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04-7443 (AR)0 T -dr 4 4 a" 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 . . . . . 04-00007443 Date 11/24/04 Property Address . . . . . .` 47325 VIA RAVENNA_ APN: \643-100-=004-183 -26152 - Application description . . . ADDITION - RESIDENTIAL Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 4700 Owner Contractor ------------------------ TEMMING S ------------------------ MURDICA CUSTOM CONCRETE, LOUIS 47325 VIA RAVENNA 73310 HILLTOP ROAD LA QUINTA CA 92253 DESERT HOT SPRINGS CA 92241 (760) 341-9899 WCC: REDLAND WC: RPSI1119401 09/17/05 CSLB: 791195 02/28/05 CCC: C8 Other struct info . . . . . CODE EDITION 2001 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation . . . . 4700 Expiration Date 5/24/05 Qty Unit Charge Per Extension BASE FEE '45.00 3.00 9.0000 THOU BLDG 2,001-25,000 ------7--------------------------------------------------------------------- 27.00 Special Notes and Comments BOAT DOCK PER APPROVED CALL/PLAN. ---------------------------------------------------------------------------- Other Fees .. . . . . . . ENERGY REVIEW FEE 4.68 STRONG MOTION (SMI) - RES .50 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total 72.00 ------------------------------ 00 .00 72.00 Plan Check Total 46.80 .00 .00 46.80 Other Fee Total 5.18 .00 .00 5.18 --- An ,5 - - -bTn—d-- o3 ll 123.98 .00 .00 123.98 NOV 2 4 2004 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: 04f— 6 7-0 % Applicant: O Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: / 1 2,4 — O K— 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 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 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.). I, as owher 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.). L) I am exempt under Sec. , BA P.C. 4r this reason �1 Date /A-2y-Ofl wVKKtKS' GOMPEN3ATION 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 1 certify that, in the performance of the work for which this permit is issued, I shall not em to any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become sub' o the workers ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date� Zy—a / Applicant AA 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 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 100 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 al ordinances and state laws relating to building construction, and hereby authorize representatives of thiscounty to e n the above-mentioned gr=inspectionses. Date' /I -2/-0 7 Signature (Applicant or Agent PREPARED 7/31/07, 11:56:04 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF LA QUINTA APPLICATION PROPERTY ADDRESS APN Alternate ID STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR ------------------------------------------------------------------------------------------------------------------------------------ 04 00007443 47325 VIA RAVENNA 643-100-004-183 -26152 - 000 000 B001 00 BUILDING PERMIT .115 0001 GRADE BEAM 11/30/04 APPROVED TM it Bm N Permit.# Project Address: City of La Quinta Building S Safety Division P.O. Box 1504, 78-495 Cane Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and TrackingSheet eet wrer'sEName: A. P. Number Legal Description: tdress:1 '7 - 3,Z S \/I A i� A14 C— N to A y. ST. Zip: I, A , CA 9:Z 2 53 Contractor. UQDICA CUSTOM a '� eaGEzG ):Telephone: - Address. XProject Desorption: City, ST. Zip: �\ �c AT •�.JVGK Telephone: State Lic. N: r!91 L 9 S Arch.. Engr.. Designer. City Lic. +Y: O (p 33 Ar Address: City. ST. Zip: Telephone:_ State Lic. M: Name of Contact Person: -•. _ _ Construction Typo: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: M Stories: N Units: Telephone it of Contact Person: — 9 stimated Value of Proiect "16 A '7 ppo 0 APPLICANT: DO NOT WRITE BELOW THIS LINE a Submittal Req'd Reed TRACKMG PERMIT FEES Plan Sets Plan Check submitted 22 Item Amount Structural Cafes. Reviewed. read• for corrections Plan Check Deposit j Truss C21CL Called Contact Person Plan Check Balance i Energy Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'' Review, ready for correction Issue )1 Zy Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.111.1. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3" Review. ready for eorreetionslassue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. WkL Appr Date of permit issue School Fees Total Permit Fees LAKE LA QUNITA HOMEOWNER ASSOCIATION C/O J & W MANAGEMENT P.O. BOX 1398 PALM DESERT, CA 92261 (760) 568-0349 August 30, 2004July 1, 2004 Jay Pyle & Shirley Temming 47-325 Via Ravenna La Quinta, Ca 92253 Please be advised that the Architectural Committee of Lake L a Quinta has reviewed and approved the plans you submitted for your residence at 47-325 Via Ravenna, for the installation of a second dock which will be a "mirror image" of the first dock. This approval is based upon your application you submitted to the Committee. This approval should not be considered a building permit. All necessary approvals and permits must be obtained from the City of La Quinta before construction begins. All: rules and regulations regarding construction must be adhered to during the course of construction. If you have any questions, please call the Architectural Committee. Yours truly, Lake La Quinta Arch. Com. 12 arch letter WALLING S. McCALLUM / LIMITED • ARCHITECTURE • P L A N N I N G • ENGINEERING 46-180 CLUB DRIVE (818) 360-02130 INDIAN WELLS, CA 92210 FAX (619] 360-0788 _.. _:. !.