14046 (SFD)4
P.O. BOX 1504 N o . 14046
Builin Addrdess 48-20� �ilstd Riopal LA QUINTACCAL FORNIA 92253
Ownkoger Snel enbercger� & Associates
BUILDING: TYPE CONST. VIN OCC: GRP. •R3
Mailin
Address 55-695 Pebble Beach 646-1-10--077
A.P. Number.
City Zip Tel. Lot 3 Tract 20452-7
La Quinta, CA 92253 1(619)777-7767 Legal Description
Contractor SFS Plan •,, 1
S8tE3 Project Description
Laguna
Address De La Paz
j
City Zip Tela
1
State Lic. City
& Classif. B 448234 Lic. # 185£
Arch., Engr.,
Designer -CiZ16s Elias — Engineer
i
Ad
39"825 Charlesworth Dr. W19) 328--7271
OCtathed 41 Ci.t ;Ips 92234 Litt#
I hereby affirm. that I am licensed undefprovis orfeof Chapter 9 (commencing with
7000) of DivisloTi o the Busines%antl`Professionin.
s Code, and mydicense is-fulI h
effect. /f� .. r4"!' �I° •,s` a _B�
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason:,.,(tec. 7031.5,Business and Professions Code: Any city or county which requires a
perrnh*to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the:prcvisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for l the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penafty of not more than five hundred dollars ($500).
0 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale.)
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. B. & P.C. for this reason
I
Y
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of .
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. -
I
{I4 CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work lot which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
f This is a building permit when properly filled out, signed and validated, and is.subject to
expiration if work thereunder is suspended for 180 days.
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 sof this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailiig Address
City, State, Zip
f
Sq. Ft. No. No. Dw.
Size � 1850 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
IJ
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
566.16
Const.
667.56
Mech.
68.50
Electrical
137.04
Plumbing
150.00
S.M.I.
10 .84
Grading
20.0€
Driveway Enc:
.00
Infrastructure
2,369.34
is in b I 70—P -1 -ace a
25.00
TOTAL
4014.34
REMARKS.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
IJ
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
COLL. AREA
i
ROUGH PLUMB.
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
FOR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
ROCKSTORAGE
FOUND. REINF.
DRAINAGE PIPING
CAR P. I SQ. FT.
METER LOOP
HEATING (FINAL)
WALL SQ. FT.
REINF. STEEL
DRINKING FOUNTAIN,
SQ. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
SERVICE
FLOOR DRAIN
MECHANICAL FEES
BOND BEAM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
LUMBER GR.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
fin/
, I �
�"
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
_ SQ. FT. ® c _
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
`
li LATHING
MESH Af
INSULATION/SOUND J
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING /)/ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH) .z3
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
C114
TEMP. POLE
GROUT
WATER HEATE
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. f�
FRAMING�j
6/
FINAL INSP.
ROOFING ' %,
v
fin/
, I �
�"
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
`
li LATHING
MESH Af
INSULATION/SOUND J
FINISH GRADING
FINAL INSPECTION /
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
r
EXHIBIT "1"
ARCHITECTURAL IMPROVEMENT APPLICATION AND AGREEMECCNT
DATE_j��-<
NAMES)
STREET ADDRESS
LOCAL PHONF���`'
REQUESTED -IMPROVEMENT.
OTHER PHONE
Approval is requested for 'the above, improvement according to
the plans attached. Wehave attached two (2) sets of plans
outlining the -work to be done along with a compl.e.te description
of the materials and colors to be used. If we are using -a
contra.ctor.(s),.we enclose..copies of.the Contracto.r.'s License.
Attachments
(1) Two copies of the Architectural Improvement Application.
(2) Two sets of plans with materials -and c-olors to be used.
Note: One. set is. for the management -office; the other
set to-bereturned to you as "Approved".
(3) Contractor's name and '.copy of contractor's license: (Not
required if the improvement is under. $300.00 .,or if
"Owner-$uilde.r").
