urgent ❑ For Review 11 Please Comment ❑ Please RSPIY ❑ Please Recycle r 1Ww%oVYN eevi P!.��-, �,w.�c�,c'-'."..`.c".. . STACKED STONE / TILE ON ROR GOLF COURSE -40'0 =24 +za' 30 +za• +24 -z4 UMBRELLA SLEEVE ~\ +24• \ 5PA QUARTZITE spulwav ` • �A'� CUSTOM CASCADES 131 POOL 53. ' L \ y PSL .�\ z W �EXIS- - � \ '` �✓ // � , r ' \;' \. . 4j7� WALL \ \. 24'0/ \ 21'SLd � -7 GRASS MOW STRIP WITH cn ... CONCRETE SURROUNDS �\ \/ \' DEWNG BBQ Dplanter PATTERN \ % Ir % /XX /planfer f(SEEbETAIL f : , P SHEET) n ( DIAMOND SAW CUT sleeve n11 Planters CONCRETE DESIGNpool boss DIAMOND SAWCUT / THIS AREA remote switch CONCRETE DESIGN ' \� i THIS AREA LO LO (pia0er TERRY L. & RHONDA D. CLARK G/E sID vdALI . m BOBCA r ACCESS '. LEGAL TITLE LO LOT 7 EAGLE BEND 56-031 WINGED FOOT DRIVE LA QUINTA CA 92253 . QM c,);, 1 ` OOL EQUIPMENT P GATE. CS) NOT VISIBLE H CD SISI ,� I�� TO GOLF COURSE 07/02/2003 12:12 760-320-3667 SAUNDERS ENG ; PAGE 03 �"-`JUk, 30. 2003 11:15AM YF' UGAL NO, 3988 P. 2/3 DESERT RESC)RT!) INC. June 30, 2003 Architectural Committee PGA WEST Fairways Association P 0 Box 1658 La Quints, California 92253 Re: 56031 Winged Foot, La Quints - PGA NIESTT"o Property Owner. Clark Doan Sir/Madam: KSL Desert RcWrts, Ziac-, ("Desert Resorts') is the owner 'of the golf course property immediately adjacent to the rear propeM line_of the above referenced Twi►delatial propeaty- Desert Resorts is the holder of a five (5) foot easement 310�9the rear p roperty lime (the "Setback Ayes') of all of the residential lots located in the Eagle Bend prof act at PG A WES1'Tm- bowevcr Desert Resorts is willing to grant its limited eoinsent to a property owner's enc; oacbment ad construction of pool impzuvements within the Setback Area subject to the property owner's compliance with certain terms and conditions. The Property Owner and the pool contractor have reque sted Desert Resorts' approval of the encroachment of the pool within the Setback Area. This letter s hall serve as your notice that Desert Resorts has reviewed construction plans for a pool and/or spa ori the above referenced property, as depicted on Exhibit "A" attached hereto, and approves of its ins tallation subject to certain terms and conditions including; but not limited to, the follovhng: 1. property Owner agrees to construct and maintai 1 amow sbti which shall be located along the e»ttire length of the Setback ,Area; 2, Installation of a solid, continuous buffer wall, a minimum of 24" in height along the length of the pool; and 3, The mow strip shall not extend above the grow id elevatiotL Lf you have any questions, please contact me at 564-8023. Sincerely, Barbara Lush Manager of Ileal Estate Con-xacts Cc: Canyon View Pools Irxc. nhGwc1 UrNe rusl Olfcu Aox 69" L, Lulnta, C ddurtua 9�?53 • Tal (760) 564•:'674 • 60) 64.7699