06-2862 (PAT)421
2"0. BOX 1504
78'495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-vy 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 1:�06-000. 02862' j
Property Address: 48750 SAN LUCAS ST
APN: 646-130-029- - -
Application description: PATIO COVER - RESIDENTIAL
a, Property Zoning: LOW DENSITY RESIDENTIAL
f ' Application valuation: 2713 Fro
., Applicant: Architect or
P JA
SEP 2g 1006 ID
LA
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 Busi s nd Professionals Code, and my License is in full force and effect.
License C ss:. ense No.: 3783
Date. 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 (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).:
(_) 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 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: I�.
Lender's Address: Y'`
LQPERMIT
Owner:
BUTTE
48-750 SAN LUCAS
LA QUINTA, CA 92253
Contractor: '
BARRILE CONSTRUCTION
80087 JASPER PARK
INDIO, CA 92201
(760)771-2984
Lic. No.: 378318
VOICE (760) 777-7012
FAX (760) 777-7011
.INSPECTIONS (760) 777-7153
Date: 9/28/06
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.
1 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 EXEMPT Policy Number EXEMPT
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 �"d become subject to the workers' compensation provisions of Section
// _3700 of the Laborrpdd, I sftforthwith comply with those glovisions.
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 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 information is correct. I agree to comply with all
city and county ordinances and sta a'ws relating to bui mg c struction, and hereby authorize representatives
of this o ty to ter upon t above-mentioned pr pe r' spa n pu ses.
�y/tom/�
at t gnature (Applicant or Agent):
Application Number
06-00002862
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
16.50
Plan Check
Fee
4.13
Issue.Date
Valuation
0
Expiration Date
3/27/•07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
``
2.00_ ..7500
PER ELEC
DEVICE/FIXTURE 1ST 20
1.50
Permit . . .
PATIO COVER
PERMIT
Additional desc .
Permit Fee
54.00
Plan Check
Fee
35.10
Issue Date . . .
Valuation
. .
. 2713
Expiration Date
3/27/07
Qty Unit'Charge
Per
Extension
BASE
FEE
45.00
c: 1.00 9.0000
THOU BLDG
2,001-25,000
9.00 _
Special Notes and Comments
ATRIUM COVER.August 22,
2006 3:31:50 PM -
jjohnson
- ------
---------------------------------
Other Fees . . . . .
. . . . STRONG MOTION (SMI)
- RES
.50
Fee summary Charged
Paid Credited
Due
Permit Fee Total.
70.50
.00
00
70.5.0
Plan Check Total
39.23
.00
00
39.23
Other Fee Total
.50
.00
.00
.50
Grand Total
110.23
.00
.00
110.23
LQPERMIT
Bin 10 $#
City of LaQ uinta
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 #
0(� 28
Project Address:
Owner's Name: /P t l
A. P. Number:
Address:
Legal Description
City, ST, Zip:
Contra or: Z— ��� /
Telephone:
Addre : ,e,0 — 0(F
Project Description:
City, ST, Zi ,O 4
Telephone:
State Lic. # �,�' �j / City Lic. #:
Arch., Engr., Designer:
J 2/>
v
-
i
Address:
City, ST, Zip:
Telephone: INS=
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair mo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 0?, 3 lS
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING .
PERMIT FEES
2—
Plan Sets
3/
Plan Check submitted
Item Amount
2—
Structural Calcs.
.7/31W7
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
-
hlcc ical
Grading plan
2°" Review, ready for correction /issue
Electrical
Subcontactor List
Called Contact Person
D
Plumbs J (U� (J 2 C�
Grant Deed
Plans picked up
e
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading G
IN HOUSE:-
''" Review, ready for corrections/iss
CC44t&rveloper
Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
tf/ I IUlo -> BRowz SUE: 8 I I 1o(o
191Iqlo6 N(S 0AZVt:At13*t6,
YAdlot, 8rrpff�,t
9= n
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
TRANSMITTAL
TO: YOUNG
TODA 'S DATE:
PROJECT ADDRESS: 4P� —' 7,11-n C
APPLICANT NAME:
BUILDING & SAFETY DEPARTMENT �p�®
'(760) 777-7012..
FAX. (760) 777-701 tftftmw.
ee
ATTENTION:
PUE DATE: _ I Q to
i Ir'AC_
SUBMITTAL:sT �2No
RD. ❑4T" TM
E -13.Q5
BIN NUMBER: PERMIT NUMBER:— 2_8(,q2_
INCLUDED HEREWITH:
PLANS ❑REDLINED; PLANS OREVISED PLANS
1APPROVED PLANS
STRUCT OREDLINED STRUCT EIREVISED STRUCT
[]TRUSS'•DAPPROVED STRUCT
❑REDLINED TRUSS []REVISED TRUSS L]APPROVED TRUSS
❑SOILS ❑REDLINED SOILS' ❑REVISED.SOILS
❑ENERGY []APRROVED SOILS
[--]REVISED ENERGY
[]CORRECTION LIST ❑CUSTOMER RESPONSES
SES
❑OTHER
-BUILDING DEPARTMENT USE ONLY -
GREEN SHEET TO: ❑CDD (](w/Plans) ❑PUBLIC WORKS,
2-
C]COVE CHECK (w/Application)
LOCATION ON BOARD: LEFT MIDDLE.
_X_ RIGHT
SENT TO: SY SV SH
n STRUCT/NON-STRU
ASSIGN NON-STRUCTURAL TO:
COMMENTS:
e
This Material
Sent for:
Letter of Transmittal
To:
City of La Quinta Today's Date:
�� • 2 �-
Approval
78-495 Calle Tampico City Due Date
❑ Checking
❑ At the request of:
La Quinta, Ca 92253 Project Address: '
_ So em LLLW4
Attn:
Ed Randall Plan Check #:
4 6
Submittal: 1St ❑
4th
❑ 2"d ❑
5th
❑ 3`d ❑
Other:
We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup
Includes: # Of Descriptions: Includes:
# Of Descriptions:
®
Copies:
Structural Plans ❑
Copies:
Revised Structural Plans
®
Structural Calcs ❑
Revised Structural Calcs
❑
Truss Calcs ❑
Revised Truss Calcs
❑
Soils Report ❑
Revised Soils Report
❑
Correction List ❑
Approved Structural Plans
❑
Redlined Structural Plans ❑
Approved Structural Calcs
❑
Redlined Structural Calcs ❑
Approved Truss Calcs
❑
Redlined Truss Calcs ❑
Approved Soils Report
❑
Redlined Soils Reports ❑
Other:
Comments: S cak
t�rOlA`e
Thank vou!
This Material
Sent for:
❑ Your Files
❑ Per Your Request
❑ Your Review
Approval
•
❑ Checking
❑ At the request of:
Other: ❑
By:
Nq�W
Palm Desert Office: ®
# (760) 360-5770 Ext. log,
Washington Office: ❑
# (760) 404-9556