05-1132 (RER)BUILDING &.SAFETY DEPARTMENT
P.O. BOx 1504 (760).777-7012
OFTt�9 , 78-495. CALLE TAMPICO FAX (760)-777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
r
Application Number . . . . . .05-00001132 Date; 3/25/05.
Property Address 55369-TANGLEWOOD
APN: 775-152-020- - -
Application description REMODEL - RESIDENTIAL
Property Zoning . . . . . LOW DENSITY RESIDENTIAL
Application valuation 1500
Owner Contractor
------------------------ ------------ FOR
PGA West OWNERou54-320 SthernHills 0 4 2005]1
LA QUINTA CA 92253
CITY OF LA QUINTA
-
----------------------_ --- Structure Information ----------FAN"CEIDE :----
Const''ruction Type TYPE V - NON RATED
Occupancy Type DWELLG/LODGING/LONG <=10
Other struct info .. CODE EDITION 2001
------=---------------------------------------------------------------------
Permit . BUILDING PERMIT
Additional desc
Permit Fee 35.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 1500
Qty-_ Unit Charge Per Extension
BASE ,FEE 15.00
10.,00 2.0000 HND BLDG -501-2,000 ... 20.00
---'------- - -------------- --------------------------------------------------
Special�Notes and Comments ' 1.
Seismic Retrofit Phase 4 Greens units.
Voluntary construction repairs.
----------------------------------------------------------------------------
Other Fees . . . . . . STRONG MOTION (SMI) - RES 50
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 35.00 .00 .00 35.00
Plan Check Total .00 .00 00`;` .00
Other Fee Total .50 .00 .00 .50
Grand Total 35.50, .00 .00 35.50
P.O. BOX 15047012
4V �� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 05-1132—
Applicant:
5—(13ZApplicant:
Applicant's Mailing Address:
Date: 4-1-05
Architect or Engineer:
Architect or Engineer's Address:
4 IA.
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.
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
Vsold 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.).
II , 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 exam under Sec. BA P.C. for this
reason
D
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 pdrformance 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.
Al
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 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 her by authorize representatives of this county to enter upop the abov -mentioned pro rty for inspection purposes.
6 nature (Applicant or Agent):
0
DAVE STEAVENS
Inspection -Services
PROJECT -e-S9 k P -e -e 0 S
ADDRESS (.0000
BLDG. PERMIT # 40 7 t*:k_*0 l\ 3 2-
ENGINEERI(s-00 --50,iole
INSPECTION TYPE
F,
Page / of /
PROJECT # ayo iy'
CLIENT. PGA we5-r koA
DATE
.'ARCHITECT Cot 8A Ae_c_t,4
CONTRACTOR Acts C_
INSPECTION REPORT *
FOLLOWING LOCATIONS EPDXY SINTSON ETF. EXP. HOLES DEPTH CHECKED,
BRUSHED AND CLEAN OF DEBRIS. APPLICATION AND INSTALLATION AS PER:1CBO 4945
CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise. noted,
sub tantially complies with approved plans,' specifications and applicable sections of the ' building codes. This report covers
he
t locations. of the work inspected only and does not constitute engineering opinion or project control.
CERT NO
0859348-50
DATE, - C9 9 '_f11 0700 G .'
INSPECTOR NAME. DAVE STEAVENS
C
INSPECTOR SIGNATUPF7:;�� Q-M�.
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7
•
Aug. 2. 200') 3AJ 9. S. 1. �"lructurl+
o. 1605 P. 1i14
Dunn Savoie Inc.
Structural Engineers
996 S. Cleveland-st.
Ocannalda, CA 92054
Tel: �76Qj 9flH-fi35.fi "' €
Fax: (780) 968-8390
COP
OV
Fhx
To: Steve Herthel, Reconstruction Manager From: RHETT M. SAV®IE
of, PGA West Residential Association, Inc. Email: rhett@surhisi.com
Fax: 760-711-5676 Pages: 1 including cover sheet
Photic: 760-771-9234 x 17. DItm Tuesday,August 02, 2005.
Re: PGA West Reconstruction- CC;
ThefreermPhase4,
F Et Pieese R"lyU Pieaw recycle
O RE: Greens4 IFI # 5- Bldg S,. pin E (S6) @55.369 Tanglewood
It is understood that extensive built in cabinetr=y occurs in two locations that
impedeinstalieei<te4 tf► iso
1) MaClosaVMbr shear wail P3>omit work at wall, INSTALL details SAW A
't31S7 from roof a" aj te-"-ate:. .
Please feel free to contact me if you have any further questions. Thanks, Riiett
F
Aug. ,AMi 1). J. 1.'6tructUfal
F3 v k- kin t 2 : ,--ft' li P4 ' Idi P' tE� C E}i`�.
F,
No. IOU C• 'L/u,
, 6 b 76 '
c �sai��t p.
�titr�-West-Re side nfia _Assoc� iLRe.
REQUE T.F'OKUWUMWAT10N.
54424 Severn HHh-
- �� 040S-
•
La Quints, CA 92253
,
TITLE: RF1 #5 - GREENS 4'f BLDG TYPE "B"
DATE: 8[112W, ;
PROJECT: GRE1rNS 4 - 9 BLDGS
JOB:
TO:. Attn: Rheu Saei oic
j
s
Datnrsm C.
,
90i S. ctevelafid Sttzct
STARTED-:
Oceanside, CA. 92054 '
•
Phone: 760-986.6355 tax: 760-966-6360
C01tr1TE1
REQUIRED: 8/8/2005
REQUEST
RU #5.- UZIENS-4-13LOG TYPi 1; "B"� "E"
,
i}lair-Type Unit
55-369 Tanglewood at the closet wall
detail SAW the existing shear wall was not modified; and. exterior master
bedroom wall detail 2,7/S8 was.
am
nH)& diie-tcp �'� 8 cabinets & home theater :system: Note: siffoiar condition to RFl NA dated7/06/05.
Requested Ry:PGA Wcst Residential Assoc., Inc. Date:
Signed:
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