07-2171 (PAT)P.O. BOX 1504,'. VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA,� CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777 -7153 -
BUILDING PERMIT
Application Number: 07-00002171
Property Address: 52955 AVENIDA RAMIREZ .
APN: 773-322-999-1 -33415
Application description: PATIO COVER-- RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation:
1
Applicant: Architect or Engineer:
C.
-------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Co and my Licen is in full force and effect.
License Class: C51 l Lj e 4493
Date: 7/z! d7 Contractor: /
OWNER -BUILDER DECLA TION
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 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
Litense 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 (5500).:
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure isnot 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.).
( i I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION 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
Date: 7/24/07
Owner:
CORONEL LUCANO S
42760 MADEO
INDIO, CA 92201
Contractor:
LA QUINTA PATIO COMPANY 8
40133 CALLE LOMA ENTRADA
BERMUDA DUNES, CA 92203 ;O
(760) 863-4335 �, 1� r� 4 200.
Lic. No.,: 449379 tj G
r
or t DEPT•
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 VIRGINIA SURETY Policy Number WEN0003727-01
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the orkers' compe ion provisions of Section
7� 3700 of the Labor Ge I forthwith with se p ions.
` Date: Applicant:
WARNING: FAILURE TO SECURE WORKERSC 1PENSATION 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 that the above information is correct. 1 agree to co ly with all
city and county ordinances and state laws relating to building construction, an hereby a nze r entatives
of this county/tt enter upon the above-mentioned pr spection es.
Date? zyl ��Signature (Applicant or Agent):
oo—
LQPERMIT
"Application Number . . 07-00002171
Permit . . . PATIO COVER PERMIT.
Additional desc
Permit.Fee:.. 63:00 Plan Check
Fee
40.95
Issue Date. _ Valuation.
3631
Expiration Date 1/20/08
Qty Unit Charge Per.-
Extension
. _ BASE' FEE
45.00.
2':00 !, 9.0000 THOTT RT,nr.. 2, 001-25, 000
10.00
Special Notes and Comments
273 SQ FT ALUMA WOOD LATTICE PATIO COVER
ON SIDE OF HOME
----------------------------------------------------------------------------
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 QuIM2
Building 8L Safety Division;
P.O. Box 1504, 78-495 Calle Tarnpicc
Permit # La Quinta, CA 92253 - (760) 777-701.2
Building Permit Application and Tracl•:ing Sheet
pOwner's Name:
�� KC CO
Project Address: '�� EN��A
��/
42-7(,0 vet
Address:
A. P. Number.
City, ST, Zip: / C 14
Legal Description:
Telephone: 7 090 -? 75 � (2-3--)
Contractor: L f} UIiV
Address: 40 - ( 3 3 �/� L� ►� L- o M v E N rJ2 f1 -D f} Project Description:
City, ST, Zip: /) a 1 O CA-,
Telephone: 7 60 - S 7
-4 -141 3 7 11 City Lic. #.
State Lic. # :
Arch., Engr., Designer:
Address:
City, ST, Zip:
Construction Type: Occupancy:
Telephone:
. �
Project type circle one): New Add'n Alter Repair Demo
State Lic. #:
2 #Stories # Units:
O L (' Sq. Ft.: 2 -7 3 0�
�" L`-�
Name of Contact Person: .3 / d
-7 C 3 Estimated Value of Project:
- S ct
_ t
Telephone # of Contact Person:
APPLICANT: DO NOT WRITE BELOW THIS LINE
PERMIT FEES
# Submittal Req' d Recd
TRACKING.
Amount
Item
Plan Check submitted
Plan Sets
Play Check Deposit
Reviewed, ready for corrections
Structural Calcs.
Na.: Check Balance
Called Contact Person
Truss Calcs.
Cocstruction
Energy Cates-
Plans picked up
Me:hanical
Plans resubmitted
Flood plain plan
Electrical
21' Review, ready for correctionsrissue
Grading plan
Plsmbing
Called Contact Person
Subcoutactor List
S.M.I.
Plans picked up
Grant Deed
Goading
H2O,A, Approval
Plans resubmitted act Fee
Developer Imp
114Review, ready for corrections/'issue
IN HOUSE:-
A9.P.P.
Called Contact Person
Planning Approval
Date of permit issue
Pub. Wks. Appr
School Fees
Total Permit Fees
52955 AVENIDA RAMIREZ
` PROPOSED ALUMAWOOD OPEN LATTICE SHADE STRUCTURE
PROPERTY LINE NP.
RACK YARD
91_411
SPA i
31.0 6+'
POOL
POOL.EQUIPT
BOND WIRE
EXISTING
21' HOUSE
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
13 FOR CONSTR ON
a
DA ?� 6y B