07-0021 (PAT)�,%D
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA .92253
Application Number:
07-000 2:1 zzzza
Property Address:
509.00 PALOMA CT
APN:
770'-096-005='76 -000000--
- Application description:
- PATI.O�'COVER - RESIDENTIAL
` Property Zoning:
LOW DENSITY RESIDENTIAL'
Application valuation:
3830
c&ht °f 4-Q"
Applicant: Architect or Engineer:
BUILDING& SAFETY DEPARTMENT
BUILDING PERMIT
I
Owner:
EUGENE ALBERTINI
50-900 PALOMA
LA QUINTA, CA 92253
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777=7011
INSPECTIONS;(760) 777-7153
Date: 1/18/07
D
JAS! 18 2001
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION ".•
Chereoy affirm under penalty of perjury that Iamlicensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:'
Section 7000) of Division 3 of the Business and Professionals Code; and my Licerise is in full force and effect.
_ I have and will maintain a'certificate of consent, to self -insure for workers' compensation, as provided '
License Class: - License No.:
for by Section 3700. of the Labor Code, for the performance of the work.for.which this permit is
'
issued: "
Date: Contractor:
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
' OWNER -BUILDER DECLARATION
insurance"carrier and policy number are: "
I hereby affirm.under penalty of perjury .that I'am exempt Ifrom the Contractor's State License Law for the
Carrier , Policy Number . -
follov3ing"reason (Sec; 7031.5, Business and Professions Code: Any'city or county that requires a permit.to
I certify that, in the performanc o the rk for w sperm' is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, -also requires the applicant for the .
person in any manner:so a to ec b' - .worker compensation laws of California,
permit to file.a signed statement that he or she is licensed pursuant to the provisions of the Contiactor's State
and agree that, if 1 shout b o t orkers' pensetion provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
-
370Q of the Labor C - hal c' t se provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 byjr/!/
any applicant. fora permit subjects the applicant to'a civil penalty of not more than five hundred dollars ($500).:
Date: ° �['/ Applicant: -N
( I, as owner of the property, or my, employees with wage -s as their sole compensation, will'do-the work, and
-
the structure is not intended or offered for sale ISec.7044, Business and Professions Code: The
WARNING: FAILURE TO SECU K RS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SHALL
Contractors' State License'Law does notLapply'to anowner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANDCIVICFINES UP TO ONE HUNDRED THOUSAND
and who does the work himself 'or herself through his or her own employees, provided that the:
DOLLARS,($ 100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED -FOR IN
„improvements are'norintended or offered for, sale. If;,however, the building or improvement is sold within
SECTION 3706'OF-THE LABOR.CODE, INTEREST AND ATTORNEY'STEES. "
one.year of completion, the owner -builder willhave the burden of proving that he or she did:not build or
_
•" '"" s - -
improve for.the`purpose of sale:).
APPLICANT ACKNOWLEDGEMENT -
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. '
IMPORTANT Application is hereby made'to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractorsl. State License Law does not apply to an owner of
conditions and restrictions set forth on this application. - -
property who builds or improves thereon, and who contracts for the 'ects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request andrfor
-pursuant to the Contractors' State License.La y.
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. , B.&P .for s
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..
application
Date; -a pOwne :��
2. Any permit issued as a result of this becomes null and void if work is not commenced
'
Z2
within 180 days from date of issuance of such permit, of work for 180 days I subject
- C NSTRUCTION LENDING AGENCY -
permit to cancellation. "
-I hereby.affirm under penalty of perjury that there is a construction lending agency for the performance of the
>cessation
I certify that I have read this application and statethatthe ab _info I agree t cpompl with all
work for which this permit is issued (Sec. 3097, Civ. C.). -
city and county ordinances and state laws relatin to buildi on ra ut ri re resfzntatives
of this county to enter upon the above-mentioned prope fo
Lender's Name:
Lender's Address: -
LQPER1%11T
LQPE%NIIT - ..
Application Number . . . . . 07-00000021
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 18.00 Plan Check Fee
4.50
Issue Date . . Valuation . . .
. 0
Expiration Date 7/17/07
Qty Unit Charge Pet
Extension
BASE FEE
.15.00
4.00' .7500 PER ELEC DEVICE/FIXTURE 1ST 20
------------------------------------------.----------------------------------
3.00
�i
Permit PATIO COVER PERMIT
Additional-desc
Permit 'Fee -63 00r PianCheck Fee
4:0.95 .
'-
Issue Date Valuation.
3830
"
Expiration Date 7:/17/07
Qty Unit -Charge Per,,
Extension
BASE FEE
45.00
2.00 9 0000�THOU BLDG,, 2; 001-25, 0-00.
P
- - - - - - - - - - - - - - - - - - - - - - - - --- - - -.- - - - - - - - - - - - - - - - - - -
Special Notes and Comments•
- - - - - - - - - - - - - -
PATIO ;TRELLIS. MIN •5 YEET".SETBACK SIDE
AND REAR�:January 1.8_,`:2007 2:30:19 -PM
j�ohrison:
--------------- ----
--.- - ------ - -- --- --- - - - ----- ..
Other Fees ;.STRONG MOTION (SMI) "- RES'
5'0"
Fee summary. � `Charged .' Paid. Credited'
Due
Permit Fee Total 81..0.0 .00 .00.
81.00
Plan Check 'Total 45:45. 00 .00
45.45
Other Fee' Total 50 .00 00
.50
Grand Total 126.95 •.00 .00
126.95
LQPE%NIIT - ..
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Ci of La
City- Quinta
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 #
o
Project Address:' �..�� �} G'�"-'
Owner's Name: 46
A. P. Number:
Address:, -T
Legal Description:
Contractor:
City, ST, Zip: . �a•�T.a 9 7 z3-3
Telephone;
Address:Project
Descriptioni�7
City, ST, Zip:
L.1
Telephone:
State Lic. #: City L•ic. #: .
Arch., Engr., Designer:
,
Address:
( L
City, ST, Zip:
t�
Telephone:
State Lic. #:
Con&Y4Occupancy:
ProiA type (circle one): New ..Add'n Alter Repair Demo
Sq. Ft
q # Stories: # Units:
Name of Contact Person:j) iJj� A 1.%i/✓I
Telephone # of Contact Person: % �7Y- /.6 ?
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd :.
Ree'd
PERMIT FEES
2
Plan Sets
Plan Check submi
'
It.
Amount
Structural Cales.
Review r '
Reviewed, y. for �I�;rections1[1,76—)Plan
Check Deposit.
Truss Calcs.Called
Conta Person
bVi
Plan Check Balance
Energy Coles.
Plans picked up
Constnrcti.on
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
21' Review, ready for correctio " issue
0
Electrical
Subcoutactor 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.corr tionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
i
School Fees
77
.�
ota1 Permit Fees
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