05-2501 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: �05-00002501
Property Address: 43"280—BORDEAUX DR
APN: 609-380-997-64 -293233-
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 10680
Applicant:
Tit�v 4 4 Q"
Architect or Engineer:
P /(1)
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
JUN 21 2065
Ihereby 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 Code, and my License is in full force and effect.
License C ss: 13-C License No.: 260484
ivate' (%�2� V�onuactor:
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 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
License 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 ($500).:
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
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.).
1 1 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 am exempt under Sec. , B.&P.C. for this reason
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: Pf
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/21/05
Owner:
MATTHEW DIEFENBACH
43280 BORDEAUX DRIVE
LA QUINTA, CA 92253
LLETIER CONSTRUCTION
691 SWEET WELL ROAD
OUSAND PALMS, CA 92276
60)275-7593
c. No.: 260484
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I 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 STATE FUND Policy Number 5495
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 shou ome subject to the workers' compensation provisions of Section
3700 of the labor Cod , I shh ith comply with those provisions.
scant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 thea ve information is correct. I agree to comply with all
city and county ordinances and state laws relating to buil g con u tion, and hereby authorize representatives
of thinrs crrppounty to enter upon above-mentioned grope or ins p i pun oses.
PateU!! I O �/ ignature (Applicant or Agent):
Application Number . . . . . 05-00002501
Permit . .
PATIO COVER
PERMIT
Additional desc .
Permit Fee
126.00.
Plan Check
Fee•.
81.90
Issue Date
Valuation
. . .
. 10680
Expiration Date
12/18/05
Qty Unit Charge Per
Extension
BASE
FEE
45.00
9.00 9.0000
THOU BLDG
2,001-25,000
81.00
--------------------------------
Special Notes and
--------------------------------------------
Comments
803 S.F. ALUMAWOOD
LATTICE PATIO
COVER,
PER APPROVED PLANS
--------------------=-------------------------------------------------------
Other Fees . . .
. . . . . . STRONG MOTION (SMI)
- RES
1.06
Fee summary
- --
Charged
----- - -- -. - ----------
Paid Credited
----------
----------
Due
------------- -
Permit Fee Total
126.00
.00
.00'
126.00
Plan Check Total
81.90
.00
.00
81.90
Other Fee Total
1.06
.00
.00
1.06
Grand Total
208.96
.00
.00
208.96
LQPEnUT
A RE -INSPECTION FEE OF $3
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARD ARE NOT 0;N
THE SITE FOR A SCHEDULED
INS ECTION.
NO EXCEPTIONS!
ITY OF LA QUINTA
11LDING & SAFETY DEPT.
APPROVE®
FOR CONSTRUCTION
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05/23/2005 .17:34 7602005521
GUALITYMGMT
ESPLANADE COMMUNITY ASSOCIATION
C/O QUALITY MANAGEMENT OF THE DESERT, INC.
42-335 Washington St., Stc #F-427
Palin Desert, CA 9221.1
(760) 200-9520 FAX (760) 200-9521
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May 23, 2005
Mr. & Mrs. Mathew Diefenbach
43-280 Bordeaux
La Quinta, CA 92253
RE: 43-280 Bordeaux
Account # 176
Dear Mr. and Mrs. Diefenbach:
Your architectural request to install an alumawood patio cover, in your back yard has
been approved by the Architectural Committee under the following conditions:
1. The finish lot grading and drainage are constructed on this lot in
accordance with the requirements of the governmental agencies in this
j urisdiction. For your own protection, please 'oc sure that landscaping,
walls, patios and other improvements installed provide for positive
drainage away from the foundation of your home (2% ninimurn) and
away from your neighbor's property. You will be responsible for damage
to your home or lot or to your neighbor's home or lot due to improper
modification of the finish lot grading and/or drainage.. Please also refer
to Section 4.7 of your. Declaration of Covenants, Conditions and
Restrictions entitled "Drainage" for more details.
NOTE: Extra precautions should be taken with planter areas next to the
foundation, where trapped water can lead to damage to the. foundation.
Since the finished grade should be maintained 6 inches below the house
slab, any installed concreie work should not trap water against the
foundation. In addition, planters should not be allowed to fill, above. the
required grade.
Z. You must comply with all City ordinances.
We trust that only licensed, insured contractors will be performing the work and that
any required permits will be obtained. Please be reminded that any damage to the
coronion area due to the construction in your rear yard should be repaired in a timely
manner.
Thank you for your cooperation in filing for Architectural approval. If you have any
questions or need further assistance, please feel free to contact me.
05/23/2005 17:34 7602009521 QUALITYMGMT PAGE e3
Mr. & Mrs. Mathew Diefenbach
May 23, 2005
Page 2
Sincerely,
Quality Management of the Desert, Itic.
ESPI ANADlr COMMUNITY ASSOCIATION
BOARD OF DIRECTORS
Martha Osborne Larby
Property Manager
!VIOL
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