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05-0420 (RER)I f��I�iCv BUILDINC- & SAFETY DEPARTMENT P.O. Box 1.504 . (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . 05-0,9000420 Date 2/07/0,5 Property Address . . . . 55515 RIVIERA APN: 775-24.2-009- - - Application description . . . REMODEL .- RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 8000 Owner Contractor. PGA WEST RESIDENTIAL HOA OWNER 54320 SOUTHERN HILLS LA QUINTA CA 92253 ----- Structure. Information VOLUNTARY SEISMIC RETROFIT ---- Construction Type . . . TYPE V - NON RATED Occupancy Type . . . DWELLG/LODGING/CONG <=10 f Other struct info . . CODE EDITION 2001 •' 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 e Phase 1 Fairways.Units Voluntary -Seismic D, Retrofit. Voluntary seismic upgrade & selected construction defect repairs FEB 16 200,5 constructed to the 1985 UBC allowable design values, applided loads .conform to CITY OF LAQUINTA the 1997 UBC FINANCE DEPT: Other Fees . . . . . . . .-. STRONG MOTION (SMI).- RES .80 Fee summary Charged. Paid' Credited. ', }�.: Due. Permit Fee Total 99.001, .00 C0 99.00 Plan Check Total ..00 .00 C-0 .00 Other Fee Total .80 .0.0 GO .80 Grand Total 99.80 .00 CO 99.80 4 1 � P.O. BOC 1504 • �� 7VOICE (760) 777-7012 8-495 CALLS O FAX (760) 777-7011 QUINTA, CALIFORNIAFORN92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: _ 0.$-' 4(M Date: Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: N!14Q Lic. 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 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 the applicant to a civil penalty of not more than five hundred dollars ($500).): U I, as owner of the property, or my employees with wages as their sole 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.). 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. BA P.C. for this reason r 1tJr,r ✓> ftp ,� , /� 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' 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 insurance carrier and policy number are: Carrier Policy Number 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall t forthwith comply with those provisions. %` / Dere�� //_1 I n n//i nlirant I V I l'//I !� 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.). Lender's Name 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, 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. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereb authorize repres ntatives of this county to enter upon the above-mentioned property for inspection purposes. � /Date gnature (Applicant or Agent): Page l of DAVE STEAVENS { Inspection Services PROJECT PROJECT # 06 tq ADDRESS Sl 5' 7t 2 A CLIENT L.: A� �z R� �fl DATE BLDG. PERMIT # (> S - C) 1. a O ARCHITECT GCS L a A ENGINEER U_ oi, SAJy t S- -r) C— CONTRACTOR �p L F L .INSPECTION TYPE. ` INSPECTION REPORT - > FOLLOWING LOCATIONS EPDXY SEMPSON ETF. EXP. / - c� 5'- HOLES DEPTH CHECKED, ' BRUSHED AND CLEAN OF DEBRIS. APPLICATION AND INSTALLATION AS PER ICBO 4945 P-0LZr5- la- IY:�;PTti L ►� i ,J c� — S. o (A7% L2 c - {� o c-t� - l �► a �P. tC l� - `'+ ' Aft r, --r A �..� L — t S t tJ "()Lt _x F11 s h, g l S=3=�z�;�,���.. AatDU3RIL%: rzAm t 0 (�. �'�d�2lyJ A2L. Awn �J9LA. I -P. 11J ILA) A lL1 - S A A R ►. / A � L t J I� 'V �O rr%� -1� (Z.`f C P< tL l.. /J :t,) 7I l A %--L _ Oa t L i r,A L� - l n nn n LoTw CERTIFICATION OF COMPLIANCE: To the -best of our knowledge, all of the reported work, unle-3s otherwise noted, substantially complies with approved; plans, specifications.and applicable sections of the building codes. This report covers :Y1 he locations of the work inspected only and does not constitute engineering opinion or project ccntrol. CERT. NO. 0859348-50 INSPECTOR NAME DAVE STEAVENS . _ Prid Clearly) ' t DATE S t' /� / ZOD S'� INSPECTOR SIGNATURE G a'