13-0068 (SOTB)t,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-0000006800000068
Property Address: 81050—GOLF VIEW DR
APN: 762-280-029- -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 7000
Tit!t 4u�l�tiGv
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/25/13
Owner:
WADE GREG & DONA
81050 GOLFVIEW DRIVE
LA QUINTA, CA 92253
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. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING
I hereby affirm under penalty of perjury that there is a constructiori lending
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
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for th JArNm2C8of;M
JJ �) rr QQ ��14u1 I
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 application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating t ' ding construction, and hereby authorize representatives
of this county to enter pon the above-mentio proparty
r inspection purposes.
purposes.
Date:, Signature (Applicant.or Agent):
Contractor:
Applicant: Architect or Engineer:
JEHA CONSTRUCTION, MICHAEL
3089 SANDSTONE ROAD
ALAMO, CA 94507
(925)250-4038
Lic. No.: 410408
-----------------------------'----------------r----------------------------------------------------
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
License Class: B License No.: 410408
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
,/Date: l
_ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
—[/3 '�(j/._contractor:
1Ti/
Code, for the performance of the work for which this permit is issued. My workers' compensation
NER-BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I from the Contractor's State License Law for the
)amempt
Carrier EXEMPT Policy Number EXEMPT
following reason (Sec. 7031.5, Busines �aandsions 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 repaaiucture, 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 (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Lab7ftqe, 1 sUallio hwith 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).:
ZS '
ate: Applicant: I�
(_) 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(CDaPENSATION 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. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING
I hereby affirm under penalty of perjury that there is a constructiori lending
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
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for th JArNm2C8of;M
JJ �) rr QQ ��14u1 I
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 application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating t ' ding construction, and hereby authorize representatives
of this county to enter pon the above-mentio proparty
r inspection purposes.
purposes.
Date:, Signature (Applicant.or Agent):
I
Application Number . . . . . 13-00000068
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . 90.00 Plan Check Fee
58.50
Issue Date . . . . Valuation . . .
. 7000
Expiration Date 7/24/13 `
Qty Unit Charge Per
Extension
BASE FEE
45.00
5.00 9.0000 THOU BLDG 2,001-25,000
---------------------------------------------------------7------------------
45.00
Permit . . . ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee . . . . 16.50 Plan Check Fee
4.13
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 7/24/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
1.50
----------------------------------------------------------------------------
Special Notes and Comments
OUTDOOR FIRE PLACE W/ ELECTRICAL UNDER
EXISTING COVERED PATIO. INCLUDES 6'-0"
HGT STUCCO WALLS ALIGNS WITH EXISTING
PATIO COLUMNS. 2010 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
5.85
Fee summary Charged. Paid Credited
`-------- ----------
Due
--------- ---------- --------------------
Permit Fee Total 106.50 .00 .00
106.50
Plan Check Total 62.63 .00 .00
62.63
Other Fee Total 6.85 .00 .00
6.85
Grand Total 175.98 .00 .00
175.98
LQPERMIT
Bina
.
Perinft #
i
Project Addeess: —
City of La Quihta
- BupQtng ez Safety Aiv[slon .
P.O. Box 1504,78-495 Cate Tampko
14.Qtdnta, CA 92253 -:(764) 777-7012
Building Permit -Application" and Tracking Sheet
1 �V Ownces Name: G ezq t D ons-
A. P. Number.
Address:—O V VI Pack De
21
Legal Description:
City. ST, Zip:
Teiephone:
Project Description:
Contractor. �G� C�CIYISI�'
Address: —73i ( U IA- lel 411oIQ60``
City. ST, tip:
1
Telephone: 9Z5'ZSD U '
r
S �.�
StatcLir_#:T3A10 U City Lic. 4,
Arch.. Fag., Designer:
Address:
City., ST, Zip:
J�
Telephone:
State Lia #
Construction Type: , Occupancy:
Project type (circle one): New Add'n Alter Repa'u
Demo
Name of Contact Person:
#Stories. Units
Sq. FL: I I
Telephone # of Contact Person:
Estimated Value of Project / btu t
p Sobmittal Req'd
Plan Seb
APPLICANT: DO NOT WIVTE BELOW THIS LINE
Recd TRACMG PERMIT FEES
Plan Check submitted Item Amount
Structural Cates.
Reviewed, ready for corrections Plan Check Deposit.
Tmss Cates.
Called Contact Person Platt Cheek Balance_
Title 24 Calea.
Plata picked up Construction
Hood plain plea
Plans resubmitted.' . Mechanical
.
Grading plan
2'! Review, ready for correction kssue b Electrical 0
•
Subeontactor List
Called Contact Person : plumbing
Grant Dccd
Plans picked up SALL
ILO.A. Approval
it'
` Z
Plans resubmitted Grading
IN HOUSE:-
''' Review, ready for eorrcctionslissuc Developer Impact Fee
Planning Approval
Called Contact Person AA.P.P.
Pub. Wks. Appr '
Date of permit Issue
Schodl Fees
Total Permit Feu
�.
� r }
PGA IVESTo
FAIRWAYS ASSOCIATION
January 8, 2013
Gregory and Donna Wade
6447 Willow Springs Drive
Morrison, CO 80465
Re: Architectural Application— 81050 Golf View Drive
Dear Gregory and Donna Wade:
The Architectural Committee has reviewed your request for the installation of a fire place on your rear
patio. I am pleased to inform you that the Architectural Committee has approved the application as
submitted. The Committee respectfully requests that you consider the noise level of the television and
how it may affect your neighbors.
Enclosed is Exhibit C — the Compliance Review Request form. Please complete this form after the work
is completed and return it by mail or fax to the address below so the completed project can be inspected.
If you have any questions, please contact Cassie Gertz, Operations Manager at 760-776-5100 Ext. 345 or
email Cassie.Gertz@Managementtrust.com.
Sincerely,
For lite Architectural Committee
PGA WEST Fairways Association
v cl�nald. CCAM, PCAM
iati Manager
ure: Exhibit C — Compliance Review Request
cc: Lot File
Architectural Committee
Post Office Box 1690 • La Quinta, California 92247 • Phone (760) 776-5100 • Fax (760) 776-5111
VU
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Crf:p�lent Code Holidays: A I TOne
...,...Construction is NOT PERMITTED
. on the following Code Holidays.
New Year's Day
i Dr. Martin Luther King Jr. Day
Psidont's Day
___..M tnorial Day
j__ In pendence Day
-L r Day
Veteran's Day
-Thanksgiving Day
Christmas Day
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
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