(4) Brochures (2) and/or color, samples. of manufactured products
to be used: "
We have read thee Architectural Committee Rules and Guidelines
,and- have .-furnished copies to ..all contractors to be engaged by
us and we agree to' comply with, those Rules and Guidelines.'
We also understand that it is our responsibility to 'insure that
our Contractor(s) comply with said Rules. We acknowledge that
Building Permits for home improvements may be required by the
City of La Quinta. The_'cost of permits, resp.onsibility�`
obtaining them, and th.e subsequent inspections will be our v
responsibility. -In all cases werecognize the requirement to
be. in compliance with applicable building codes -including, but
not limited to, those adopted subsequent to the original
completiona.nd acceptance of.our-dwelling.
Rev. 4-96
Page Two
The Association has no responsibility whatever in achieving
compliance with newer building codes which apply as a result
of Homeowner prompted modifications. Further, we understand
that approval will not be granted for any modification which
directly or indirectly conflicts with the Declarations of
Covenants, Conditions and Restrictions. We also understand
we are responsible for the accurate determination of property
lines and setbacks (as applicable).
We also understand that we will be responsible for all costs
of this improvement and for costs associated with any repair
to common area occurring as a result of implementing this
improvement. Examples include, but are not limited to, sprinkler
and irrigation systems, buildings, roofs, exterior walls, lawns,
plants and drainage. Further we recognize that any modifications
to the common area irrigation and landscaping scheme, are subject
to formal acceptance by the Association. Any required remedy
to achieve the required maintenance standard or irrigation
standard are our responsibility. Additionally, we understand
that the job site must be left reasonably clean at the end of
each day, that no debris nor dirt may be dumped in common area
or left at job site. Any maintenance or replacement of permitted
improvements, except for certain landscaping, which are beyond
"initial" improvements,.shall be the homeowner's responsibility.
We agree to indemnify for ourselves, as well as for our
successors and assigns, and covenant and agree to hold
Association harmless from all claims, demands or liability
arising out of or encountered in connection with this Agreement,
whether such claims, demands or liability are caused by Owners,
Owners' agents or employees, or contractors or subcontractors
employed on the project, their agents or employees, or caused
by any products installed on the project by said contractor(s)
or subcontractor(s). Such indemnification shall extend to claims,
demands or liability for personal injuries and/or property damage
occurring during installation, as well as after completion,
including, but not limited to, all Owners' maintenance
responsibilities provided herein.
We further indemnify and hold the Association harmless from
all liability related to any damage to existing improvements
(wherever located within the Subdivision) resulting from the
installation/construction of the Architectural Improvement
If required by the Architectural Review Committee, we agree
to record, and pay for the recording, of this improvement at
the County Recorder's office.
We further acknowledge that the Architectural Committee may
require a deposit be submitted before work is begun.
Rev. 4-96
4tiafSHpti yna75
Page. Three
We further agree that this improvement will be completed in
a reasonable and diligent manner W6'`Jurther agree tfiat 1) if
we do not correct any damagecaused as a_result of implementation
of th=is improvement or., 2) if. -we .fail to. complete' this
improvement within. the allowed time frame the Homeowners
Association may elect to -complete the work and/or repairs, and
we.will be responsible for the actual costs of such work. Payment
to the Association is authorized by us in the form of an
assessment or monthly pen-alty payments- as- approved -in the
Guidelines.
By signing' this, Agreement below, we e
agre to.. be bound by its
terms and conditions and any conditions set forthby. the
Architectural Committee in the Architectural Committee
Certificate, which is atta:cheed hereto as Exhibit "A'.' and made
a part hereof by this reference.
Signatures .of all .Owners:
(Signature) (Signature)
`i
Rev: 4-96
c
N
N
n
v'
O
IT)
0
o
-
h
4
m
�
c
x
z
O
0
LA
(T)
n
I
�MmAlrl=
`1
r
ARCHITECTURAL COMMITTEE'CERTIFICATE.
