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U) Z co LO N ON U O) o 2 Z —QI—O XW0 _J LL mUU O rn Z 00 5 [-'O 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 505442 B HIC 02/28/2( 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 Signature of Owner 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: Carrier EXEMPT Policy No. (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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. Date: Applicant 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 restriction's 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 isnot commenced within 180 days from date of issuance of such permit, of 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) Date BUILDING PERMIT PERMIT# 0212-113 DATE VALUATION $2,87230 LOT TRACT JOB SITE ADDRESS 5705 TURNBERRY WAY APN 5.. - - OWNER CONTRACTOR/DESIGNER/ENGINEER JIlvi SUNSERI MARK DURKTON CONSTRUCTION 55-705 TURNBERRY 69683 PLEASANT.GROVE LA QUINTA CA 92253: CATEMRAL CITY CA 92234 (760)578-4940 CBIA USE OF PERMIT PATIO COVERED PATIO COYER 8'X 27 PER ENGINEERED PLANS. PORCH/PATIO 216.00 SF ESTBIATED COST OF CONSTRUCTION 2,872.80 PERPA TT FEE SUAUAARY PLAN CHECK FEE 101-000-439-318 $35.10 CONSTRUCTION FEE 101-000-418-000 $54:00 STRONG MOTION FEE - RESID 101-000-241.000 $.50 SUB -TOTAL CONSTRUCTION AND PLAN CHECKI $89.60 LF -93 PRE -PAID FEES $0.00 TOTAL PEBMPI' FEES DUE NOW I ' $89.60 RECEIPT I DATE I BY I DATE FINALED INSPECTOR (uuad) aogoN 4mn teut j Jamod;o asn -dwal sJoloalacl Mows TTO saloe;daoaa Joue�x2 slaued qns aolmas ulelN sajnlxl j buulM abePA MOO llnpuo0 punoJ6Japun clod Janeod dwal S-IVAOUddV 1VOW10313 f _ leutj f jfaSiNgh'fdYO.o I_ leu!j saouellddy }sal se0 6urdld se0 uollelnsdeou3 uolloauuo0 lamas J2`,00 loud Jae,aS Jalseld 4slulj Jo; ')4'0 sued Jahwgs aJnsapu3 tuawdlnb3 ln0 dol 6ulgwnld leUl j bulgwnld Buldld JaleM —1 leulj JaleaH �, saul-I alsem ! leulj OIJl0013 STdAOUddV ONISivn1d lew j lsai se0 6uldld se0 lsa1 '6gld puncu japun 3lJl3aI3 punoJ6Japu{l uopeool luawdlnb3 JanoO of lenoJddy weag puog uleJ❑ ulelry l sbulloo j puog DIJloa13 Wes laS Pals SIVAONddV `I1MMOO18 SVdS - SIOOd lent j �— leutj 4lEl 'luf Ilemka 4lel Joualx3 IlennaiI j IIeM 4led soul .1 9lesuapuo0 uollelnsul IIeM4ed sloJluoo g suej '0'1 ooeldaJlj SIPS) I'd aoeldaJlj sluaA —A uogelnsul JossaJdwoO 6ulwej j •n•y- j deJMol'>I'O sue j lsne4x3 N-)aQ PON Jlt/ uollsngwo0 Teals Jl`d wnlaa speJJ gelS skint, s6ullooj 8 swJoj slona punoJ6Japu fl s3loes PIS S1VAOHddH 1dOINVH03W SIVAOUddV JN1aiins HOI33dSNl 31Va NOI.L"3dO HOIDUSNl 31Ha NOI.L"3dO ONOO I N01133dlSNl D'" # City of La Quinta Building 81: Safety Division P.O. Box 1504, 78-495 Calle Tampico oermit # La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet L.� JC Project Address: 5 � �1� [ wnet's Name: �11 �1; Address: �� i21�1 g' A. P. Number: G Legal Description: City. ST. Zip: .16 Contra— MAcv2 9\\0qv%-,Q 71�elephone: r. Address: g 3 Pt✓� �,11' iL Project Description: MO S� �� +1� Cin•. ST. Zip: G{'��( ll C� Telephone: �C State Lic. # Cin• Lic. r: ftAQl Iqc� Arch.. Ensm. Designer: Address: City. ST, Zip: Telephone: State Lic. g: - (. Type: Occupancy: cart l New Add'n Alter Repair Demo Stnrses: ti Units: Name of Contact Person: �Ae\v' le-v I Telephone # of Contact Person: � ;�{] ^ 5 --T$ ^ 4 9 40 Estimated Value of PiC11C G �� # Submittal Req'd 7 Plan Sets Structural Calcs. Truss Cales. Title 24 Calcs. