08-0906 (PAT)<. .. � r .t Irk ,. SS�_t•^ b .`'�y� r.7 :• �� • � - -
P.O.`BOX' 1504..` VOICE (760) 7.77-7012
,I. 78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 I y BUILDING &SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
i� BUILDING PERMIT
Date: 5/19/08
Application Number: 08-00.000906, Owner:
Property Address: 61763 TOPAZ DR BOB REDLINE w
APN: 764-280-999-27 .-300237-.` 61763 TOPAZ DR
Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 9
Property Zoning: MEDIUM HIGH DENSITY - RES (80S)4999469 D Q
Application valuation: 9576
Contractor: SAY 19 2006
Applicant: d
Architect or Engineer: LA QUINTA PATIO O P
�7 40133'CALLE LO E
uL� _ BERMUDA DUNES, A •'922 tTY OF LA FINANCE DEPT.
QUINTA:
.(760)863-4335
+, Lic. NO.: 449379
t
--. LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION - -
_ .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: C51 Li c se No.: 379' for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ,
,[ issued.
J .
Date: �Contractor. - _ 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 D LARATION 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 ENDURANCE REIN Policy Number WEN0003727 - 02
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, alsorequiresthe 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 1 should become suec o the workers' com sation provisions of Section -
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or ' 370 -of the Lab I shall fo �thosvisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violationof Section 7031 .5 by ��
any applicant fora permit subjects the applicant to a civil penalty of not. more than five hundred dollars ($500).: - , Date: cant:- '
(_ 1 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 WARNING: FAILURE TO SECURE WORK3 COMPENSATION COVEFWGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an'owner of property who buildsorimproves 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 _ 1 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 on this application. -
property who builds or improves thereon, and who contracts for the projects with a contfactor(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.l. - whose benefit work is performed under or pursuant to any permit issued as a result,of this application, '
(- I� I am exempt under Sec. , 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.
- 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 affirmunder 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 rmation 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 buildi g nsW�iOoneb orize represe softhis co y to me pon the above-mentioned propert'
Lender's Name: • - / h/L� _
`Date: i ��'Signature (Applicant or Agent):
Lender's Address: '
LQPERMIT _ _ -
:.:.:._.` Application Number' . . . . 08-00000906
• - Permit . . . . . . PATIO COVER
PERMIT
Additional desc .
_ Permit Fee 117.00
Plan Check Fee
76.05
Issue..Date-;-:
Valuation
9576-
Expiration.Date 11/15/08
Qty Unit Charge Per
Extension
BASE
.FEE
45.00
8700 9..0000 THOU BLDG
2,001-25,00.0
72.00.
----
Special Notes and Comments
- - -- - ----
ALUMAWOOD PATIO COVER 720 ,SQ- FT PER
APPDROVED PLANS / GB
- -.. -
Other Fees . . . . . STRONG MOTION (SMI) -" RES +"
.'95 ."
Fee summary. Charged
Paid". Credited
Due .
Permit Fee Total 117.00
.00 .00.
117.00
Plan Check Total 76'.05
.00 ..00
76.05 "
Other Fee Total .95
.00 .00.
.95"
Grand -Total 194.00
.00. .00
194.00
LQPPKMrr
ti
Bl"" City of La Quinta
Building a Safety Division
Permit #P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
QJ ��`0 Building Permit Application and Tracking Sheet
Project Address:6 17 f'y 3 7 Z I lJ.lr
Owner's Name: &
A. P. Number:
Address:
Legal Description:
G2f� !'
City, ST, Zip: (�- V t N � o 22 Q3
Contractor: L U(N rtP' Ptq-%l0 C -o
Telephone:Y,G��
Plan Check Deposit
Address: 40 - ( 3 3 C 4 LL [�-=
City, ST, zip: I N -R- a 1 O Clt: R- , qoL 0 3�'l
Project Description: (�
Telephone: 7 60 - S7 4(- /U -'f 3
State Lie. #: -q-q 1 3 7 /
City Lic. #: 99 / (p
go
Plan Check Balance
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
t e,--tnrr Ppmnn• ,q c / W O L F
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: -7 Zt-
# Stories:
�#Units:
Telephone # of Contact Person: '7 �' S -7 14 " / O _13 Estimated Value of Projec
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd TRACKING.
r
PERMIT FEES
'
Plan Check submitted
Item
Plan Sets
#
Reviewed, ready for corrections
Plan Check Deposit
Structural Cal.
Called Contact Person
Plan Check Balance
Truss Cates.
Plans picked up
Construction
Energy Cities.
Plans resubmitted
Mechanical
Flood plain plan
2"' Review, ready for correctionstissue
Electrical
Grading plan
Called Contact Person
Plumbing
Subcoutactor List
-
Plans picked up
S.M.I.
Grant Deed
Plans resubmitted
Grading
H.O.A. Approval
Review, ready for corrections issue
Developer Impact Fee
1N HOUSE:-
Called Contact Person
A.I.P.P.
Planning Approval
Date of permit issue
Pub. Wks. Appr
School Fees
Total Permit Fees
Amount
FROM':LA QUINTA-PATIO"COMPANY FAX N0. :760-863-4335 + May: 112008 02:06PM",'(P3
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