08-0008 (RER)r
P.O. BOX 1504-
78-495 CALLE'TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: x08=00000008'
Property Address: L55720 PEBBLE BEACH
APN: 775-170-012- - I -
Application description: REMODEL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 8911
Applicant: Architect or Engineer:
V •
Owner:
CARL MORLEY JAY
850 E OCEAN BLV NO 509
LONG BEACH, CA 908.02-
Contractor:
08.02
Contractor:
EDWARDS CONSTRUCTION INC; BOB
5145,5 DESERT CLUB DRIVE
LA QUINTA, CA 92253
(760)777-8202
Lic. No.: 684857
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
ate: 3/05/08
• LICENSED CONTRACTOR'S DECLARATION, - = s
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I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter'9 (commencing with
1
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Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B -_.License-No.: - 6848 7 -
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issued.
X I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor,
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insurance carrier and policy number are: - -
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
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+ following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to ,' =
. -_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any ,
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
c
- and agree that, if I should become subject to the workers' compensation provisions of Section
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3700 of the Labor Code, J shall comply -with -those -provisions..
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - -
-forthwith
r" (( � _0r - -tom- - -
r� .
Date:- [ .�—^Appli t'-�-••,. . _�`" " ""'�"�' - "
1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
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the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
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' Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND +
and who does the work himself or herself through his or her own_ employees, provided that the
DOLLARS 1$100,000). IN ADDITION TO THE COST,OF COMPENSATION, DAMAGES AS PROVIDED FOR IN - -
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
• LICENSED CONTRACTOR'S DECLARATION, - = s
WORKER'S COMPENSATION DECLARATION,
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter'9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations: - q
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B -_.License-No.: - 6848 7 -
-
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is -
3-�.08
- Date: Contractor• ""
issued.
X I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor,
• - �..-...--�--=yam^•-•+-^�^r--•
Code, for the performance of the work for which this permit is issued. My workers' compensation
' - OWNER -BUILDER DECLARATION ` ..
insurance carrier and policy number are: - -
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier GRANITE STATE Policy Number WC 555-61-55
+ following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to ,' =
. -_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any ,
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State _
- and agree that, if I should become subject to the workers' compensation provisions of Section
' License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, J shall comply -with -those -provisions..
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - -
-forthwith
r" (( � _0r - -tom- - -
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Date:- [ .�—^Appli t'-�-••,. . _�`" " ""'�"�' - "
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
-WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - -
' Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND +
and who does the work himself or herself through his or her own_ employees, provided that the
DOLLARS 1$100,000). IN ADDITION TO THE COST,OF COMPENSATION, DAMAGES AS PROVIDED FOR IN - -
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
- SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. _ -
- 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.).
APPLICANT ACKNOWLEDGEMENT
( 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application. -
' property who builds or improves thereon, and who contracts for the projects -with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for �-
" pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
I am exempt under Sec. , B.&P.C. for this reason -
_ the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City °t . r•;- -
• -
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. r • ,' �-
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Doti:: .Owner: -
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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 .. T `�•
CONSTRUCTION LENDING AGENCY
permit to cancellation.
- I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the above information is correct. I agree to comply with all
- work for which this permit is issued (Sec. 3097; Civ. C.).
city and county ordinances and state laws relatingto building construction, and hereby authorize representatives., "',,'�'� ; ;'^�•,-;°:.
" -
Lender's Name
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- of thisccmy toenterupon ove-me tinned property for inspection purposes.
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DatE %II Sign11
Lender's Address:
LQPERMIT +
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LQPEP011T
Application Number
08-00000008
Permit . . . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
108.00 Plan Check Fee,.
70.20
Issue Date . . . .
Valuation
8911
Expiration.Date
9/01/08
Qty Unit Charge
Per
Extension
BASE FEE.
45.00
7.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
63.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc__. .
Permit Fee
28:40 Plan Check Fee
7.10
Issue Date . . . .
Valuation
0
Expiration Date
9/01/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
670.00 .0200
----------=----------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
=------------------------
13.40
Permit . . . . .
PLUMBING
Additional desc .
Permit Fee
18.00 Plan Check Fee
4.50
Issue Date . . . .
Valuation . . . .
0
Expiration Date '.
9/01/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
670 SQ. FT. PATIO ONLY,
BATHROOM WAS
ELIMINATED. THE PLAN
CHECK FROM PERMIT
07 -1643 -WAS ADDED TO
THIS PERMIT
ADDITIONAL $136.77
Other Fees . . . . .
