06-0909 (PAT),P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: ` 06-00000909-
Property
6-00000909-Property Address: 79279 HORIZON PALMS CIR
APN: 604-100-058-136 -19903 -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2660
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that licensedrovisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Buss and Pr essio is
Co
' se, and my License is in full force and effect.
License Class: 13 ice a No.: 860958
tractor:
WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury tha 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, 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 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 (Sec. 3097, Civ. C.). ,
Lender's Name:
Lender's Address: r,
LQPERMIT
Owner:
ZAWTUN GORDON
79279 HORIZON
LA QUINTA, CA
PALMS CIRCLE
92253
f'/
VOICE (760) 777-7012
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/06/06
U
Contractor: ((�� c
PELLETIER PATIO MAR 08 Z®O(�
79275 DESERT STREAM D
LA QUINTA, CA 92253 CI1y0 —
(760)275-7593 gNCEpEMIt�
Lic. No.: 860958 PT.
----------------------------------------------—
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 EXEMPT Policy Number EXEMPT
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 sho ec subject to t rkers' compensation provisions of Section
3700 of the Labor C e, I s all fo hwith co ply ith those provisions.
,Alh 0(1
ate: plicant:
WARNING: FAILURE TO SECURE W KER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINA ALTIES 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 iinfVIR4n is correct. I agree to comply with all
city and county ordinances and state laws relo ing cons uctio and hereby authorize representatives
oI this conn y t enter upon the above-ment ned ert r ins trio urposes.
Da ��, �n� ' nature (Applicant or ge 0l
Application Number . . . . . 06-00000909
Permit PATIO COVER
PERMIT
Additional desc . .
Permit Fee . . . . 54.00
Plan Check
Fee
35.10
Issue Date . . . .
Valuation
. . .
. 2660
Expiration Date 9/02/06
Qty Unit Charge Per
Extension
BASE
FEE
45.00
1.00 9.0000 THOU BLDG
2,001-25,000
9.00
---------------=-----------------------------------
Special Notes and Comments
-------------------------
199.5 S.F. ALUMAWOOD LATTICE PATIO COVER
-----------------------------------------------------------------=----------
Other Fees STRONG MOTION (SMI)
- RES
.50
Fee summary Charged
Paid Credited
Du-z,-
u-..-----------------
-------------------------------------
Permit Fee Total 54.00
----------
.00
----------
.00
54.00
Plan Check Total 35.10
.00
.00
35.10
Other Fee Total .50
.00
.00
..50
Grand Total 89.60
.00
.00
89.60
clTY OF LA QUIAFETY DE A
APPROVED �®vED
FOR CONSTRUCTION
DATE-- Y
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CA
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` 03/06/2006 11:20 FAX 760 862 1210 DESERT MANAGEMENT 002/002
"LA QUINTA PALMS
HOMEOWNERS ASSOCIATION
C/O DESERT MANAGEMENT
P.O. BOX 799 RANCHO MIRAGE, CA. 92270
r 760-862-1202
February 21, 2006
Mr. Gordon 7awtun
79279 Horizon Palms Circle
La Quinta, Ca, 92253
Re; Architectural Request Approval
Dear Homeowner,
Please be advised the Architectural COrrnittee and the Board of Directors have
approved your architectural request per the plans submitted. If any changes to
the original plans are needed, please inform Desert Management as soon as
possible so the original plans can be changed and approved.
Thank you for following all of the proper procedures for your request, which will
continue to make La.Quinta Palms HOA a beautiful place to reside.
If you have any questions, please feel free to call at 760-862-1202.
• 1 ,
Thank you for your time!
Sincerely,
Desert Management
T For La Quinta Palms HOA
Amy R. Gunderjollill
Amy R. Gunderson
Association Manager