13-0405 (PAT)4 P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICOFAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 _ BUILDING & SAFETY DEPARTMENT ��� INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/04/13
Application Number: 13-00000405 Owner:
Property Address: 52145 AVENIDA VELASCO GONZALES, ADAL U
APN: 773-224-018-7 -000000- 52020 AVENIDA RAMIREZ
Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL '
Application valuation: 5320
- FFINANCE
Contractor:
Applicant: Architect or Engineer: HUITRON CONSTRUCTION APR 0 4 2013
50427 RIGO COURT
COACHELLA, CA 92236(760)398-3227 IfYOFLAQUINTA
NA� LicaNo.: 926190 DEPT
-------------------------------------------------------------------------------------------------
• LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury t at I am licensed under provi ions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bu in sand Pro essionals Code, d my ice..is in full force and effect.
License Class: B License 9 6190
Date: ✓ Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of pe ury 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 apermit 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, 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 1, 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. , BAP.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:
LQPERM►T
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 0013718-2012
I certify that, inVperfor nce of the work for which this rmit is issued,I shall not employ any
person in ans to bec a subject to the wo ars' compensation laws of California,
and agree thbecome ubject to the woi s comp sation provisions of Section
3700 of the I shall f hwith comply wi t ose pr isions.Date , Applic WARNING: FAILURE TO SEKERS' COMPENSATION COVERAGE IS UNLAWFUL,.AND SHALL
SUBJECT AN EMPLOYER TPENALTIES 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 beco es null and void if work is not comm nced
within 180 days from date of issuanIthe
' it, or cessation of work for 180 ays ill subject
permit to cancellation.
I certify that I have read this application and state nformatio is correct. I agree c ply wit allcity and county ordinances and state laws relating truction nd hereby authoriz r esentati sof this ounQy to enter upon the above-mentioned actio p poses. _
Date _ 1 Signature (Applicant or Agen
Application Number 13-00000405
Permit . . PATIO•COVER PERMIT
Additional desc .
Permit Fee . . . 81.00" Plan Check Fee
52.65
Issue Date . . . . Valuation
5320.
Expiration Date 10/01/13,..
Qty Unit Charge Per - a
Extension
BASE FEE
45.00
4.00 9.0000 THOU .BLDG 2,001-25,000
-----------
36.00
---- =
-------=--------------------------------------------------_---
Special Notes and Comments
400SF SOLID PATIO COVER AT REAR/YARD
(CITY STANDARD] THIS PERMIT DOES NOT r
,
INCLUDE ELECTRICAL INSTALLATIONS. 2010
CALIFORNIA BUILDING CODES.
April 4,'2013 10:08:01 AM AORTEGA
----------------------------------- ------------------------------------------
Other Fees, BLDG.STDS ADMIN (SB1473)
1.00'
�. STRONG MOTION (SMI)'- RES
-.53�
Fee summary Charged Paid Credited
Due
Permit Fee Total 81.00 .00 .00
81.00
Plan Check.Total 52.65 .00 .00
'52:65
Other Fee Total 1.53 :00 .00
1.53
Grand Total`' 135.18 .'00 .00
135.18 `
LQPERMIT
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QUlBin.
Of 1.Q ! 1 LC�
Building 8T Safety Division
P.O. Box 1504, *78-495 Calle Tampico
1.a.Quinta, CA 92253 - (760) 777-7012
Building Permit Application" and Tracking Sheet
Permit #
Project Address: c f er w"
Owner's Name:. d� L 2�4
A. P. Number.
Adder: J'—.2G 20 v•PiL � %mac � y... sG P 2
Legal Description`
City, ST, Zip:
42
Contractor. V �,o _ 1 �— l
Telephone: 7.10 3 9 i
Address: p 2:1 - ! C`t—
Project Description:
City, ST, Zip: c "l �-1,� \ ZZ—�
7 a
Telephone: 6c) Lf6'1 9 Ci b o
I ,. INS
State Lic. # : q Z� 19 CityLic. #,
Arch, Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Construction Type:. Occupancy:.
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: T yAte Z
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: " 1'9 % . 6 /
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Rce'd
TRACMG PERMrr FEES
Pismo Sets
Plan Check submitted it. Amount
Structural Calm
Reviewed, ready for corrections Pian Check Deposit. .
Truss Calcs.
Called Contact Person Plan Check Balance
Title 24 Calm
Plans picked up Construction
Flood plain plan
Plans resubmitted Mecharilcal
Grading plan
Z`! Review, ready.for correctionstiissue Electrical
Subcontactor List
Called Contact Person Plumbing "
Grant Deed
Plans picked up SALL
H.O.A. Approval
Plans resubmitted Grading
IN ROUSE:-
''' Review; ready for correcdo ae Developer Impact Fee
Planning Approval.
Called Contact Person IAJX.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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