11-0420 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T41it 4�VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number: L"-00000420_
Property Address: 52050 AVENIDA CARRANZA
APN: 773-221-001- - -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 1131
Applicant: Architect or Engineer:
rI�
------------------------=-------------------------
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: EI License No.: 770843
Date:_S/*.ntractor: -
/ OWNER -BUILDER DEC ATION
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 ($500).:
(_ I 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and /I
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 for the projects with a contractor(s) licensed
pursuant to the Contractors' State 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 ISec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERA7IT
Date: 4/27/11
Owner:
CITY OF LA QUINTA
78495 CALLE TAMPICO
LA QUINTA, CA 92253
Contractor: LiTY0FLAQU1NT41r% LIFETIME PATIOSPO BOX LA QUINTA06CA 92248(7601777-2650Lic. No.: 770843�F IT.
-----------------------------------------------
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.
Z1I 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 SOUTHERN INS Policy Number WSI0040134-01
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
300 of the Labor Code, I shall forthwith comply with those provisions.
te: op
WARNING: FAILURE TO SECURE WOR S' CO 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 and county ordinances and state laws relating to building construction, and hereby authorize representatives
ofhis tunty o en r upon the above-mentioned property for inspectio rposes.
of
gnature (Applicant or Agent):
Application*Number . . . . . 11-00000420
Permit . . . PATIO COVER PERMIT
Additional desc .
Permit Fee . . . . 29.00 Plan Check
Fee
18.85
Issue Date Valuation
. . .
. 1131
Expiration Date 10/24/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
7.00 2.0000 HND BLDG 501-2,000
14.00
----------------------------------------------------------------------------
Special Notes and Comments
85 S.F. WEATHERWOOD OPEN LATTICE SHADE
STRUCTURE AT SIDEYARD. 2010 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
STRONG MOTION (SMI)
- RES
.50
Fee summary Charged Paid Credited
----------------- ---------- ----------
Due
-------
Permit Fee Total 29.00 .00
- -- ----------
.00
29.00
Plan Check Total 18.85 .00
.00
18.85
Other Fee Total 1.50 .00
.00
1.50
Grand Total 49.35 .00
.00
49.35
LQPERMIT
Apr 27 11 05:49a Joanne Tilnstead
7603451922 p.1
LIFETIME HOME IMPROVEMENT CONTRACT
PATIO S License No. B-770843
C O S T OM SH A o E STRUCTURES Job No.110401 General Building Contractor
PO Box 5806
Should buyer wish to exercise their 3 -Day Right b Cancel, he "Noticed Cancdlaton' may be sent b thisaddress: La Quinta. CA 92248
D-", h°"•' Adl— (760) 772-0013 - (800) 739-7072
City Of La Quinta 78495 Calle Tampico Fax (760) 345-1922
o--.myo_r.apcam b.hR_w _ 0~.wpnph_ www-lifetimepatios.com
La Quinta 92253 760 777 7000
p ).dam
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P-ipa zip woo
P ij PW
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52050 Avenida Cassanza
La Quinta
92253
Same
4/27/11
IAIyE, the Owner(s) of the purism described atone authorize Ldetirre Patios, hereinafter referred to as `Cenuacwr, b furnish all materials and labor necessary
to irprove the aWve premises in a good workmanlike and substantial manner a000rding to he fobbing lens, specifications and provisions:
aOeslar s m of the Proiectand Desrrytion of the Siors-i antMaterials to be Used and Eatdomerrt Lobe Instaged:
Tofurnish laborand mated alsnecessaryto construct, perplansand manufacturer's specifications, approximately 85 Sq. Ft.
of Weatherwood Open Lattice Shade Structure per homeowner -approved design. Structure to beinstalledattached to
fascia.
Materials: Aslistedbelow. Selected Color. Sandalwood
2' x2" Lattice w/ two inch spacing and beveled end caps.
3" x 8' Header Beam w/ Flat End Caps.
2"x 6.5" Rafters w/ Flat End Caps.
3"x W x 8' Posts w/Foam-filled Side Plates w/ Flat E nd gaps
Warranties: Lifetime U m ited Factory Warra nty provided. Two (2)yearlimttedworkmanship warranty provided.
Cost ofcity building permits are not included.
b. Qgsfriation of aro areas 40 will NOT be worked on:
These desaptiom tparagraph a and b) and list of Wecifirations may be continued onsub>sequefrt pages (see page number below).
c Contras Price Conbedorprgposes W pafonnUre abovewortl (syed b arryaddtiorsarMrordeduators puxsuantbalAthwued change orders► fade..
Totalsum ofi 780.00 DahmPaymerd(rfany)S OO.UU E DOWN PAYMENT MAY NOT EXCEED
$1,000 OR 10 PERCENT OF THE CONTRACT]
d Sriredute of Prowess I PRICE, WHICHEVER IS LESS.
