0207-156 (BLCK)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
Date Signature of Contractor
OWNER -BUILDER 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 exclusively 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 47 - Signature of Owners Nt'fi t� ,.. 'n,
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:
Cartier Policy No.
(This section need not be completed if the permit valuation is for $100.00 or less).
(ti/)' 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'thos`e provisions.•1 „
Date: -7- 2- ; -2 Applicant F...fCy64.-,_2
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal 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 for inspection purposes.
Signature (Owner/Agent)._.�- t''- �-
Date/' - . <: C.
-
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BUILDING PERMITPERMIT#
DATE VALUATION 'eF LOT TRACT
_,
.JOB SITE
ADDRESS ILII. 15'01,rA�11JA
APN (, .
..
OWNER
CONTRACTOR / DESIGNER / ENGINEER
'WAME .1 MEY
48-280'blIA 30LAiTA
A 92M41
�t CvL1f
USE OF PERMIT
Ci. P1�rAl, FU,MD MIG
29 UP b' BLOCK WALLdA V 4' 81.CXKWAif.LIfr 1Y30* HAWC'r:
WALI,AU, WAL0 PER CITY STANDARDIS PILAS F Rg PER APPROM
rolA& �3WITH!t'!.LF al 6dR.X ii2zzAX.I:iZC9N( 36".I -IDA. APF am1,
6 FC, W.AU? 20.00 L
4 Ft,'WALL V
COS'x
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CITY OF LAQUIN`rA
FINANCE DEPT.
STMT -IXX IJ, (?tYW3*kRU•C`rJf014 ANT)
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i TAA P iMTM'S DITE NO1i'i
RECEIPT
DATE/,
BY C
DATE FINALED
INSPECT
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 Wall 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
--:2 oq _ 0 2
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
Applini noes
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.h
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
' S
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Dear Mr. Alvey: ,
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The•Rancho La Quinta Architectural Committee has reviewed yourre: submittal of plans fora
wall, gate, fence and pilasters at 48-280 Via Solana. The plans have been approved subject to the
following conditions:
1) The wall on the golf course side must not exceed the height of the existuig'
wall on the north side of the property. This requires -that the height of the
F . ' proposed wall must be measured from the same elevation as the existing , +
wall. In other words, the portion of the wall shown as 72 on the plans must
be reduced in height so that the top of the proposed new wallis maintained at Y,
s ; _ the horizontal plane of the existing wall. ,1
�' 2) .That a satisfactory landscape plan must be submitted for the area whereethe
new gate will be installed.
' 3), All work is to be done in accordance with all applicable requirements of
governmental entities, including the City of La Quinta, and in accordancewith,, 'A
all Homeowners Association architectural guidelines and governing
documents.
4) .A copy of La Quinta City Permit to build the wall must be f umished to the } ..
`
-management office before construction can commence: r '
When the_workis finished, please fill out and return to me the enclosed Notice of Completion,,.,
The -,consultant will perform a final inspection after receipt of that notice to verify installation
according to the approved plan, and then your deposit can be processed for a refund. `
Sincerely, { y~' �; ♦
rtdLe�gy,Propertoty-M ager
The Master, Association for Rancho La Quinta
C: 48-280 Via Solana R
P.O. Box 4772 • Palm Desert, CA 92261-4772 3w
73-550 Alessandro, Suite 5 •' Palm Desert, California • 760.346.1161 -*'PAX 760.346.9918
- Email: drm@drminterriet.com, • www.d_rminternet.com
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' S
it -- .r-,-- ---, � r. _ ",,•.
Dear Mr. Alvey: ,
"
le
The•Rancho La Quinta Architectural Committee has reviewed yourre: submittal of plans fora
wall, gate, fence and pilasters at 48-280 Via Solana. The plans have been approved subject to the
following conditions:
1) The wall on the golf course side must not exceed the height of the existuig'
wall on the north side of the property. This requires -that the height of the
F . ' proposed wall must be measured from the same elevation as the existing , +
wall. In other words, the portion of the wall shown as 72 on the plans must
be reduced in height so that the top of the proposed new wallis maintained at Y,
s ; _ the horizontal plane of the existing wall. ,1
�' 2) .That a satisfactory landscape plan must be submitted for the area whereethe
new gate will be installed.
