04-4346 (RER)s
r
T-Vf .°F 4 Q"
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINT -A, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760) .777-7012
FAX (760) .777-7011
INSPECTION REQUESTS (760) 777-7153
Application Number
04-_060.04346 }
Date 5/17/04
Property'Address .
. . 54670 RIVIERA
APN: -
775-031-038- - -
Application description
REMODEL - RESIDENTIAL
Property Zoning . . .
. .' . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 8000
Owner
Contractor
PGA WEST RESIDENTIAL
ASSN: INC OWNER
54320 SOUTHERN HILLS
D e
LA QUINTA
CA 92253
--------------------------
Structure Information JUN -0
420%._
Construction Type . .
. . . TYPE V' -.NON RATE
Occupancy Type . . .
C OF
. . . DWELLG/LODGING/CO G <=
LA QUINT,
p►r
Flood Zone . . . . .
... . NON -AO FLOOD ZONE
Other struct info
---------------------------=-----------------------------------------=------
CODE EDITION
2001 CBC
Permit
BUILDING.PERMIT a
"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-; Ob 1°-25, 000
54.00
Special Notes and Comments•
VOLUNTARY SEISMIC STRUCTURAL'REPAIRS,,
---------------------------.---------------
Other Fees . ... . .
-u------------------- - - - - -.
. . . . 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 CALLE TAMPICO ` VOICE (760) 777-7012
LAFAX (760) 777-7011
QUINTA, CALIFORNIA 922$3 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Date: (o • —.0. y
Applicant: Architect or En 'neer'
Applicant's Mailing Address:
Architect or engin er'.Address:
S.t7. Cao 9ato�
Lic. No.: C, Ici-31-35
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 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 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
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 stile 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 hefself 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 corripjetion, 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.).
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.
I have and will maintain workers' compensate n insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
n issued. M orkers' compensatio rance carrier and policy number are:
�rrier. —7r�'tjt� �1)D Policy Number / 2,0 4 4 -1-010 zj
_ I certify that, in the performance of the work for which this permit is issued, I shall not erftloy 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, 1 shall
forthwith comply with those provisions. _
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 agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lenders Name
Lender's Address
APPLICANT
IMPORTANT Application is hereby made to the Director of Buildingand SaAfor
CKNOWLEDGEMENT
T ACto the KNOWLEDGEMENT
s set forth on this application.
1.. Each person upon whose behalf this application is made, each person atPermit
h s'e request and for h�olse benefiwork isperformedunder 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 employees for any act or omission related to the work being performed under or following issuance of this permit.
2. Any permfl 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 relafing to building
construction, and hereby authorize rep rese tives of this county to enter upon the above oned property fol inspection purposes.
Signature (Applicant or Agent):
• t N
Page _L of
DAVE STEAVENS
), r Inspection Servicest
PROJECT �y� c..l PROJECT' # o? 00" T— V—\
ADDRESS SLk-(.' 6 aw i eR P, CLI ENT
L a., n ck ; .,T P. . DATE r, A a vo S-
-BLDG. PERMIT # Q y - y ARCHITECT. c_7v-0-.\
ENGINEER l u \.
IN�CONTRACTOR
INSPECTION TYPE
-INSPECTION REPORT
.FOLLOWING LOCATIONS EPDXY SUAPSON ETF. EXP. 1i—p5' HOLES DEPTH CHECKED,
BRUSKD AND CLEAN. OF DEBRIS. APPLICATION AND INSTALLATION AS PER ICBG 4945
c-ncS-�-ioLc�-\�,� 4 ����' :�u�S 15'1.2lti�c,-c� SDew+:
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S-r2AP isa Li,.N�;;
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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
• the Locations of the work inspected only and does not constitute engineering opinion or project control.
CERT. NO. 0859348-50, L8 INSPECTOR NAME DAVE STEAVENS
(Print Clearly) '
DATE 369 f. / e�� INSPECTOR SIC,NATUP n .
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To: Steve Neftel, Reconstrucdon Manager From: RMETTM. SAVOIE
Wil; riesnrfds-r Cep . '
FW. 760-M Un dux t hckxft Cow std
Pham' , MTR4- 23"-19 . - -
- Mlednesday; OMbef-99,
2005
The tial (41 anvils)
®Urgent ® For Review U Please ComnurotO Pie lleplyElPlease Recycle
® RE: ®allerles RR g 9- Sldg 4" G3A, (S8) @6-670 Riveria
Itk n dweed tip !Wbhes-(rug- hathrraiworwaaud�
M" in 0100r oPOning at Ow dieing room)occur in two locations Mmthnpede .the
instaen-{ewawe-relfereeeseddstaft *%aEwilidn ier access;.
I) Dining room shear wail P2 (3tQ>omIt work at wail & details 2EIS2 & 3132.
2) Foyers spa ;b omit ww1FAwH9 a deft"Offq-
R Is undomtood that all the speaified repairs that could be accomplished from, the
Please feel free tv contact me if you have any iu ftrquesdons. Thanks. Rheg