{_Ex"h`bi•t "A" to the Architectural
Improvement Ap-p"li`cation" and _Wgre•ement)
The Architectural `Improvement Ap'pli'cation .and Agreement, was
Iy reviewed by the. Architectural Committee on and ha.s
been.:
Approved+ Condit.i.onally ApprovedRejected
x
subject to the following
conditions" set forth below
E Re -turned -for Further Information.
Required Modifications
Comments
Ye.s No
Recording.to. be sunt by owner, to County Recorder's
office for ro.of and/or exterior wall modifications.
Deposit Required Deposit Amount Required $.
a e ArchitecturalCommittee'
Arc tectural Committee Architect a Committee
rchitectu ommittee A c itectural Comm b .
NOTE: THIS.APPROVAL IS VALID FOR 90.DAYS FROM APPROVAL DATE
f
} Rev. 4-96
COMPLETION INSPECTION
Completed work inspected and approved Date:
Deposit return authorized (if applicable, and less any
reimbursement to the Association for costs incurred to bring
homeowner into compliance with the governing documents).
Recording verified.
Comments:
Signed: I I Date:
Architectural Committee Chairperson
Rev. 4-96
µms; JULY 02' 96(TLE) .14:51 STRATEGIC RELATIONS
TEL:41'5-528-6002 P.
FROM GORO SAGAWA-BOB SUTTON
TEL H0.
� 01 564 1662
' r' � •'�i• �:j1 JT, S'•� :?'.id.'�.:%� �. .y! 1�"L. �'ul �f ''i.�a•,��?.`::1.� i � ;:i,��i�.ls::
, , ���.-�..`�":
•
. ' w`'U���,••i1• 'i �• �<•'
� i 'ti. :r .1:x:'1: ;�-•�. ;.�,;: '�.
IMP20YBl N:T'•A'PAtenro, dND,
��
. <,, •`•` :..
• • '� ''DATE � • �
OAA
1996. 7. 2 13:54
yr ;1:
14
• r. .�• S�'Ka7
A. • •••
STREET ADDRESSIn :• 1' '
t It I-
LOCAL PHONEtil �• �-to y�(e���`d? OT R
HE PHON$_ S�4� - _a%�` Q
Approval is requested for the above improvement according to
plans attached. we have Arrah&A «.,. �o) ,.I.., "-C P1a11S
vu®r,
iina.ng tn0 work to be done along with a complat.e d•eec,ri tion
of 'the materials and colors to be used. If we are using a
Contrac,tor.(s), we enclose copies of the Contractor's License.
Attachments,
(1) Two copies of the Architectural Improvement Application.
(2) Two sets of plans with materials and colors to be used.
Notes One set. is for. the management office; the other
set to be returned .to -you as "Approved".
(3) Contractor's name and copy. of eontractor's'license.
Y nisi ro f rh.,- tmnrnvpm.ant i o unAo,- s.
inn /1f1 (Not
Owner-�uil er"). ,
••.�•��dnnior color samples of manufactured products
to•beTused
Ne have read theArchiectural Committee Rulea and Guidelines
it
and heve furnished copies to all contractors: to. .be engaged by.
us and we agree -to comply with those Mules
We also understand that it is ouand Guidelines.
r responsibility. to insure that
our. Contractors) comply With apid.Rules.. We
Building Permits for. home acknowledge that
improvement$ may be required by the
City of La Quinta. The cost. of permits, regponslbility for
obtaining them, and the subsequent inspection# will ha ni�r
2192A91 hi l i to T■ . t _:,,,,,,, Mo a�ugn;Lze the requirement to
e in.complisnce with applicable building codes including, but
not limited to, those adopted subsequent to the original
completion and acceotenca nf n»r dwAllino..
