10-1254 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:710-00001254•
Property Address: 81845 MOUNTAIN VIEW LN
APN: 767-480-006= - -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 10000
Applicant:
ceity/ 4 4 "
BUILDING & SAFETY DEPARTMENT
Architect or Engineer:
"AWtyc poe -Ttitz
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
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:13 License No.: 684857
J Date: 1 C
OWNER -BUILDER DECLARATION
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, after, 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 ($500).:
I _ 1 I, as owner of the property, or my ernployees 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 _) 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 fon the projects with a contractor(s) licensed
pursuant to the Contractors' Slate License Law.).
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:
KEITH BYRAM
81-845 MOUNTAIN VIEW LANE
LA QUINTA, CA 92253
Contractor:
EDWARDS CONSTRUCTION INC,
51455. DESERT CLUB DRIVE
LA QUINTA, CA 92253
(760)777-8202
Lic. No.: 684857
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/08/10
'[011
t10FO�-MG-W
3 2010
611lAli�1
RNA1 , PCE DEPT.
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.
�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 555-61-55
1 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 Code, I comply with those provisions. ,
IDate:� ! [J - iOApplicant:
WARNING:
—FAILURE TO SECURE MPENSA D SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 and county ordinances and state laws relating to building construction, and hereby authorize representatives
of thiscountyto enter upon the above-mentioned property fo ses. -�
d)ate: /� vSignature (Applicant or Agent): f
Application Number .. . . . . 10-00001254
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . 25.50 Plan Check Fee
6.38
Issue Date Valuation . . .
. 0,
Expiration Date 6/06/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
14.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
------------------------------------------------------------------------------
10.50
Permit . . PATIO COVER PERMIT
Additional desc .
Permit. Fee . . . 117.00 Plan Check Fee
76.05
Issue Date . . Valuation
10000
Expiration Date 6/06/11
Qty Unit'Charge Per
Extension
BASE FEE
45.00
8.00 9.0000 THOU BLDG 2,001-25,000
72.00.
Permit PLUMBING
Additional desc
Permit Fee •18.00 Plan Check Fee
4.50
Issue Date . . . . Valuation
0
Expiration Date 6/06/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
-------------------------------------- ------------------------------------------
Special Notes and Comments
,
555SF DETACHED TRELLIS COVER, OUTDOOR
CMU BAR W/BBQ AND FIRE PIT [ENGINEERED]
APPROVED AND LISTED GAS APPLIANCES
REQUIRED FOR FINAL INSPECTION. 2007/2008
•CALIFORNIA BUILDING CODES.
December 8,_ 2010 11:56:24 AM AORTEGA
-------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
• STRONG MOTION (SMI) - RES
1.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 160.50 .00 00
160.50
Plan Check Total 86.93 .00 .00
86.93
LQPERA41T
..
Bin ;</
City of La Quinta
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 # I j,
b
Project Address: S �� (c( UV60TOwner's
Name: M E- H � 7
A. P. Number: -76 z h432/
(/�
Address: b
Legal Description: TP: 26 -74�7
City, ST, Zip:
Contractor: CS S
p `77 % 6 �Z��
Telephone:
Project Description:
Address:
City, ST, Zip: LL, OvO- [ - CA
Telephone:
A All!
State Lic: # : g 7
City Lic. #:
Designer: IPC jop
Address: 77 _6'Z Z ezxjM
city, SI., zippi�-,)
Telephone: 7f:,O jS6
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:v,
Sq. Pt.:
# Stores:
#Units:
Telephone # of Contact Person: -744 005 6
Estimated Value of E��0/
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'dRssec'd
TRACKING PERMIT FEES
Plan Sets
o5
Plan Check submitted Item
Amount
Structural Cates.
Reviewed, ready for corrections A 40 Plan Check Deposit
Truss Calcs.
Called Contact Person ZS 9ptJ Plan Check Balance
Energy Calcs.
Plans Oicked up (l0
Construction
Flood plain plan
Plans resubmitted Mechanical
.�.
Grading plan
2id Review, ready for correctios! su Electrical
Subcontactor List
Called Contact Person ` Plumbing
IS -00 -
Grant Deed
Plans picked up S.M.I.
II.O.A. Approval
Plans resubmitted Grading
r
IN HOUSE:-
"" Review, ready for correctionsrssue Developer Impact Fee
Planning Approval
Called Contact Person A,I.P,P,
`^
Pub. Wks. Appr
Dale of permit issue *��Vm
School Fees
Total Permit Fees
y
11//6 j -6i-& 17
° U
iii2 i2F'�- � l� Ns�sr� �i��7
►1l �o - us an. -� cowpoxA - '1
Oct -t* 0"
YOUNG ENGINEERING SERVICES.www.valuenar
`$ 71--:780 San Jacinto Dr,,'Ste. E2; Rancho Mirage;; Ca. 92270 ph: (:760)`834.-8860: 'fax (760) 834-8861
This Material Sent for: .
Letter of Transmittal
❑
To:
City of La Quinta Today's Date:
12-7-10
'
Your Review
78-495 Calle Tampico. City Due Date:
12-9-10
'
Checking
La Quinta, CA 92253 Project Address: 81-845 Mountain View
Attn:
Phillip Plan Check #:
10-1254
Submittal:. • 1 1:115i
1-1 4m
;
® 2°d
❑ 5th
❑ 3�a
❑ Other:
We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ,
❑ Your Pickup
❑
P
Includes: # Of Descriptions: Includes: # Of
Descriptions:
Copies:
Copies:
❑
Structural Plans
® 1
Revised Structural Plans
❑
Structural Calculations
® 1
Revised Struct. Calcs =`
❑
Truss Calculations
❑
Revised Truss
❑
Soils Report
❑
Revised Soils Report
❑
Structural Comment List
❑
Approved Structural Plans
®
1 Redlined Structural Plans
❑
Approved Structural Calcs
®
1 Redlined Structural Calcs
❑
Approved Truss Calcs
❑
Redlined Truss Calcs -
❑
Approved Soils Report
❑
Redlined Soils Reports
❑
Other:
Comments: Structural content is approvable.
This Material Sent for: .
❑
Your Files
® Per Your Request
'
` ❑
Your Review
❑ Approval
`
❑
Checking
❑ At the request of:
45
Other: ❑
By: John W. Thompson
4e
Rancho Mirage Office:
® (760) 834-8860
Other:
❑
r