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0107-101 (AR)U U) _N 11J O 5 Ch r--CYLr) r�w� o Z CCD 0' C ( J D LULU rla to Z M LIDN ON CL r Q CE 0 LL 0 J J mUU O d U-) Z_ ob n d J 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 I Date X pL'`o, Signature of Contractor �- � � *�+ •`J " OWNER-BUIL-DER'DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 Is contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). () I am exempt under Section B&P.C. for this reason Date Signature of Owner 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 Policy No. (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.' man; er so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensatio/n(provis os of Section 37Q0 of the Labor Code, I s all ft rthwith comply wit /fhose.p is'lons.� ! 11 P Date: ' Applicant ,r'f� �•`,,.r°'st. " Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000 rn--- addition to the cost of compensation, damages as provided for in Section 37`08 i) of the Labor Code, interest and attorney's fees. ! I i 1,) IMPORTANT Application is hereby made to the Director of Building and Sa+fi for a permit subject to the conditions and restrictions set forth on. hji application. 1. Each person upon whose behalf this application is made & each persor� at whose request and for whose benefit work is performed under or pursuank 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 employdes..— 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 propertyfornsbeection purposes. Signature.. (Owner/AgentKf%'-��.-'^°- Date 1r BUILDING PERMIT PERMIT# DATE/ VALUATION LOT 0107-101 TRACT - JOB ADDRESS APN� OWNER CONTRACTOR / DESIGNER / ENGINEER CIERR '' Vii:.b&\RTA.'I1.T C.{ *0A1 ON BOB ,'`Dil6F.ARDS C ON91RUC"1'10N 80-298 HFIFI TA GE LA Q�ANTA CA 92253 L.QtTDqTA CA 92253 (760)/5-.7933 CBL4 S2ia USE OF PERMIT S" 6 'Sit ADDITION &.22431? PATIO CONIVRIXTION PER APPROVED FD IDi.ft N, CUSTOM GWTFRUCION 70,0019F PORCiitPATIO 772.00 SF MIXHANICAL'F`aZ 101 -MO -421-000. $46610 L1,AC�3 t1C.RI,ttp 101-000-420-000 $41.29 PLUMP.940 101 v{b0(U4 1 9-000 $66,00 aiR,f NO AO -TON FEE MID 3p 011.0a�iyi0-241 ^dry?tJ�t0 @ t�lgp3�W3 101 "VL/'\e"�2"..�w'�t-000 ,O� 1.00 C JUL #02001' � CITYOF I t) •�?T�f`,1��w1,021.24 RNAiiiC'1DEPT d LEW PiRE-PAM "S'0100 '1O'A'" t;a F.M r YEE S ]YIV i l?'CyW *L02124 Nl. RECEIPT DATE // p; 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 g/� Exhaust Fans O.K. to Wrap Framing 6 — F.A.U. 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 /�a�iy Final POOLS - SPAS BLOCKWALL APPROVALS steel 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 _ _ Sewer Connection `jJ��/jj� Pool Cover Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke'Detectors Temp. Use of Power Final Utility Notice (Perm) Bin # City of La Quinta Building Br 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: City, ST. Zip: Contractor: LJ �OD Tele P ho ne: Address: Zd ! G ame Project Description: /K U City, ST, Zip: z* (I & Vk4.1 64 Telephone: 7?5 W15 3 3 State Lic. # : City Lic. #: Z/Z Arch., Engr.. Designer: Address: r City, ST, Zip: hone Lic. 3 � Name of Contact Person: CoTeIe nstrucoon Type eOc cu ancv•. L circ)e one): : NewState Project type a c A n Alter Repair D'mo Sq. Ft.:g # Stories:: # Units: Telephone # of Contact Person: Estimated Value of Project: 7S APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, readv for corrections d Plan Check Deposit Truss Calcs. Called Contact Person 111410A, ban Check Balance Title 24 Calcs. Plans picked up V146 Q onstruction Flood plain plan Plans resubmitted bl chanical Grading plan 2" Review, ready for correcti s/issue '7/0(y IkectricaI Subcontactor List Cabled Contact Person lumbing Grant Deed Plans picked up 5.1.1. 