07-2532 (PAT)A N.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00002532
Property Address: 51735 AVENIDA RAMIREZ
APN: 773-125-023-11 .-000000-
Application
000000Application description: PATIO COVER - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 3086
Applicant: I Architect or. Engineer:
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BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - - - - -
LICENSED CONTRACTORS DECLARATION
I hereby.affirin under penalty.of perjury that I am licensed under.proviswns of Chapter 9 (commencing with
Section,7D001 of Division 3 of"the Business and Professionals Code; and my License irin full force and effect.
LicenseClass > 'License No.:."'.
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's,State. License Law for the
following reason (Sec. 7031 :5, Business and Professions Code:. Any city or countythat requiresa permit -to
construct,'; alter improve, demolish, -or repair any structure, priortoits issuance, also:.requires the applicant for the
permit to file asignedstatement that he or she is licensed puisuant to the provisions` of the Contractor's State
License Law:(Chapter 9"6commen6ing with Section 7000) of Division3 of the.Bu_siness:and Professions Code) or
.
that he or she'is exempt therOrom and the;basis forthe,alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subject''sthe applicant to a civil penalty of not more than five hundred dollars ($500).:
as -owner of the property, ormy employees with wages as their sole compensation, will do the work, and
TT the structure is not intended or offered foesale (Sec. 7044, Business and -Professions Code: The
Contractors' State License'Law does not applytoan 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
orieryear.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, 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-bwner 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.).
( ) I am exempt under Sec. , B.&P:C. for this reason -
. bate: /LI=n-('— o Towner. iii df`a.4a�mY
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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
SANTOS JORGE
51-735 AVENIDA RAMIREZ
LA QUINTA, CA 92253
---------------------------------
Contractor:
Owner
-----------------
QCT"21001
Date: 10/01/07
cl
WORKER'S COMPENSATION DECLARA
I hereby affirm under: penalty of perjury one of thefollowing declarations: _
_ I havearid. will maintain a certificate of consent to self -insure for workers' compensation,.as provided .
for: Section 3700ofthe Labor Code, for the performance of the work for whi6h-thispermit is
issued.
1 -have and will maintain workers' compensation insurance, as required by Section 3700 of'the Labor
Code for theperformanceof the workfor which this permit is -issued. My* compensation
a msurance:c6fPier;and •policy number are:
Carrier A - Policy: Number-
1'6ertdy.that, in the,performance of the work for which this permit is issued, 1 shall not'employ any
person in.any- manner,soas to become subject to the workers' compensation laws of California,
. and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code,, I shall forthwith comply with those: proyisions. "
Date: vy Applicant: ' J� �ry2- SL ► -1 '� �`
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE: IS,UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILANES UP T.,O ONE'HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION;.OAiv1AGES AS PROVIDED FOR IN
SECTION 3706.OF•THE'LABOR CODE, INTEREST, AND ATTORNEY'SFEES.
o
APPLICANT ACKNOWLEDGEMENT-
IMPORTANT
CKNOWLEDGEMENTIMPORTANT 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.) 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: IA •—n, , Signature (Applicant or Agent): I e •5 r � ( u �
6
A _ t
Application Number . . . . . 07-00002532
Permit . . . PATIO COVER PERMIT
Additional desc . .
Permit Fee . . . . 63.00 Plan Check
Fee
40.95
Issue Date . . . . Valuation
3086
Expiration Date 3/29/08
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
232SF PATIO/V-NR (ENGINEERED] 2001 CBC.
BUILT-UP ROOF AT REAR OF DWELLING.
October 1, 2007 9:51:48 AM AORTEGA
------------------------------------7---------------------------------------
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 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 .#
e2
Project Address: rn'l2
Owner's Name:
tiv-r, 0, A =125
A. P. Number:
Address: ! 3
Legal Description:
City, ST, Zip:-Lof i
z Contractor:
_
Telephon
Address:
City, ST, Zip:
Project Description:
Telephone:.
�............
State Lic. # :
City. Lic. #:At.
--
Arch., Engr.,-Designer:
OU
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo .
.M Sq. Ft : _ �' S #Stories:
# Units:
Telephone # of Contact Perso. . _, r
= e —o — — — '
Estimated Value of Project__,
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
em
Amount
Structural Calcs.
Reviewed, ready for corrtctions
Plan Check Deposit
Truss Calcs.
Called Contact'Person
Plan Check Balance
Energy Calcs..
Plans picked up .
Construction
Flood plain plan
Plans resubmitted
Mechanical
Gradiing, plan
2'Review, ready for corrections/issue
A
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3'4 Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
I l Ar, I\u ,. ,
u..i
IT77.
All, _
Total Permit Fees
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