06-3341 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
4E06 =00003.3.4.1
Property Address:
79289 PASEO DEL REY
APN:
604-440-018-18 -27519 -
Application description:
PATIO COVER - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
5506
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
1
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that.I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the B -roes dProfessionals Code, and my License,is in full force and effect.
License Class:' B' License No.:. 860958::•
�Date:ly''f� to -C�� ontractor
OWNER -BUILDER DECLARATION '
•• I herebyaffirm under penalty of -perjury that I am exemptfrom 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 applicantto.a civil penalty of not -more than five hundred dollars ($500).:
(_ 1 1,.as,owner of the prooany,-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 novintended 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'pu'rpose 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.).
( 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
Owner:
MENDOZA PAUL'
79289 PASEO DEL REY
LA QUINTA, CA 92253
Contractor:
PELLETIER PATIO
79275 DESERT STREAM
LA QUINTA; 'CA" 92253
(760)275-7593
Lic. No.: 860958:" .
r'
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/14/06
-----------------------------------------------
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.
1 have and will maintain workers' compensation insurance, as;required by Section 3700 of the Labor
Code, for ttie•performance ofthe 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.wh' is permit is issued, I. shall not employ any
person in any manner so me subie o the rkers' compensation laws of California, '
and agree that, if I s Id become su 'ect to a worke ' compensation provisions of Section
3700 of the Labor ode, I shall fort ith.co ly wit hose provisions. -
D&te.q.I�i 0(0, Applicant:_
WARNING: :FAILURE TO SECURE W KERS' OMPENSATION COVERAGE IS, UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINA LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). 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 ofr1atingto
it, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application andhe above i orma ' is corre I agree to comply with all
city and county ordinances and state laws rilding co tru ereb authorize representatives
of this county to enter upon the above-menrly for specti n purposes.
. Application Number . . . . . 06-00003341
Permit PATIO COVER
PERMIT
Additional desc .
Permit.Fee 81.00
Plan Check
Fee
52.65
Issue -Date
Valuation
. . .
. 5506
Expiration Date 3/i3/07
Qty Unit Charge Per
Extension
BASE
FEE
45.00
-4.00 9.0.000 THOU BLDG
•2,;001-:25, 000
36.06
------------------------------------
a Special -Notes and Comments
-------------
• 414.SF ALUMAWOOD PATIO COVER
-- - - - - - - - - - - - - - - - - - - - - - - --
Other Fees . . . . . . . STRONG MOTION (SMI).
- RES
-----
.55
' Fee summary Charged
paid Credited
Due
e Permit Fee. Total' 81.00-
-- - -
.00 - - -- - - -_
00 -----81.0,0
Plan Check Total 52.65,
0Q,
00
.52.65
Other Fee Total. .55-.
.0:0
.00
.55
Grand Total, 134.20_
i.
.0.0
00
134.20
1
LQPERMTT
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Bin #
City -of La. Quinta
Building U Safety --Division ;
P.O. Box4 504, 78-495 Calle'.Tampico..
La Quinta, CA 92253 = (760)'777-70'1'2
Building Permit`Application;and Tracking Sheet
Permit #
Project:Address: - a �� abed Cle
Owner's Name:
A. P. Number: -
Address:.
Legal Description:
Contractor: -
City, ST, Zip: ( ca?
,Telephone: 72 w
Address:>:....
`�j2iS .feGw�;
Project Description::
City, ST, Zip:
Telephone:
State Lic. # : 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:S ;
tYti� •t..-Gc�/��.,/i
Sq. Ft: �-� �y ;�
` '
Stories:
#Units:
Tele hone # of Contact Person:
P � S ' `/ S �' - .. '
' L
`Estimated Value�:of Project: � • w s
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 w
Plan Check Balance
Energy Cates.
Plans picked up.
Construction
Flood plain plan
Plans resubmitted
Mechanical.
Grading plan
2p' 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:-
3b Review, ready for.corrections/issue
'Developer Impact Fee .
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
[Total Permit Fees
6
A RE -1 iSPECTION FEE. OF $30
'10,
L"' D
WILL BE CHARGED IF T`
PLANS ND JOB CARD AR,--- N01* ON
THE SITE FO -R -A S
-CHNULED
INSPECTION..
I No EXCEPTIONS!
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4,-us,c
4
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co (0dr
eck--144\
CITY OF LA QUINTA
Y C
BUILDING UILDING &,9-AFETY DEPT.
P
APPROVED
C
FOR CONSTRUCTION
DA _