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14-0235 (PAT)P:O: `BOX 1504 � { • ��f�IN 78-495 CALLE TAMPICO L'A QUINTA, CALIFORNIA 92253 SCQ► BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 14-0 00 002 3 5 Property Address:625—ALDEN' 78 APN: 604-225-024-107 -23268 - Application description: PATIO COVER - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3990 _ Applicant: Ar hitect or Engineer: Xf_ Owner: CARROLL RESIDENCE 78625 ALDEN CFIRCLE LA QUINTA, CA 92253 (760)880-2060 Contractor: LIFETIME PATIOS PO BOX 5806 LA QUINTA, CA 92253 (760)610-5380 Lic. No.: 770843 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/05/14 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION IIIIIII WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Cl sst B License No.: 770843 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is —CCc; t:Z: 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier MID CENTURY Policy Number A09461818 . following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shat forthwith comply with those provisions. 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 ($5001.: ..Date:, � �—\Applicant: 1—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and J the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FA LURE TO SECURE WORK MP ION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF OMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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 (Sec. 3097, Civ. C.). .Lender's Name: _ Lender's Address: LQPERMIT 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. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this count tol ter upon the_above-mentioned property for inspection purposes. Date:��' . (signature (Appli, nt olAgentl: . N IIIIIII I III III I III 62 IE 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. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this count tol ter upon the_above-mentioned property for inspection purposes. Date:��' . (signature (Appli, nt olAgentl: . N Application Number 14-00000235 Permit . . . PATIO COVER 2013 Additional desc . . Permit Fee . . . . 95.81 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 3990 Expiration Date 9/01/14 Qty Unit Charge Per Extension 1.00 95.8100 EA MISC PATIO -COVER, STD 95.81 ---------------------------------------------------------------------------- Special Notes and Comments WEATHERWOOD SOLID SHADE PATIO COVER 12FT X 25FT IRC 2013 PER APPROVED PLANS & AJ. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, PATIO COVER 94.38 Fee summary Charged Permit Fee Total 95.81 Plan Check Total .00 Other Fee Total 95.38 Grand Total 191.19 LQPERM[T Paid Credited Due .00 .00 95.81 .00 .00 .00 .00 .00 95.38 .00 .00 191.19 Bin # City of La Quinta Building 81 Safety Division P.O. Box -1504, 78-495 Calle Tampico La Quinta, CA 92253 - (•760) 777-7012 'Building Permit Application and Tracking Sheet Permit # (� . Project Address:'.. — _ _ Owner's Name: • A: P. Number: Address: -Vel t4la&j cid City, ST, Zip: 9ZZ�3 Telephone: Project Description: r< j.egal Description: Contractor: E ` QS Address: A9 AV City, ST, Zip: 1A 001A)7_,q, Telephone: 7100 - 77 d / ' State Lic. # : -7709 T 3. City Lic. #: 3aS8 Arch., Engr., Designer: Address: City, ST, Zip: . Telephone: s :s;_.; ,;. '«;; _ : Construction Type: Occupancy: Project type (circle one): New Add'n . Alter Repair Demo State Lic. #: Name of Contact Person: ��'/e� f -� Sq. FL: # Stories: #Units: Telephone # of Contact Person: p 7�p0 �O�S "� 7�t� Estimated Value of Project: G. Q= APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd ' Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading -plan' V Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing 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 A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees _"J _"F 4, `• "— "I -� - --_�-_ ' --_�__— �-._I._.__ -:.I--...._-..�._._.' j�—'"-" -.I .ween __..__. .-.-.. �._ Imo. ___•__�___ _ _. 1. _ __ _ -`i _ .._ _ _ X_._. 11 _—.�.-_._- . Fl - I 4 IV,A C4 _t- 4( _�I ._ _I I I � I I� �I (-i I� I� I � i l l l l l I� I I i �- __I ►_ l _• _.—T__I __ I ,._.._ Li._�_� .i. Y-- -•__f ._ T_—r_ --•---Y-"-_ -� 11 - T --r--ter--T Imo- I I_ 11__-- i- _, -_I-." i . I �_ 1 -1 1_ 1 i _ _._ . L_I_.�+_ _ 031 111 64 IE P.O. BOX 1504 N o , 07816 Buildin78-105Addrress 78-625 Al&n Circle LA QUINTACCALIFORNIA 92253 Owner Mailing AC ada BUILDING: TYPE CONST. OCC. GRP. Address A.P. Number ACACIA ROMPS City Zip 4281KTel. 71 A-91"—fIRM a Legal Description Tract 23268 PlArk A-2 Rev. Contractor Project Description Int 147 twkuuu Address City Zip Tel State Lic. City & Classif. f� f, `.� Lic. # Sq. Ft. 1362 No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the B;S;I�n ms and Professions Code, and my license is in full force and effect. ,G* f /`fr: /Jir/1 SIGNATURE" .� - -'� DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following �� $} reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a f permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT - AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis+ for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Ch 1C: Dep.'s subjects the applicant to a civil penalty of not more than live hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. 881. 34 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.00 Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, Mech. provided that such improvements are not intended or offered for sale. If, however, the building 47.00 or improvement is sold within one year of completion, the owner -builder will have the burden Electrical of proving that he did not build or improve for the purpose of sale.) 90.61 0 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing .50 struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law in does not apply to an owner of property who builds or improves thereon, and who contracts for S. M.1. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 5.2 1)1 am exempt under Sec. B. & P.C. for this reason Grading f Driveway Enc. Date Owner Infrastructure 1679..19 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company fCopy is filed with the city. 0 Certified copy is hereby furnished. TOTAL 1 2,910.89 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'COMPENSATIONINSURANCE t srJ (This section need not be completed if the permit is for, one hundred dollars ($100) valuation LVA x arT Si 7ViT1L �.µ� 7yW.Hy y or less.) I certify that in the performance of thg 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. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. lh'ermlt I certify that I have read this application and state that the above information is correct. Issued by: Date I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for Inspection purposes. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip CCNSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS A.C. UNIT 2ND FL. SO. FT. SLAB GRADE �� YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. ® I DRAINAGE PIPING WALL SO. FT. DUCT WORK DRINKING FOUNTAIN. SO. FT. ® AS (ROUGH) G� URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation REINF. STEEL FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SERVICE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRY TRAY AIR HANDLING UNIT CFM WATER SYSTEM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/e c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING Z UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS WER OR ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF.� �+v AS (ROUGH) G� METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ _$ LUMBER GR. FINAL INSPl FRAMING �`','-/ FINAL INSP. ROOFING /�,t t 1 ttt C /0 J �C( Yh// '�/ q U _` REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH 1XWULATION/SOUND FINISH GRADING �L FINAL INSPECTION;Ih CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL