08-1495 (PAT),R
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00001495
Property Address: 53133 AVENIDA RUBIO
APN: 774-042-019-7 -000000-
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 1915
Applicant:
Architect or Engineer:
1""iffl1i
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
STUDEBAKER, I
1150 E. PALM
PALM SPRINGS,
Contractor:
E & M CONSTRUC
74478 HIGHWAY
PALM DESERT, CA
(760)449-2676
Lic. No.: 692301
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
DRI
4
AUG 2 9 2008
ION
92260
1
-
Date: 8/29/08
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 thiscountyto enter upon the above-mentioned property for ' s ction ur os
,Date 8 24 90 Signature (Applicant or Agent): :�✓
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'. LICENSED CONTRACTOR'S DECLARATION
--
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under,proyisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section .7000) of Division 3 of the Busiriess 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 - se No.: 692300
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Date: �� Z �U* Con, tr: - "'✓ �v"V .
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are: - -
I hereby affirm under penalty of perjury tfiat I am exempt from the.Contra0or s State License Law for the
Carrier STATE FUND Policy Number 1891077-08
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 provisionsof 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 tFie Business and Professions Code) or
3700 of the Labor Code, I sha forthwith co ly 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 1$500).:
, Date:_. Irl Ally Applicant:
1 1 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
WARNING: FAILURE TO SECURE WORKS '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 (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building r 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, 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 whobuilds 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,
(_ 1 I am exempt under Sec. , BAP.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 thiscountyto enter upon the above-mentioned property for ' s ction ur os
,Date 8 24 90 Signature (Applicant or Agent): :�✓
lA-%
Application Number . . . . . 08-00001495
Permit PATIO COVER
PERMIT
Additional desc . .
Permit Fee . . . . 45.00
Plan Check
Fee
29.25
Issue Date . . . .
Valuation
. . .
. 1915
Expiration Date 2/25/09
Qty Unit Charge Per
Extension
BASE
FEE
15.00
15.00 2.0000 HND BLDG
501-2,000
30.00
----------------------------------------------------------------------------
Special Notes and Comments
LATTICE PATIO COVER 1714" X 7118"
PER
CITY STANDARDS & APPROVED PLANS.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STRONG MOTION (SMI)
- RES
.50
Fee summary Charged
--------------------
Paid Credited
--------------------
Due
-----------------
Permit Fee Total 45.00
.00
.00
45.00
Plan Check Total 29.25
.00
.00
29.25
Other Fee Total .50
.00
.00
.50
Grand Total 74.75
.00
.00
74.75
LQPERA4IT
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Bin #
City ;of La Quinta
Building 8i Safety Division
P.O. Box 1504, .78-495 Calle Tampico
La Quinta, CA 92,253 - (760) 7771-7012
Building Permit Application and Tracking Sheet
Permit #
i
Project Address; 53133 4v. R(IG! a
Owner's Name: ZA T T 1 srvalc
A. P. Number:
Address: '//S-0 �. 41,41 4ZAAi pA/ /%r -Legal
Description:
City, ST, Zip: )D A t S 1 A Cq
;C,
Contractor: �M co'VS7,,4#1 v.,
IF
Telephone:
Address: %,B Qx / 0 3 '
Project Description:
City, ST, Zip: H-9CA �22 9d '
�'P7JA/%- f A l,o collet' /A T7
Telephone: / �Q - !7 rj-26 %o- f
IQDO
X '%r
State Lic. # Z3 00 -
City Licj
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: ! . Ar TD fres
Construction Type: Occupancy:
"'Project type (circle one): New, Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: _ ZIq f _'26 76 , Estimated Value of Project: Ste. DD
APPLICANT: DO, NOT WRITE BELOW THIS LINE
d
Submittal
Req'd.-.
Recd
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
2s' Review,'ready for correctionstiissue
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 foe 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