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07-2963 (GRES)%r j, ' e P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA', CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00002963 Owner: Property Address: 78658 PEERLESS PL KIP BARBER APN: 770-310-007 3963 BRIDGESTONE DR NE Application description: GARAGE.- RESIDENTIAL GRAND RAPIDS, MI 49546 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 46882 Contractor: Applicant: Architect or Engineer: SUN VISTA DEVELOPMENT :CORP P.O. BOX 1144 'LA QUINTA, CA 92247 -1 (766)771-4722 rl Lic. No.: 744091 ----------------- LICENSED CONTRACTOR'S DECLARATION I hereby.affirm under'penalty of,perjury that I am licensed unde?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.: :744091 —D.atell 28'109c_AQ ontractor;_ - OWNER -'BUILDER DEC ATION I hereby affirm under penalty of perjury that I amexempt. 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;,1inprove, 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 shes 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 (_) 1, 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 Coritractors'.State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through1his 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 cortmple'ticn,: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 contractorls) licensed pursuant•to the Contractors'. State License Law.). Lam 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. 30997, Civ. C.).- Lender's .).Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX .(760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/20/07 NOY 8 2007 WORKER'S COMPENSATION DECLARATION I hereby affirm under •penahy of'perjury-one of the following declarations: I have and will maintain a certificate of consent to self•irisure for workers' compensation, as provided ' for by Section 3700 of theLaborCode, 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 workerscompensation insurance carrier and policy number are: Carrier STATE FUND. Policy Number 170546.206 _ 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 Coodde,I shall forthwith comply with those provisions. Dater Applicant: -4 WARNING: FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER ToCRIMINALPENALTIES 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'ACK NO W LEDGEMENT 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 property for inspection purposes. Da e_�� 1 D �l Signature -(Al ply ic�orrAAgent): W Application Number . . . . . 07-00002963 Permit . . . . . . CARPORT/GARAGE Or Additional desc . Permit Fee . . . . 395.00. Plan Check Fee 256.75 Issue Date . . . . Valuation 46882 L� Expiration Date 5/18/08 Qty Unit Charge Per Extension BASE FEE 252.00 22.00 6.5000 THOU BLDG 25,001-50,000 ---------------------------=------------------------------------------------ 143.00 Permit GRADING PERMIT Additional desc " Permit Fee . . . . 15.00 Plan Check Fee 00 Issue.Date . . . . Valuation . . . . 0 Expiration Date .. 5/18/08 Qty Unit Charge Per Extension BASE FEE ------------------------------------------------------------------------------ 1.5..00 'Permit PLUMBING Additional desc . Permit Fee ._ 55.50 Plan. Check Fee .. 13.88. Issue.Date Valuation . . . 0 Expiration Date 5/18/08 'Qty .Uni•t ' Charge. Pere Extension BASE.:FEE 15.0 0 2.00 6.0000 EA .PL -B -•.FIXTURE 12:00. 1.00 15.0000 -.EA PLB BUILDING. ..SEWER" 15..00' 1.00 71.5000 EA' PLB WATER HEATER/.VENT. 7.50 1.00 3.0000; EA. PLB` WATER •INST/ALT/REP 3.00 1.00 3.0000"EA -PLB"GAS'°.PIPE 1-4'OUTLETS 3.00 ----------------------:-----_-- Special Notes 'and Comments ------------- 2,J31SF GARAGE [BELOW. GRADE]"2001.CBC;: CPC. PERMIT•INCLUDES'FOUNDATION WALLS' " AND UNDERGOUND�PLUMBING.'�FOR BELOW GRADE GARAGE,•PORTION. NO WORK'. SHALL': BE PERFORMED OUTSIDE OF APPROVED.SEPARATE SUBMITTAL PACKAGE,:."INCLUDING.