07-1984 (PAT)r
Q
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: C�_A7 _00.00_1984—__,_
Property Address: 81638 PRISM -DR
APN: 764-270-999-187 -300232-
Application description: , PATIO COVER - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 8113
Applicant:
C
Architect or Engineer:
alb
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Business and Professionals Code, and m License is in full force and effect.
License Class: C51 Aens No.: 49379
Date / 0 63 ,actor. s
/ OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that 1 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 70,00) 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.).
I—) 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:
81638 IR S
LA QUI TA, &V
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
11 2oQ� Date: 7/10/07
Contractor:
LA QUINTA PATIO COMPANY
40133 CALLE LOMA ENTRADA
BERMUDA DUNES, CA 92203
(760)863-4335
Lic. No.':.449379
WORKER'S COMPENSATION DECLARATION
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 VIRGINIA SURETY Policy Number WEN0003727-01
I. certify that. in the performance of the work for which thiq pr..rmit is issued, 1 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' compe tion provisions of Section
37000000000f the
LLabor CoZforthhoom wi thos Bions.
l�0/f
ate: /.. licant:
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-Guinta, 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.
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 st a laws relating to building construction, and hereby authorize representativ s
of this ` mty to enter upon th bove-mentioned pr erty for ins io poses
e: �" r qi 0 ture (Applicant or Agen
re _
•
Application Number . . . . 07-00001984
Permit PATIO COVER"PERMIT
Additional desc .
Permit Fee . . . . 108.00
'Plan.Check
Fee
70.20
Issue Date . . . .
Valuation
. . .
. 8113
Expiration Date 1/06/08
Qty Unit Charge Per
Extension
BASE
FEE
45.00
7.00 9.0000 THOU BLDG
2,001725,000
63.00
-- ----------------------------------------
Special Notes and Comments
610 S.F. ATTACHED ALULMAWOOD LATTICE
SHADE STRUCTURES
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STRONG MOTION (SMI)
- RES
.81
Fee summary Charged
Paid Credited
Due
----- ----------
Permit Fee Total 108.00
----------
.00
----------
.00
108.00
Plan Check Total 70.20
.00
.00
70.20
Other Fee Total .81
.00
.00
_81
Grand Total• 179.01
.00
.00
179.01
E
LQPERMIT
.
Bin #
City of La Quinta
Building a 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: t; j( 3g 7f2/SW
Owner's Name: #ti7H6.0
A. P. Number:
Address: 1� /6-3 i5, J�/S vLt
Legal Description:
City, ST, Zip: jC--,4- v c-A-i 779 7�22�3
Contractor: L f} U(N r",PY Ptq-%/C- C%O -
Telephone:
Plan Sets
Address: yo - t 3 3 CI+LL t�- L-O M O E N -17)L A
Project Description:
City, ST, Zip: f N D I O C- A- , q a aZ D
c—L->(iL�d{ cxs�d� O%J N /-4-777
Telephone: 760 - 577 4( - //1--"q 3
Structural Calcs.
:5SJ-iZ G> U
State Lic. #: 1 3 7 /
City Lic. #: 99 cl
Arch., Engr., Designer:
Address:
City, ST, Zip:
Plan Check Balance
Truss Cales.
Telephone:
:
.ontact Person: �� W O L rc
FName
Construction Type: Occupancy:,
Project type/(circle one): New Add'n Alter Repair Demo
Sq. Ft.: �/O
#Stories: #Units:
Estimated Value of Pro ect:
,
s of Contact Person: " 5 — /Olt3
Amount
APPLICANT: DO NOT WRITE BELOW THIS LINE
TRACKING
PERMIT FEES
# Submittal Req'd
Recd .
Plan Check submitted
Item
Plan Sets
Reviewed, ready for corrections
Plan Check Deposit
Structural Calcs.
Called Contact Person
Plan Check Balance
Truss Cales.
Construction
Energy COO
Plans picked up
Plans resubmitted
Mechanical
Flood plain pian
2" Review, ready for corrections/issue
Electrical
Grading plan
Called Contact Person
Plumbing
Subcoutactor List
Plans picked up
S. M.
Grant Deed
Plans resubmitted
Grading
H.O.A. Approval'
Review, ready for correctionstiissue
Developer Impact Fee
IN HOUSE:-
A.I.P.P.
Plaunigg Approval
Called Contact Person
Date of permit issue
t
Pub. Wks. Appr
School Fees
(p
�t,ll
`11 d,it
___--------
-- ---"
�, Total Permit Fecs I_
Amount
81638 PRISM
PROPOSED ALUMAWOOD
PATIO COVER
1o'-s1
2" EXISTING r4'
HOUSE
EAVE
TYP.
RAFTER TYP.
8'
10'
16'-10"
BE Ty.[DATE7z
O:,By
AQU
POST TYP. DING SAFETY IDEpA `
28 -4
PPOVED
R CTRUCTION
BACK YARD 0-0.
WALL OR PROP. LINE TYP.
s
r
0
Q
Z
O-
oC
u
81638 PRISM
PROPOSED ALUMAWOOD OPEN LATTICE
SHADE STRUCTURE OVER COURTYARD