07-2570 (PAT)P.O. BOX 1504 , ^�
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00002570 ,- Owner:
Property Address: ', -.-79328 ROSE DAWN " FRED HALL
APN: 649-030-069-48 -31311 - 79328 ROSE DAWN
Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: HIGH DENSITY RESIDENTIAL (
Application valuation: 1702
Contractor:
Applicant: Architect or Engineer: LIFETIME PATIOS
P.O. BOX 5806
LA QUINTA, CA 92248
(760)772-0013
Lic. No.: 770843
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 my License is in full force and effect.
License ass: B License N 770843
7- -1 a[eL Contractor:
l —. —
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of pe ury hat I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Bu ' ss, 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 civil penalty of not more than five hundred dollars ($500).:
(_) 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, 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/20/07
WORKER'S COMPENSATION DECLARATION
I herebyffir under penalty of perjury one of the following declarations:
,
Zhave 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 ENDURANCE REISN Policy Number WEN0015766-01
I certify that, in the per ormance 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
9/ 00 of the Lab o pelhiortf with those provisions.
Date:• ` Q' _U 0 t can • -
WARNING: FAILURE TOS E 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.
A. 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 actor 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 state laws relating to building construction, And hereby authorize representatives
of this
co tyy to
000eennttter uponthe above -me 'oned p pert 'e poses.
Signature (Applicant , e
.Application.Number 07-00002570
Permit'. .. . . . PATIO COVER PERMIT INV FEE
Additional desc .
Permit Fee . . . . 82.00 Plan Check
Fee
26.65
Issue Date Valuation
.
. 1702
Expiration Date 3/18/08
Qty Unit Charge Per
Extension
BASE FEE
30:00
13.00 4.0000 HND BLDG 501-2,000
52.00
------------------------------------------------------
--------------------Special Notes and Comments.
Special
8X16 ALUMAWOOD PATIO COVER ICBO
STANDARDS.INVESTIGATION'FEE ASSESSED
PER 1997 UNIFORM ADMINISTRATIVE CODE
§304.5 FOR WORK.BEGUN WITHOUT PERMIT."
--------------------------------------------------------------------
Other Fees . . . . . . . .. . STRONG MOTION (SMI)
- RES
.50
Fee summary Charged Paid Credited
Due
- - - ---------- ----------
Permit Fee Total 82.00 .00
----------
.00
82.00
Plan Check Total 26.65 .00
.00
26.65
Other Fee Total .50 .00
.00
.50
Grand Total 109.15• .00
.00
109.15
LQPERMIT
Bin #
City of La Quinta
Building 81 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�eCz>J44LL.
A. P. Number: eo?J —3
Address:
Legal Description:
City, ST, Zip:CfG�I�
Contractor: / /FET/MC A4 7-/,OS
Address: �� ipX 53,96
Telephone: -
Project Description:
City, ST, Zip:
a/ D
Telephone:
�
State Lic. # : 13 -770$
City Lic. #: �a58
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: a�/e5 /
Construction Type: Occupancy:
Project type (circle one): New Add n . Alter Repair Demo
'Sq, Ft / L�
#Stories:
#Units:
Telephone # of Contact Person: 760 X06$ -1,704D
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Energy Cafes.
Plans picked up
Constructin
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" 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 Perndt Fees
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C/o? COLD
,August 21, 2007
79-326 Gose Dawn
La Quitnta, Ca 92253
RE: Architectural Request
I am happy to inform you that your architectural application for an Almnawood/Pato Covcr
was approved as submitted with the following condition:
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