10-0428 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant: -
10-00000428
61545 TORO CANYON WY
764-280-999-118 -300237-
PATIO COVER - RESIDENTIAL
MEDIUM HIGH DENSITY RES
11265
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
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. -
LicenseClass: C54 -D03 LicenseN 2535
ate:Contractor:
OWNER- ILDER LARATION
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 (5500).:.
(_ 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 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.).
(_) 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: gh
a
Lender's Address: A
LQPERMIT
VOICE (760) 777-7012
- FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/17/10
Owner:
BARRY \
61545 TORO CANYON WAY
LA QUINTA, CA 92253'
Contractor: M
ACROPOLIS MARBLE STONE & TI
41230 AETNA SPRINGS ROAD
BERMUDA DUNES, CA 92203 Ci��CE
(760)880-8009
Lic. No.: 842535
------------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of,perjury one, of the following declarations:
_ 1 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 theperformance 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 1932386-2010
_ 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 the workers' comp tion rovisions of Section
3700 of the Labor Code, I shall forthwit omply with thos rovisio
ate"� cant:
.WARNING: FAILURE TO SECURE WO KERS' COMPENSATION CO �A�11L, ND 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 aplicant, 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 her authorize representatives
of this county to enter upon the above-mentioned property for inspection purpos
D e: Si re (Applicant or Agent):
{_ Application Number 10-00000428
Permit PATIO COVER PERMIT
Additional desc _
Permit Fee, = -1.35. 00 - _ Plan -Check 'Fee
_ .- - 87 . 75- - -
Issue•Date Valuation : . .
. 11265
Expiration
Date. 11/13/10
` Qty Unit Charge Per
Extension
BASE FEE
45.00
10.00 9.00.00 THOU -BLDG 2,001-25,000
90.00
• Special Notes and Comments
3 ALULMAWOOD PATIO COVERS TOTALING 847
S.F.'20V CODES.
-----------------------.-----------------------------------------------------
Other Fees, ,. BLDG,STDS ADMIN (SB1473)•
1.00
r STRONG MOTION (SMI) - RES
1.13 '
Fee summary Charged Paid Credited
_----------------------------------------
Due
-----------------
P,ermit Fee Total 135:00 ..00 .00
135-.00 ,
Plan Check Total 87.75 .00 .00
87:75'
Other Fee Total. 2.13 .00 .00
2.13
•224.88
Grand Total224.88, .00 .,00
' LQPERMIT
Bin #
City of La QuInta
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # n
lu '
Project Address: }�C,D-A)
Owner'.sName:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
OL% S
Contractor:Telephone:
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SAddress: o �.�r% P�I �� S�
Project Description:
City, ST, Zip: Nc� lA G (Z O
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rte` :.: .:•:n \:f4:i::ii `:v;.:.y:•$:vi.
T one: /(JD :�d-��..J, t-a,•.: :;�:>l.. �. � w•>" 1
State Lic. # : 2S. City Lic. #;
Arch., Engr., Designer. fT , . L/4ds6&Pe .
MAY 17 2010
Address: qG ✓� �?"Fa2
City., ST, Zip: P41-fl
Telephone:
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ti ^ r i< <>z ' %:N e:
ConstructionType• �}i Occupancy.
State Lic. #•
,
Project type (circle one): New Add', Alter Repair Demo
Ft ; Stories # Units:
Name of Contact Person:Sq.
Telephone # of Contact Person:
__1'#
Estimated Value of Project: /0-
.APPLICANT:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Tide 24 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" 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:-
'^' 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
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:CITY OF LA QUBBVTA S
- - - BUILDING,& SAFETY DEPT.,
APPROVED
s FOR CONSTRUCTION
S