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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+: R0.� S �j %. ►.�C�\� S 1 �OtL L.A.: Lu S-r2AP isa Li,.N�;; iJ cA ­2r -su--L f,-tto�l 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 . t i C -] V-V'T'fTYTY I 'I i" .. - .. .- . pp RS ft: -7 M S. Cleveland St. OcaanWdu CA 920M rel: peo a". -W Fwr (700) 2".83ft A"- L LV ] F. L 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