07-2571 (PAT)P.O. BOX 1504
.78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
Application Number: .07-00002571
Property Address: 47615 SOFT MOONLIGHT
APN: 649-030-036-42 -31311
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: HIGH-DENSITY RESIDENTIAL
Application valuation: 1702
Applicant Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
of
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
ANNETTE RUBALCABA
47615 SOFT MOONLIGHT
LA QUINTA, CA 92253
" (760)275-3918
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 y License is in full force and effect.
License I s: B 70843
Date: Q ' Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of per, at 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 (55001:
(_ 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.).
(_ I I, as owner of the.propeity, 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:
i
Lender's Address:
LQPERMIT
Contractor:
LIFETIME PATIOS
P.O. BOX 5806
LA'QUINTA, CA 92248
(760)772-0013
Lic. No.: 770843
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/20/07
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I herefttIffirm 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 ENDURANCE REISN Policy Number WEN0015766-01
I certify that, in the performance of the work for which this permit is issued, 1 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 v�orkers' compensation provisions of Section
��////11 700 of the Labor e, I all forthwit compl with those provisions.
Date[ Applicant:
WARNING: FAILURE TO SE&RORKERS'*COMPENSATION COVERAGE jS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TNAL PENALTIES, AND CIVIL FINES UPTO ONE HUNDRED THOUSAND
DOLLARS($100,000). IN AN 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 I 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 b ildin construction, and he by authorize representatives
of this u��' y�1�4
t/e/r upon the above-mentioned op '
Date:. /� -Signature (Applicant or Age
Application Number . . . 07-,00002571
Permit . . . PATIO COVER'PERMIT INV FEE
Additional desc .
Permit. Fee 82.00 Plan Check
.Fee..
26.65
Issue Date . ... Valuation
1702
Expiration Date 3/18/08
Qty Unit Charge Per
Extension
BASE FEE
30.00
13.00 "4':0000 HND BLDG 501-2,000
-----------------------------------------------------------------
52.00
- Special Notes'and'Comments -
8X16 ALUMAWOOD PATIO COVER ICBG
STANDARDS.INVESTIGATION FEE ASSESSED.
PER 1997 UNIFORM ADMINISTRATIVE CODE
§304.5 FOR WORK BEGUN WITHOUT PERMIT.
-
---------------------------------------------------.-----
Other Fees STRONG.MOTION (SMI)
- RES
.50
Fee summary Charged Paid Credited
Due
Permit Fee Total 82.00 .00
00
82•.00
Plan Check Total 26.65 .00
.00
26.65
Other Fee Total .50 .00
.00
.50
Grand Total 109.15 .00
.00
109.15
Bin #
City of La Quin'ta
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 #
Project Address:" L�L�
Owner's Name:
A. P. Number:
Address: —��s Moon /
Legal Descriptioii:City,
ST, Zip:
Contractor: L IFE17h7d5977i)STelephone:
A 75— � � y
.Project Description: r
Address: Av5W
City, ST, Zip:
Telephone: 1,2 -0912)
State Lic. #:,6 77M 2) •
City Lic. #: a
Arch., Engr., Designer:
Address:
`
City, ST; Zip:
Telephone:
State Lid. #: " ."
Name of Contact Person: /�� J���
Construction Type:. Occupancy: '
Project type (circle one): New Add'n , Alter Repair " Demo
Sq. Ft:: ,
#Stories:.
1.# Units:
Telephone # of Contact Person: �%a Q
Estimated Value of Project: +
APPLICANT: DO NOT WRITE BELOW THIS LINE F
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
9r
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
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
2nd 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:-
''d 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
1
WATERCOLORS HOMEOWNERS ASSOCIATION t
Architectural Improvement
Application and Review Form
Unit/Lot'.Owner ko+`#y-a e -AV AS- R,4Jea.Ag Date ?O 1017.
Property Address Phone 7(poa•76-3eV8
Nature of Improvement Is gum cytt
Color (if applicable) _
Location (if applicable) �-_-J
Dimensions (if applicable) �JV���
Construction Material (if applicable)19Y1awcw,
Supplier Le
Aivkt Approximate '"Cost
(One (1) set of plans,.if necessary, of all improvements must be attacbed
to this application to show location and dimensions)`
Send to:
Watercolors HOA
Architectural Review Committee
c/o Gold Coast Enterprises
34-400 Date Palm Drive
Cathedral City, CA -92234
Fax - 760-202-9260
Date Submitted Signeds `C4
For Internal use Only
Date Received
Inspection on (if Necessary) Inspected by
Approved -on _ Disapproved,on
Reason for Disapproval
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09/10/2007 13:35 7602029260 GOLDCOAST. si PAGE 01/04
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August 21, 2007
Annette Rubalaba
47-615 Soft Moonlight
La Quinta, Ca 92253 t
RB: Architectural Request
t
Dear Homeowner: `
l am happy to inform you that your, architectural application for an Alumawood/Patio ;Cover
was approved as submitted with the following condition:
�- r• You are responsible for all permits necessary and or required by the "
City of La Quints and must forward said permits to Management. .1 .
Good luck with your renovation.
If you should have any questions regarding this matter or any other, you can reach me at
760.202.9880 ext. 26 or my assistant Patricia at ext. 30. y
Sincerely;
For the Boaid of Directors _
Wat ercolKs at La Quinta HOA
a ,
Jerry Uff , Manager
TU/pm t
o i .
Cc: Board of Directors
Cc: Unit File - `s
t
i
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60ldC0aSt xnrpTrism Int. * 3q 40o Date PaC►n 7)r. SultP A * Clttk¢cFi'ciCClty, CA 92234 * 760.202.9880 * 760•20a.gz60 fax
•www,,60"C04stMt.c0m ,