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09-0802 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 09-00000802 47415 VIA CORDOVA 643-100-027-206 -26152 - REMODEL - RESIDENTIAL LOW DENSITY RESIDENTIAL 3000 T4ht 4 4 a" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Professiona Code, and my License is in full force and effect. Licensee Class: B License No.: 198245 Date: 9 � Contractor: 71.m WNER-BUILDER DECLARATION I hereby affirm under penalty of equry thexempt 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 (5500).: 1 _ 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 contractor(s) licensed pursuant to the Contractors' State Licensg Lgw,), I—) I o... enempl mluer baC. , D.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: MR & MRS CONELY 47-415 VIA CORDOVA LA QUINTA, CA 92253 Contractor: MIRALESTE INVESTMENT PO BOX 3234 PALM DESERT, CA 9226 (760)346-0071 Lic. No.: 198245 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/28/09 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. 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 STATE FUND Policy Number 170232008 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 +kers' compensation provisions of Section aa 3700 of the Labor Code, I shall forth ' h com with those provisions. Date: v �(%� Applicant: WARNING: FAILURE TO SECZWIEIRS'C PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO EN IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS,($ 100,000). IN ADT E 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 ocfSnn unnn whnce hnhNf this &ppI;64t; .. i, .uaJe, eaui 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 1 have read this application and state that the above information is corre i agree to comply with all city and county ordinances and state laws relating to building constru , and by authorize representatives of this /ccounty o enter upon the above-mentioned property for in n pur s s. Date: T/ t%r Signature (Applicant or Agent): Application Number . . . . . 09-00000802 ------ Structure Information 25SF ADDITION TO GARAGE/VB/U/CL A [ENG] ----- Other struct info . . . . . CODE EDITION -----------------=---------------------------------- 2007 CBC ------------------------ Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 54.00 Plan Check Fee 35.10 Issue Date . . . . Valuation . . . . 3000 Expiration Date . . 2/24/10 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 25SF ADDITION TO GARAGE/VB/U/CLASS A [ENGINEERED] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2007 CALIFORNIA BUILDING CODE. August 25, 2009 4:45:51 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . 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 35.10 Other Fee Total .50 .00 .00 .50 Grand Total 89.60 .00 .00 89.60 LQPERA4[T LAKE LA QUINTA HOMEOWNERS ASSOCIATION c/o J & W MANAGEMENT P.O. BOX 1398 PALM DESERT, CA 92261 (760) 568-0349 July 16, 2009 Glen Conley 47 415 Via Cordova LaQuinta Ca 92253 Dear Mr. Conley Your application to increase the size of the center of the garage door to accommodate an oversized vehicle has been approved as submitted. Dick Stephan JandW Management Bin # n City of La Quint'a �,�• Building 8t• Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # r'� Project Address: VIA- j:n0.4e_j> 0,j Owner's Name: IU„J 40-rJ LY A. P. Number: (p j — 1 p 0— O -— 3 Address: V I nr Gu E. Da' %(A Legal Description: CI 'U tP-t-04-Icr ti' 2 ("f 5-Z City, ST, Zip: t h J, N,. Contractor: M� 2/-C.�5�wt�- �O . Address: f9U A '3 °L�+ Telephone: 7&,1- i (07' / ! / S s:,:;^<�:.>+�.;<.v>;;;'f.:.>..>::i>>i::�<r!><>:v:<:;.fr.'.+>:.4:;::::;::i:<-1.:;<•:cr;::.:;:>.<J;:r,:'f�a..•:::,. Project Description: 4AI-Att,L- .5i-a-ej City, ST, Zip: PA&v✓k- PS5 ez.;r Telephone: p r&-7. . i $Y'.v.. iv}Ssi:>}bn ii::\{ v:•:::;j5'j:}�;M,;?;ii? ;t�:;sft>�,::.::.�>::;:-r#:::>s:i:: • . State Lic. #: Fj 7 City Lie. C Arch., Engr., Designer: �j����. Go✓��Tv✓ Address: -3 City., ST, Zip: lj p„J 10 t 1t _ 121 d � Telephone: I.q. 16. . 33 State Lic. #: •'�i CO � w> . ,:ir:•hi'>...:.,:i�;.:.:..:::�;::.:•.::<.:��::;>:. .?i:`,{ z:':;:jf �'f :>:�>`>�F>`•,�rsi::t�, :-✓:. <: ; <::!,.:;;;:;: ;::::::: ;>;r Construction Type: Occupancy. , Project type (circle one): New Add n Alter Repair Demo Name of Contact Person: 760 �Ip'1 " 1 / I Sq. Ft.: �� #Stories: # Units: Telephone # of Contact Person: M AP—Y-- A G Y--I, j C4 Estimated Value of Project: +3 OCA3 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'.d TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections b Plan Check Deposit Truss Cafes. Called Contact Person 8 6 Plan Check Balance Title 24 Calcs. Plans picked upell (Dq Construction Ii Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for correctio su Electrical Plumbing �- Subcontactor List Called Contact Person 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 ,I,P,P, �- Pub. Wks. Appr Date of permit issue C�Q School Fees Total Permit Fees •� Letter of Transmittal To: City of La Quinta Today's Date: 78495 Calle Tampico City Due Date La Quinta, CA 92253 Project Address: Attn: Michele / PhiliD Plan Check #: We are forwarding: Submittal: ® By Messenger ❑ 1st ® 2nd ❑ 3`d 8-17-09 8-20-09 47-415 Via Cordova ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: 09-802 Descriptions: ❑ 4d' ❑ e ❑ Other. ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ❑ Structural Plans ® 1 Revised Structural Plans ❑ Structural Calcs ® 1 Revised Structural Calcs ❑ Truss Calculations ❑ Revised Truss Calcs ❑ Soils Report ❑ Revised Soils Report ® 1 Structural Comment List ❑ Approved Structural Plans ® 1 Redlined Structural Plans ❑ — Approved Structural Calcs z 1 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 ® Per Your Request ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of - Other. ❑ By: JOHN THOMPSON Palm Desert Office: ® # (760) 360-5770 (ext 102) Other: ❑ INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 RA 1 ER INSPECTIONS EPDXY INSPECTION REPORT Date: 9 - a _ Project Name: _1 Project No: Project Address: V City: Client: 0(%nec Sub -Contractor: General Contractor: Mir e. �nue� Architect: Structural Eng neer: al r r(naroumv Epoxy Type: '—)1(yL)�;Zofl Epoxy Shelf Life: Dear_ f� Hole CleaningMethod(s): I��n,�l(1 ❑ Anchor Bolts Rebar �_ '( ,�� acs �Q 11 ��par\ ��l�nMnf�PCCf ��r� kl\ Ic�oa 1 �1l'y � Q IBC E] Title 24 Other: IUn�resolved Items: RNone ❑ See Below Description of Work Inspected: rp . �' ' p O�I I S l 4 I' iSf ca IAno I I YA' P I'e i n l Work complies with written approval from Structural Engineer and ICC Evaluation Report # 1 hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved plans, specifications _applicable building laws. Final report issued at project completion. /f Inspector• MichaelRodr guez ICC Certification No: 800312 ntractor's Representa ive: 0 U �)f' 0 Jf U v Copy 1 JCM Inspections Copy 2 Project Superintendent CoZ3Governing Agency Page I of