•FORM WORK AND TRENCHING.FOR FOUNDATION. -ON GRADE_. November 19, 2007 3:T1:31 ;PM AORTEGA -------------- -------- -------------------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES' 74.00 DIF CIVIC CENTER - RES 995.00. LQPERMIT ro LQPERMIT Application Number . . . . . 07-00002963 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE 30.00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 4.68 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Permit Fee Total 465.50 Plan Check Total 270.63 Other Fee Total 4509.68 Grand Total 5245.81 Paid Credited Due .00 .00 465.50 .00 .00 270.63 .00 .00 4509.68 .00 .00 5245.81 PO. BOX 1504 'APPLICATION ONLY Building SS 7&495 CALLE TAMPICO Address l� ��/� LA QUINTA, CALIFORNIA 92253 1- 1 P cd, Cid Q.( S,�_ Mailing Address 25-175 M6,-c—e' S25, *2,00 City �' Zip. Tel: , �r 2,V 1 -7CO i?3 q1W Contractor l Zip & Classif. I Lic. # designer CSN JV S712F 1'0 Address Tel. 151 -7 S M6e.1_;E 17t�62 7-7.3 y4/e' CityZip State !� 7 X21 i 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. SIGNATURE DATE OWNER -BUILDER DECLARATION" I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair anystructure, prior to its issuance also requires the applicant for such permit to file a signed statement that he, is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Sectionr7000) 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 subjects the 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 sole compensation, will do the work, and the structure Is not intended or offered for sale. (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not,appty to an owner of'property who builds or improves thereon and who, does such work'himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold, within one year of completion,'the ownei builder will have the burden of proving that he did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construct 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'such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. & P.C. for this. reason Date Owner WORKER'S COMPENSATION DECLARATION 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION. FROM WORKERS'COMPENSATION.INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). I certify that in the performance of the work for which this Permit is. issued, l shall not employ any person in any manner so as to become subject to Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you. must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 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.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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, city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT BUILDING: TYPE CONST. OCC. GRP. A.P Number -7-7 C 3 0 _' p07 Legal Description Ly7 'nc:2 -reA-C;T Project Description Sq. Ft. G` - No. /J No. Dw. Size 6 Stories ,[/ Units Newo Add ❑ Alter ❑ Repair ❑ Demolition ❑ ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE Issued by: Validated by: Validation: YELLOW = APPLICANT INSPECTOR Date— I PINK =' FINANCE 2 000 000. o Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. 7SQ. CV Plan Chk: Bal Const. . Mech. Electrical Plumbing S.M.I. AN Grading Driveway Enc. Infrastructure s 0,1 ry 4 �Nr TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE Issued by: Validated by: Validation: YELLOW = APPLICANT INSPECTOR Date— I PINK =' FINANCE 2 ++ate �..-„,..u'vvT'+ 4�1�"'i"�r- �-n.'�'---+rovaavi'-+�A�+�:s*::►c'r��aA1RkT�`8,'�v� '.I TANDY'S INSPECTION SERVICES, INC. PO BOX 13766 - PALM DESERT, CA 92255-3766 a- OFFICE / FAX - 951 .769.9717 PAGER 760.776.3339 SPECIAL INSPECTION DAILY I WEEKLY REPORT TYPE OF INSPECTION PERFORMED ��C` vI PERMIT NUMBER --wTXP.EAF STRUCTURE RESIDENTIAL�;COMMERCIAL DATE 'Seo C�jg (Wjrir” PHYSICALADDRESS (INCLUDESTREENAMEANDCITY)'�� `18- Cos 8 S JOBNAME(INCLUDE NAME OF COUNTRY CLUB/ BUSINESS PARKlCORPORATE CENTER I LOT NUMBER... ECT.) 