07-0446 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: '
, 07-00000446
Property Address:
'-54425 AVENIDA JUAREZ
APN:
774-232-019-8 -000000-
Application description:
PATIO COVER - RESIDENTIAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
1796
Ti'ht 4 4 Q"
Applicant: 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 Business and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 510847
Date:l an 'ZO
o NER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason ISec. 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).:
1 _ I 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 ISec.
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 contractorls) licensed
pursuant to the Contractors' State License Law.l.
1 _ 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 ISec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
YORK PAULETTE L ,
54425 AVENIDA JUAREZ
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/09/07
Contractor:
HAWKINS CONSTRUCTION FEB 9 7
77850 DELAWARE PLACE O Loo/
PALM DESERT, CA 9221 I
(760)413-3017 CFNITY q►� LA
EDFnN7A
Lic. No.: 510847
-----------------------------------------------
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 STATE FUND Policy Number 0026451-2006
I certify that, in the performance of the work for which this permit 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' compensation provisions of Section
3700 of the Labor Code, I shall forthwith co m ly with those provisions.
Date: _ - �/ Applicant: `
WARNING: FAILURE TO SECURE WORKER ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 Ouinta, 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 state laws relating to building construction, and hereby authorize representatives
of this ounty to enter upon the above-mentioned property for inspection purposes.
pate Signature�t or Agent): `9��
Application Number . . . . . 07-00000446
Permit . . . PATIO COVER
PERMIT
Additional desc .
Permit Fee . . . . 41.00
Plan Check
Fee
26.65
Issue Date '. . . .
Valuation
. . .
. 1796
_ Expiration Date 8/08/07
Qty Unit Charge Per
Extension
BASE
FEE
15.00
13.00 2.0000 HND BLDG
501-2,000
26.00
----------------------------------------------------------------------------
Special Notes and Comments
135 SF ALUMAWOOD PATIO COVER IN FRONT
YARD.
----------------------------------------
Other Fees . . . ... STRONG
-------------------------------------
MOTION (SMI)
- RES
.50
Fee summary Charged
Paid Credited
Due
-------------------------------------
Permit Fee Total 41.00
----------
.00
----------
.00
41.00
Plan Check Total 26.65
.00
.00
26.65
Other Fee Total .50
.00
.00
.50
Grand Total 68.15
.00
.00
68.15
Bin #
Permit #
Project Address:
'—y 2
A. P. Number:
Contractor:
Address: -7 Zg Sv
City, ST, Zip:
Telephone: V 3 30
State Lic. # p
Arch., Engr., Designer: '
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone #9f Contact Person:
# Submittal Req'd
Plan Sets
Structural Calcs.
Truss Calc3.
Energy Cales.
Flood plain plan
Grading. plin'
Subcoutactor Litt .
Grant Deed
H.O.A. Approval
IN HOUSE:.
Planning Approval
Pub. Wks. Appr
School Fees
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 Application and Tracking Sheet
Z— Owner's Name: 14A L -e— 17-e
Address: "' S/ S/ Z S" `✓v e q/
City, ST, Zip: zA
-W Telephone: ?
'2 v- -.0!?-- Project Description:
Lic. #:
MEConstruction
Type:
Occupancy:
Prq1ect type (circle one):
New Add'n Alter Repair Demo
2
Sq. Ft.:,
r • f
'
#Stories;
# Units:
3
Estimated Value of Project: -
APPLICANT:
DO NOT WRITE BELOW THIS UNE
Id
TRACIUNG .
PERMIT FEES
Plan Check submitted
Item
Amount .
Reviewed, ready for corrections
plan Check Deposit
Called Contact Person
Plan Check Balance
Plans bicked.up
Construction
Plans resubmitted
Mechanical
2'' Review, ready for correction&usue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M,L
Plans resubmitted
Grading
Review, ready for.correctionstissue
Developer Impact Fee
Called .Contact person
A.I.P.P.
Date of permit issue
Total Permit Fees