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05-0462 (RER)79776 Arnold Palmer IIIIIII I I I III VIII III 54 oz U BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 OF9` 78-495 CALLE .TAMPICO a FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253- INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . •.5-.0.0000462 Date 2/07/05 Property Address . . . . . . 79776 ARNOLD PALMER APN: 775-241-069- - - 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 Innfformation VOLUNTARY SEISMIC RETROFIT Construction Type . . . TYPE V - NON RATED Occupancy Type . . . . . . . DWELLG/LODGING/CONG <=10 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 Phase 1 Fairways Units Voluntary Seismic Retrofit . Voluntary seismic upgrade & FEB 16.1005 selected construction defect repairs constructed to the 1985 UBC allowable CITY OF LA QUINTA design values, applided loads conform to FINANCEDERY, the 1997 UBC. -------------------------------7------------------------------- 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 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: o?• /.S•OS Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: l� 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 fora 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.). as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code: The Contractors' Yom-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...�foppr this reason ate u er_ 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 q �(forthwith comply with those provisions. pplicant 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($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097,Civ.C.). Lender's Name //�� Lender's Address -A APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made,each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application,the owner,and the applicant,each agrees to,and shall,defend,indemnify and hold harmless the City of La Ouinta,its officers,agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit,or cessation of work for 180 days will subject permit to cancellation.. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Signature(Applicant or Agent): MIN5 D5 IE __J �JII,,IIII� �� f�1V{II{l�� �,�� '�I'�! 423 ¢ . P.O. BOX 1504 d Buildirig:" 78-105 CALLE ESTADO it Address , 70'-776 Arnold Palmer LA QUINTA,CALIFORNIA 92253 , .- Owner, .� 64;Rrise Company BUILDING: TYPE CONST. OCC.GRP. Address 75•-005 Country Club Drive , - PGA Went - he rairwA a A.P. Number 1r CityZip Tel. PaIn Desert 9226056$w•2$24 Legal Description Contractor Project Description Plan FFR National Mortgaige Address va�i163 City Zip Tel. - State Lic. 288130 City 398 303$ &Classif. Lic.# Sq. Ft. No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic.# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. 4— _SIGNATURE - DATE OWNER-BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following $2171,204 reason: (Sec. 7031.5,Business and Professions Code: Any city or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis for the,alleged exemption. Any violation of Section 7031.5 by any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars($500). Plan Chk. BBI. 587.26 0 I,as owner of the property,or my employees with wages as their sole compensation,will 11213 do the work,and the structure is not intended or offered for sale.(Sec. 7044,Buisness and COConst. !pn M 4 Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees. Mech. .00 provided that such improvements are not intended or offered for sale. If, however, the building t or improvement,is sold within one year of completion, the owner-builder will have the burden Electrical .L p����7 1i of proving that he did not build or improve for the purpose of sale.) _ ❑ I,as owner of the property,am exclusively contracting with licensed contractors to con- Plumbing 11$.00 struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. 15.26 such projects with a contractor(s)licensed pursuant to the Contractor's License Law.) Grading ❑ 1 am exempt under Sec. B.8 P.C.for this reason Driveway Enc. Date owner Infrastructure $4;y897.49 Less CradIt 2t443.55 WORKERS'COMPENSATION DECLARATION Not I1'a trastru ature 3*!)-S I hereby affirm that I have a certificate of consent to self-insure, or a certificate of Worker's Compensation Insurance,or a certified copy thereof.(Sec.3800,Labor Code.) Policy No. .Company 0 Copy is filed with the city. ❑Certified copy is hereby furnished. TOTAL. PA 4-1 r U CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'COMPENSATION INSURANCE mac* au„.4 c (This section need not be completed if the permit Is for one hundred dollars ($100) valuation .K �•>ka.. ,'iN�� P44111RY }'�)—Z`�h^s, Ci Ilt or less.) - I 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. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INS C �y This is a building permit when properly filled out,signed and validated,and is subject to �1 V U expiration It work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. Issued bye" Date Permit I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip WHITE-FINANCE,PINK-APPLICANT,GREEN-BUILDING,GOLDENROD,-ASSESSOR'S OFFICE,HARD COPY-FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES tST FL SO FT (a $ UNITS YARD SPKLR SYSTEM 2ND FL SO FT.@ POR SO FT.a MOBILEHOME SVC. BAR SINK GAR SO.FT. POWER OUTLET ROOF DRAINS CAR P. SO FT.0 DRAINAGE PIPING WALL SO.FT.a DRINKING FOUNTAIN SO.FT.a URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE:Not to be used as property tax valuation FLOOR DRAIN . MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH E R(AUTO)(DIS HI APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO.FT.®c BATH TUB SO.FT.@ c WATER HEATER MAX.HEATER OUTPUT,B.T.U. SO.FT.RESID a 11/.c SEWAGE DISPOSAL SO.FT.GAR r 3/4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST.FEE ELECT.FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C.UNIT COLL.AREA SLAB GRADE ROUGH PLUMB BONDING HEATING(ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND.REINF. GAS(ROUGH) METER LOOP HEATING(FINAL) OTHER APP.IEOUIP. REINF.STEEL GAS(FINAL) TEMP.POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING LUMBER GR. FINAL INSP. cu.yd. FRAMING FINAL INSP. $ plus x$ -$ ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR! ' GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING Er ON CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL F7" 56Page of DAVE STEAVENS y Inspection Services PROJECT�&-R PROJECT # Q oot - 04 ADDRESS (� {�fL.�u�.� n`r+� CLIENT _3�G__ 1 e­= _lAo R LF, w ,�- DATE a Qt M�Q_QkA a..00 S BLDG. PERMIT # O'S . b,461_ ARCHITECT Cwt (z c-4 ',ENGINEER g�J o�� T CONTRACTOR t?• p c,F % (- %L:b S. INSPECTION TYPE INSPECTION REPORT 7j�E� # � 31PIj 2L)Drym R A,I-e: t"�A `°� S� mak- IDR 1 S' 3 COM Lrst-c r CERTIFICATION OF COMPLIANCE:To the best of our knowledge, all of the reported work, unless otherwise noted, f 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. ;D6 S 3 14 Sy INSPECTOR NAME LIN J C J—t-t-f, _ not C earl �� DATE " M Y a� U O S' INSPECTOR SIGNATURE 51 A��i.,_t) q