10-0974 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Td4t 4 4 Q"
Application Number:
'10-00000974
Property Address:
45130 SEELEY
DR
APN:
604-040-057-
- -
Application description:
PATIO COVER -
COMMERCIAL
Property Zoning:
TOURIST COMMERCIAL
Application valuation:
17423
Applicant:
Architect or Engineer:
C6-
�-
1)k
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 Professionals Code, and my License is in full.force and effect.
License Class: B L�e.:850104
[�(/DaContractor.
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt 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 ($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 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 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.).
( ) I am 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 ISec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/04/10
Owner:
LA QUINTA REDEVELOPMENT AGENCY
78495 CALLE TAM . -QC
LA QUINTA, CA r 3
f
Contractor.
RDP/SCI INC
����
83777 AVENUE 5 7
INDIO, CA 9221 °;' w'_'.�,A:"�'"`Sit
(760)347-5257
Lic. No.: 850104
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 238-009684
1 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 tl a workers' compensation provisions of Section
700 of the Labor od , h II forth th co ly ith those provisions. ,
- Date:�d eo_ _Applicant:
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 1$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 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 hereby thor' a representatives
of this couttter upon the above-mentioned prop rt fo ins ection poses.
O
Date: �47 Signature (Applicant or Agent):
Application Number
. . . . . 10-00000974
Permit . .
. PATIO COVER PERMIT
Additional desc .
Permit Fee . . .
00 Plan Check
Fee .00
Issue Date . . .
. 9/30/10 Valuation
. . . . 17423
Expiration Date
3/30/11
----------------------------------------------------------------------------
Special Notes and
Comments
(2)10X10 AND (1)30X37
SHADE STRUCTURES.
CONSTRUCTION PART
OF THE 2010 PIONEER
PARK EXPANSION/IMPROVEMENTS PLAN SET
NUMBER 10034. 2007
CALIFORNIA BUILDING
CODES.
September 30, 2010
2:15:28 PM AORTEGA
Fee summary
Charged Paid Credited
Due
Permit Fee Total
.00 .00
.00 00
Plan Check Total
.00 .00
.00 .00
Grand Total
.00 .00
.00 .00
Bin #
City of La Quinta
Building a Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
,e La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address. i O,�Lc.� f ttfij Owner's Name: ��
/al —1/a
A. P. Number: , �QS �% S -L C Address: �/� /So 5e
Legal Description: City, ST, Zip:
Contractor: �'G�G
Telephone:
Address: &6415" '
'
Project D'e'scription:
City, ST, Zip: O<J aa, qVV
Telephone:'7(y
City Lic. #;
We6w Lo
State Lic. # :
Arch., Engr., Designer.
10 x' O
Address:
` 1
O
City., ST, Zip:
Telephone:
a
Construction T ype: Occupancy:
State Lk. #:
Name of Contact Person: -p-(51E-o
u
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft:
#Stories:
Units:
Telephone # of Contact Person: -
Estimated Value of Project: 21-7,00 411,413 *0
APPLICANT:
DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec'd
TRACKING
PERMITFEES
Plan Sets
Plan Check submitted
9
�{,�
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Plan Cheek Balance .
Truss Calcs.
Called Contact Person
9
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Q
Mechanical
Electrical
Grading plan
2'4 Review, ready for correctio?"Uq syl
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
Developer Impact Fee
A.LP.P.
IN HOUSE:-
3" Review, ready for torrectionsfissue
Planning Approval
Called Contact Person
Pub. Wks. Appr
D�t—ate of permit issue
Tq2 i FANZ
School Fees
Total Permit Fees
Sm RfG (90
ave -w 9"z i1o29 t
By: John W. Thompson
Rancho Mirage Office: ® (760) 834-8860
Other: ❑
717780 San Jacinto Dr. Ste. E2; Rancho Mirage, Ca: 92270 ph. (760) 834-8860 fax (760) 834-8861
Letter of Transmittal - -
To:
City of La Quinta Today's Date:
9-29-10
78-495 Calle Tampico City Due Date:
ASAP
La Quinta, CA 92253 Project Address:
Pioneer Park Shade Structures
Attn:
Phillip Plan Check #:
10-974
Submittal: ❑ 1Sl
4lh -
® 2nd ❑
5 t
❑ 3`d ❑
y Other:
We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup
Includes: # Of Descriptions: Includes:
# Of Descriptions:
Copies:
Copies:
®
2 Structural Plans ❑
Revised Structural Plans
®
2 Struct. Calcs ❑
Revised Struct. Calcs
❑
Truss Calculations ❑
Revised Truss
❑
Soils Report ❑
Revised Soils Report
❑
Structural Comment List ❑
Approved Structural Plans
❑
Redlined Structural Plans ❑.
Approved Structural Calcs
❑
Redlined Structural Calcs ❑
Approved Truss Calcs
❑
Redlined Truss Calcs ❑ '
Approved Soils Report
❑
Redlined Soils Reports ❑
Other:
Comments: Structural content for both the 10'x10' and the 30'x 37.5' shade structure is approvable.
This Material Sent for:
❑ Your Files ®
Per Your Request
❑ Your Review ❑
Approval
❑ Checking ❑
At the request of:
Other: ❑
By: John W. Thompson
Rancho Mirage Office: ® (760) 834-8860
Other: ❑