13-1021 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property. Zoning:
Application valuation:
Applicant:
13-00001021
49070 QUIMERA CT
646-300-033- - -
PATIO COVER - RESIDENTIAL
LOW DENSITY RESIDENTIAL
2200
Ti&t
"
BUILDING & SAFETY DEPARTMENT .
BUILDING PERMIT 77
Owner:
BAHER
49070 QUIMERA COURT
LA QUINTA, CA 92253
(760)000-0000
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that Iam licensed under provisions of Chapter 9 fcommencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C51 C8 Li a No.: 937811
Date: I lontracto
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 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 _ 1 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:
LQPERMIT
Contractor:
VALLEY PATIOS
37897 CHESTERFIELD STREET
BERMUDA`DUNES, CA 92203
(760)534-4634
Lic. No..: 937811
VOICE (760) 777-7012
FAX (760) 777-7011 .
INSPECTIONS (760) 777-7153
Date: 8/14/13
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
r 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 SOUTHERN INS CO Policy Number PWC006609-13
O_ 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 workers' compensation provisions of Section
3700 of the Labor Code, I shall fort ith comply with those provisions.
Date: 7� ?,pp,
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 thisapplication 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. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this c4e7tt t enter upon the above-mentioned property far in c ' pur S.
Date:, Z Signature (Applicant or Agent):' ae
C
I
Application Number . . 13-00001021
J
Permit . . . PATIO COVER 2013
Additional desc .
' Permit Fee . . . . 95.81 Plan Check Fee
.00
_Issue Date . . . . Valuation . . .
. 2200
Expiration Date 2/10/14
Qty Unit Charge Per
Extension
1.00 95.8100 EA MISC PATIO COVER, STD
95.81
Special Notes and Comments
PATIO COVER 242 SQ FT DURALUM PATIO
COVER. 2010 CALIFORNIA BUILDING CODES.
-----------------------------------
Other Fees . . . . 1 BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, PATIO COVER
94.38
STRONG MOTION (SMI) - RES
.50
Fee summary Charged Paid Credited
Due
Permit Fee Total 95.81, :00 .00
95.81
Plan Check Total .00 .00 .00
.00
Other Fee Total 95.88 .00 .00
95.88
Grand Total 191.69 .00 .00
191.69
I
Bin #
- City of La Q uin to
Building &r 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:
Owner's Name:
A. P. Number:
Address: 6 �� Qty' C
Legal Description:
City, ST, Zip: CA I-L S 31
Contract r•
o. ( pt~ 6b �
Telephone:
ri(>s::•::�:::': r;;: Vii: {i': �l�r!:i�<:::��:
Address:rg-71 Cly eA,_,9e , S
Project Description:
City, ST, Zip: C9 .L-O
Telephone:
hone 7 s
0 3
6 y
State Lic. # : �7 8i' (
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
'
Telephone:onstruction
.......
T e: Occupanc :
YP YState
M.,
Lic. #:
roject type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: AFS L,
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person: ? S 3 - L/(o3
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
" . 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
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subeontactor 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 correctionsrssue
Developer Imp¢ct Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Foes
Y
PARC LA QUINTA HOMEOWNERS ASSOCIATION
Professionally managed by
68-950 Adelina Road
Pers0naftzed Cathedral City, CA 92235
Property' Phone: (760) 325-9500
Munage'ment Fax: (760) 325-9300
August 28, 2013
William P. Baker
49070 Quimera Court
LA Quinta, CA 92253
Re: Architectural Request Approval — Patio Shade Cover - 49070 Quimera Ct.
Dear Homeowner:
Your request to install a patio shade cover per the signed Homeowners Association Architectural
Request Form dated August 26, 2013 is approved as submitted.
Enclosed with this letter please find a copy of the approved Architectural Request Form for your
file.
Thank you,
Parc La Quinta Homeowners Association
ARC Committee Chairman
cc: Board of Directors
File.
P:XPARC LA QUINTA4lrchitecturaN49070 Quimera Approva1082813.docx 828%1013 -
10' -z" --I POOL
• Bonded To Pool EqulPment-
10'
10'
3'-
Baker Residence
49070 Quimera Ct.
La Quinta, CA 92253
Proposed Alumawood
Patio Cover
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