13-0817 (PAT)4
P.O. SOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/02/13
Application Number: 13-00000817 Owner:
Property Address: 50850' NISPERO AULT DAVID
APN:-• 772-070-021- - - 533 PLAYA
Application description: PATIO COVER - RESIDENTIAL NEWPORT BEACH, CA 92660
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2993 111
02 2013
Contractor:
Applicant: Architect or Engineer: SHADE BUILDERS' CITYOFigQUINTA
P.O. BOX 66 DEPT.
THOUSAND PALMS, CA 92276
(760)403-7268
(� Lic. No.: 870046
------------------
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 Bu iness and Profe o Is Code, and my License is in full force and effect.
License Class: B / Li e g1�8:Z0046
C ntractor:
l/ OWNER -BUILDER DECLARATION
1 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.). • -
( ) 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
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
i rance carrier and policy number are:
Carrier EX T Policy Number EXEMPT L
I certify that, in the performance of the work for which this permit is issued, Ishall not employ any
person in any manner so as to become sub'ect to the workers' compensation laws of California,
and agree that, if I shoul come sub' t t the workers' pensation provisions of Section
3700 of the ode, I all fort ith c mply . h 'sions.
ppli6ant:
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 ISO days will'subject
permit to cancellation.
I certify that I have read this application ands hat the above information incorrect. I agree to comply with all
city and county ordinances and stat s relating to bui g constr ion and hereby authorize representatives
of this county to enter upon the ova -mentioned property r in action urposes.
Datgnatur�(Applicaht orAgent
LQPERMIT
Application Number . . . . . 13-00000817
Permit . . . PATIO COVER 2013
Additional desc .
Permit Fee . . . . 95.81 Plan .Check Fee
.00
Issue Date . . . . Valuation . . .
. 2993
Expiration Date •12/29/13
Qty Unit'Charge Per
Extension
1.00 95.8100 EA MISC PATIO COVER, STD
95.81
----------------------------------------------------------------------------
Special Notes and Comments.
PATIO COVER - 225 SQ-. FT. FREESTANDING
ALUMAWOOD LATTICE PATIO COVER ON REAR
SIDE OF HOUSE, PER APPROVED DURALUM,
INC. SPECS. 2010 CALIFORNIA BUILDING
CODES.
--------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
--------------
1.00
PLAN.CHECK, PATIO COVER
94.38
STRONG.MOTION (SMI) - RES
.50
Fee summary Charged Paid Credited
---------
Due
-----------------
Permit Fee Total 95.81 .00 .00
95.81
Plan Check Total .00 .00 .00
.00
Other Fee Total 95.88 .Ob .00
95.88
Grand Total 191.69 .00 .00
191.69
LQPERMIT
®i
CT'RUS
COURSE H()j% T;0'%K'NT.RS AS.SOCi:ATION • ..__._:....,__ ...._.___ w,...._ ..__.
NOTICE OF APPROVAL.
.June 03, 2013
David & Diane Ault
50850 Nispero
U Quinta, CA 92253
RE: 50850 Nispero
Dear David & Diane Ault:
JUC 0-22o13
cop�M � D %IATA
��eop"Wr
Your Request for an architectural change.has been approved. Specifically,, you have approval to proceed with the following:
Extend the existing,seating area and counter of'patio. bar. Install an alumawood pergola - color driftwood.
Request it variance from the Tside yard set back to a 5' setback.
We reserve :the right to make a,final inspection of the change to make sure it matches.the Request you submitted for Approval. Please
follow the. plan you:subniitted. or submit.an additional. Request form. if you cannot follow th6 original plan
Your approval is: conditional with the stipulation of the following:
You must follow all local building codes and setback requirements when making this change. A.Building Permit may be needed. This
can be applied for at the City offices.
Our approval here is only based on the aesthetics of your proposed change. This approval should not be taken as any certification as. to
the construction worthiness or structural integrity of the change you propose. If applicable, please be aware that.you are responsible
for contacting the appropriate utility companies before. digging.
Thank you for submitting your.application and we look forward to.receiving your.notice of completion.upon commencement of
completed work.'For your convenience a "notice of completion" document has been.attached.
We appreciate your cooperation in submitting this Request for Approval. An attractive Community"helps all of us get the full value
from our homes when we decide to sell
Sincerely,
Ann Miller
Assistant Manager
Citrus Course HOA
Encl. 1
P:O Box 12920 Palm Desert, CA 92255 " 41-865 Boardwalk, Suite 101, Palin;Desert, CA 92255
760.346.9000 ' FAX 760.346.9997 ' www.cih-uscoursehoa.com
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