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14-0097 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000097 Property Address: 81325 GOLF VIEW DR APN: 762-410-032- - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 800 Applicant: Td- vQ !t44 " 1� BUILDING & SAFETY DEPARTMENT Architect or Engineer: �YV BUILDING PERMIT Owner: BERGERON RESIDENCE 81325 GOLF VIEW LA QUINTA, CA 92253 ( Contractor: PRECISION PATIOS 67210 KANN ROAD DESERT HOT SPRINGS, (760)413-2007 Lic. No.: 539152 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/30/14 D;0 2014 CJ JAN 3 CITY OF E A i.�UINZ i e1r.—....- - -------------------------------------------------------------------------------------------------- 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 1 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: C47 D03 License No.: 539152 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - ��� issued. Date: � Contractor: /� � —_ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT 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 (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I 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 (S500).: Dater 11,E 1( gpplicant:Q( n n (n n '�V (_) 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 ($100,0010). 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 _ 1 1, 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 I am exempt under Sec. , B.&P.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: LQPERMIT 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 to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. batt:_1 LVSignature (Applicant or Agent): �_kf��i�� ,� i�� Application Number . . . . . 14-00000097 Permit PLUMBING 2013 Additional desc . . Permit Fee . . . . 11.92 Plan Check Fee . Issue Date . . . . Valuation . . . Expiration Date . . 7/29/14 .00 0 Qty Unit Charge Per Extension 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92 ------------------------------------------------------------------------ ---- Special Notes and Comments GAS LINE 80 LN FT'X 1 1/2 ' APPROVED PER AJ 2010 CODES - ---=-------------------------------------------------------'---------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.39 PLAN CHECK, PLUMBING 23.83 Fee summary Charged Permit Fee Total 11.92 Plan Check Total .00 Other Fee Total 115.40 Grand Total 127.32 LQPERMIT Paid Credited Due .00 .00 11.92 .00 .00 .00 .00 .00 115.40 .00 .00 127.32 1 Bin# City of La Quinta Building 8i• 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: Owner's Name: A. P. Number: Address: Legal Description: Contractor: /, TVTelephone: �C �,f '� V City, ST, Zip: � % Address: 6-7-z, -D .Kl V �Ro Project Description: City, ST, Zip: �A Telephone: 6 ::..:.:;, :..;,.;,.:::;. :;:.:; :•: State Lic. # : City Lie. # Arch., Engr., Designer: Address: City., ST, Zip: Telephone: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lic. #!: ,. Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project. eo u APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.1. .H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionsrassue Developer Impact Fee Planning Approval Called Contact Person • A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Golf View Drive TOA _ _ I proposes nre pli 14 aia.1 }AQ MSS 81325 Golf View Drive J Lot 32 Tract 28,838-3, La Quinta, Riverside County as PGA WEST FAIRWAYS ASSOCIATION January 7, 2014 Shirley Bergeron 1907 7`' Street SW Calgary, AB, Canada T2T 2W9 Re: Architectural Application.— 81325 Golf View Dear Homeowner: The Architectural Committee has reviewed ,your request for the installation of an outdoor fire pit in the rear yard of your residence. I am pleased to inform you that the Architectural Committee has approved the application as submitted. 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 at 760-776-5100 Ext. 345 or email Cassie.Gertz(a�.Nlanagementtrust.com. Sincerely, For the Architectural Committee PSA WEST Fairways Association let McDfnald, CCAM, PCAM ,As ciao Manager C — Compliance Review Request cc: Lot File Architectural Committee �vY Post Office Box 1690 • La Quinta, California 92247 • Phone (760) 776 -5100,' -;Fax (760) 776-5111 • www.pgawestfairways: com