The URL can be used to link to this page

04-4341 (RER)BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760).777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA,. CALIFORNIA 92253 INSPECTION REQUESTS (760).777-7153 BUILDING PERMIT Application Number . . . . 0-4--000-04341` . 054520 Date 5/17/04 Property Address _ . . . . . . RIVIERA APN: 775-031-050- - - Application description . . . REMODEL - RESIDENTIAL Property Zoning LOW DENSITY RESIDENTIAL Application valuation . . . . 8000 Owner Contractor PGA WEST RESIDENTIAL ASSN. INC OWNER e 54320 SOUTHERN HILLS D LA QUINTA CA 92253 JUN -0 4 2004 -------- - ----------------- Structure Information ----- - -------------. Construction Type . . . . . TYPE' V - NON RATED CITY OF LAQUINTA .Occupancy Type . . . . ... DWELLG/LODGING/LONG <_ . FINANCE DEPT. 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 .0.0 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 '�C�� 78-495 CALLS TAMPICO � VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 4 4 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: ('41- Date: �o - el -0 Applicant: chitect or Ear gineer: Applicant's Mailing Address: Cho Architect or Engineer's Address: Lic. No.: ego 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 he 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 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 or 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 he 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 civil penalty of not more than five hundred dollars ($500).): MY 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 this re a on ate (o. .Z� ¢ A�� ,� - 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 wdrkers' 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 `7 i sued. My workers' compensation ince carrier and lic r numb /Carrier i :: j gr! Y� oolicy Number (� J q 274-- Zna _ 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 be me subject to he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date a pplicant e 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. I hereby affirm under penalty of perjury that there is a construction lendingCONSTRUCTION age cyothe Performa LENDING AGENCY of he work for which this permit is issued (Sec. 3097, Civ. C.). Lenders Name Lender's Address ENT IMPORTANT Application is hereby made to the Director of Buildingand Safetyfor CKNOWLEDGEo the 1. Each person upon whose behalf this application is made, each person at Permit le request and efor hIo'se benefions and work isperformedunder or pus set forth on this rsuant 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 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. I agree to comply with all city and county ordinances and state laws relating o building construction, and hereby representatives of this county to ent r upon. the above ned property for ins on purposes. ate -v � Signature (Applicant or Agent): ` DAVE STEAVENS Inspection Services PROJECT ;�L, W e 5 i- ADDRESS Sy - _ ,2n,Uk t BLDG. PERMIT # •Q 4- LAI I <4 l ENGINEERu.-� J SIN 0Q HE --7'sJ c INSPECTION TYPE Page I of PROJECT # CLIENT W I-, � + Al -k0 fs DATE IT M k,2U-t 4100f ,ARCHITECT CVOLiB A -A 2cva CONTRACTOR Pt c. k� + c. - t LD S INSPECTION REPORT FOLLOWING LOCATIONS EPDXY SUAPSON ETF. EXP. I0- off"' HOLES DEPTH CHECKED, BRUSHED AND CLEAN OF DEBRIS. APPLICATION AND INSTALLATION AS PER ICBO 4945 a. LoC`S - 'kA oL.,t,5' l -- /2 %t; PT sA 'D Mtn. IZP DS ` I-1 f D tom. I" -DiA. RODS- ,..1r, L.c�&:T 0 DIf\ 3 � i -1_ P l .l. =6z' r.� t o � z vo F c xT 3 .� �- 3 . — e— 7 W Ei w9 - T 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 locations of the work inspected only and does not constitute engineering opinion or project control. CERT. NO. 0859348-50 ✓ DATE' � S C 67 ,�<;,1�:�'iJ 4 ..t INSPECTOR NAME DAV_ E STEAVENS Print Clearly) INSPECTOR SIGNATURE�-�I rN'P ,/