06-3600 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00003600
Property Address:
79145 CINDY CT
APN:
604-361-044-92 -27899 -
Application description:
PATIO COVER - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
6357
Applicant: ��(
�c _
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Tiht 4.4 Q"
Architect or Engineer:
N IA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that ensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine and Pro essionals Code, and my License is in full force and effect.
License Class: B Li nse o.: 860958
I Date: 10 1 Lk 10Ca ontractor:
L�
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.).
(_ 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 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:
PERRY MASCITTI
79145 CINDY CT
LA QUINTA, CA 92253
(
-
Contractor:
PELLETIER PATIO
79275 DESERT STREA
LA QUINTA, CA 9225
(760)275-7593
Lic. No.: 860958
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
D �
OCT 112006
D
CITY OF LA Q UU NTA
Date: 10/11/06
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.
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 a subject to the workers' compensation laws of California,
and agree that, if I shbecome s 'act to the worke ' pensation provisions of Section
3700 of the LaborTre, sh I forth ith y wit those ovisions.
��.
Date: �� � 1 I V iL4pplicant: '
WARNING: FAILURE TO SECURE WNKEaV4MPENSATION 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 tha a above i rmation ' corre t. I agree to comply with all
city and county ordinances and state laws relating t building const ction, a d her y authorize representatives
of this county to enter upon the above-mentioned p operty r ins tion pur s
Date: O I l 1 �:ii;ature (Applicant or Agentl.
l"
LQPERMTT
Application Number . . . . . 06-00003600
Permit . . .
PATIO COVER
PERMIT
Additional desc .
Permit Fee . . . .
90.00
Plan Check
Fee
58.50
Issue Date
Valuation
. . .
. 6357
Expiration Date
4/09/07
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
5.00 9.0000
THOU BLDG
2,001-25,000
45.00
----------------------------------------------------------------------------
Special Notes and Comments
ALUMAWOOD PATIO COVER
478 SQ.FT.
PER APPROVED PLANS.
----------------------------------------------------------------------------
Other Fees ... . . .
. . . . STRONG MOTION (SMI)
- RES
.63
-Fee summary Charged
Paid- Credited
Due
---------------------------
Permit Fee'Total
----------
90.00
----------
.00.
----------
.00
90.00
Plan Check Total
58.50
.00
.00
58.50
Other Fee Total
.63
.00
.00
.63
Grand Total
149.13
.00
.00
149.13
A
si° If
Submittal
Plan Sets
City of La .Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 -.(760) 777-7012
Building Permit AP plication and Tracking Sheet
Permit #
Project Address: cl it,.t, C I
Owner's Name:G
V'
A. P. Number:
Reviewed, ready for corrections
Address: "�� 1�1 �� G
Legal Description:
Truss Cales.
City, ST, Zip: CO- (A Cir2 2 �3
Contractor: �` ��
Plan Check Balance
Telephone:
Address: `�02 j
mr t,�,.,,
Q1V_
Project Description:
City, ST, Zip: L � �
t4' �.22 I
Telephone: `a'> j '7' cl 3
Plans resubmitted
Mechanical
Lm V
State Lic. # : ej co 0 cl ,5_6.
Arch., Engr., Designer:
City Lic. #:
r' Review, ready for correctionsrissue
Electrical
Address:
Subcontactor List
City, -ST, Zip:
Telephone:
State Lic. #:
Plumbing
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Plans picked up
$.M.I.
Sq. FL: Lila ## Stories: # Units:
Telephone # of Contact Person: a-7 S - -75 t3
Estimated Value of Project: bU
' APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd,
Recd
TRACKING .. PERMIT FEES
Plan Check submitted l7 l Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check beposit
Truss Cales.
Called Contact Person
Plan Check Balance
Energy .Calc,.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading,plan
r' Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
$.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 , .:. ,
t
FLI
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
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A RE -INSPECTION FEE OF Qu.►l C`��CIe,
WILL BE CHARGED IF THE APPROVED-
PLANS AND JOB CARD ARE NOT ON gcm ��
THE SITE FOR A SCHEDULED
INSPECTION.
NO EXCEPTI0W4