11-0201 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 11-00000201
Property Address: 45070 BRIDGETTE WY
APN: 604-311-007-7 -26188
Application description: PAT ' 10 COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000
Td�v 4 4 Q"
Applicant Architect or Engineer:
C
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LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 fcommencing with
Section 70PO) ofDivislon 3 of the Busin Professionals Code, and my License is in full force. and effect.
Licen . C na * LicenseNo.: 501 1 572,
Date: Swontractor: A _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. 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 hot 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 owner of
property who builds or improves thereon, and who contracts for the projects with a contractorls) 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 JSec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
� FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
SEILER LEROY T
Contractor:
ALADDIN SUPPLY & CONSTRUCTI01
68211 RAMON ROAD
L
CATHEDRAL CITY, CA 92234
(760)321-1277
Lic. No.: 501572
Date: 4/13/11
APR 14 2011 1
i I
Eff -yn F i A!.) U I NTA
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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, i h part ance of the work for which this permit is issued, I shall not employ any
'n the
person in any mann nrs as t�,become subject to the workers' compensation laws of California,
that. if I I, b , ome subject to the workers' compensation provisions of Section
and agree a .. I
'th c
700 of the Lab od all forthwith comply with those provisions.
Date: �113(11 Applicant: or I
FAL WO COM S,
WARNING. URE TO SECURE WORKE 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (sio6,000). 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.
I . 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 thi,s applicaft becomes null and void if work is not commenced
within 180 days from date of issu a nce of . permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that t a a ove information is correct. I agree to comply with all
ci tv and ��ty ordinances and state laws relating to bu din construction, and hereby authorize representatives
.c,unty
of thi o an er upon the above-mentioned proper y r insp tion purposes.
Da Signature (Applicant or Agent):
Application Number . . . . . . 11-00000201
Permit . . . . . . PATIO COVER PERMIT
Additional desc
Permit Fee . . . . .72.00 Plan Check Fee
.46.80
Issue Date . . . . Valuation-
5000
Expiration Date 10/10/11
Qty 'Unit Charge Per
Extension
BASE FEE
4S.00
3.00 9.0000 THOU BLDG 2,001-25,000
27.00
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Special Notes and Comments
------------
32bSF SOLID ALUMINUM PATIO COVER
[ENGINEERED] THIS PATIO COVER HAS BEEN
DESIGNED TO ACCOMMODATE FUTURE PV
SYSTEM. 2010. CALIFORNIA BUILDING CODES.
April 12, 2011 8:15:58 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . .. . . . . . BLDG STDS ADMIN (SB1473)
1.00
STRONG MOTION (SMI) - RES
.50
Fee summary Charged Paid Credited
Due
7 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Permit Fee Total 72.00 ..00 .00
- - - - - - - -
72.00
Plan Check Total 46.80 .00 ,00
46.80
Other Fee Total 1.50 ..00. .00.
1.50
Grand Total 120.30 .00 .00
120.30
LQPERMIT
71-780 San Jacinto Dr. Ste. E2i Rancho Mira&, C& 92270 ph. (160) 834-8860 fax (760) 834-8861
Letter of Transmittal
To: City of La Quinta Today's Date: 4-7-11
78-495 Calle Tampico City Due Date: 4-7-11
La Quinta, CA 92253 Project Address: 45-070 Bridgette Way
Attn: Phillip
Plan Check #:
11-214
Submittal: El
1 st
17-1
4 th
Z
2 nd
171
5 th
[1
3 rd
E3
Other:
We are forwarding:
Z By Messenger
El
By Mail (Fed Ex or UPS)
El Your Pickup
Includes:
# Of
Descriptions:
Includes:
# Of
Descriptions:
Copies:
Copies:
Structural Plans
1
Revised Structural Plans
El
Structural Calculations
1
Revised Struct. Calcs
Truss Calculations
El
Revised Truss
Soils Report. Update
El
Revised Soils Report
1
Structural Comment List
El
Structural Plans
1
Redlined Structural Plans
El
-Approved
Structural Caics
1
Redlined Structural Caics
—Approved
Approved Truss Calcs
El
Redlined Truss Calcs
El
Approved Soils Report
Redlined Soils Reports
El
Other:
Comments:
Structural content is approvable.
Th I s Mate r! al Se nt f or:
Your Files
0 Your Review
E] Checking
Other: El
By: John W. Thompson
Rancho Mirage Office: (760) 834-8860
Other:
0 Per Your Request
E] Approval
E] At the request of:
c -n
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE-4-[MlOW
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Bin #
00ty of La Quinta
Building 8C Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
P&mit #
ProjectAddress:
Owner's Name:
A. P. Number:
Address: L(S (LI ro ETT
Legal Description:
ity, ST, Zip: QV
Contractor: [-\ t— r� Y) 0 1 1\) � UV 0 k,�
Telephone:
Address: 94\VAON-� fl --k
Project Descr iption:
City,ST,Zip: N\�\)Ju W4)
2- PbT"%/D (,OVSI�-
Telephone: —J" -,yLk'
MEMEM
.
StateLic.#:
City Lic. #..-
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: AND
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: --l(,o 53
JEstimated Value of Project: 15,00-0.
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
'Submittal
Reqld
Rec1d
TRACKING PERMIT FEES
Plan Sets
Ir
Plan Check submitted Item Amount
Structural CaIcs.
Reviewed, ready for corrections 110C Plan Check Deposit
Truss Cales.
Called Contact Person 17 Plan Check Balance.
Title 24 Cales.
Plans picked up Construction
I
Flood plain plan
Plans resubmitted AuLt Mechanical
Grading plan
2" Review, . ready for correction(?.ue)' % Electrical
tt 1A
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 for correttionstissut P Developer Impact Fee
Planning Approval
Called Contact Person 1A.I.P.P.
Pub. Wks. Appr
Date of permit issue eno
School Fees
Total Permit Fees
3