06-2756 (PAT)P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO r FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY. DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date' 7/20/06
Application Number:t(6�-0,00027.-5r6�.
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Property Address:
0.52.6 S'PA33-ISH-`5Know"Y "
APN:
775-320-008- - -
Application description:.
PATIO COVER - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application. valuation:
4256
Applicant:
Architect or Engineer:
Owner:
PALM HAVEN
C/O COLLINS F & WENDY A HEMING
65255 TWEED RD
BEND, OR 97701
Contractor: -
COACHELLA VALLEY .SCRE
P.O. BOX 1434 D
INDIO,-CA 92201'
•(760)342-7272
Lic. No.: 735369.- .... / /
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' - LICENSED CONTRACTOR'S DECLARATION
_ WORKER'S COMPENSATION'DEC _
�• I hereby affirm under penalty of perjury that I am licensed 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 License 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: C61 -D03 -]D5 _ License No.: 735369
for by Section 3700 of the Labor Code, for the performance of thework for which this permit is
(q
issued.
ate: >�a'" tractor. _` 4 -
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 from the Contractor's State License Law for the -
Carrier EXEMPT - Policy Number . EXEMPT
. following reason (Sec. 7031 .5, Business and Professions Code: Any city or county, that requires a permit to
_ I certify that, in the performance of the work for which this permit 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 as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, forthwith comply with.those provisions. -
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 (55001.:
,
-ate: 'cam: / -
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
- w- -
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING:. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES 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 not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
- 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.).
APPLICANT ACKNOWLEDGEMENT
- (_) 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 Contractors' State License Law does not apply to an owner of,
conditions and restrictions set forth an this application.
r property who buildsorimproves thereon, and who contracts for the projects with a contractor(s),licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
' pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
I am exempt under Seca - , B.&P.C. for this reason
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.
#f
iiii
-Date: Owner:
_
- 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
' CONSTRUCTION LENDING AGENCY -
permit to cancellation.
I hereby affirm under penalty of perjury that there, is a construction lending agency for the performance of the '
I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.).
city and county ordinances and state laws relating to building construction, and hereby authorize representatives -
of this county to enter upon the above-mentioned property for ' pection purposes.
• Lender's Name: 1
��L(i
-
t_Dat 'gnetare (ptiplicantror-Ag rte tl: -
- Lender's Address:
-
r
LQPERMIT
Application Number . . . . . 06-00002756
_
"
Permit' PATIO COVER PERMIT.
Additional desc .
-
Permit Fee 72.00 Plan Check
Fee.
46.80.
Issue Date Valuation
4256
Expiration Date 1/16/07
Qty Unit Charge Per
Extension.
BASE FEE
45.00
3.00 9.0000 THOU BLDG 2,001-25,000
27.00
Special Notes and Comments
.320 SF ALUMAWOOD-PATIO-COVER •IN FRONT.
Other.Fees . . . STRONG MOTION (SMI)
- RES
50 .
Fee summary Charged Paid Credited
----------------------------------------------------------
Due
Permit Fee Total 72.00 .00
.00
72.00
Plan Check Total 46.80 .00:
00
46.80
Other Fee Total .50 .00
.00.
.50
Grand Total 119.30 .0.0
_
.00
119.30
LQPERMIT
..
Bin #
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
Permit # i
'
Project Address: a
Owner's Name: C /&,7
a.-Ijev.—A
A. P. Number:.
,
Address:Ili
-�
Legal Description:
Contractor: J.
City, ST, Zip: G? � -
Telephone:
2
Address:
Project Description:
.City, ST, Zip:
22 ,Wif
Telephone: i /�
2
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
YP �
Project type (circle one): New Add'n Alter Repair
Demo
Sq. Ft.:
# St ories:.
# Units:
Telephone # of Contact Person:
Estimated Value of Project: (j SP
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd -
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
I
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
. Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/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
. cc
' °�°
CITY OF LA"QUI
BUILDING & SAFETY
JA
r
APPROVED6--r
FOR CONSTRLTIC
DA7F�.1,0.p,� BY
•
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,
lz
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p-`RE=INSPECTION f EE OF $30
WILL°BE CHARGED IF THE APPROVED
PLANS AND JOB CARD' ARE:NOT 01`1
S
THE. SITE FOR' A SCHEDULED^
INSPECTION:
NO: EXCEPTIO���
N
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V
;
`
`-
June 2, 2006
Mr. & Mrs. Collins Hemingway
3159 NW Craftsman Drive
Bend OR 97701
RE: Architectural Application
80-526 Spanish Bay
Patio Cover
Dear Mr. &-Mrs. Hemingway:
At the May 8`h, 2006, Architectural Committee meeting the committee reviewed and
approved the. plans as submitted.
If you should have any questions, please do not hesitate to contact this office at any time.
Sinceiely.:
�,� �{���;tectw•a�co�r�r;wee
By. Nancy C. Parkinson CCAM, CMCA
Operations Manager
For PGA WEST Fairways Association
Cc File -
.�t'�:^ _ ii !. e. ,� 1+' t; � ..._<" E.. {i �i 2. r.., rt.. 1..,, A... —�� • _ .� �',¢ ..f 7dS's �. 'd° '
Post Office Box 1690 La Quinta, California 92247• Phone (760) 776.5100 • Fax (760) -776-5111