05-1932 (PAT)P.O. BOX 1504
78-495 CALLE TAMPIC0
LA QUINTA,-CALIFORNIA 92253
. --'- -
Application Number: .05-0.00019_32,' )
Property Address: 44750 MONTICELLO AVE
APN: 604-513-001-36 -24197 -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 4389
Applicant: a rchitect or Engineer:
MAY 19 2005 i3
CITY OF LA 91 IP6T41
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT .
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjur I am licensed and isions of Chapter 9 (commencing with
Section 7000) of Division 3 of usiness an ofessio s Code, nd my License is in full force and effect.
Licensee Class: 13-C33 License o.: 260484
ontra or:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perlu 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 sheds 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 155001:
(_) 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 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.). f
(_ 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.). -
Lender's Name: //}}
Lender's Address:
LQPERMIT
Owner:
MIKE MULQUEENEY
44750 MONTICELLO AVENUE
LA QUINTA, CA 92253
Contractor: .
PELLETIER CONSTRUCTION
74691 SWEET WELL ROAD
THOUSAND PALMS, CA 92276
(760)275-7593
Lic. No.: -260484
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/19/05__
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. '
-4-1 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 5495
I certify that, in the performance of the work for whit ermit is issued, I shall not employ any
person in any ma so as to ome subject hewn kers' compensation laws of California,
and agree tha if I should become 1ject tot worke ' compensation provisions of Section
``11'' . 3700 of the abor Code ,�5p II fort it tom y wi those provisions.
�Date:Jll�Iv/ Applica .
WARNING: FAILURE TO SECU WORKE COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIM ENI LTIES 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 dlofissua ch permit, or cessation of r days will subject
permit to cancellation.
I certify that I have read this applicatithat the abov 'nfor rrect. I agree comply with all
city and county ordinances and state to buil g con ti n, a ereby authoriz representatives
of this cctlounty to enter upon abovrop y or ins ctio p oses.
ate:"r ignature (Applit):
LQPERMIT
Application Number . . . . . 05-00001932
Permit . . PATIO COVER PERMIT
-
Additional desc .
Permit Fee . . . . 72.00 Plan Check
Fee
46.80
Issue Date Valuation
. .
4389
Expiration Date ." 11/15/05
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
2 ALUMAWOOD PATIO COVERS (330 SF.),
(236.5 SF & 93.5 SF), PER APPROVED PLANS
-------------------------------------------------------------
Other Fees . . . . . . STRONG MOTION (SMI)
ES
/ RES-
.
Fee summary Charged Paid -Credited
Fee
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
LQPERMIT
MAY -09-2005 02:13 AM
MONTICELLO COMMUNITY
C/O Rose Guzzetta, ARC Chairperson
79-790 Independence Way
La Quinta, California 98253
760-772-9949 Fax — same number, call first
April 30, 2005
Dear Mrs Mulqueeney:
Your architectural request to install a patio cover in your backyard was reviewed and
approved as submitted by the Architectural Committee.
It is understood that any damage caused due to this construction will be repaired by you
in a timely manner, We trust that all necessary city -permits will be obtained prior to the
commencement of the work and that the materials and workmanship are of good quality.
Thank you for your cooperation in filing for architectural approval. If you should have
any questions or need further assistance, please feel free to contact me.
Sincerely,
MONT EL' LO ARCHITECTURAL COMMITTEE
Rose Guzzetta
Architectural Committee Chairperson
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a?s- '7593
A RE -INSPECTION FEE OF $30
WILL BE CHARGED IF THE APPROVED CITY :OF LA]FE
TA
PLANS AND JOB CARD ARE NOT ON BUILDING & SAEPT.THE. SITE FOR A SCHEDULE APPROBy
INSPECTION. FOR CONST
NO EXCEPTIONS! '� j ,
DA