07-2202 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:07-00002202
Property Address: 52940'AVENIDA RUBIO
APN: 773-313-010-•17 -00.0000-
Application description: PATIO COVER - RES,IDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 1596
BUILDING &-SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LEEHOY
52940 AVENIDA RUBIO
_LA QUINTA, CA 92253 .
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/27/07
Date:
Owner: -
tCONSTRUCTION LENDING AGENCY
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 gounty to enter upon the above-mentioned property for inspection pure es.
te: ignature (Applicant or Agent): '
Contractor:
Applicant: Architect or Engineer:
LIFETIME PATIOS D
P.O. BOX 5806 d
Q
LA QUINTA, CA 92248
(760)772-0013
JUL
Lic. No.,: 77084'31 .. UL 3 X007 '
:.
..
CITE.0
�ly--�'AUIryT'
--------------------------------•----------------------
------------------'--�1yCb�q,. -- -----
LICENSED CONTRACTOR'S DECLARATION
WORKER'S -COMPENSATION DECLARATION
keieby affirm under penalty of perjury that I am licensed under, provisions of Chapter9 (commencing with
I hereby affirm under penalty of perjury one of the following.dedaiations:
Section 7000) of•Divisiori 3 of the Business and ProfessionalSCode,�and my License is in full force and effect.
I have and will maintain a certificate of consent fo self -insure for workers' compensation, as provided
License Clas : B - .' Li se.No 770843
_
for by Section 3700 of the Labor Code for the performance of the work'forwhich this permit is.
at ontractor: ` X
.
. issued. •. r•
I have and will mamiain;workers' compensation insurance, as required by Section 3700 of the Labor
Code, -for the performance of the work.for whichthis 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
WILKINSINSURAN Policy Number • WEN0015766 -01
following reason (Sec. 7031.S,.Business and Professions Code: Any city or county that requires a.permit to
_ 1 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, prion to its issuance, also requires the applicant for the
person in any manner so as to become subject to. the workers' compensation law''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 tothe workers' compensation provisions of Section
License -Law [Chapter 9 (commencing with:Section 7000) of Division 3 of the Business and Professions Code)'or
3700 of the Labor Code, I shall forthAwith' comply with those provisions.
.
thatThe or she islexempt therefrom and thebasisfor the alleged exemption:' Any violation of Section 7031.5 by
any-applicant fora permit subjects the applicant to-acivil.penalty of'not more than five hundred dollars ($5001.:
ate: % plicant: 6 V—
1 _ 1 I, as owner of the property, or my employees with'wages as their sole compensation, will do the work, and
alo
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 Caw 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 hei 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 vwill'havethe burden of provirig.that he�or shedid not build or
-
- improve for the purpose of sale.).'
- APPLICANT ACKNOWLEDGEMENT
I; as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to theDirector of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to art owner of
conditions and restrictions set forth•on'this'application. '
property who builds or -improves thereon, and who contracts for the projects with a contractorls) 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 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: -
tCONSTRUCTION LENDING AGENCY
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 gounty to enter upon the above-mentioned property for inspection pure es.
te: ignature (Applicant or Agent): '
Application Number . . . . . 07-00002202
Permit . . . PATIO COVER PERMIT
Additional desc .
Permit Fee . . . . 37.00 Plan Check Fee 24.05
Issue Date . . . . Valuation . . . . 1596
Expiration Date . . 1/23/08
Qty Unit Charge Per Extension
BASE FEE 15.00
11.00 2.0000 HND BLDG 501-2,000 22.00
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Special Notes and Comments
120 S.F. ALUMAWOOD SHADE STRUCTURE
----------------------------------------------------------------------------
Other Fees . . . . . . . STRONG MOTION (SMI) - RES .50
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
LQPERMIT
Charged Paid
37.00 .00
.24.05 .00
.50 .00
61.55 .00
Credited Due
..00 37.00
.00 24.05.
.00 .50
.00 61.55
"AN ADEQUATELY SIZED DEBRIS CONTAINER
IS REQUIRED ON THE JOB; SITE DURING ALL `
PHASES OF' CONSTRUCTION -AND MUST BE -
EMPTIED ASNECESSARY. FAILURE TO DO SO Let®y • - -
MAY -CAUSE THE CITY TO HAVE THE CONTAINER . _ S% 9 Q 0; kv mdA.
DUMPED AT.THE EXPENSE.OF THE OWNER%
CONTRACTOR."
CITY OF LA QUINTA
BUILDING & SAFETY DEFT.
APPROVED
:FOR CONSTI CTION,
DATE` . 2 CU :. "M . .
__ - _ e
F $30
Construction is NOT PERMITTED
A R =INSPECTION .FEE .._. : - 'on the following Code Holidays
WILL E CHARGED.IF THE APPROVED.' - - -
p� AND JOB CARD ARE NOT ON
- - :-
..
New Year's. Day
THE SITE FOR; A SCHEDULED..._ ... _ _ - -- -_-- --
Dr: Martin lather Kingk. Day
INS - 00N. - ; _.
CEPTI
ONS!
- President's Da
NO: EX .
_ -
. -Memorial Day
Independence' Day
Labor Day
Veteran's Day - -
__ _ Thanksgiving Day -
- -
Christmas Da
--
CONS UC�'iOjay M -S
.......... . .
4- -October ist- A f 30 day.-: F�:0� day:00m.'m-bion riday 7Satur SOO a� day. oSun N neGovernment Code HoNone
September ber May10- p. m 30 q
M
Monday - Friday:-fi 00 k -m to -7:00 M-
��L
...Saturday
Sunday: None t�
Government Code -Holiday None
Lifetime Patios
Featuring.......,
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Charles Tunstead qc # &HTC 77U843 For estimate call
Owner oq (�� 6610000 1.800-739-7072
_..:..... in ..__ --- . .
Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit -#v
Project Address: 2 1
Owner's Name:
A. P. Number:
Address: n
Legal Description:
City, ST, Zip:
w c,Q. 9030 j
Contractor: 1 /FET/ fl
/Lf
Telephone:
Project Description:
Address: �� 161OX
City,ST, Zip: 1A QV/NTA- �� oi� T
Telephone:
6 -21.
d
1
�T
State Lic. # : -77to8 �.
City Lic. #: 3-758
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
a
-. ry" ' A`'.
Construction Type:' Occupancy:
State Lic. #:
Project type (circle one): New Add'n . Alter Repair Demo
Name of Contact Person:n�//e5
Sq. FL: Q
# Stories:
# Units:
Telephone # of Contact Person: 760 666 "170D
Estimated Value of Project:
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 Caics.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21° Review, ready for correctionsrmue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
30 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