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees APPLICANT: DO NOT WRITE BELOW THIS LINE PERMIT FEES Rec'd MACKING Amount Plan Check submitted l�17 Item Plan Check Deposit Reviewed, ready for corrections Plan Check Balance o 40 Called Contact Person Construction O ��11 --• �T• t7n Plans picked up Mechanical Plans resubmitted � I 11c' Electrical 2nd Review•, ready for correction Issue Plumbing Called Contact Person s.M.l. 4V t5.s�0 Plans picked up Grading Plans resubmitted Developer Impact Fee Review. ready for corrections/issue A.I.P.P. Called Contact Person Date of permit issue MGM . . EA - 7 Total Permit Fees I q ' (0O la-j16 - /a 01-21-2003 05:34pm From- '� T-364 P.003/005 F-651 I (V V I,• I , ..I I 01-21-2003 05:34pm From- T-364 P - 002/005 F-651 PM- .f� 70 -;V fr �,��4r,� / SfaW�� asaF 4v. wl�� CITY 9FLA QUINTA (,__+BLVtDJ96'9 SAFETY DEPT. APPROVED FOR CONSTRUCTION,-, DATE r BY L/I bft- 7-e�. �% � C P 44- "6r POOL PIT yH f IFV OU--E COURTYARD -'M)P.An0 I 5-10 16' qLj 24FV DFDF CAMBER 4 L-YC2'3iRL'OTI;'.W.OEGiwI j (E)PATIO CLASS A 3 PLY 0U[LT-UP ACCLr OVER. SLOPE 114' 1 FTXRAdNAQE OFF FLOE HOUSE F.D. - 2 x 10 LEDOEH -- TV THK STUCCO CEILING D SEAM COLOR ANDTOMRE TOX EXISTING PLOT PLAN SCALF1/B"=1'-0" SHOWING NEW PROPOSED OVERHANG FRAMING GA.SITA YOUNG ENGINEERING SERVICES s Engineering ■ Architecture -Surveying- Building & Safety Services Letter of Transmittal To: City of La Quinta Date: 12-20-02 Project: PC 0212-113 (1" check) 55-705 Turnberry Attn: Greg / Ed W.O.: Tel No.: Tract No.: We are forwarding: X By Messenger By Mail Your Pickup No. of Copies Description: 1 Plans 1 Structural calculations Comments: Engineer of Record shall stamp and wetsi n plans. Structural content is approvable. This Material Sent for: Your Files X Per Your Request Your Review Approval Checking At the request of: Other By: John W. Thompson Phone # 360-5770 ext. 102 77-804 Wildcat Drive, Ste. C • Palm Desert, CA 92211 • (760) 360-5770 •Bronz Young • 12/25/2002 14:38 7603284266 MARK DURkTON CONST PAGE 01 DEC-17-2002 TUE 02:13 FM KSL DEVELOPMENT CORP FAX 10, 760 5648090 P, 01 DEVELOPMENT c ORPoRATION 0 December 4, 2002 Andrew Levine Turnerry Collection 50855 Washington Street Suite 237 La Quinta, CA 92253 ICE: KSL Land Corporation; Construction Plan Approval via aCrdmi)$- Andrew; Please let this letter serve as an approval of the Mark Durkton Construction Plans for the proposed overhang for 56705 Turnberry Way, dated November 17, 2002, By way of this letter, I am forwarding a set of the blacklines to Donne Marinacclo of the Fairways Association for her files, For future, please leave all submissions with the main receptionist at KSL, She will stamp them and Insure I receive. Thank you for your assistance in this matter. Sincerely, Cynthia Zamorea Director of Land Management/Project Director c: Hill Dodds (w/Enclosure: Final Approved Plana) Donna Marinacclo (w/Enclosure: Final Approved plans) 50905 Avenida Bermudas La Quinta, California 92253 (760) 564-8000 Fax (760) 564-8090