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05-4723 (PAT)
14 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 05-00004723 43511 BORDEAUX DR 609-380-997-54 -293233- PATIO COVER - RESIDENTIAL LOW DENSITY RESIDENTIAL 9350 T4&t 4 4 Q" Architect or Enginee ------------------ LICENSED CONTRACTWILS DECLARATION I hereby affirm under penalty of perj at I i ensed un provis ns of Chapter 9 (commencing with Section 7000) of Division 3 of th usiness and Pro =d Section Code, a4 my License is in full force and effect. License Class: B l License N .: 860958 Date: i�%l l VU 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 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 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 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.). ( 1 I am exempt under Sec. , B.&P.C. for this reason BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Owner: SHANNON ALTON 43511 BORDEAUX DR LA QUINTA, CA 92253 (760)772-0723 Contractor: PELLETIER PATIO 79275 DESERT STREAM DR LA QUINTA, CA 92253 (760)275-7593 Lic. No.: 860958 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/20/05 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 EXEMPT Policy Number EXEMPT _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any man ecome subject to workers' compensation laws'of California, and agree that, ' 1 should becom subject to a wor ers' compensation provisions of Section 37x00 of the La or Code shall rth ith co ply w' h those provisions. (( Date: tOI LO 10 `r Applicant: WARNING: FAILURE TO SECURE R S' 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 s 't, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state tha the above infor ano�corr agree to comply with all city and county ordinances and state laws relating to uilding constru on, thorize representatives of this fcoounty to/ enter upon the above-mentioned pr erty for ' pe iou Date: V012, 117! Signature (Applicant or Agent): Application Number . . . . . 05-00004723 Permit . . . PATIO COVER PERMIT Additional desc . . Permit Fee . . . . 117.00 Plan Check Fee 76.05 Issue Date . . . . Valuation . . . . 9350 Expiration Date . . 4/18/06 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 THOU BLDG 2,001-25,000 72.00 ---------------------------------------------------------------------------- Special Notes and Comments 703 SF ALUMAWOOD PATIO COVER/HOA APPROVAL CONFIRMED ------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) --------------------- - RES .93 Fee summary Charged ----------------- Paid Credited Due -------------------- Permit Fee Total 117.00 ---------- .00 ---------- .00 117.00 Plan Check Total 76.05 .00 76.05 Other Fee Total .93 .00 .00 .00 .93 Grand Total 193.98 .00 .00 193.98 LQPERMTT Oct. 19. 2005 12.32PM PENCA CAPITAL (760)367-9056 No. 3944 P. 2 October 19, 2005 Shannon Alton 53-411 Bordeaux Drive La Quintan CA 92253 RE: 'ESPLANADE COMMUNITY ASSOCIATION Architectural Approval SENT VIA FACSIMILE: 760-367.9056 Alts. Alton, The Esplanade Commun ty Association Architectural Review Committee reviewed and approved the plans for the patio cover in your rear yard. If you have any questions, please call Kim Goldberg at 346.1161 or email at knoldbera0d rminternet. com. Sincerely, ;�" GAS Kim Goldberg Assistant Association Manager On Behalf of the Architectural Committee ESPLANADE COMMUNITY ASSOCIATION /kg cc: Jim Pelletier (Fax 760.345.4396) P O. Box 4772 ♦ Palm Desert, CA 92261-4772 73-550 Alessandro, Suite 5 • Pakn Desert, Carlfomla • 700.346.1161 • FAX 760,348.9918 Ern.11r e:rm@drmintomN.tom • www.drllntemet.com CITY OF LA QUINTA BUILDING &SAFETY DEPT. APPROVE® FOR CONSTRUCTIO DA �-r;' BY A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! r 631©�'2`�ovrc1\ AVL 1 Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: S-2, Lf I I v �Q 2C�c Owner's Name: i5vvo.\(\,n•p y1 A 1-b Y\ A. P. Number: Address: 1 3 - t-{ ( I Y90y-Cl (2 x Oe- Legal Description: City, ST, Zip: ,C Address: {J� 2'�j P�apfi �j .... 7, 3Contractor: Telephone: Project Description: City, ST, Zip:`C4Q1 , Telephone: �.( .,, -0 1111 M.3:� rod• • 1 F1.w c� � O� State Lic. # (p ocS j 43 City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip' Telephone:k ~N �} . State Lic. #: ' ' " Construction Type: . Occupancy: Project type (circle one): New Add'n Alter Repair Demo . Name of Contact Person: Sq. Ft.: #tories: # Units: Telephone # of Contact Person: Estimated Value of Proje . -I iet') 50 C'o 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 Calcs. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 20° Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3H Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub.,R'ks. Appr Date of permit issue School Fees Ltal Permit Fees {i~