The URL can be used to link to this page

05-1111 (RER)1' T4hf 4 4 4" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760),777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . Property Address . . . . APN: Application description-. Property Zoning . . . . . . . Application valuation . . . . Owner ------------------------ PGA West 547320 Southern Hills LA QUINTA CA 92253 :05-00001111 Date 3/25/05 55534 FIRESTONE 775-151-076- - - REMODEL - RESIDENTIAL LOW DENSITY RESIDENTIAL 1500 Contract OWNER APR 0 4 1005 Structure Information CITY OF LA Construction 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 Seismic Retrofit Phase 4 Greens units.'- nits.'Voluntary Voluntaryconstruction 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 r P.O. Box 1504ICE 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: o5- 1 1 1 1 1 Date: 4,1 - d S Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U 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 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.). A� 1, 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 exemp n r Sec. , B.& P.C. for this reason ate �<wner 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. t 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 ]ECcerlify 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, 1 shall rt /Iitth co mply with those provisions. ate/ v plic�ant 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 f 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 h 4ve 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 construc�besentatives of this county to enter upon t e b ve-mentioned property for' spection purposes. ate(Applicant or Agent): p 9 ) 0 r � Iefl DAVE STEAVENS R i 'Inspection Services PROJECT �)(,A W t= 5—% ADDRESS 57-5-, P21S M u,3 LA; a?LAt&ITA . ea Page �_ of PROJECT # Jo" 0.5� � �o CLIENT PGN' W Z-57- P6A DATE 19 APIZ I I_ c,?oo-r BLDG. PERMIT # 05"- II 1 1 -ARCHITECT GO LGA A eCH ENGINEER :) L." 0 0 `5A Jo l < T;, C- CONTRACTOR p A cl r < < Z)5 INSPECTION TYPE INSPECTION REPORT FOLLOWING LOCATIONS EPDXY SHOPSON ETF. EXP. ( ( -D S . HOLES DEPTH CHECKED, BRUSHED AND. CLEAN OF DEBRIS. APPLICATION AND INSTALLATION AS PER ICBO 4945 i Lt.►J(�-r6A - Fp, ces- Sri L_Z0cx. A 4S16CS —'aqr LE0(--CvA ` 1 VT' -1 1 `,1D' P!� ��5(per ►J�l 1W— `�`�Z., t..•.. r..��"� ' O DIA MRs 3 j L O�r-az-*-A C)%i� �0��- �12�Yh1I) Co �A(L.OWia2 C ��JSIti: PlTIJ�i �M �I.GTt %Z A2C,i�S • SW�AiZ tJ �� — �.ow.�L��. Cj - l � - � Z,.� ll.� A �- �.J t1� � 4 1 ►.� La - 1...0 M (� L.GT G'' Pt LL l_ (Zr- S. (-1 VI A L 2 l= S E T A t LS ty\ A N c�l_ TCS {� LJ 1 0 (a ' (til P C -v M c. — y tsrt 1 ►J Ca H O o w ►J S — `'T—i ('vtT �J J CERTIFICATION OF_COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, 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. 0859348-50 DATE 2 2 14A lk3 INSPECTOR NAME DAVE STEAVENS PrintClearly) INSPECTOR SIGNATURE �QasLi . 11, j1J� r r �,i4 A. t r'j d�i� P�"w- �♦.F fes. l� AMR,* loof 4- kawcou WAR uvmg Im rmo_ ............ ............. lA14, owc .4 ".- IL v4V4o4w MIX s4 ju Vw is.. &At-p— L yQp -W www I CONC $TREI` *= a 2509 P.Sr ,•1139 P.S.I. MIN. REQ'p I F'�IOk: t0 IPUILDNO WALL -ABOVE (USE NIGH-r-ARL.Y MIX) (N)' 2 X 4 MW SILO e w (2) 5/S" O: A.B. MIN. (i� o F'LY 00. i I . I 3/4" MIS, 1' MA)< (N) CONC. FTG. W/ 15 TOP A eg ppr, I PSL MTO (E) W/ f4Y.I EPDXY' ,—_--- PER �C O 15193 F� L!EEANS ev GONG. SLAB ON GRADE 4 FTG. to ,� XIrsfiR IPQ PLYWP. ii{I" SAWIE WC. M•1W' , STRWTUPAL ENGiINEEFL9 ap8�7h9 CLC-VFLMD ST •? ..�ti`� C nNSIDF• rA - 920SII ,l . � 0A. ,r f Flip. '(07,4477tc rf - —�� :��-,i++-'..-v..s"'C._.—�:.<�-^..�....�.ri44�..1,�...-..•-,-.i^-".,..---,r..--..,..w�:-L:IL•...,..-:..ati:.�i.+.!`ti.:.:.::�.`rye-l�.�t:-.r�.,� �.--ti;..�"+"'ti.:�..�•.�.....t..,� .� ^..�� ... M. - DAVE STEAVENS Inspection Services PROJECT A le R 5 7 • 4,E 6 PROJECT # ADDRESS "S • ��. Ct "'�� ? , '� � ;`�� )S f'L.i7IJ BLDG. PERMIT # ENGINEER,.) l,, �3AJ,sr:� INSPECTION TYPE Page I of I v � Z' c� CLIENT j,( -,A .,di,5 7 _ WVP+ DATE ..;�Q ft nye 2, rte ,L ARCHITECT CwL8o� Aftc,-i CONTRACTOR fie'- ;)AC -1r , e» INSPECTION REPORT l b �,"Y �, �.. -- � � :� ��;Zfd L��,�. f- ,c�y4 .:.a c„ � � �.yCed• r n.� tom, _. N t5 � t � I m t: A 1 g 1 a r'i • '7 A - S P - 7'L- z-.> 'L z-.s % I A,' 7 A ' (i C S 7 0 A °S CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, substantially complies with approved plans, specifications and applicable sections of the building codes. This report covers �>'� h6tIocatio'r s'of,the,work inspected only and does not constitute engineering opinion or project control. CERT. NO. c �r`7 q" b�U t .. -71 INSPECTOR NAME iJ /�1 a C. aJ �1 (PR'rint Clearly) DATE o"� tJt.0 wi `�� INSPECTOR SIGNATURES "- r , .-�..e_