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0208-164 (BLCK)I0 F_ N W p�or) r` 10 Lf) � W r Q' o Z r— CD0o I— c0 w LU I— a fn Z M LO 0 �' UQ `rQ0 0 J J M Q U OU Il rn Z_ oo 5 r O 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 737763 C27 r�-� ;�7 }/2( Date ' 7 = Signature of Contractor l �' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: el ( ) 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). f' �I ( ) I am exempt under Section , B&P.C. for this ason Date 7 Signature of Owner.'' 1�./ 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 DIDEMN1TY DIS M t Policy No. NWC010632.00 (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 those_ p+roovi ions Date: ^- /'- 6 ' Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to crimirial 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 this City to enter upon the above-mentioned property fo'r inspection pu oses. Signature (Owner/Agent) - / Date BUILDING PERMIT PERMITk V 021A-1TRACT DATE VALUATION S725LOT JOB SITE ADDRESS 7Wj21/2 G1ZA YD `TSAVFRSL APN - OWNER CONTRACTOR / DESIGNER / ENGINEER I:A QUINTA FAIRWAYS HOA DE FRT MMi LANDSCAMG INC COMMON AIUUz GMID TRAV13= 40-260 GAMMO COURT;' LAQLJfb rA CA 92253 IWAO CA 92201 ('760)345.3585 CBU 2466 USE OF PERMIT CfL!r►NLI'tI�T. IIi1Iii7Il� (3 19 LF. 6'6' HIGH BLOCK WAIL (ORCO SYSTVM) d FT. WALL 29.00 LF ESTCOBS' OF CoTiN Ri'lallon PERMI 'hTLF b'i AMAhRY CONSTRUCTION FEE M -000-418-M) $21.00 M)B TOTAL CO2TI3'xRLTMON ANIS PI -W MR= '$21.00 L= PRE -PAD) Fi3 $0.00 0 PERMff FMS RITE NOW 521.01) G 122002 PANCITYORLAAWNTA FINANCE DEPT. RECEIPT DATE r BY 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 & Controls Party Wali Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath - Final Final BLOCKWALL APPROVALS steel POOLS - SPAS 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 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: ` a N 210 40'28"W 20.03 a N 89059'31"W 19.06 e N 72' r3' 59"W 0.68 %" N 36°26146' W 20.ClI © N 21°40'28"W 596.27 9 N 21040'32"W 598.95 291.50 N "12' 59 54'w(l) 11.50 i1 N 47'30'58"E 50.00 -33.13-._. N 67°49'51"E 58.95 94.73 47.90 n/72° �3'S9"w /0.83 14 N 21°40'28"W 295.60 15 N 21°40'28"W 196.22 :E SHEET 2 OF 8 FOR SURVEYOR JD EASEMENT NOTES ^0 m N E39 -59-31"W 564.53) N 86°38E 340.58 L 0-T "W I N 78°02'44"W N 0° 02' 26"E 50-n-4 /735 (rKANU N 89"59'31"W 391.65 1 u I 10.0/ OE 63` 1'15!11 X5.50 50.2-7 28..05 20.00 Q 510 24 2311 45.50 40.62 21.g0 OG 07°46'03 291.50 39.52 19.79 QQ 17 ° 00' 0.3 279.85 83.04 4/.83 -33.13-._. OI 20°55'38 259.35 94.73 47.90 QJ g2'43'2b" 24.50 39.65 25.69 ® 0Q° 05' Z3" 328.50 23.45 11.73 © 75'28'45" 24.50 32.28 18.96 O 0°29'41" 310.00 2.68 1.34 ON 43°36'06" 378.50 249.99 131.40 Qo 02°32'21" 279.85 12.40 6.20 © 085667 23885 340.85' tin AVENUE 1 (N 89° 59' 31 "W 1328.41) 94 2.76 3 I 1 LOT N 89.59 '.-11 " W N89'S9_3/_/✓1RL 4 f 10.5. 85 N 89'59'31'W 400.04 N 89°59'31"W N 89059'31"W 663.76 N68°ZXZ0"1 C. vl4J9. WELL SITE DEDICATED //V� FEE T!T[ E uEREON �. 391.65��,y2s� Q' ti _ LOT "A" L 0 T P f Q=36•35j 2 6p• CT ��2,, 391.65 -l0 cn\ �,pJ ¢9 3Q N N 89059'31"W 466.30 0 v y .2¢ 9 67 N7 O l ti/ R Q / 55 EPP�ov1 E VENUE s o9s \\ / N P` o �a� 87. g5,29 a�66°1 22Z4,B,a ��0 Q� oda 4 q 01. T oda S� 0 .0��- 1 0 A 1 to O O6 • Pm \ 19� 90 •6 �� . tiP C\\Vo SB iL c I D2 ytiti • �, 32.38 t 40.49 4 39 _ � 3 N 82031'55"W N (=74�FC� 72.87 1 2 3 (rKANU N 89"59'31"W 391.65 - TRAVERSE - 60.00---- F;0.00- --60.00 --60.00___ -33.13-._. G _N Q� w w w w w w N O Cl N O Cl N O o N O 0 N O 0 cu �0 �� A6 �0 C)� �0 45 �m 44 �� C) 43 C)0 �( 42 Lo o U ti O`~ O ' O .ti O v i Z Z Z Z Z 2 60.00 60.00 60.00 1 60.00 1 55.16 N 89059'31"W 