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04-4338 (RER)i i;z-1 P.O. BOX 1504 78-495 CALLE TAMPICO . LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number . . . . Property Address. APN: Application description .-. Property Zoning ... . . . . Application valuation . . Owner ------------------------ PGA WEST•RESIDENTIAL ASSN. INC 54320 SOUTHERN HILLS LA QUINTA CA 92253 BUILDING & SAFETY DEPARTMENT (760) .177-7012 .FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Date 54430 RIVIERA .775-031-053- - - REMODEL - RESIDENTIAL LOW DENSITY RESIDENTIAL 8000 Contractor. OWNER FFD 5/17/04 JUN 0 4 2004 -------------------------- Structure Information ------' ' Construction T Type YP . . . TYPE V - NON RATED CITYONLAQUINTA FINANCE DEPT. Occupancy Type . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC Permit . . . . . . BUILDING PERMIT. Additional desc . Permit Fee 99.00 Plan Check Fee'. .00 Issue Date . . . . Valuation . . . . 8000 Qty Unit Charge Per Extension BASE FEE. 45.00 6.00 9.0000 THOU BLDG''2,001-25,000 54.00 -=-------------------------------------------------------------------------- Special Notes and Comments VOLUNTARY SEISMIC STRUCTURAL'REPAIRS --------------------------------- Other Fees . . . ------------------------------------------ . . . . . . STRONG MOTION (SMI).- RES .80 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ------------------------------ 99.00". .00 .00 ---------- 99.00 Plan Check Total .00 .00 00 .` 00 Other -Fee -Total .80 .00 .00 .80 Grand Total 99.80 .00 00 99.80 P.O. Box 1504 • �/ 78-495 CP.LLE TAMPICO VOICE (760) 777-7012 LA QUINT.4, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: o4 -1433Date: _ (to ^meq Applicant: Applicant's Mailing Address: c I ect or Enginee �) Architect or Engineer's est: (J!F;(, Com- 2,,; 1 Ic. No.: e/A 7r'13 8 t3UILUING PERMIT DECLARATIONS 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 Professionals Code, and my License is in full force and effect. License Class License No. Date Contractor ,�, +' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjuryIhat I am exempt from the Contractors' 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 Ilstatement that heorshe is licensed pursuant to the provisions of the Contractors' 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 alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a :ivil penalty of not more than five hundred dollars ($500).): PFY�� I, as owherlof the property; -or my employees with wages as their stile compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business`aid: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 hersel�or 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.). U I, as owner of :he 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.). U I am exempt uider Sec. . BA P.C. for this reason Owner WORKERS' 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. ['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' compensati90 Lu*vrar%e carrier and polic number are: Carrier 'GWVT� r-�.,� Policy Number 1s 3 4s 4 4- - 240 3 _ 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 shout come subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall ,---15-ate forthwith comply with those provissii(/onnss� aa (/�// � T ppli�C Cant• - l meq/ / WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TC 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. 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 peirmit is issued (Sec. 3097, Civ. C.). Lender's Name A Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on 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, indemnity and hold harmless the City of La Ouinta, its officers, agents and employeesfor any actor 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 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter up the a e oned prope r inspection purposes. ate ig-'S nature (Applicant or Agent): i Vw 'VI r. ... 3 �,1 � Page of DAVE STEAVENS Inspection Services PROJECT;&f\ UA E s k - 0nR LLCjtI e S PROJECT # 400 S"- /9 ADDRESS: 5y - 4 3p Ri u e u\ CLIENT k� WEST . Ho A DATE —1:!r tee_- 3 1 oo S-_ i BLDG. PERMIT # O 4 - 4 3 19 ENGINEER�uo-s S-�'Or"e mac INSPECTION TYPE ARCHITECT CoL9 A A2LW CONTRACTOR_�A G 1 F I G INSPECTION REPORT FOLLOWING LOCATIONS EPDXY SU PSON ETF. EXP. g-0.5. HOLES DEPTH CHECKED, BRUSHED AND CLEAN OF DEBRIS. APPLICATION AND INSTALLATION AS PER ICBO 4945 ,I n _71B" a CZ -_,--off Loc'S- HDL�S- 1-1 `I�CPTN (SIA. 12oZsS- li3 t-t':0C.7\-1 ��A'._ . �, --t1 �. As tom- axe-oi�0Ls- 1-�o��s- la �zP�+a l�'���. Z©SDs-.1� Lz.�c��v,� L U i.) Li A u 'S -- � izA. Mi.i � , N�r�� � rack ->v S►.� S c.�� �T to a3 t - L j'r . t—o w Liz (9' 3 q ^ a �- l_oo�-yi� S —uZOa w. J C� ►R �e J ia�e.� T l ` W -�:6 A o 6 04 I CERTIFICATION OF. COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, 10substantially complies with approved plans, specifications and applicable sections of the building codes.This report covers he locations of the work inspected only and does not constitute engineering opinion or project control. f CERT. NO. �g59348-50 INSPECTOR NAME DAVE STEAVENS /1 � a V ?Prf le • DATE S' S tTY % S INSPECTOR SIGNATI RF_ s� eL Q7