14-0574 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
14-00000574.
Property Address:
52280 AVENIDA VELASCO
APN:
773-265-002- - -
Application description:
PATIO COVER - RESIDENTIAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
1872
T-v4t 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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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 Business and Professionals Code, and my License is in full force and effect.
License C ss: B License No.: 770843
Date: Contractor:
OWNER -BUILDER DECLARATION
I 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).:
(_ 1
[,,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 (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.).
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 (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
t
LQPERAI IT
Owner:
DAVID MARTINEZ
52280 AVENIDA VELASCO
LA QUINTA, CA 92253
(760)625-3122
Contractor:
LIFETIME PATIOS
PO BOX -5806
LA QUINTA, CA 92253
(760)610-5380
Lic. No.: 770843
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/05/14
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-ihsure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is .
ued.
ave 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 MID CENTURY Policy Number A09461818
I certify that, in the performance of the work for which this permit is issued, I 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 L Code, I shall forthwith comply with those provisions.
Date: Applicant:
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 180 days will subject
permit to cancellation.
I certify that 1 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 cou o enter uponon the abpva-mentioned property for inspection purposes.
a e: SignLatuurre (/Applicant or Agent):
Application Number . . 14-00000574
Permit . . . PATIO COVER 2013
Additional desc.
Permit Fee . . . . 95.81 Plan Check Fee
.00
Issue Date . . . . Valuation
1872
Expiration Date 11/01/14
•Qty Unit Charge Per -
Extension
1.00 95.8100 EA MISC PATIO COVER, STD
95.81
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Special Notes and Comments
PATIO COVER - PATIO COVER - 234 SQ. FT.
PATIO COVER PER ATTACHED APPROVED PLANS
AND SPECIFICATIONS. 2013 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 .00 .00
95.88
Grand Total 191.69 .00 .00
191.69
r
LQPERMIT
'Bin #
Permit #
V
Krk
City of La Quin
Building U'"Safety Division
Wk
P.O. Box -.1504, 78-495. Cille Tam ico MAY
La Quinta, CA 92253 - (760) 7.77- 12
Ty 01'
Building Permit Application and Trallck!A&. DIEVFJLopm
Project Address:"..
Owner's Name:,
L MA OE
Address: ca
A. P. Number:
Legal Description:
Contractor: //F,,!5-7/-A4,C7'019770S
Address:.
City, ST, Zip:. Lj 10.04 z re S, WS
Telephone:'XZ Z�'- 3/,Z
Project Description:
City, ST, Zip: 1A aglk7A - ell
)'.A A1411" 4'AJQ�l �4 9'C&'9'
7
.Teltphone:760 -.7 Z2 -,0 0 ;3
State Lic. #: City Lic. #: -3c,76-9
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Oc6upancyi
State Lic. #:
Project type (circle .on e): New Add'n Alter Repair Demo
Name of Contact Person:k
& d
Sq. ft: .1 3q
# Stories:
# Units:
Contact Person:
Telephone # of 1760 -bbg 701)
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Reqld
Rec.1d
TRACEING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural CaIcs.
Reviewed, ready for corrections
Plan Check Deposit
Trus*s CalCS.
Called Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan.
Plans resubmitted
Mechanical
Grading plan"
2"d Review, ready for corrections/issue
Electrical
Subco/ntactor List
Called Contact Person
Plumbing
Gradt Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitteding
Grad
IN HOUSE:-
3rd 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
T