06-1682 (PC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application Valuation:
Applicant:
�aG�r•
06-00001682a
78483 HIGHWAY 111
604-050-005-6 -000000-
PATIO COVER - COMMERCIAL
COMMUNITY COMMERCIAL
20482
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer: .
�YedrehTirrt
C /&272--.: :;
Owner:
M & H REALTY PARTNERS II
C/O PETER MERLONE
353 SACRAMENTO ST 21ST FL
SAN FRANCISCO, CA 94111
Contractor:
LIFETIME PATIOS
79090 DESERT STREAM
LA QUINTA, CA 92253
(760)668-1700
Lic. No.: 770843
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/07/06
------------------'-----------------------------------------------------------'--------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B License No.: 770843
for by Section3700 of the Labor Code, for the performance of the work for which this permit is
D
issued.
Date: .3 Contractor:
_ 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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier ACE PROPERTY Policy Number 044645488
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to.become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions -of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
370P of the Labor Code, I shall forthwith comply with those provisions.
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).:
(
DTate: 2, pplicant:,—
(_ I 1, 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 ISec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
( ) I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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
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 this county to enter upon the above-mentioned property for inspection purposes.
Date: ignature (Applicant or Agent):-- - �/
LQPERDIIT
Application Number 06-00001682
Permit . . . . . PATIO COVER PERMIT
Additional desc 77 X 20FT LATTICED SHADE COVER
_
Permit Fee . . . . 216.00 Plan Check Fee
.140.40
Issue Date . . . . Valuation . . .
. 20482
Expiration Date 6/05/07
Qty Unit Charge Per
Extension
_ BASE FEE
45.00
19.00 9.0000 THOU BLDG 2,001-25,000
171.00
----------------------------------------------------------------------------
Special Notes and Comments
77 FT X 20 FT. ALUMAWOOD LATTICED SHADE
COVER @ BEER HUNTER PATIO. [1540 SF
GROSS AREA] -2001 CBC.
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -COM
82.41
` HOURLY PLAN CHECK
140.00
STRONG MOTION (SMI) -.COM
4.30
Fee summary Charged Paid Credited
----------------------------------------------------------
Due
Permit Fee Total 216.00 .00• .00
216.00
Plan Check Total 140.40 00 .00
140.40
Other Fee Total 226.71 .00 .00
226.71
Grand Total 583.11 .00 .00
583.11 _
LQPERDIIT
A
0X
I Bin #
Submittal
3
Plan Sets
Plan Check Deposit
City of La
4%
Truss Calcs.
Quinta
Energy Calcs.
�?
Building 8i Safety Division
Permit #`•
I , � W/
Grading plan
P•O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
0 k�
"A Building Permit Application and Tracking Sheet
Project Address:
3
Owner's Name: '
IN HOUSE: -
W
A. P. Number:
�.
Pub. Wks. Appr
Address:
Legal Description:
Plans resubmitted'
City. ST. Zip:
Contractor: L G
7n° Review, ready for corrections/issue
F Telephone: Z
Address:
(P
Called Contact Person
Project Description:
City. ST. Zip: L Ankjj-.J;"qzzq
Date of permit issue
Telephone: ?G
Cin• Lic. #:
State Lic. # : S-776
Arch.. Engr.. Designer:
Address:
Cit`-. ST. Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circ) one): New Add'n Alter Repair Demo
�# Stories: Units:
Name of Contact Person:
#
Submittal
3
Plan Sets
Plan Check Deposit
Structural Calcs.
Called Contact Person
Truss Calcs.
Plan Check Balance
Energy Calcs.
Plans picked up
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
�.
Pub. Wks. Appr
School Fees
LoLO-11— L 1V0 Estimated Value of Proiect:W�p%',�
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd TR4CKING PERMIT FEES
Pl..Ch k //L
Amount
Total Permit Fees
Ii/Zc Ns. Rik.
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CDD (u I/ p/w2y 4,Or n,9k-L4)
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ec submitted Q{
Reviewed. reads for corrections
Item
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2nd Review, ready for corrections ssue
Electrical
Called Contact Person
Plans picked up
�.
Plumbing
S 111 I
Plans resubmitted'
Grading
7n° Review, ready for corrections/issue
Developer Impact Fee
A 1 P P
Called Contact Person
Date of permit issue
Amount
Total Permit Fees
Ii/Zc Ns. Rik.
/l/Oz /O& OU L:V.4,eq 0a" i4
CDD (u I/ p/w2y 4,Or n,9k-L4)
/2/7 -CpD