Rev. 4-96
L. _01' 09ITl'CI 1.1 j1 CTDI,TC011; DCI AT.1AM
FAnw anRn
car-AWA-RnR CTTTTnu
Tri .11 9-9001
Tp1 Un : ni 654 Mac
,in • ..• +r .: f�4 ; . �lill.11: 16 ,ESL!' ;ii.'.^ ' 1 i' � e• r' 1
fib,., •�,;;: ..:,t 'Vic'•'l,,., ..���t �.. 't�:;,`: 3it ,.'r' <<r"'i;�:•:.
i'.i8� 1', , ., ,'� .:;.•ti''' • - c p• .i'6'Y' +':C':+?,!•; .. � 1/I• .:'?R.;.+,c•.: •.,' .R •� � ' 1,' :^
The AssQ:a'.z.ton( has 1 ,.,t�y,.;�•;
co
no re•sD'on,sib +.
mpliancwith newer buiidi lity' wkat.eYer' '•':acfi:i.
evtng
of Homeorii'•e•>c.'' prompted mQdf fir tioass which aPpl�,_•: ,�rA1,1 r
e err+++,rui ., w11 126t 'be. . r :tit: erstand
directly g sated for ;snq' modfct�;:ti�o>ir ;which
7 .;o'r " i.ndireCtly conflicts with the Dmc :ar:ati"ohm o,f
Covenante,'_.,,Gonditions and Kestrict#ons. -we al 1.
we are responsible for, th'e .accurate dsterminatio>A.o und.e*'s.tand
line® 8nd. ':ae1~backs (ss applicable) . :Property
We Hiss derstand that we will be. responsible' for• all co t
of this :l,mprovemant and for c t ri et �,a *>r; :costs
-r - .... tr..�. tar a 1u Ob
Improvement.. Examples include but are$notmxtedemenxi>ag' ri,s
and irrigation 6YatOmR. hniliir►ow, ,�vcstoy anri'nbler
Plants and treinage. Further. we recognize thatrenp modifications
to the common gree irrigation and landscaping scheme, are'snbjeet
to formal •acc,eptance by the Association.
to achieve the required maintenancesstandardAny roruired remedy
standard are our responsibility. Additionally,irrigation
that the job site must be.left.reasonably clean at theunderstand
each day, that no debris nor dirt mayof
or left at job site. Any maintenance or replacementbe dumped Aofopermitt�d
improvements, except for cextain l�gd@20nino. r,ha.
�it�di" imp.rou•■a.tit..,, ql+O11 oe the omeowner's responsibility.
91s, coveiient: and s6ree to hold
Association harmless from all claims,
arising. out of or encountered in .demands or liability
whether such claims, demands or liabilityoare it Bused ,bh this yrOwners
Owners' agents or employees, or contractors or subcontractors
employed on the project, their agents or employees, or caused
by any products installed on the
or subcontractor(s). Such indemnificatiloctshy said
contoactor(a)
demands or iiabilit #or aerr~n„oi <�,atio,,, a,,u 'or
•••ww«a.a uurlAg. installation, as well as aftercompletionincluding,. but not
responsibilities provided iherein-..t�� all Owners' '
maintenance
We further indemnify and 'hold the Association harmless fro
1521 liability related to an dg� g to
(.. ._.w ;Iia
�vv4t.0u WAL11111 t:A� ,:uffip3e►eiS on pT 1et1 A �w.n �..ro..—w-�-
Installation/Construction of the Architectural Z Improvement the
Zf required by the Architectural Review agree
to record, and pay for the recording, of Committee, we a ee
the County Recorder s office. this Improvementat
We further. ackno 1fidtp rh,,
- -�►�ia� a aeposit �e submitted
Rev. 4-96
'k- .�a y.1,l. J'actur.aI Committee may
before work is begun. .
