07-2726 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00002726
Property Address: 79305 HORIZON PALMS CIR
APN: 604-100-042-120 -19903 -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 3232
Applicant:, Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION _
hereby affirm under penalty of perjury t licensed under isions of Chapter'9 (commencing with
Section 7000) of Division 3 of the iness and Pro ssional ode, d my License i9ih full force and effect. - • - --..
License Class: B censeN .: 86095B
Date: 1014 10 7 Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury t am exempt from the Contractor's State License Law for the
t 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.).
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:
LQPERM[T
Owner:
FULLARTON JOYCE
79305 HORIZON PALMS CIRCLE
LA QUINTA, CA 92253
Contractor:
�PELLETIER PATIO
79275 DESERT STREAM
LA QUINTA, CA 92253
(760)275-7593
Lic. No.: 860958
DR
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/09/07
WORKER'S COMPENSATION DECLARATION \/
I hereby affirm under penalty of perjury one of the following declarations:
tr. _ 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 thD4E
f the work for which this permit is issued, I shall not employ any
person in any ma subject to orkers' compensation laws of California,
and agree that,mes bject tat worke compensation provisions of Section
3700 of the La fo with cam ly with ose provisions.
I�Iklo�
Date: Applicant
WARNING: FAILURE TO SECUCOMPENSATION 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 tha a above in rmation is correct. I agree to comply with all
city and county ordinances and state laws relating t building constr tion, hereby authorize representatives
of this county to enter upon the above-mentioned pr perty f inspe tion p rp as.
Date:%Oef 107 Signature (Applicant or Agent):
r
Application Number . . . . . 07-00002726
a
,
Permit . . . PATIO COVER PERMIT
Additional desc .
Permit Fee. . . . 63.00
Plan Check
Fee
40.95
Issue Date....
Valuation.
.
3232
Expiration Date 4/06/08
Qty Unit Charge .Per
Extension
BASE FEE
45.00
2.00 9.0000 THOU BLDG 2,001-25,000
18.00
-Special Notes and Comments..
243 SQUARE FEET ALUMAWOOD PATIO COVER
ICBG PER APPROVED PLANS
-------------- - ----------------------------------
------
'Other Fees STRONG MOTION (SMI).
-=RES
-.50
Fee summary Charged Paid
Credited
Due
Permit Fee Total 63.00
.00
.00
63.00
Plan Check Total 40.95
.00
:00
40.95
Other Fee Total .50
.00
.00
.50
Grand Total 104.45
.00
.00
104.45
LQPERMIT
Bin #
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking. Sheet
Permit #
'l
Project Address: "7 C6 -,ZU,,1 w1 s
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip: (z,�
Contractor. PG tZj
Telephone:
..r r
:I WN, R ��
Address: 27 ,j� ejj evt- Ste.&. t
Project Description: A -j L, ,,�,�
City, ST, Zip:
Telephone: r5
= k
State Lic. # : Ne Cq S' City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: �Yt
State Lic. #: ''_
Name of Contact Person: aCL�
Construction Type: Occupancy:
Project type (circle one): New .Add'n Alter Repair Demo
Sq. Ft.:. 9Y 3 # Stories: # Units:
Telephone # of Contact Person: —
Estimated Value of Pr.im sato VD
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:-
'`" 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
e
CA
v1 r� . 42x5 3
0
a� lit
PC(-*To Cove,--
cA.-7R-"r
�a5-ts do e��eN,cl
C,o vin �wv` � GLv,ec�
10/01/2007 01:39 FAX 7600021210 DESERT -MANAGEMENT
LA QUINTA PALMS
'Hu"MEOMIJERS ASS CIATI
C/O DESERT MANAGEMENT
P.O. BOX 799 RANCHO MIRAGE, CA. 92270
760-862-1202
September 24, 2007
Joyce Futlarton
79305 Horizon Palms Circle
La Quinta, Ca. 92253
Re: Architectural Request
Dear Homeowner,
The Board of Directors along with the Architectural Committee has approved the
application per the pians submitted for the Alumawood solid patio cover. If there
are any changes to the original plans, please contact Desert Management so the
revisions can be reviewed and approved,
If you have any questions, please feel free to contact me at 760-862-1202.
Sincerely,
Amy R. Gunderson
®esert Management
For La Quinta Palms HOA
CC; File
BOD
Pelletier Patio