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RER (08-1422)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001422 Property Address: 56790 MERION APN: 762-032-008- - - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2500' Tiht 4 XP Q" Applicant: Architect or Engineer: �- - - - - - - - - - - - - - - - - - - LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: B License No.: 684857 Date: 0—JI-0kContractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's 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 Contractor's 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).:. 1 _ I 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 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.). 1 _ 1 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 contractors) licensed pursuant to the Contractors' State License Law.). 1 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: LQPERMIT Owner: GRANDOVE 56790 MERION LA QUINTA, CA 92253 Contractor: EDWARDS CONSTRUCTION IN 51455 DESERT CLUB DRIVE LA QUINTA, CA 92253 (760)777-8202 Lic. No.: 684857 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/08/08 SEP 09 2008 ID LA ----------------------------------------------- WORKER'S 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. a(i 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 GRANITE STATE Policy Number WC 555-61-55 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, and agree that, if I should become subject to the workers' compensation provisions of Section ]/{1�/U15�C3700 of thp I ose Date v - V Applicant: 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. 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 hereby authorize representatives of this county to enter upon the above-mentioned o"i si ect.on purpos Date: / d ' 0bytSignature (Applicant or Agent Application Number . . . . . 08-00001422 ------ Structure Information EXISTING RESIDENCE ----- Other struct info . . . . . CODE EDITION 2007 # BEDROOMS -------------------------------------------------------- --------------------- .00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . 54.00 Plan Check Fee 35.10 Issue Date Valuation . . . . .2500 Expiration Date 3/07/09 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ---------------------------------------------------------------------------- Special Notes and Comments STRUCTURAL REVISION OF REMOVING EXISTING WALL AT DINING NOOK AND ADDING ROOF BEAM SUPPORT. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 3.51 HOURLY PLAN CHECK 75.00 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited ---------- ---------- ---------- --- Due = ------ ----------------- Permit Fee Total 54.00 .00 .00 54.00 Plan Check Total 35.10 .00 .00 3.5.10 Other Fee Total 79.01 .00 .00 79.01 Grand Total 168.11 .00 .00 168.11 LQPERMIT Bin # - 4A City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 I Building Permit Application and Tracking Sheet Permit # �/ X ` Project Address:5 7�� Owner's Name: h'Vs CMS Aii A. P. Number: -Z6 2 Address: �e �© H (E(!) Legal Description: LIN (% 7S Contractor: City, ST, Zip: L k-- Qo/ A_( C4 Telephone:,6 2,5-�:- Address: Project Description: City, ST, Zip: Telephone: City Lic. #:-fimzidlir ��-��'`"�� ©�•�(' State Lic. # : 4 i� 8r., Designer: -F( (C_ Address: r%7 -6zZ 4,?or-9lc ,�Io City, ST, Zip: 22 Telephone: 2 Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person�o d Estimated Value of Project: 2 ��� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets p� Plan Check submitted 010 Item Amount Structural Calcs.a Reviewed, ready for corrections g Plan Check Deposit Truss Cates. Called Contact Perso Z b Plan Check Balance Energy Cates. Plans picked up 1,4`d -;;/L% Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2d Review, ready for correction issue Electrical Subcontactor List Called Contact Person D Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees / Letter of Transmittal This Material Sent for: ❑ Your Files t To: City of La Quinta Today's Date: Checking 9/3/08 ❑ 78-495 Calle Tampico City Due Date 9/5/08 La Quinta, Ca 92253 Project Address: 56-790 Merion Attn: Michele Plan Check #: 08-1422 Submittal: ❑ 15t ❑ 4m ® 2nd ❑ 5m ❑ 3`d ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ® 1 Structural Plans ® 1 Revised Structural Plans ® 1 Struct Calcs ❑ Revised Structural Calcs ❑ Truss Calcs ❑ Revised Truss Calcs ❑ Soils Report ❑ Revised Soils Report ❑ Comment List ❑ Approved Structural Plans ❑ Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other Comments: Structural content is approvable. This Material Sent for: ❑ Your Files ❑ Your Review ❑ Checking Other: ❑ By: JOHN THOMPSON Palm Desert Office : ® #. (760) 360-5770 Washington Office: ❑ # (760) 404-9556 ® Per Your Request ❑ Approval ❑ At the request of: a- TANDY'S INSPECTION SERVICES, INC. PO BOX 13766 - PALM DESERT, CA 92255-3766 OFFICE / FAX - 951 .769.9717 PAGER 760.776.3339 SPECIAL INSPECTION DAILY I WEEKLY REPORT TYPE ,OnF INSPECTION PERFORMED ►Y P 0 ',,4!4 PERMIT NUMBER 3 /1/2- � TYPE OF STRUCTURE DATE ... �4 — Q RESIDENTI�AAL COMMERCIAL PHYSICAL ADDRESS (INCLUDE STREET NAME AND CITY) 56-190 vy'E -1 ons �� Q �-- JbME 6`NAINCLUDE NAME OF COUNTRY CLUB BUSINESS P K/CORPORATE CENTER I LOT NUMBER ECT.) �12HnJ(�o eT 1A Q u• i v� -r a i G v� ARCHITECT ° p-0weV-,- ? I -rc% � (i r r� E GINEER GENERAL CONTRACTOR fay. t` l-) uia,rS SUB CONT ,CTOR DESCRIPTION OF WORK INSPECTED CORRECTIONS AND/OR NOTES WELDING INFORMATION WELDERS NAME CERTIFYING AGENCY'S NAME AND ID NUMBER PROCESS AND ELECTRODE TION: TO THE BEST OF MY KNOWLEDGE, WORK INSPECTED WAS IN ACCORDANCE WITH THE BUILDING DEPARTMENT APPROVED PLANS, SPECIFICATION AND APPLICABLE WORKMANSHIP PROVISIONS OF THE IBC EXCEPT NOTED ABOVE 552y.67 ks - '/,f INSPECTORS CERTIFICATION AGENCY AND NUMBER C� F i V ► h S rc�. l l �� Q �-- r Q tnc-,r W., e o, b e d m e h -t-- . �A It, )P(.a- " ./ m Clea duvlCe. - r 5 SA Sy w -f t c'I Q 'Q u I lc' licr. d1�I k-1 ef.k c::k Ito: f•P4el eo d A/rov .o e A60 x u - r , - w - CORRECTIONS AND/OR NOTES WELDING INFORMATION WELDERS NAME CERTIFYING AGENCY'S NAME AND ID NUMBER PROCESS AND ELECTRODE TION: TO THE BEST OF MY KNOWLEDGE, WORK INSPECTED WAS IN ACCORDANCE WITH THE BUILDING DEPARTMENT APPROVED PLANS, SPECIFICATION AND APPLICABLE WORKMANSHIP PROVISIONS OF THE IBC EXCEPT NOTED ABOVE 552y.67 ks - '/,f INSPECTORS CERTIFICATION AGENCY AND NUMBER