05-4466 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
0Application Number. 0.5_-000-0A466
.
Property Addres:, 44630`MONTICELLO AVE
APN: 604-513-005-40 -24197 -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation:. 4323
to
Applicant:
Tiht 4 4 Q"
Architect or Enginee
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
REEVES THOMAS J
44630 MONTICELLO AVE'
LA QUINTA, CA 92253
Contractor:
PELLETIER PATIO
79275 DESERT STREAM DR
LA QUINTA, CA 92253
(760)275-7593
Lic. No.: 860958
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/05/05
--------------------------------------------------------------------7----------------------------
CENSED CONTRACTOR'S DECLARATION • WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of p ry that I am sed under pro, ' Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of a Business and Pro ionals C and my L'cense is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B Lice se No.: 86 958 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
@ ��.,.. issued.
Date: 1 0D Contract-:�--�. _ I have and will maintain workers' compensation insurance, as required.by Section 3700 of the Labor
I-- � Code, for the performance of the work for which this permit is issued. My workers' compensation
WNER-BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Numb EMPT
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance, the work or which th - 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 m r so o become su 'act to the Drkers' 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 tha if 1 should be me subject the work rs' compensation provisions of Section -
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of thefbor CorJ¢, I sh I rthwith co ly wi 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 ($500).: r Date: %01 103 r AnMr r
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 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 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—) 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
r
WARNING: FAILURE TO SECNE WORK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TOC ENAL'TIES 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 applica ion becomes null and void if ommenced
within 180 days from date of.issu of such it, or cessatio work for 180 days will subject
permit to cancellation.
I certify that I have read this application an state that the abo�''
n ation i correct. I agree o comply with all
city and county ordinances and state laws elating to building coon, an hereby author' a representatives
of this county t ester upon the above -me boned pro forcoon p rpos
�N
LQPERMIT
Application Number . . . ... 05-00004466
Permit . . PATIO COVER
PERMIT
Additional desc .
Permit Fee . . . . 72.00
Plan Check
Fee
46.80
Issue"Date
Valuation
4323
Expiration Date 4/03/06
Qty Unit"Charge Per
Extension
BASE
FEE
45.00
3.00 9.0000 THOU BLDG
2,001-25,000
27.00
-------------------------------------------------
Special Notes and Comments
325 SF ALUMAWOOD PATIO COVER @ REAR YARD
------------------------------------------;---------------------------------
Other Fees ... . . . . . 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 .50
.00
.00
.50 ,
Grand Total 119.30
.00
.00
119.30
L
Bin #
City of La nuinta
�C
. Building & 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: -A (�a.S-
M6 Ce� C (d k e
Owner's Name:
A. P. Number:
Address: H QC,'?o rl CED
pvl � Ce_
Legal Description:
City, ST, Zip;.. � : �-u"�•.:t-� �d �i'a�5 �
Contractor:
Telephone: Sq 5 • q y'�-r-"
Project Description:
lot
{��
Address: 2 27 j Z ' f..� Q
City, ST, Zip:
ii�l' Ql�in 1�
v d�+t�✓
Telephone: c j? - 751
State Lic. # : g(o0e1 1 J
City Lica #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
p Ws ''I
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair
Demo
Name of Contact Person:
Sq. Ft.: 325 q7
I # Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
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
2nd 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:-
''d 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
---•�--
rCM OF LA �"JIL'D ING & SAFETY'DEPPT.T, r
PRROVED wS Vic. Qeeves
FCR CONSTRUCTION
DATE -ABY
vvm . C .. X225 3
A- RE-INSPECTION. FEE OF $30
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARD ARE NOT ON*
THE SITE FOR A SCHEDULED
INSPECTION.
NO EXCEPTIONS!
A�vkw\a4_06c \ a*,ID ,
co vel
lu nnaf6\
for m .dei S*Ucco