I1 1 4 L I 1 yt• ; V ': 1 1\ 1 1 V V 1 \ V L.1 1 1' '. • •-' •-• •• '' -
�uliNll �AUMWA7_yu i 5U l l u
n ,.,. 1. ll;i:l. ly�o• r. 14:14 r, 1
. r•.• ;, � �":'ir, v 1 Ji ' �:t 4, :y'' �„ `• Gs1� ! 'j.•^'1''':.cS;Li )•' ... t
R �. ''' ,��;�f�, 1:1{' ti'ti .ri''t�•rl!' { '+'' .F, .''1)SI' 1:�:' .�::a,7„tn wP
r •,: J;`.} •. •'.'� _ -.a°. f�i��'.: �.•\ r_ (•j;' :�f�-i � 1'' t'�:�"�{t+.r V'ti. •'i� .. 7�•,��
•. �I:F;y` ,.�� r'1� '.r..' . t :.1:.r.l:.rt. `. w. .a,+ 1 ..I�.•.,•. 4''�i�•�'::�.;�,.,,!..'.. ;:i .!
,*•, j;,Ij'S''�..a 'r •i % 7)%:•.��' ':i a ,�;�: ;,• ♦f":r',I6 �-:'• 1 ... ,.y .ui' .1. 1
�• .1•%b •.i. ;;. '•,f•,.t.;'':r::i•.�:c:•r::::R,:i.�l:::.i,:�ll+f; ll.r :'�p.ir"y'';h :.i• ,�.
. '.P•, �'>`] �' y• '^i �` �i "i•.ni r''t�•'`1' til, ^'•►+r'•' t r `T -
�� 'i ;,l '�!% ,x•1.3, li - ,:7' �� ' .1 , +,'r?.," '!•!y'•',�'• ?r ,
, •,1 ,� ♦•.! �I � J 1.. q'�'.,. :•Y.Y174•�'. ;,:.�,',1••.. :st .\�• .'.�,••.•�tL�.�" r
�'/ J•• •�I, �:'� : �:'�•,
�r' :1;. . 1' ,.1�1��. t�S;l.� ::1, �, �r.:'':�:j,:.•r:•:;',•li; S.:' � •.r �:;.,:..�.' :r '�: ;R �I •• `i•�' ;i
Pikge^ Three: j- r ,�••,
We... f.urbhe .`.a•gr'ae'': tha'•t It'hil6
wi'XJ: be ita.o eted in
a reegaIii 4* d di I' -n
We f u rt }i'er 4 g•ry'AA. o�h�A'r' ►� 1 4. f
•E•� th ;'tit t
ally savage at�'se:d t,�'s 9 'result Of,• ,� ,i" , ACB't10
,f, of is' i .zovelnent or' !.int' ems A.
lP. ,• 2)~ , if : w:e fail' to �epmp'.�,dte fihis
Improvem.ent' within the 41.-1ow 'time" 'frame h
�a ,�.,>.''' B'ome�.wners
r i `►►^!F1ra'c' .bk• •.0.r1. •Ai'r���.•:`V:, "ta', ,Isnl
we wi11 b'e ;:r,es'ponaibl'e f 'or '.the t►ct'ual costs 'of such;,1v7. .'' pa meat
eo the, Aa•a.oCiatio.a -is authorized y
a'ssesement ' by us is . 'th:e > .£;orm.l of an
or m,onthlq ` pen'al,t e. menta '
Cuidel n y P �� 'ag apP'r'owbd , ,in the
$y glgning "this' ' Agre.sgren`t below, we agree to b --e' bound . •b� its.-
�BrmS Fin'd•:'..P-Aflif1t1nwa On El saT trvaA%14LJ.v.u?! wez' iortri by the
A!rthiteatural Committee in the A.rchiteatural.' Committee
Certificate. which is attached• hereto,. as Exhibit.. "A" att'd made
a" part hereof -by th i s. reference,
Sig atures'of 11 Owners: '
gnature
_(Signature)
Rev. 4-96