04-4340 (RER)A� Q•�
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BUILDING & SAFETY DEPARTMENT
P.O..Box 1504 (760).777-7012
c�pF9 78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
-Application Number ',04,-0-0004340-3 Date 5/17/04
Property Address: 54490 RIVIERA
APN: 775-031-051- - -
Application description REMODEL - RESIDENTIAL
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . 8000
Owner Contractor
--------------------------------------?_Q__C1
e -
PGA WEST RESIDENTIAL ASSN. INC OWNER
54320 SOUTHERN HILLS
LA QUINTA CA 92253 N O 4 1004
-------------- Structure Information -----=DFLAq(�A____
FINANCE DEPT:.'
'Construction Type . TYPE V -.NON RATED
Occupancy Type'' DWELLG/LODGING/LONG <=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 4 5 0 0
6.00 9.0000 THOU -BLDG`2,00'1-25,000 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
0
P.O. BOC 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
or
w,
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number: 04- 4.C) Date: CO ' y'�0 C/
Applicant: itect or Engineer:
Applicant's Mailing Address: Architect or capt3� .4/4".,-tEngineer's Address:
as [o 'QL
S. C o d
c. No.
BUILDING 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 perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions C
city or county that, requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its ode: Any
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 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
t4q 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 sdle 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 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 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.).
U I am exempt under Sec. . B.& P.C_ for thio rPwann n
.— C4Y—
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificaie 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 i ioanca carrier andpolicy nur�p it are'
�arrier Gi?�A : 2r rte"-» o .P'fcv Number ! 3 �
_ I certify that, in the performance of the work for which this permit is issued, 1 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 come subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
U46
/'forthwith,/c-omply with those provisions.
/Bate t{''-1 � 6 T— PPIi�A cant_ �iy
n�
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WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
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.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending a for the performance of the work for which this
• agency � permit is issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address
IMPORTANT Application is hereby made to the Director of Buildingand Safety fo aAPPLICANT ACKNOWLEDGEMENT
the
1. Each person upon whose behalf this application is made, each person at permit
e ' whose requ st and for whose benefi work snperfortnrt under or puh on this apprsuant 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 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. 1 agree to comply with all city and county ordinances and state laws relating to building
construction, and heerreeby,authorize�representatives of this county to enter upon the ab -mentioned property for inspection purposes.
Da _ . CJ ig� nature (Applicant or Agent):
4 � .«... rjt.-�ti f\•.. •,H , , ,��+.. r.• y-.•' ,'1. ., ..,.. ^•rw�-•.r .•.'k.
DAVE STEAVENS
Inspection Services
Page ( of
PROJECT �6,k L, ZS -% - PROJECT
ADDRESS T4-Liga CLIENT P6N u��5i �-ItOA
L—f' DATE tO MA2ct.1 avoS
BLDG. PER UT # 04-14A L}y ARCHITECT (;50C.B N 11� 2Cy�
ENGINEER��,�,� s -N ow c -Z-kY. CONTRACTOR�flc L T: t e- -at-0t)
INSPECTION TYPE
INSPECTION REPORT
FOLLOWING LOCATIONS EPDXY SIMPSON ETF: EXP. t - U5'"J0 HOLES DEPTH CHECKED,
BRUSHED AND CLEAN OF DEBRIS. APPLICATION AND INSTALLATION AS PER ICBO 4945
�e K- LaGt V4oc. s- 1 �. a \ L„ %t#* . '2oDs- l'"t 1.. 'a (�'►'� /E3 ��'t
Nht-k- .1 uo cS - kas-�-. _ t t; ?I l� %f\ 005 -
ShCxTg St;.uc� +-�o�.�•tVr�t� 1"��p,. RDS - tri
IJ, Lot- RoLx � 1�`' Z1rt.9TIA I btA: Zop - tnl(Z L.COV\,A a" DSA.
�I.�T-b t J t tis V ^ �� tom' t a G, ba to JLA w �2� -'T► Ca..�-c �� C�
-Alt(— Aw� KOaip IxT•A"-S64AV0L4+-#LC—ZJ5kL.A-Tioaj , R00F' ZICTAI ,
31((. f LL. � tr1T'�- C,IcT �A�S - 'Faa w•, �1� b�taiRD �� tJ�u�`prnv J ` `Om pua-cc.
3111- �. Z-37 �.� �,.�� - 4cvyL
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CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted,
substantially complies with approved plans, specifications and applicable sections of the building codes. This report covers
he.locatons of the work inspected only and does not constitute engineering opinion or project control.
CERT. NO.
0859348-50
INSPECTOR NAME
DAVE STEAVENS
�✓
DATE
INSPECTOR SIGNATURE,,
(Pr L learly)
m ...cam_ [� ��
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LIC. NO. 524983
• 75080 St. Charles Place, Suite 13
• ������ ���� e.7E:CLGGIf�i Palm Desert, California 92211
619-568-0852
FAX 619-341-5161
POOL SPECIFICATIONS
q
LENGTH 3� WIDTH / DEPTHL-Y-f—TO
FILTER _ �lZL,5.1�!?t PUMP / . H. P.
HEATER �U/L'L'Xy �T BTU LIGHT 9WO W)
SPA SPECIFICATIONS
6
SIZE DEPTH_.�TO
FILTER- PUMP -H. P.
HEATER BTU JET PUMP H.P.
LIGHT
POOL OWNERS
NAME Rel /e. T/��Ks�A)
ADDRESS 5y- y90 �� VI 4:�Z�
PHONE NUMBER 7 7/ O .5�n '7
POOL CONTRACTOR
6
MIRAGE WATER FEATURES
75080 ST. CHARLES PL., SUITE B Q(�
PALM DESERT, CALIFORNIA 92211
LIC. # C53 524983
W
Lit
C
PGA WEST
RESIDENTIAL ASSOCIATION, INC.
February 2, 1998
Roger & Bonnie Tallakson
54-490 Riviera
La Quinta, CA 92253
Dear Mr. and Mrs. Tallakson:
L
Your request for an architectural I variance ce has been'a6rbv4;6y'-'Mr. Don Adolph, ArchitecturalCommittee Chairperson. Speciftaily,", yowl the approval: to pro-peed,with the, install
ation of a
pool and spa at your 54-490 Riviera residence. Upon co - mpleti6ri please "-slibffiii 'the Notice of
,
Completion to our office. IS
hh
'
We reserve the right to make a final inspection o this c 6rige to make sure that it matches the
original request. An approval is based only on the aesthetics of your proposed plan and should not
be taken as any certification as to the construction worthiness or structural integrity of the proposed
change.
We appreciate your cooperation in submitting this request for approval. Should you have any further
questions regarding this matter, please feel tree to contact me at the HOA office, (760) 771-1234.
Sincere
?,�' rc, V�'� -,
Kelly cGalliard
Operations Manager
cc: Architectural Committee
P.O. Box 1060, La Quinta, California 92253, Telephone 760-771-1234 FAX 760-771-5125
,r,l-tY OF I LA oUINTA
'E UILIDING &SAtl:�Ty MPARTMENT
(;ONDITIONALLY
ACCEPTED FOR CONSTRUCTION
SUBJECTTO INSTALLATION AS PER
-
AND AM �PLIC�ABLE�CODES