. . ENERGY REVIEW FEE
7.02
HOURLY PLAN CHECK
136:77
STRONG MOTION (SMI) - RES
.89
Fee summary Charged
Paid Credited
Due
Permit Fee Total
154.40 .00 .00
154.40
Plan Check Total
81.80 .00 .00
81.80
Other Fee Total
144.68 .00 .00
144.68
00
0 0
0 0
0
0
0
0
0
00
(D
00
00
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City Of La Quinta
Building 8c 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: e C,61C- C
Owner's Name: 7 trIC F f ?!•-Notx 2(,
A P. Number: 7 1-76- / Z
Address: -S-ITTao ao A13f3 /C 6eC(7
Legal Description:
City, ST, Zip. �" 5 Z Z S
Contractor: EDVLkRDS CONSTRUCTION INC, 'BOB
Adm' 51455 DESERT CLUB DRIVE
Telephone: ,v
h
Project Description:
City, ST, Zip: LA QUI N
/� 7* -
J 'i'�c y"�a,`' ��nJ
:�
.
777-8202 Ext 102 "'
Telephone: y-• f
State Lic. # : 684857 City Lic. #; 321.2
Arch., Engr., Designer .
Address:
City., ST, Zip:
Jtr. +^. .4 vv....ry•.. •C
Telephone: k.: • �• ..t .: .:.,
r v,: ;. .:
State Lic. #: '
:: .,..
ons
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Ed Randall
Sq. Ft:
# Stories:
#Units:
Telephone # of Contact Person: 777-8202 Ext 1 O2
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING PER W FEES
Plan Sets
Plan Check submitted Item
Amount
Structural Calcs.
Reviewed, ready for corrections 0 Plan Check Deposit
Truss Coles.
Called Contact Person Plan Check Balance •
=` Y
Title 24 Calcs.
Plans picked up ,rr 1 Construction
'
Flood plain plan
Pians resubmitted Mechanical
Grading plan
20° Review, ready for correctio fiss a
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up g.M.L
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
Review, ready for correctionsfissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
t�y1 Z�oB• �I�r-T L..
Co a Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMMIND. AMOUNT:
DATE:
RECEIPT:
CHECK #:
INITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name:Residens`_ PGAT"W Date: October 9, 2007
Owner's Name: yMike/Brenda Carl Phone No. 342-1709
Project Address: 55-720 Pebble Beach La Quinta, CA
Project Description: Add ition
APN: 760-620-036 Tract #: Lot #'s: .
Type of Development: Residential XX Commercial Industrial
Total Square Feet of Building Area: 63 sq. ft.
Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under
penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer.
Dated: October 9, 2007 Signature:
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project
17620 65995 Approval
Number of Sq.Ft. 63
Amount per Sq.Ft. O
Amount Collected $
Building Permit Application Completed: Yes/No
Agreement Existing Not Subject to Fee
Prior to 1/1/87 Requirement
1N^ Ote-- Any room addition that is 500 sq. ft. or less is exempt
from Developer fees.
By: Carey M. Carlson, Asst. Supt., Support Services 1
Certificate issued by: Elvira Mattson, Secretary III Signature
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this
time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject
of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
MV:c/mydocs/devfees/certificate of compliance form updated 3-2007 3/9/07
3108142677 NORTHROPGRUMMAN 09:45:43 a.m. 08-15-2007 212
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•`*
PGA WEST.
RESIDENTIAL ASSOCIATION, INC.
August 10, 2007
Mr. and Mrs. Mike Carl
55-720 Pebble Beach
La Quinta, CA 92253
Dear Mr. and Mrs. Carl:
1'he Architectural Committee has reviewed your final submittal of plans for your Architectural
Variance request.
The proposed addition of the bathroom and the patio extension and related water feature with
hardscape is approved. There are several specific comments and restrictions unique to the
project and then there are the standard construction requirements.
I . The patio extension must not encroach within the 20 foot 0 inch easement from the lake.
2. The -drain from the recessed bar slab is approved to drain to a bubbler but, no -bar sink can
belied into this drain. Coordinate with the landscape Manager, Bill Bobbitt; on the
drain installation at the lake.
3. Provide a copy of the permit from the City of La Quinta:
4. Provide the name, license and insurance information for the contractor.
• 5. Post light at the bar should not reflect into neighbors' arca.
6. Provide `Adjacent Neighbor'. form signed by the neighbor on both sides.
7. Maintain the same existing top of parapet height for the new parapet.
8. Coordinate with the Landscape Manager, Bill Bobbitt, on the revised grades between the
lake and the bar.
We appreciate your cooperation in submitting this request fur approval. If I may be of further
assistance, please contact me at the 1IOA office al (760) 771-1234, Extension 15.
Sincerely,
fKlyyflc(Galliardl
Operations Manager
fur the Architectural Committee
KM/bvf
cc: Architectural Committee
'54-320 Southern Hills, La Quinta, California 92253-5665, Telephone 760-771-1234 FAX 760-771-5125