•�.�� 1.�. cru � r�-urs. , LA C.�u � �.1-rA. - cv, _ ...._ , _ _.. r A-1' - - . co G , f,z- ZO �o oa I S7 M = boo x -c2 s)% -P-se 8 c 'q+ '0 wa-c 4-10 41 of o' I . _ I� ice, 15�x.g, ,. -•2'199. �a.� 3" N=,' 750 cowl QrX.3 .3�. 25 223 c,;tc. • . !�•s-'93x12 � 1:. . ?Coac 01G 5 = 41r0�% 20,oa� oCO, B Sc¢ �GHITEC? 0•�6>r,ln2 0.,te... . 40 G o •C - ?) LL. CO N C . S5w-n LL- Ui; 'M i Ke -="17 I N I"y`L r d cr. -FL ��:M>~-y1�3T' (� '7 - l�1►�11:j ,1.��'n�C.�•�..Tl� IU �- COU12'3�`,�CaGRaG+�� USI= No ' MCGQ-e- 1-0 tv S' GemLL-0NS or= W�aT�"� 1�. a4: 00 �,� I Int . U L:1"I 11�1aa i�-..: ��r�1�r�,�:��v�.. �.-r-t�. ��:.: p� 2d� �-a; �1►�J . �� p�1S. . z ' i! I X w Ij Y. C) 0 MMrAl. C U) X W ❑ W O 0❑ n �ll _�lSG K JOB. NO./'T�� o �� JOHNSON AND NIELSEN ASSOCIATES �,- 415 44A, 9AV600A p� CONSULTING STRUCTURAL. ENGINEERS BY _ 1 647 N. MAIN STREET, SUITE 4-.B I DATE RIVERSIDE, CALIFORNIA 92501 909-686-5122 FAX 909-686-6752 SH_� OF I J u 4CAr lo pe-- 1�o , kJ A RE -INSPECTION FEE OF$3D WILL BE CHARGED IF THE A R PLANS AND JOB CARD ARE -NOT TE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! QPpFESSIOAf4, p ►HOG Fyc ul N � EXP 5+� `RUCNPP�Q�'� U g9Q4� I y use, Ice c.ar CITY OF LkOUINTA BUILDING &.SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE I�BY 'S% Lake LaQuinta -Association. ARCHITECTURAL/ LANDSCAPE REQUEST FORM Lot -193 Date Submitted: "Ly 336 zoo Date Received: Owner's Name(s): S ti i! e v tY1 /�'� m Na �fuS (Hereinafter "Applicant") Property Address: If " if -'06 Local Phone: 740- 7 7 7 - / 99 7 Other Phone: S 1 0 " — 9 9 Q fs f #,� Mailing Address: YZ Sj/� , [ Q a' CA 9�:�dl (If different from property address) if applicable: hh Architect/ Contractor Name: S4E 1.14E 40 z Z ec R NI Mackie D"mem-1.14X Telephone: _ 7160 7 75 — 98 6.2 The following described modifications are proposed and approval is requested in accordance with the Procedures outlined in the Association's Architectural/ Landscape Guidelines (hereinafter "Guidelines") Description of project (hereinafter "Improvement'): -C CQ N S f/Pu C -7z." "d .v Nq.r,r - 7Go- 578- 9vZB (Please provide a complete narrative description of the proposed modification and include drawings as appropriate) This Architectural/ Landscape Request Form shall be accompanied by: 1. All copies of plans and specifications, as enumerated in the Application Procedure, Article Ill, within the Guidelines. 2. Complete Architectural improvement Agreement, where required. 3. Neighbor's Comments Section, where applicable. (Nei6hbors should also sign the plans.) THE APPLICAI\TT UNDERSTANDS AND AGREES TO THE FOLLOWING: 1. The modifications will be made in strict compliance with the approved plans and specifications submitted with this application. Should any changes be roquired at any time during the project, those changes must be approved in advance by the Architectural Review Committee and noted on this application. 2. Owner shall hold the Association harmless from all liability related to any damage to existing residences, improvements thereon, any common area property. 3. Applicant shall advise Association office promptly upon completion of the work. 4- Applicant shall comply with the Architectural / Landscaping Guidelines and Design Standards for Lake La Quin'ia Association, and furnish copies of these provisions to the contractor(s) engaged by Owner for the improvement. Applicant further understands that it is Owner's responsibility to ensure that his/her contractor(s) also complies with these provisions. 5. Applicant shall secure proper building permits, if required by the local governmental entity. Applicant understands that the City of La Quinta may not approve any pl ch have not yet been approved by the at Architectural Committee. OWNER SIGNATURE (S) Neighbor Comments: (The comments of any owners of any home adjacent to the property lines of the applicants Improvement shall be required for awnings, built-in barbecues and water features, concrete landscape borders (curbing) fences, walls' mist coaling systems. Patio extensions, pools / spa's, room additions /enclosures, solar gavels, certain (curb ng) fences, and such offer improvements the Architectural Review Committee deems appropriate) I/We, the undersigned, have reviewed and signed the plans and specifications for the above requested improvement and I/we either: (I) do not object to this improvement; or (2) object with the following comments: I Printed Naive Lot # Comments 2�. ,j-vc (For Assoclatian use onlyj COMMITTEE REVIEW ❑ APPROVED as submitted. Project to be completed by: ❑ APPROVED subject to the following conditions: ❑ DENIED for the following reasons: ❑ HELD OVER pending receipt of the following information from Applicant: Committee Member Signatures: APPLICANT NOTIFIED OF APPROVAL/DISAPPROVAL Date: �s+gppc°{►cQj� s w t• ��A� 51TE PLAN, N/ 6UE5T HOU5E Quit I1 off oil S' 15' 25 fit' 6.21 10' ?o, Zc/wrnCD Zr� D rrn ::a n "'tipoilC1 4 It c --� o O rri Zoo Z i N �q��s�R cTi _ o I �0�0��4GO oy • • . OpF�� '��. <9,r Lac Ir • oti TgpN6� FR • r .I _ � 3 i i