07-2950 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
7&ht
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00002950
Property Address: 78231 CALLE CADIZ
APN: 770-156-001-1 -000000-
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5905
Applicant: Architect or Engineer:
C1�
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: License No.:
Date: I 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 (Seo. 7031 .5, Business and Professions Code: - Any city or county that fequires 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 Pr6fessions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
anNapplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
f �i,(M1 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.).
(_) 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 _ 1 I am exempt under Sec. , 8_6iP)C. for this reason r
Zoos
/� CONSTRUCTION LENDING AGENCY //
I hereby affirm under penalty of perjuryi/�(_h there is a construction lending agency for t%V��/,erformance of the
work for. which this permit is issued IS c 097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERAIIT
Owner:
KENNELLY
78-231 CALLE CADIZ
LA QUINTA, CA 92253
----------------------
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/20/07
MAR 2 4100.8
,NOF(,aou.r__
lob
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 Policy Number
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manneras to become subject to the workers' compensation laws of California,
and agree that, if 1 o Id become subject to the workers' corn enation provisions of Section
700 of the Lab Co e, I shall fort co pl ith rhos isions.
tOr7 Ap :. n
WARNING' FAILURE TO SEC ORKERS' COMPENSATION COVERAG UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO MINAL PENALTIES AND CIVIL FINES UP ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN TION TO THE COST OF COMPENSATION, AMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LAB R 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.
certify that I 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 b ' 'ng construct-�andheruthoriz resentatives
of this county to enter upon the above-mentioned pr er for inspecti
Date • ign a (Applicant or Agent .
Application Number . . . . . 07-00002950
Permit . . . PATIO COVER PERMIT
I
Additional desc .
Permit Fee . . . . 81.00
Plan Check
Fee
52.65
Issue Date . . . .
Valuation
. . .
. 5905
Expiration Date 6/17/08
Qty Unit Charge Per
Extension
BASE FEE
45.00
4.00 9.0000 THOU BLDG 2,001-25,000
36.00
-----------------------,-----------------------------------------------------
Special Notes and Comments
444SF TOTAL - (3) PATIO COVER ADDITION
[ENGINEERED] NO ELECTRICAL WORK
PERMITTED. 2001 CALIFORNIA BUILDING
CODE. December 20, 2007 2:37:18 PM
AORTEGA
------------------------------------------------
Other Fees. . . . . . . . . . STRONG
-----------------------------
MOTION (SMI)'-
RES
.59
Fee summary, Charged Paid
----------------- ---------- ----------
Credited
----- - ---- ----------
Due
Permit Fee Total 81.00
.00
.00
81.00
Plan Check Total 52.65
.00
.00
52.65
Other Fee Total .59
.00
.00
.59
Grand Total 13.4.24
.00
.00
34.24 -
134..24-
r
LQPERMIT
Bin #
City of La Quinta
Building a Safe Division
Safety
Box 1504, 787-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
0
Project Address: 76 • Zf7.> ( (jAAJ_e (fA .>i7LL-
Owner's Name: M
�
A. P. Number: -770 • 5—(,o• VO
/ �
Address: ��• 2.31 CAo—_V E—
Legal Description: LPT LP[4 1 CXA.)I y
4-
City, ST, Zip: ut M
.«.�
Contractor:
Telephone: T-77;
Address:
Project Description:
City, ST, Zip:
Telephone:
• �Q
State Lic. # :
CityLic. #:
i y 0
Arch., Engr., Designer: LGOC" ` fir q/ ST��i►7l(�
S
Address: �. �k' �
City, ST, Zip: t GrA Cr ZZ l4
Telephone: °5 *
State Lic. #: +
Name of Contact Person: G�tP
Construction Type: Occupancy:
Project type (circle one): New Eqd n Alter Repair Demo
Sq. Ft.: # Storie # Units:
Telephone # of Contact Person: -76p S`64. 1864
Estimated Value of Project: S �
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted111
/
I/}
Item
Amount
Structural Calcs.
Reviewed, ready for corrections?,
tJtA0qL 1
Plan Check DepdAt.
Truss Calm
Called Contact Person
12
fob
-Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d 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:-
'`" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue •�
School Fees
Total Permit Fees
f2lQ%67 NfS KEG
�413 Due' If /2O°7
iqZ617w* : Ns P.eny-to
CITY OF LA QUINTA
PLAN CHECK CORRECTION LIST
Lench Design Studio, Inc.
P.O. Box 450
La Quinta, CA 92253
(760) 564-1866
PLAN CHECK NO. 07-2950
ADDRESS 78-231 Calle Cadiz
SCOPE OF WORK Covered Patio
& Trellis
December 19, 2007
FIRST CHECK/FINAL
(Structural)
OCCUPANCY R -3/U-1
TYPE -OF -CONST. V -N
The submitted plans and specifications have been reviewed by the VCA CODE GROUP. In our
professional opinion the plans are in substantial conformance with the building codes and regulations
adopted by the CITY OF LA QUINTA and the State of California Amendment.
APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING
APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND
ASSOCIATIONS.
5 -0"' .
Plans checked by: Perry astopoulos, PE
VCA CODE GROUP
2200 W. Orangewood Avenue, Suite 155
Orange, CA 92868
(714) 363-4700 #756
1.
VCA File No. LQ -20464
JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895
INSPECTIONS
EPDXY INSPECTION REPORT Date: L' . - 66
Project Name: r Project No:
\%0— %-1 C 1
Project Address: c C City: l
LZ
Client: Sub -Contractor:
General Contractor: Architect: Structural Engineer:
LIZ ('NC\V-1
t �
Anchor Bolts � Rebar
i--
Epoxy Type: C
_
Epoxy Shelf Life __y(1 �, �n1 h
� r
Hole Cleaning Method(s): �k^• V, r >
�
Q IBC
� Title 24
Other:
Unresolved Items:
None
See Below
Description of Work Inspected: Q r X c\� c �Oti1��`_ nC '�' _k4�
\� t� "{ "Zc\Va,.C' 0k \AN v
.Ci
R
u�
Work complies with written approval from Structural Engineer and ICC Evaluation Report # 1
I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications _applicable building laws. Final report issued at project completion.
Inspector: Jack C. Millin ICC Certification' No: 0842216-49
Contractor's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page ` of 1
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253
TELEPHONE (760) 777-7012 FAX (760) 777-7011
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/Budder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as an employer and you are subject
to .several obligations include State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There maybe financial risks for you if you do -not carry out these obligationsi and these..risks are -especially serious with
respect to worker's compensation insurance.
J
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814. ?
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA f
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
FAN (760) 777-7011
SIG
M
PROPERTY ADDRESS
on
- etz �V
PERMIT NUMBER(S)
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