466.30 0 v y .2¢ 9 67 N7 O l ti/ R Q / 55 EPP�ov1 E VENUE s o9s \\ / N P` o �a� 87. g5,29 a�66°1 22Z4,B,a ��0 Q� oda 4 q 01. T oda S� 0 .0��- 1 0 A 1 to O O6 • Pm \ 19� 90 •6 �� . tiP C\\Vo SB iL c I D2 ytiti • �, 32.38 t 40.49 4 39 _ � 3 N 82031'55"W N (=74�FC� 72.87 1 2 3 qff 'Icc' August 12,20.02 City of La- QuinW Attn: Planning Permits 78-495 Calle Tampico L'a Quinta, CA,92253 RE: Storage Facility*: Regarding an intent on building a plant storage facility on Common Ground of La Quint* Fairways is solely for the, use of the association and not intended'for ani gainon income for the rental or leasingof storage space that is hereby d Sandy Hawks Board President La Quinta Fairways Roift'Hawks LaKdsddping Committee Chairperson ..La Quin'ta Fairways Cc-.:.• Building Conunision �'2 2 r i,: 6 10 Bin # City of La Quinta Building &r 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: -)'&Q.Ss 7996-S i1.-7*1-erse- Owner's Name: A. P. Number: Address: *qI&OV-f Ae054 f-hfg�Z Legal Description: Contractor: Address: -ir LVZ-a6 C,-a-4,00 C7- 1n City. ST. Zip: Telephone: Project Description: City, ST. Zip: 2 03 Telephone: IWA-frIf rIA& Lg,,a4g 7-d QIV X',4-r< State Lic. -)E-007 7,37763 City Lic. #: 02 W 6 W f r1f Al- s I rda I xyep-rr eAra- 4 f Arch.. Engr., Designer: &60r Wglk L Address: City, ST, Zip: Telephone: .... .......... . ..... Construction Type: OccupancN State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: (It 10 Sq. Ft.::: 22 1 # Stories: 1$ Units: Telephone # of Contact Person: -7 k- oulu 2 7 7 Estimated Val6e of Project: -X- =ZL62f APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rect'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed. ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SAI.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees SU AR . roved DZ : Reser Planning Commission. -�.�• O City Couuln4tcyil ...... ,.w. --�* O-Com Case No. Exhibit _.......,�...+. .�._.,....�... 8 With Conditions.e,,.. LAWU �a,�pppSryO 12L,41el% ,A,a&-;4 /Z'X ZZ' PQ6400St? W AL L &&//7-0 l 7/4.5' C-ArF �- GO LAWN i 18 N 89057'34"W 156. 97 19 N 05036'45"E 151.36 20 N 07022'31"W (31.20) 39-49'25"W 41.03 N 32° 11'40"E(R) 160.20 L24N N 12-23'59"W 191. 11 N 03° 24' 25 "E 10.03 (( 11 INDICATES RECORD DATA PER R.S. 73/83 ' << >> INDICATES RECORD DATA PER TRACT NO. 24889, M.8 210138-52 TOTAL GROSS ACf2EAGE AC. /( FD. 2X2 TAGGED L.S. 4146 F r�C -E" I3/4" I.P. W/PLASTIC PLUG S L.S._ SH TAGGED PER PM420862 PMBU�133/17-18 CVWD �J Jj] J ' C) (3- J___, PMB 137/012-13 & RS 72/47 A ACCEPTED AS 1/16 COR. PH. B. 133�i1- I S PM 24897 PA48 160/41-42 If C V v\/. D, P F 2 I N ST NO . ACCESS ES"hT WELL 5/rE DED/GATED SG1 31 W (2&50-6o5) [2105 .9 0� i 2 145139 -% - 31-1 �I 81 ,aec�cf+r�n /N FEE r/rLE HEREON 128.24 6328.41. ri6.lEor _1 528.47 — _ 11 C1528.431 50TH AVENUE �2' LOT " , _ .. LCT „2 55 9 10 I�4 r 3 4 6 o - 50 4814745 ¢ 1 42 2 1E =�0 5 W 5J 1 4 0 p� IIIo . c (ABAND 16 3 g //V -4r /v� `° �vB/°�� N 89059'31"W (466.30 � �0 T 6 REG 5- TREAD✓vyT <353• 14 3 8 g g 7 ^ I a 0`�' 114yT A 7 �QQ R`� UL.6 990 5 B tib N %5° 3 7 o� 5 9 52 0 o a, 60 �P 61 2 63 11 �9 ' �085.95 3 10 aA 12in AIL°A1i s 1 64 6 66 67 N 3 I� 01 o 3 0. 13 r.5.. IN, 1015.70 g 68 69 70 -off �° - �'j �0 2 9\ 1 71 7 2 PTI N 3\ vio L) 14 �' ✓�' �: 32 15 I . \\ Glc o; A� 1 9 4 9 92 9 1 7 3 Z o��` �� N 1Cl 90 8 9 8 8 Q� 0 3, 16Lo N s 30 L� O X50 2q 01" Q� LOT 620. 00 s L 29 v/RflEca IREM 5 28 AV - AIN.osR ED SEE 23 7 �' ��i x .q t) FR A c� -� O i 2 7 r - C 7 � c o �� 26 � C, I 1 2s.2z LOT"V' 22 7 `J onA �l-� -r--J,L I C ;o Z a 25 to PM. 24B3-7 ° n 8 7 8 0 5 0 �1 � 2 W CU. N PM.B. 16041-42 I N3'i �c1�! 21 oc 81 !-A n