' 3), All work is to be done in accordance with all applicable requirements of
governmental entities, including the City of La Quinta, and in accordancewith,, 'A
all Homeowners Association architectural guidelines and governing
documents.
4) .A copy of La Quinta City Permit to build the wall must be f umished to the } ..
`
-management office before construction can commence: r '
When the_workis finished, please fill out and return to me the enclosed Notice of Completion,,.,
The -,consultant will perform a final inspection after receipt of that notice to verify installation
according to the approved plan, and then your deposit can be processed for a refund. `
Sincerely, { y~' �; ♦
rtdLe�gy,Propertoty-M ager
The Master, Association for Rancho La Quinta
C: 48-280 Via Solana R
P.O. Box 4772 • Palm Desert, CA 92261-4772 3w
73-550 Alessandro, Suite 5 •' Palm Desert, California • 760.346.1161 -*'PAX 760.346.9918
- Email: drm@drminterriet.com, • www.d_rminternet.com
r y
OWNER/ BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a
permit. Building permits are not required to be. signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
,from the City or'County. They are also required by law' to put their license number on all permits for which they
apply. .
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project; and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the -State and Federal Government as.an employer•and you are subject
to several obligations including State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may. be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For*more specific information about your obligations under.Federal Law, contact the Internal Revenue Service (and; if
you wish, the U.S. Small Business Adminstration).Tor more specific information about your obligations under Stare
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their--"-"
workpersonally or through their own employees, without a licensed contractor or subcontractor;"only under limited
conditions.
A -frequent pr`act'ice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally:..
Building permits are not required to be signed by property owners unlessthey are performing 'their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814. 1
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
'(760) 777-7012
FAX: 760) 777-7011
&W NER19 SIGNATURE ATE
"NV) �ta. �dlCchct �a �u�ufi/j
PROPERTY ADDRESS
` PERMIT NUMBER(s)
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CITY -OF LA QUINTA
BUILDING & SAFETY DEPT.
A R MINSPECTifl1:. $30
W[Lt . +9RGM W THE lt' PR, OWD APPROVED.
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®REQUIRE INFORMATION
PPROVED SUBJECT
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. GONG. BLOCK PILASTER :t CONC. PILASTER SECTION VIEW
r` (SOLID.(sROUTED)
r+ N STUCCO OVER I ,`, iNOTE:. STUCCO FINISH O/
—'�• • :STUCCO TO MATCH HOUSE :ALL METAL WORK TO BE PRIMED AND GONG. BLK.
�t i ' �� "If•` PAINTED WITH RUST PROHIBITING PAINTS,
(TYPICAL) PRIOR TO INSTALLATION.
I GATE -SEE
I._4,. 12• LANDGAPE PLANS
T FOR LOCATION
-- '; 4-04 BARS (VERT.)
HINGE
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GRADE
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_ 1/2" STEEL TUBE o 4" O.G.
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/�t,O�N �Jflo1� ,, 1 • • 1 1/2" STEEL TUBE
CONC.. FOOTIN& VERTICLE POST it
} • t l 1'-4" WIDE X THICK
2,�„ MOW STRIP NT.
F BETWEEN PILASTERS
_ t . 8 ' 8 X 16 CON(% BLOCK ANCHOR .POST TO MOW
•`
F M50NRY PILASTER PER - STRIP W/ 3/8" DIA. x 4"
• -T op 6 r STRUCTURAL DW6S. EXPANSION BOLT EA. SIDE
�- �/`— kv. (TYPICAL) 1/2' STEEL
. _ _'•':n _. -� � (MIG TUBE •4."' Q
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ALVE RESIDENCE,��
48-280 SOLANAI/Vvvv
. -. - GOLF ..COURSE __.--
__ OF LA
I . NTA t
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- BUILDING & SAFETY DEPdOp T.
9LA" APPROVE®
trt eN Nat, Uli41JC. . �'� � � �,rl�� � ,
Te rune ¢ `PA OR CONSTRUCTION
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/rJerr.( /il irc� roi�sY�G- - ��!�.- DATE �_ BY
V!/ T ��`4 •,r F'PRSVED NOT APPROVED
A a'l6.Ql-C ', a $X! tr• ❑ R ON
^1aSTi'ty /b�1L9`h'�°R, iia PPROVED-SUBJEC
• w, OG ��'G . f yLE DATED
/ I NOTED ON PLANS
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�g� / DATE �% /S�o.Z INITIAL '