08-0622 (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:
,r08-00000622
54940 SECRETARIAT DR
767-320-999-248 -32879 -
PATIO COVER -'RESIDENTIAL
LOW DENSITY RESIDENTIAL
5320
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 ' es and Pr sionals Code, and my License is in full force and effect.
LicenseClas : B -C8 -C27 -C _LicenseNo.: 852625.
(� 3 _ 7
Date: -� .� �O Contract.. - y - -
OWNERSBUILDER DECLARATION
I 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 thathe 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 155001.:
(_) 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: _
Lender's Address:
LQPERA11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/16/08
Owner:
KELLY / VALENTE RESIDENCE
54-940 SECRETARIAT DR.
LA QUINTA, CA 92253 a
D p
Contractor: MAl 1 2000
GAROCCO
74399 HIGHWAY 111, SU E CITY OF LA QUINTA
SOUTH PASADENA, CA 910 o FINANCE DEPT
(760)341-1245
Lic. No.: 852625
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. -
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: f'
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 s bject to the workers'compensation laws of California,
and agree that, if I should a ome sub" e t o the workers' compensation provisions of Section
700 of the Lab d sh II fort omply with those provisions. -
Date: Applicant: 1,
WARM G: FAILURE TO SECURE.WORKERS' COMPENSA ION COVERAGE IS UNLAWFUL, AND SHALL -
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS J$1 00,000). 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 ab information is correct. I agree to comply with all
city and county ordinances and state laws relating to bu' ding co truction, and hereby authorize representatives
of thi ty t enter upon the above-mentioned prop t fo in ecti purposes.
I _ /' t
Date:, l/ Signature (Applicant or Agent):
Application Number . . . . 08-00000622'
Permit . . . . . . PATIO COVER
PERMIT
Additional desc .
Permit Fee 81.00
P1an.Check
Fee
52.65
•Issue Date . . . .
Valuation
5320
Expiration Date 11/12/08
Qty Unit Charge Per
Extension
BASE
FEE
45.00
4.00 9.0000 THOU BLDG
2,001-25,-000
36.00
----------------------------------------------------------------------------
Special Notes and Comments
400 SQ. FT. FREE STANDING COVERED
PATIO.BBQ WAS EXISTING NOT PART OF
THIS .
PERMIT.
------ - - - - ---- - - - - --
Other Fees . . . . . . . . . STRONG
MOTION (SMI)
-RES
..53
Fee summary Charged
Paid Credited
Due
Permit Fee Total 81.00
.00
.00
81.00
Plan Check Total 52.65
.00
.00
52.65
Other Fee Total .53
.00
.00
..53
Grand Total 134.18
.00
.00
134.18
LQPERA1IT
Bin #
City Of La Quints =`
-Building 8i 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: SaX7—tt k�7- b/Z
Owner's Name:
A. P. Number:
Address: i:r:::; Skv- e by;4L; e.
Legal Description:/1�%/`� '�/���/`//
Contractor: - -1I ��rC ••I/-`•
City, ST, Zip:
Telephone: �;::::<<...�:::: �<;;:<•:;�:<::,:
Project Description:
Address: % �j�- 9 ��^ ! Seg ' C
City, ST, Zip: 9L v
Telephone: v` 3`f/ '" 2 `��
':.;.r:;::':^�>�`<>:::z;;;,'•;�<��;<•�:#>���:>
City Lie. #;
State Lic. # :
Arch., Engr., Designer:
Address:
City, ST, Zip:et Z
Tele hone: �
Fihl.ih\oL:C.'.`.:�
.::r<::>;;:..::::�.,{ �:%5:':•,'•>?%::;psi'%f
State Lie. #: z ;�.;:.gzg
Name of Contact Person: f
Construction Type: Occupancy: r A'&
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: 0 # Stories: OA(4 # Units:.
Telephone # of Contact Person: 7 0' 3 ` L
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Pian Check submitted
Item
Amount
Structural Calcs.
Reviewed, read for corrections
6
Plan Check Deposit
Truss Calcs.
Called Contact Perso
Plan Check Balance
Title 24 Calcs.
Plans picked up LA.J CAJA 1q. �. •
Construction
Flood plain plan
Plans resubmitted ' '
Mechanical
'
Grading plan
21' Review, ready for correctio /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 Permit -Fees
?(f,),,,a ; RM16 (SS u
W30
a
4-4-
-4— -
7 M
it
i i j
J.
_�-_4_r
-T
............... I
j
I p
... ...... .
_T
L A
T T
. . .. ...... . .. ...
-T-71
qA
1 -T-
-t-7- + -4 -
J
..... .....
. ...........
L -JA
...........
7 1
. ....... ..
---- -- -----
T_ 7
...... .... .. ..
I -1-A
_J
.-1- 4-
--------- ----
. . .........
_J_LJ_ - I
t7
-------- --- ... ... .....
t
L.A
-4
777� "lZW - -
_j
-- - _- -----
A -
1 ,1 L
I
_T_ 1.
J.
...... .....
-4�-L- I
_z
j _L.
... .. .. .....
...... . .....
4
W
F.... .... ..
r
r
j
...... ..... .... ..
2.
4-
j
j
7
1 -2. i. -41
--- ------- ----
t
2
T
4_1
4 i I A
_J_
fit
-4-
L 2..
1 _J'�4-
A.
it I L__t
_4
n
J, j.
1. J
.4
J,Li t
JIL
L7
r
T L
j_ H
-i-4
.. . ...... . -------
4_
—L.. L -------
'Ir
-,4
------- ----
-4—
--T- T
A.
4-,
Y
DF
4
V
-------- 4 --BUILDINCT- R EFT' 7' 7
7 T-11 T -T
LON- T44:�
T 7�
APP
1 -
RU C71
ON ST�
!lj,cioj6&__jg, Apr 7FOR C'
4
_Aii ii
Fkjday;- 7*UU a,ftf
A. t --- 'Ll-l-
jl,� V 1�1. . .... ..
AT I
LJ_ .."Satura
Ull,
i IWAY
.4-
"711 liai
N -JA 3 J7
UATELYSIZEDDE D"
f'AN:ADE �BRISSCO
at-Datl
7T
L
'DUR-IM-4
-7
IS P
deii i EGUI.RED10N THEJORSITfi
P fl "ITU. F
HASES, OF -CON )RUCTIOWAD-MUST -BET-
frWi
... ........
SSARY _LJ
qj_
EMPTIED SNECE
-T
MAY A SETHE CIIYTOrItAVE-THE-CONTAiNtKf--'--�
E . . . . .
yetemp
J L x,
rl
j
_NT
.3
!EMS1
. ... .... .. . .......
4—
i A
7-1
.. ..........
-4
4-
_T, t
-:p
_2
444+'
j
-H-T
"!7
Lill a tf llol'e�
- - - -- - - or,
i -
Tl -
... .... ...
REVISIONSr
BY
I
4—
is
"!7
Lill a tf llol'e�
- - - -- - - or,
i -
Tl -
... .... ...
REVISIONSr
BY
-4 7 7
. .... ..... ... 'r
Tt_
77
14
4
....... ...
-11 is
_J
... ...... .
. . . . . . . . . . .
0
L
ca
CD
vm