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BRES2016-0318LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division3 of the Business and Professions Code, and my License is in full force and effect. License Class: C53 License No.: 979450,Q, /1 n Date:/5A0 Contractor,-- 1VI leo W ,sn (kdginw OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 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).: ( )1, 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within 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.). (� 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 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.). r Lender's Name: f Lender's Address: 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 wr which this permit is issued. I have and will maintain workers' compensation insurance, as required by ection 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and polity number are: Carrier: EXEMPT Policy Number: . � ." �: --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 provisions. i �" ; a2 I 3 Applicant. -or !-"QgM l UoL 6_1 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 thisto nter upon the above -men Toned property for inspection purposes. �` Date: , / Signature (Applicant or Agen • r," •f i 78-495 CALLE TAMPICO U VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253FAX DESIGN &DEVELOPMENT DEPARTMENT FAX(760) 777-7011 (760) 777-7153 BUILDING PERMIT Date: 11/3/2016 Application Number: BRES2016-0318 Owner: Property Address: 51677 VIA SORRENTO JAY JASON APN: 777340016 2312 WEST ISLAND RD Application Description: MOUTAIN VIEW/JASON/GAS- ELECTRICAL FOR BBQ AND ()FIRE PIT WILLIAMSBURG, VA 23185 s Property Zoning: co Application Valuation: $1,000.00 1= o 55 LU 0 Applicant: Contractor: ® 0 CALIFORNIA POOL MASTERS CALIFORNIA POOL MASTERS >' m 71974 VISTA DEL RIO 71974 VISTA DEL RIO CD U RANCHO MIRAGE, CA 92270 RANCHO MIRAGE, CA 92270 g (760)275-9779 Llc. No.: 979450 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division3 of the Business and Professions Code, and my License is in full force and effect. License Class: C53 License No.: 979450,Q, /1 n Date:/5A0 Contractor,-- 1VI leo W ,sn (kdginw OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 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).: ( )1, 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within 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.). (� 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 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.). r Lender's Name: f Lender's Address: 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 wr which this permit is issued. I have and will maintain workers' compensation insurance, as required by ection 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and polity number are: Carrier: EXEMPT Policy Number: . � ." �: --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 provisions. i �" ; a2 I 3 Applicant. -or !-"QgM l UoL 6_1 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 thisto nter upon the above -men Toned property for inspection purposes. �` Date: , / Signature (Applicant or Agen • r," bate: 11/3/2016 Application Number: BRES2016-0318 Owner: Property Address: 51677 VIA SORRENTO JAY JASON APN: 777340016 2312 WEST ISLAND RD Application Description: MOUTAIN VIEW/JASON/GAS- ELECTRICAL FOR BBQ AND ()FIRE PIT WILLIAMSBURG, VA 23185, Property Zoning: Application Valuation: $1,000.00 Applicant: Contractor: CALIFORNIA POOL MASTERS CALIFORNIA POOL MASTERS 71974 VISTA DEL RIO 71974 VISTA DEL RIO RANCHO MIRAGE, CA 92270 RANCHO MIRAGE, CA 92270 (760)275-9779 Llc. No.: 979450 Detail: ELECTRICAL AND GAS FOR BBQ AND FIRE PIT. 2013 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0- ..$25.33 Total Paid for ELECTRICAL: $50.66 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-000042404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 .DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $25.33 Total Paid for PLUMBING FEES: $38.00 DESCRIPTION ACCOUNT QTY AMOUNT SMI,- RESIDENTIAL 101-0000-20308 0 $0.50 Total Paid for STRONG MOTION INSTRUMENTATION SMI• $0.50 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Bin ## Permit #f ✓� I {J Project Address: V o City of La Q uin to , Building &r Safety Division 78-495 Calle Tampico La Quinta CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet C�t?� Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: ontr C acf r 0 F•0f 1 Qoo 1`� T ele hone: P Address: x C�_lV ` � �.. Project Description: U City_ ST, ZiP a a 1 f '`� X I/ 6L LLY�i V TeleP hon e- . `l 1 � a q 6' State Lic. # : Arch.,:Engr., Designer: _ Address?, City, ST, Zip: Telephone: Construction Type:Occupancy: Lic. # 0Stato ProJect hPa (circle one): New Add'n Alter Repair.air Demo. Name of Contact Person: S nl_r� Sq. Ft.: # Stories: # Units: . •� Telephone # of Contact Person:L-1 _'��5 Estimated Value of Project: 11000 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit ' Truss Cates, Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up Construction Floodplain plan Plans resubmitted Mechanical Grading plan 2°4 Review, ready for corrections/issue Electrical . Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S•M.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 . Mountai,n,View Country Club Homeowners' Association C/o Albert Management, Inc. y PO Box 12920, Palm Desert, CA 92255-2920 ; 760.346.9000 . 760.346.9997 October 20, 2016 s + Jay F. and Laurie T. Jason 2312 West Island Road r Williamsburg, VA 23185 ' RE: Property located at: 51677 Via Sorrento, La Quinta, CA 92253 Account # 101402371- Architectural Approval for: Architectural/landscape Change Dear Mr: and Mrs. Jason: Please consider this written confirmation that the Architectural committee has approved your application and landscape plan for the installation of a fire pit, BBQ island, pavers, lighting, plant material, boulders, rock and rubble, pots and a putting green. Plan includes a drainage plan that will maintain the swale. The plant material and trees are to be setback three (3) feet and five (5) feet, respectively, from-theneighboring structure at 51701 Via Sorrento. -The putting green must be six (6) inches below the weep screed of the neighboring structure at 51701 Via Sorrento. ' The CC&Rs provide the Architectural Committee with the duty and responsibility to review all applications requesting additions, alterations, improvements, or modifications to the exterior of his/her residence, residential lot, and/or the common area and to ensure that the' architectural applications comply with the Architectural Application Guidelines and Procedures and comply with the Association's Governing Documents and are consistent with the overall conformity and, harmony of the original design and the aesthetic beauty our community. We thank you. for your cooperation in following the Architectural procedures. Please contact our office upon completion of this project so that the final completion may signed off by the -Architectural Committee and if applicable, any refundable deposit returned. • Should you have any questions please reach out to your -point of contact, Cardinal Ambrose, CCAM; CMCA, AMS at 760.346.9000 or by email at cardinal.arribrose@albertmet.com . Sincerely, - M1 On behalf of the Architectural Committee ; Mountain View Country Club Homeowners` Association ' Association Manager ' Cardinal Ambrose, CCAM, CMCA, AMS x cc: Architectural Committee + O JUS O O JUS JUS JUS JUS JUS JUS JUS US ° ® us JUS JUS +15" (ABOVE RAISE! } AREA) FIREPIT WITI . # ° + + QUARTZITE CAP (Tj 02 MATCH SPA), STUC( . SIDE, DEDICATED G! APT F LINE, LAVA FILL AND I APT CUH FN F CUH POOL ' APT EXISTING ,+ +$" F cuH .ILI rA TC F PT ,� F 1-5GA )P , .IY F ROE ! r� CUH p TC' HP 124BOX t ' 1-5GA t HP HP HP H { A TC 1-5G � W 1-2460X y� LEEN i. IC 3:s(��u�- Gres ELAJL F 4 Y W TC IC y b w (� ! E 1-5GA t.J 1� 621 IZb' Q u f l/.L �-0) y '� Ic W • W y W • IC �y ' t W W W W d No X y LF F?3L� 6A5 Li➢V v t t ` LF LF 4 `' Ac EXISTING ® ! = RESIDENCE t . AC kE TC TC 1-5GA I AURAE PROVIDE DRAINAGE 2-5G AND IRRIGATION BA ® �^� FOR FUTURE POTS F� 1.24BOX ! I TC LF 1• 1-5GA LF POOL EQUI e s ' � •" DB APT APT i TCPOT TO BE 1-5GA DB osR ® SELECTED BY HO '.. I .. DB YRO . PT O YRO. APT A A OSR �. TC PT APT ?" A 15GA APT DB _ APT D13 IYOF[ QUINTA IY D`pT F VED EUM TION ' !ATF � DB —_ By ' TC -EUM DB 1. �uRAE 1-5GA c.I EUM ' EUM FS FS � ,• '�. Jus BA - JUS JUS ' EXISTING DRAINAGE 1-2460X TO REMAIN DB JUS • DB _ DB f I D ® I a JUS DB PHI I DB I • r--� t .i( tic 1 PHI B DB I t