The URL can be used to link to this page

PAT (08-1212)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001212 Property Address: 43671 MESSINA CT APN: 609-552-017-36 -28458 Application description: PATIO COVER - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5653 T41vl 4 4 Qulkl� Applicant:`GZt�� ArchitecEngineer: r6^- ��. X*_ ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Ali, 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 LicenseNo.: ',471619 Date: � Contractor: W es j %��iF �11,; AKe1 C9l•.�lC' / OWNER -BUILDER DECLARATION i I 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 (5500).: (_ 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 of 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 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 License Law.). 1 _ I 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 (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Owner: Z1 4367 S N LAQUI TA, ' 9225 / ZO Contractor: WEST COAST CUSTOM.ROOM 786 PINEFALLS AVENUE WALNUT, CA 91789 (800)479-9106 LiC. NO.: 471619 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/17/08 ------------------------------------------------ WORKER'S COMPENSATION DECLARATION 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 GRANITE STATE Policy Number WC -163-93-20 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 workers' compensation provisions of Section 3700 of the Labor C p, I shall forthwith comply with those provisions. Date: i3 -Applicant: WAR ING: FAILURE TO SECURE WORDS'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 3766 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 authorize representatives of this ***cyyyounty to enter upon the above-mentioned pr pe for inspection purpos s. Date: Signature (Applicant or Agent): Application Number . . . . . 08-00001212 Permit . . . PATIO COVER PERMIT Additional desc . . Permit Fee 81.00 Plan Check Fee 52.65 Issue Date . . . . Valuation . . . . 5653 Expiration Date 1/13/09 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 THOU BLDG 2,001-25,00.0 36.00 ----=----------------------------------------------------------------------- Special Notes and Comments SOLID PATIO COVER 17 X 12 & LATTICE PATIO COVER 9 X 26 PER APPROVED PLANS PER 2006 IBC & 2007 CBC CODE -------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES -------------- .56 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total -------------------- 81.00 ---------- .00 ---------- .00 81.00 Plan Check Total 52.65 .00 00 52.65 Other Fee Total .56 .00 .00 .56 Grand Total 134.21 .00 .00 134.21 LQPERM[T Bin # City of LaQ uinta Building a 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:' " 3 . " Owner's Name: Le•e A. P. Number: Address: Legal, Description: City, ST, Zip: La 2 Contractor: o Address:"A6V Telephone: , Project Description: lid iX 12 City, ST, Zip:ca Telephone: N09�Lt -75 4 City Lic. #: State Lic. # : Arch., Engr., Designer: Address: .City, ST, Zip: Telephone: s State Lic. #: Name of Contact Person: Construction. Type: Occupancy: Project type (circle, one): New Add'n Alter Repair Demo' Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: g p(jC APPLICANT: DONOT WRITE" BELOW THIS LINE # Submittal Req'd Recd 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 2" 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 ApprovalCalled Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees WEST COAST CUSTOM ROOMS NAME L5/ /rid Residential Division Lic. #471619 ADDRESS�Zazl �1 786 Pinefalls Avenue / _ ��'�� ` f Walnut California 91789 CITY,�sria (�. �'.r� , 909.594.7547.626.350.5313 9