13-0131 (PAT)P. . 0. BOX 1504 Tay/
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
1211111111 niftl DCORfil'r
Application Number: 13-00000131
Property Address: 79361! SIERRA VISTA
APN: 604-440--04'8-48
Application description: PATIO COVER — RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 885
Applicant: Architect'or Engineer':
— — — --- — — — — --- — — — —
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am lice ed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Pr e lonals Code, and my'License is in full force and effect.
License class: C8 13 L'3&seN 4, Ou Ou cUV 6b
Datii 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 703i.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, 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 I am exempt under Sec. B.&P.C. for this reason
Date: Owner:
C014STRUCTION 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 I
Lender'i Name: VA,
Lender's Address:
LQPER.MIT
1�h.,
Owner: I
LARRY &.SYLVIE TAYLOR
49 KAVENISH DR 177=7
RANCHO MIRAGE, CA 92270
Contractor:
FABULOUS HO ME IMPROVEM TS[
9901 INDIANA AVENUE STE 116
RiVERSID9, CA 92503'
(951)588-6101
Lic. No.: 400806�
VOICE (760 )777-7012
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/06/13
0 07 13
FINANCE
7 -----------
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.
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 SECURITY NATE, - Policy Number SWC1011344
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 th t I h Id bepme subject to the workers' compensation provisions of Section
a S'=, I
3700 of the Labor C Wil forthwith y wi �hose provisions.
Al5plicant.
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, iubject, to the
crinditions and restrintip—
i?.t forth on thiq 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 I have read this application and state that the above inLormation is correct. I agree to comply with. all
city and county ordinances and state laws relating to building c "I"' ction, and hereby au�horize representatives
I
of this county to enter upon the above-mentioned property for 22_66n po S.
ate: Signature (App!icant or Agent):
t1D
Application Number 13-00000131
Permit . . . . . . PATIO COVER PERMIT
Additional desc
Permit Fee . . . . 23.00 Plan Check.Fee
14.95
Issue Date . . . . Valuation
885
Expiration Date 8/05/1.3
Qty Unit Charge Per
Extension
BASE FEE
15.00
4.00 �2.0000 HND BLDG 501-2,000
8.00
------------------------------- 7 --------------------------------------------
Special Notes and Comments
ATTACHED ALUMAWOOD ENGINEERED PATIO
COVER, 347 SQUARE FEET CONSISTING OF
91X 231SOLID COVER.207 SQFT, 101X 71
GABLED LATTICE 70 SQFT, 101 X 71 LATTICE
70 SQ FOOT. 2010 CODES.
---------------------------------------- ------------------------------------
Other Fees . ... . . . . . . BLDG.STDS ADMIN (SB1473)
1.00
STRO14G MOTION (SMI)
-'RES
.50
Fee.summary Charged Paid Credited:
---------- ---------- ---------
Due
----------------- ----------
Permit Fee Total 23.00 .00
.00
23.00
Plan Check Total 14.95 .00
.00
14.95*
Other Fee Total 1.50 .00
.0.0
1.50
Grand'Total 39.45 .00
00
39.45
Bin #
City of. La Quinta.
Building ff Safety. Division,
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
—Building Permit Application and -Tracking Sheet
Permit #
Project Address:
Owner's Nam
A. P. Number:
Address:. 711?3411 L5�vevfila_ L//- ;A::r11
Legal Description:
City, ST, Zip: /1-12 &�,_
Contractor: A-11e)J5 4,we
,
Telephone: -_540 7 . . . . . .
Address: 4
Project Description:
City, ST, Zip:
Telephone: 1;�S'/
1�1 "M
_12 11.' _111��--'-,_
(,Ievs
State Lic.V -,eleo Roe,, City Lic.
Arch., Engr.,' Designer:
/0 K 6:;� bled 1,,q 7*� e-. _sf
7 Address:
'4a
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project tfpe (circ eXZP Add'n Alter
le on Repair Demo'
Sq. Ft.: -7
# Sto" es
# Units:,
Telephone# of Contact Person:
Estimated Value of Project: a -
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec1d
TRACRING
PERMIT FEES
Plan Sets
Plan Check submitted
item Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 CaIcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2' Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
ILOA. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctionsrmuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
LTotal
Permit Fees
FAB UL 0 US H01111E IMPR 0 VEMENTSEsT. 198,
9901 Indiana Avenue, Unit 116
Riverside, CA 92503
www.fabul6ushomeimprovements.COM 951-588-6101
Ca Lic. # 400806 Fax 951.588.8171
—.SIERF-A Vi!;,-rA
to 1-�
PROPOSED
E, il
PA-rio &wrmij
aA&LED
LAmLa PA-roo �(—avam
10'x-7 LATri
'PATIO C --n uZ M
V-61 tue 5��C-o
.CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 2 -lb 113 By--k-
bA
_760