PAYNFXr W EWEEN A fl�Jl _ PAWBOS TO BE MADE N NSTAUM KM AS FOLLOWS:
1. Depo41(atmad signing) 00,00 Bycasft, &retic, Vasa. Mastercard. and Aneican Express, as desoibed under
2. Upon Cortplefrn 780.00 *Payment DL a Whet' b lire left (a 395 mnverience fee wil be
3. added bat credit card payrrens.l
4.
The schedule of progress payments must specifically describe each phase of work, including the type and amount of work or
services scheduled to be supplied In each phase, along with the amount of each proposed progress payment. IT IS AGAINST
THE LAW FOR A CONTRACTOR TO COLLECT PAYMENT FOR WORT( NOT YET COMPLETED, OR FOR MATERIALS NOT YET
DELIVERED. HOWEVER, A CONTRACTOR MAY REQUIRE A DOWNPAYMENT.
e. Commencement and Corn*tion of 1Nork: Substantial oon nrenoern rt of wolf shal mean either the physical delivery cif materials onto the premises or the
perlonra m ofany labor and s`,:1 be subject to any pemiissble delays as per provision (5)on the reverse side.
Approximate Stmt Dates ASAP Appraodmarbe CongAe43on Date: ASAP
f. List of DoameMs to be Inc oroorated into the Contract CA HWM Irtl rnent Notices Form, 2-N otce of Cancellation Farris and.._.
V. Additional Provisions and Notices:AddtionalProvisionsandNoticesOfThisRoposaktabactAreOnTheReverseSideAndMayBeConlirx On Subsequent
Pages (see page nunber below) A notice concemirg commercial general Wily insurance is attached to this contract A notice contemrg vakers' compersabon
irsurarce is attached to this contract. Read 'Arbitration of Disputee provision on page two (L) provision 12 and Che NOTICE ming tis provision. If you agree to
arblraGm. initial an the foe bebwthe NOTICE when: indicted Also, inial in he same place onEACH err this contract.
h. Acca :. This praposafoontrac is approved and accepted. I (we) understand t1>ere are no oral agreements or understandings between the of hts
agree nat- The written nems p ovoo s, plans (darty), Wediicaiors andarry aha mnbacd xw erns (d any)bxW d wih this p rgxsallcontrac isthe entire
between the padies.Changes ind is agreementshal be done bywriltendhange order" and wdhthe express approval of both paries priabthe
work cowered by the changeorder. Changes may incur addtional surges
... __....I-... -,caro y z...n �...
I 1
mpro..da,w..oeproatal a-�i �a
I r NOTE This proposal maybe wit n atter 20 days from if
_9 not approved and sig red by both pari)--
Date The Buyer Signed This Contract Is:
You are entitled to a completely filled in copy of this agreement, sighted by both you and the contractor, before any work
may be started. The Owner or Tenant has the right to require the Contractor to have a performance and payment bond. The
cost of this bond may be paid by the Owner. The law requires that the contractor give you a notice explaining your right to
cancel. Initiat the checkbox if the contractor has given you a Notice of the Three -Day Right to Cancel.
FormGC3-C Copyright®1996-2006 ACT Con"StorsForms (800)8205656 www.catfonn.00m Pageoneof 2 Total Pages
lAample B}
SIDE YARD: S Fat
MEYARD: RDr 10 Feet
Minimum
Minitnum
_ CITY OF LA C UINTA
BUILDING &SAFETY DEPT.
i APPROVED
I' FOR CONSTRUCTION
REARYARD.
aO FeCt hlininium DAT % f'� BY
i . --- CURBLWE
,utu to '
— -- " ._ % PROPERTY LDW
CONT "YA_ 1 ��.—...
20 Feet Minimum '�
Bin #
City of La Quinta
Building 8z Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
LC
Project Address:,.�,OS6 L'2I
Owner's Name: Q
A. P. Number:
Address: e qq i
Legal Description:
City, ST, Zip:
Contractor: Q�tJ
Address:
f�' ,n••�
p ,w•::::w : ;, ,<.,:'k# s
Telehone:
Project Description:
City, ST, Zip:
v'
5 5 w
Telephone:
v:?k iv4:j�;�CC.l:fj[{'+5:;: •:vi'i:?4i'
:.�;'..:s::'z>`;c'•r;;;..�;s>;:;.::+...:
State Lic. # :
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
y(:.�rs:: <:h•.:i x: } afn:>:::>r
i+�'. vi' ,y\+T�•n,i, 4f..iF,:f'^''�fv'yr,';i;{!i.;
:••�,>:.<:,?+•>;,>£:..,;•::••:
? y `:<` >,s+s'>`
r>:'r..>.!i;.>::''>.<:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter RepairDemo
State Lie. #
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
q
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Z 7
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Coles.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Pians 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.
IJ.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7nd Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees