13-0079 (SPIN)• ��
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-00000079
Property=Address:��55825 CONGRESSIONAL
APN: 775-241-051- - -
Application description: SPECIAL INSPECTION
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 40000
Applicant:
3V
Architect or Engineer:
Owner:
CONGRESSIONAL TRUST
C/O PGA WEST RES. ASSOC.
55825 CONGRESSIONAL
LA QUINTA, CA 92253
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/31/13
CITY OF LA QUINTA
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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, 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 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 cont(actor(s) licensed
pursuant to the Contractors' State License Law.).
I—) I am,exempt under Sec. , B.PP.C. for tgis reason
CONSTRUCTION LENDING AGENCY ' __V_ - -
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
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
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
3700 of the Labor Code, I shall forthwith comply with those provisions.
Date: 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 con truction, and hereby authorize representatives
of this ou ttyAto enter upon the above-mentioned pro e y forr inmg�
Dat 41 ^I3%/ Signature (Applicant or Agent): e ok
1�Q v
Application Number . . . . . 13-00000079
Permit . . . SPECIAL INSPECTION
Additional desc .
Permit Fee . . . . 100.00 Plan Check Fee .
Issue Date Valuation . . . .
Expiration Date 7/30/13
.00
40000
Qty Unit Charge Per
Extension
BASE FEE
100.00
----------------------------------------------------------------------------
Special Notes and Comments
VOLUNTARY SLAB REMOVAL AND REPLACEMENT
TO CONDO UNIT. EPDXY INJECTION BETWEEN
INTERIOR SLAB & EXISTING GARAGE CURB PER
ENGINEERED PLANS. ENGINEER: RHETT M
SAVOIE C46423.WORK BY PGA WEST
RESIDENTIAL ASSOCIATION INC.2010 CODES
----------------------------------------------------------------------------
Other Fees . . . ... . . . . BLDG•STDS ADMIN (SB1473)
2.00
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 100.00 .00
.00
100.00
Plan Check Total .00 .00
.00
.00
Other Fee Total 2.00 .00
.00
2.00
Grand Total 102.00 .00
.00
102.00
LQPERMIT
Bin. #V
City of La Quanta
. •Buitdtttg sf Safety Divtston .
P.O. Box 1504,78-495 Caffe Tampico
4.Qufita, CA 92253 -:(760) 777-7012
Building Permit Application, and Tracking Sheet
Permit #
p
/c7 ' 7?.
PmjectAddtrss 55027�GlJi1 t-ey510y�
OwncesName/.pFj� w5 7 4 A-1 i
A. P. Number.
Address: Cj'T ?l� D ilJ"�Ie I' Vl �, i I
Legal Description:
City. ST, Zip: W 0010
Contractor: D N1YteJV f 6A Vk qQ Af
Telephone:
Address: 5 LMem
i i S
Project Description:
15b
City. ST, Zip: • 014 6600120-15-3
s
d �d �hd
G IVS
Telephone: p a i Z
State Lie. # :
Arch.. Eagr, Designer: Yl% mon 15qV0Le I h-- _. .
Flo° s G(�Va qv1 S
city, Sr, zip: OG2Gl ✓l SI G,6. °j Zd 5¢
Telephone: 7019 q(pk &p359
State Lie. #: a� 423
"
Construction Type:. Occupancy:
Project type (circte one): Now Add'n Alter Repair Demo
Name of Conw Person: SG{t/OLe
Sq. Ft.:
# Stories:#Units:
rdephonc i of contact Person: •7GD -�(�(� t'o3 �j�
Estimated Value of Project d, OOQ
APPLICANT: DO NOT WRITE BELOW THIS LINE
if Submittal Roq'd Reed TRACKING PERMtT FEFS
Plan Sets
Plan Check submitted item Amount
Structural Cala.
Reviewed, ready for corrections Plan Cbeck Deposit_
Tress Cates.
Called Contact Persou Platt Check $glance_
Tide 24 Calci.
Plans picked up Construction
Flood plata plan
Plans resubmitted.*.Mechanical
Grading plan
2`� Review, ready for eorrectiaWuue Electrical
Subeostaetor List
Called Contact Person Plumbing
Grant Dced
Plans plctced up S.M.iL
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE;-
'' Review; ready for correctlon rssme � Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. WW. Appr
Date of permit Issue
School Fees
Total Permit Fees �f .Qrid
i
0
Burt Hanada
From:
Steve & Sally Herthel <swhsfh@dc.rr.com>
Sent:
Wednesday, January 30, 2013 8:33 AM
To:
BurtHanada
Cc:
Mike walker
Subject:
Re: 55825 Congressional PGA WEST
Good morning Burt,
In responding to your comments and question regarding prior addresses that work was performed by the HOA
and our subcontractors, I also lack an accurate recall. The HOA performed voluntary seismic modifications to
some 1200 units all with individual permits over a 6 year time period. Later on, when we encountered the slab
problems due to soils and fault line issues, the HOA prepared slab/footing repairs designed by Dunn Savoie
Engineers. On several submittals, the plans were reviewed but no application was required because the
voluntary scope of work was not an area covered by the plan check permit application. This was confirmed by
several discussions with Gregg Butler and documentation.
This is my recollection, but there may have been an application fee paid. Some of the addresses included as
part of our slab/footing repairs are the following: 55111 Firestone, 55272 Firestone, and 55837 Congressional.
I hope this information useful in reviewing and processing this repair at 55825 Congressional. Please contact
me if you have questions on this. Thank you for your assistance.
Steve Herthel
PGA West Residential Association Inc.
----- Original Message -----
From- Burt Hanada
To: Steve & Sally Herthel
Sent: Tuesday, January 29, 2013 8:52 AM
Subject: RE: 55825 Congressional PGA WEST
Hi Steve,
Thank you for the email. I spoke with Greg yesterday and we both have no issues with what
you are proposing. I am trying to remember the last project you did that was similar in nature. I
guess it's been long enough ago that my memory bank got erased. I want to make sure we do
the same type of permit for this new address. Do you know an address I could use to check our
records.
Thank you,
Burt T. Hanada
City of La Quinta - Building & Safety Dept.
Plans Examiner / Inspection Supervisor
78-495 Calle Tampico
La Quinta, CA 92253
PH: 760-777-7023 F: 760-777-7011
email: bhanada@ la-quinta.org
From: Steve & Sally Herthel [mailto:swhsfh(5)dc.rr.com]
Sent: Tuesday, January 29, 2013 8:24 AM
To: Burt Hanada
1