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 Desert Sands Unified School District 47-950 Dune Palms Road Notice: • La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 7/25/01 No. 22308 Jurisdiction La Quinta owner NameGerry & Marilyn Cameron Permit # 0107-101 No. 80-298 Street Hermitage APN# 761-470-045 City La Quinta Tract # Lot # Type of Development Residential Addition Comments Log # Zip 92253 Study Area Square Footage 751 0 sq. ft. addition & 222 sq. ft. patio construction, per approved plan. No. of Units 1 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 2.05 X 751 or $ 1,539.55 the property listed above and thai' building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By Bob Edwards Construction Telephone Name on the check •�r By Dr. Doris Wilson Superintendent Fee collected /exempted by Juanita Green Payment Received $1,539.55 _ Check No. Signature �� NOTICE: Pursuant of sembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to rurrfrom the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the DistrictCs)(s) behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt • Copy - Accounting Jun 23 01 04:25p . rv� i� -er �1!1 June 7, 2001 GERRY CRMERON Gerry & Marilyn Cameron 6902 NE Park Lane Vancouver, WA 98662 PGA WEST II RESIDENTIAL ASSOCIATION, INC. P.O. BOX 1282, LA QUINTA, CA 92253 (760) 776-5100 FAX (760) 776-5111 Reference: 80 298 Hermitage, La Quinta,_ CA 92253 Architectural Change Request for Room Addition Dear Mr. & Mrs. Cameron. The Architectural Committee and the Landscape Committee have reviewed your plans for a room addition and additional landscaping at their meetings on May 8th and May 91h, respectively. The Architectural Committee unanimously approved your plans as submitted. The landscape committee approved your plan with the following comments: • Bogies should be planted in the sum. 4 rh ds • Boxwooshould not be planted in the sun. p(d'i`'6 • A warranty of one year is required on the three pahr:s that are relocated.'dfs�� AAY eel"' • The cum trecs must be dwarfs and as a suggesuM the pink grapefruit do the best and would be the preference. • Do not plant citrus trees in the turf but rather in the planter areas. • All shmbs to be five gallon or mole, do not plant one gallon shrubs. • Provide a six-month warranty on all shrubs. • On all other houses, the bender board is being replaced with a brownish Tree -like material and it is suggested that this type of material be used. • Reduce the anmual flowerbeds to a maadmum of 6 x 9 for each bed Review by the Committee is only for general conformance with the architectural guidelines. It is the responsibility of the owner to f ally understand and conform to the architectural guidelines criteria whether or not all deficiencies are noted during review. It is also the owner's full responsibility to field verify all eudsting conditions. The Committee's decision with regard to project design will be final. Please refer to the Architectural Rales for all required submittals. Please contact Raphael Villareal, supervisor for Valley Gardening Service at 760/399-1844 and Carol Fuller, the Association Manager, prior to any irrigation modifications associated with this change. Upon completion of changes, please contact Carol Fuller. Damage to the landscaping, i.e., shrubs, tees, flowers and turf is the responsilnlity of the contractor. The landscaping must be brought back to its original condition when the project is completed. Approvals given by the Architectural. Comm tee are good for only sa months from the date on the approval letter. After that time a new application must be submitted. Upon completion of your project, please complete and return The Notice of Completion of Architethual Change. Jun 23 01 04:25p GERRY CAMERON (360)260-1404 P. Gerry & Marilyn Cameron Page Two. June 7, 2001 If you have any additional questions or concerns, please do not hesitate to contact Carol Fuller. Association Manager, at 760/776-5100, Ext 20. Sincerely, PGA WEST U RESIDENTIAL ASSOCIATION For the Architectural Committee Four the Landscape Committee / Carol Fuller -- Association Mmgcr oc: Board of Directors Unit File REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY O ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER'�jC ❑ REINFORCED MASONRY ❑ FIRE PROOFING ow JOB LRT(). /� Vee vL� — �•� REPORT SEQUENCE N0. TYPE O - igyl[T�RE , 1DESCR✓RVVIIPPTION `R �� PERMOIT 1 ID� ... I 1 p OI DAY OF WEEK MATERIAL ARCHITECT INS P TO HRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL CONTRACTO A SUB S CONTRACTOR ,a � 3 ''` Sats ' X� pu2 A 1 COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SI AZol RE O REGISTERED SPECTOR J f q7 ATE OF REPORT REGISTER NUMRFR