PAT (07-0602)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 0.7.-00000602
Property Address: 43725 MILAN CT
APN: 609-552-007.-26 -28458 -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1915
Applicant: Architect or Engineer:
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LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 arKProfessionals Code, and my License is in full force and effect.
License Class: %C36 Licens or�483069
.Date: 1202 ( Contractor:
OWNER -BUILDER DECLARATION
I hereby affirmunder penalty of perjury that I am exemptfrom the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Anycity 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, 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 herownemployees, 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 riot apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractors) licensed
pursuant to the Contractors' State License Law.).
1 1 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.).
sr Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/26/07
Owner:
APODACA ALFONSO
43725 MILAN CT
LA QUINTA, CA 92253
Contractor:
OUTBACK PATIO & SUNROO
W 6TH STREET, #11
COR D Q
CORONA, CA 92882
(951)778-9439
Lic.-NO.: 483069'I1 J FEB 2 6 2007
�NAl T OF LA QUIN q
------------------------ DEP7` ----
WORKER'S COMPENSATION DECLARATION.
I hereby affirm under penalty of perjury one of the following declarations:
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 0003022-2007
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 beco subject to the workers' compensation provisions of Section
3700 of the Labor Code, I sha' orthwith comply with those provisions.
z zoo --�
Date: 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 ($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 andounty ordinances and state laws relating to buildin onstruction, and hereby authorize representatives
of this c ^un'tI
'Dto enter upon the above-mentioned property inspection purposes.
ater G.11 U� Signature. (Applicant or Agent):
Application Number .. . . . 07-00000602
Permit . . . ELEC-MISCELLANEOUS
Additional.desc
Permit Fee . . . 21.75 Plan Check Fee .
5.44
Issue Date . . . Valuation
0
Expiration Date 8/25/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
9.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
----------------------------------------------------------------------------
6.75
Permit PATIO COVER,,PERMIT
Additional desc .
Permit Fee . . . . . 45.00 Plan Check•Fee
29.25
Issue Date Valuation
1915
Expiration Date 8/25/07
t
Qty. Unit Charge Per
Extension
BASE FEE
15.00
15.00 2.0000 HND BLDG 501-2,000
30.00
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Special Notes and Comments
144 SF PATIO ENCLOSURE PER ICBO
ER-5888P/NO CHANGE TO DOORS OR WINDOWS-
INDOWSOF
OFEXISTING STRUCTURE. ROOM MAY NOT BE
CONVERTED TO HABITABLE SPACE. PERMIT
-
INCLUDES 4 GFI OUTLETS/2 LIGHTS WITH
SWITCHES & ONE FAN,
----------------------------------------- ----------------
Other Fees ._ . . . . . STRONG MOTION (SMI) - RES.
.50
Fee summary Charged Paid Credited
Due
---- ---------- ----------
Permit Fee Total 66.75 .00 .00
66.75
Plan Check Total 34.69 .00 .00
34.69
Other Fee Total .50 00 .00
.50
Grand Total 101.94 .00 .00
101.94
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REAR PROPERTY LINE
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FRONT PROPERTY LINE
Bin #
City of La Quinta
Permit ffP.O.
Building U Safety Division
Box 1 504, 78-495 Calle Tampico
La Quinta,
CA 92253 - (760) 777-7012
Building Permit Applicati on and Tracking Sheet
Project Address:
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A. P. Number 0
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owner's Name:L Cf La !T O CQ
Legal Description:L_a
Add,�/� ress: C^
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Contractor..
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Address: A4 So IQ)� 6+
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Telephone: 760-q 5` 2 3 z
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Project Description: d X1 l Z t �(�.•
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State Lic. # : �g� Q R
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City Lic. #•
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Arch., Engt., Designer:
Address:
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City. ST, Zip:
Telephone:
State Lic. #:
Construction tion Type: Occupancy:
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Nameof Contact Person; S
Project type (circle one): New dd Alter Repair .
� Demo
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Tel # of Contact Person:
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Sq. Ft.: Z wa
# Stories;
'# Units:
Estimated Value 2f-Project: o-6 Q
APPLICANT:
DO NOT WRITE BELOW THIS UNE
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Submittal
Req+d
R�,d
TRACIMG
Plan Sets
Plan Check submitted
PERMIT FEES
Structural Calcs.
Reviewed, ready for corrections
item
Amount .
Tr uii Calcs.
Called Contact Person
Plan Check Deposit
Energy Cale.
Plans Picked.up
Plan Check Balance
Flood plain plan
Pians resubmitted
Construction
Grading.plia'
TA Review, ready for correctiony
Mechanical
Lift.
ae
Called Contact•Person
Electrical
Grant Deed
Plans picked up
Plumbing
H.O.A. Approval
Plans resubmitted
S.M.L
IN HOUSE.-'
Review, ready for. correctionsPssue
Grading
Developer Impact ret
Planning Approval
Called .Contact Person
Ppb. Wks. Appr
Date of permit issue
A.I.P.P.
School Fees
Total Permit Fees