'Res �°_T��.o�� ,rber' ARCHITECT i\ew5�.\CA,-.. W% -1\k ENGINEER -. '*"/'aorrn GENERAL CONTRACTOR) 1 s11 �� C`G �?l� �A�`P CONTRACTOR SU'&N &Nckc,l• DFSCRIPTInN CSF WC)RK INSPECTED " I? _' " CM(-\\ C R 4..- ^ c'so, 1(nII (�-Tw c., ri_,c- "Rier-ra�.q, v- nC6 R \l� CORRECTIONS AND/OR NOTES WELDERS NAME ;; CERTIFYING AGENCY'S NAME AND ID NUMBER PROCESS AND ELECTRODE SAMPLE INFORMATION TO THE BEST OF MY KNOWLEDGE, WORK INSPECTED WAS IN ACCORDANCE WITH THE / BUILDING DEPARTMENT APPROVED PLANS, SPECIFICATION AND APPLICABLE i\ Citi+ -I WORKMANSHIP PROVISIONS OF THE IBC EXCEPT NOTED ABOVE INSPECTORS CERTIFICATION AGENCY AND NUMBER f 2008-08-1110:36 1 >> 7607714922 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 / WEEKLY REPORT PE OF INSPECTION PERFORMED PERMIT NUMBER Tygj DATE SIOENTI COMMERCwL PHYSItAL AADDRES.i NUUDE�TTRm NAME AND CITY) rl V -( �] C S� �� R ITA JOB WMUDENAYE0F000 TRY= PARK TE GEMRI LOT NJUSER-ECLI Laf�� .5 iic� -+ W1S ARCHrr CT ENGINEER o�c, GENE CONTRA R SUB CONTRALTO ot\ 11 kska lex), TO THE BEST OF MY KNOWLEDGE, WORK INSPECTED WAS IN ACCORDANCE WRH THE BUILDING DEPARTMENT APPROVED PLANS, SPECIFICATION AND APPLICABLE WORKMANSHIP PROVISIONS OF THE 180 EXCEPT NOTED ABOVE L 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 OF INSPECTION PERFORMED F'06)f1' PERMIT NUMBER 0-7 aOP43 (RESIDENTJRL TYPE OF STRUCTURE COMMERCIAL DATE '5-.)a n PHYSICAL ADDRESS (INCLUDE STREET NAME AND CITY) 7X61,;% puede fess p/Are IJT� l?E AIS 4-_>qvJCIS A -r- Po 64 0- //v /-,)IiCt� JOB NAME (INCLUDE NAME OF COUNTRY CLUBI BUSINESS PARK I CORPORATE CENTER ILOT NUMBER.. ECT.) � �, �,� 12r_s, r�c�eF i l RA ,r m 4 u a n -'T'4 111 I / A T(,,/ a &1 T � —":; fA � /1-_f)frY 1^14-- eeZ 712,Q 0141 YJCS ARCHITECT a Am I 0 D ar G fj ENGINEER ye am K-- r,)G- (nW 'Q iAXG GENERAL CONTRACTOR SUB CONTRACTOR DESCRIPTION OF WORK INSPECTED CORRECTIONS AND/OR NOTES WELDING INFORMATION WELDERS NAME CERTIFYING AGENCY'S NAME AND ID NUMBER PROCESS AND ELECTRODE TIME I SUPPLIER LOCATION: SAMPLE INFORMATION TICKET NUMBER I MIX NUMBER I AIR TEMP. ADDED WATER I TIME IN MUTER I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK A I , /f e, I / ) W-IZF lK UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK r -INSPECTORS-SIGNATURE TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS. INSPECTORS CERTIFICATION AGENCY AND NUMBER IJT� l?E AIS 4-_>qvJCIS A -r- Po 64 0- //v /-,)IiCt� A `P F < A K. 4D J( " /r v e FAJ-t r 2 , j a -,r- I ->i 12 `"t= �►� ��' � rra rti"T 111 I / A T(,,/ a &1 T � —":; fA � /1-_f)frY 1^14-- T'�r /Z (" A )AW I IIr-OrD16P f► e -4)j /t, C, F�I['/�/s•' S� / /r'�0�j t`/�''i��a^lI/�� / l�^lA_n AAIV' / %� �,}� ! 1/.1 A 4 /.I ITU 7W,410,70 <"M /) SSI /a e P -r- 2 �4. F" x'o /69- .3/ — O 4? CORRECTIONS AND/OR NOTES WELDING INFORMATION WELDERS NAME CERTIFYING AGENCY'S NAME AND ID NUMBER PROCESS AND ELECTRODE TIME I SUPPLIER LOCATION: SAMPLE INFORMATION TICKET NUMBER I MIX NUMBER I AIR TEMP. ADDED WATER I TIME IN MUTER I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK A I , /f e, I / ) W-IZF lK UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY I HAVE FOUND THIS WORK r -INSPECTORS-SIGNATURE TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS. INSPECTORS CERTIFICATION AGENCY AND NUMBER _W (IN..0 / NWAIFER- IN( :_ E)VIC E:' ----.__www."ails torr,.-_....-----------.._._._..._... :-- 77-B04 Wddrt Dr. Palm Desert. C a. 92211 0.(760) 360.5770 F.(760) 360 5719 May S, 2008 Tom; Hartung Building Official City of La Quint.a Re: Barber Residence. 78-658 Peerless Place. La:Ouinta. CA 92233 Dear Tom, In reference to the above noted project the embedment/lap of the :vertical reinforcing bars in the 12" CMU stem into the 16" concrete stem shown in details 11/S3.4, 13/S3.4, 11/S3.5, 13/S3.5, 11/S3.6, and 14/S3.7 is acceptable at 44" minimum. If. you have any questions please call. Sincerely, Jeffrey B. Young, S.E. I � .a�4oaa 2c