BRES2017-0193%n—
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4P Q"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2017-0193
Property Address: 78995 MUIRFIELD WY
APN: 770050021
Application Description: LA QUINTA FAIRWAYS / GUARD HOUSE REMODEL
Property Zoning:
Application Valuation:. $30,000.00
Applicant: D
ASSOCIA ON CALL CALIFORNIA INC DBA ASSOC AUG 14 2017
42-635 MELANIE PLACE SUITE 103
D,
PALM DESERT, CA 92211
CITY Or LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
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 Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: B, C27, C36, C10 Licen No.: 2694
Date:, -I l OntfaCtOf:
OWNER -B R DECLARATION
I hereby affirm under penalty of perju hat 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. S
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).:
(_) 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 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.).
(1 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 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.).
Lender's Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/14/2017
Owner:
LA QUINTA FAIRWAYS HOA
C/O DESE3T RESORT MANAGEMENT
42635 MElANIE PL STE 103
PALM DESERT, CA 92211
Contractor:
ASSOCIA OWN CALL CALIFORNIA INC DBA ASSOC
42-635 MELANIE PLACE SUITE 103
PALM DESERT, CA 92211
(760)346-1_161
Llc. No.: 952694
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjuryone of the following declarations:
I have and will maintain a cerificate of consent to self -insure for workers'
compensation, as provided for by Secticn 3700 of the Labor Code, for the performance
of the worlrfor which this permit is issued. '
�W✓I have and will maintain workers' compensation insurance, as required by
Section 3760 of the Labor Code, for the )erformance of the work for which this permit is
issued. My workers' compensation insu•ance carrier and policy number are:
Carrier: SENTRY CASUALTY COMPANY Policy Number: 901799301
_ I certify that in the performar re 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 ag-ee that if I should become subjec the
workers' compensation provisions of Secti 7 of the Labor Code, I;fi forthwith.
comply with those provisions.
Date:
WARNING: FAILURE TO SECURE WO FS' COMPENSATION C,5tRAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYEVO CRIMINAL PENALTIES ND 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 A:KNOWLEDGEMENT
IMPORTANT: Application is hereby.madE to the Building Official for a permit subject to
the conditions and restrictions set forth cn 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 isnot
commenced within 180 days from date of issuance of such permit, or cessation of work
For 180 days will subject permit to cancelation.
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 xdinances and state law ating to building
construction, and hereby authorize representatives of thiscity a er.upon the ove-
mentioned property for inspection purposes.
Signature (Applicant or Agent)
-- -
-
Date: 8/14/2017
Application Number: • BRES2017-0193.
Owner:
Property Address: 78995 MUIRFIELD WY
LA QUINTa FAIRWAYS HOA
APN: 770050021
C/O DESERT RESORT MANAGEMENT _
Application Description: LA QUINTA FAIRWAYS /GUARD HOUSE REMODEL
42635 MELANIE PL STE 103
Property Zoning:
PALM DESERT, CA 92211
Application Valuation: $30,000.00
Applicant:
Contracto-:
ASSOCIA ON CALL CALIFORNIA INC DBA ASSOC
ASSOCIA ON CALL CALIFORNIA INC DBA ASSOC
42-635 MELANIE PLACE SUITE 103
.42-635 MELANIE PLACE SUITE 103
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)346-1161
Llc. No.: 932694
--------------------------------------------------------------------------------------------
Detail: EXTERIOR DESIGN CHANGES TO GUARD HOUSE AND PEDESTRIAN GATE, PORTICO STRUCTURE, NEW WINDOWS, DOORS, ADDITION OF'WINDOW
EYEBROW, STONE VENEER AND ARCHITECTURAL IMPROVEMENTS. MODIFICATION BY APPLICANT (MBA2017-0005) APPROVAL FROM PLANNING. PER
2016 CALIFORNIA BUILDING CODE
FINANCIAL INFORMATION • 1.
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$6.68
Total Paid for Credit Card Fee: $6.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400,,
0
$22.80
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$18.24 '
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 100 SF
.101-0000-42400
0
$51.68
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$141.36
Total Paid =or REMODEL: $234.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$3.90
Total Paid for STRONG MOTION INSTRUME14TATION SMI: $3.90
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7
101-0000-424001
0
$63.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC
101-0000-42600
0
$62.32
Total. Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $126.16
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AUINTAFAIRWAYS
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GUARDHOUSE FRONT E: EVAT70N
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[C(. GUARD HOUSE PLAN VIEW
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D. PEDESTRIAN MONUMENT PLAN VIEW
PEDESTRIAN MONUMENT ELEVATION
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RECEIVED
AUG 02 2016
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
. . . . . . . . . . . . . -----
Zot
EY15TING CONDITION
NCTE —TEP, FCATUPF —E5 NOT A P-T, PEP, 5EN—TE
PLANNING APPROVAI..
ADMIMSTRATIVE
MBA2017-000S
. .. . ....... . . .. . . ....... —
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REFERENCE �NOTES _SCHEDULE
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ENTRANCE LAYOUT PLAN
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