07-2816 (PAT)P.O.`BOX 1504" VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 • BUILDING & SAFETY DEPARTMENT. INSPECTIONS (760) 777-7153
` BUILDING -PERMIT
Date: 10/24107
-App 07-00002816 Owner:
•r+�".ni. Property Address: 61677 TORO CANYON WY DONALD,.' GRAVES
.APN: 764-280-999-124 -300237 61677 TORO CANYON. WY
;Application description: ,PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: MEDIUM HIGH DENSITY RES (707) 888-0275
Application valuation: 7608
Contractor:
— A licant: En LA QUINTA PATIO M
PP Architect or Engineer- 2.5 2007
4 013 3 CALLE LOMA CT "
BERMUDA .DUNES, Ck 9
(760) 863-43.35 FINANCE
DEPT. A
FINANCE DEPT.
Lic. NO.: 449379 .
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION- . -
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 Co e, 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 _ s No.: 449379 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
-Date. /Contractor: - _ - _ I have and will maintain workers' compensation insurance, as required oy.Section 3700 of the Labor
- - • Code, for the performance of the work for which this permit is issued. My workers' compensation'
OWN -BUILDER DECLARATIO - insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's tate 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, priorto its issuance, also requires the applicant for the •person in any manner so as to become subject to -the workers' compensation laws of California,
permit to file asigned statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, if I should become subject to the workers' compensationprovisionsof Section .
License Law (Chapter.9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3,700 of the Labor ade, I shall for with comply with t se provisions: -
that he'or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - //S . -
any applicant for a permit subjects the applicant to a civil penalty of not more than'five hundred dollars ($500).: - Date: f 2 0 /y 07 Applicant: - / -
• ( 1
1, as ownerlof the property, or my -employees with wages as their sole compensation, will do the work, and -
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE.WORKERS' COMPENSATION ERAGE IS UNLAWFUL, AND SHALL '
Contractors' State License Law does not apply to an owner of property who. builds or.improves' thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL ES UP TO ONE HUNDRED THOUSAND _
and who does the work himself or herself through his or her own employees, provided that the _ _ DOLLARS'($ 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
(_ 1 • I, as owner of the -property, am exclusively contracting with licensed contracfors.to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety'fo_r 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 contractor(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.). - - whose benefit work is, performed under or pursuant to any permit issued as a result of this application,
(_ 1 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 affirm under 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 above information 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 building construction, and hereby authorize repr entatives
of this county, to enter upon the above-mentioned prope ,for inspection o ..
• Lender's Name:-
�r Date•.�o/a�/o;P`Signature (Applicant or Agentl: If
Lender's Address: ..
• LQPERMIT -
. Application Number . . . . . 07-.00002816
Permit . . PATIO COVER PERMIT
-Additional desc ..
Permit. Fee.99.00 Plan Check
Fee
64.35
Issue Date Valuation
. . .
. 7608
Expiration Date 4/21/08
Qty Unit Charge Per
Extension
• BASE 'FEE
..45.00
6.00 9.'0000 THOU BLDG 2,001-25,000
54.00
Special Notes and Comments
V
(2) ATTACHED ALUMA WOOD OPEN LATTICE
. SHADE STRUCTURES PER ICCER 260P PATIO
COVERS & APPROVED PLANS.
-----
------------------------
Other Fees STRONG MOTION (SMI)
- RES
-
.76
Fee summary Charged Paid Credited
Due
Permit Fee Total 99.00 .00
.00
.•99.00..
Plan Check Total 64.35 .00
.00
64.35.
Other Fee Total .76 .00,
.0.0
.76
Grand, Total 164.1.1. .00
.00
164.11
Bin #
Submittal
City of La Quinta
Recd
TRACKING.
Building 9- Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Permit #
'
Plan Sets
La Quanta, CA 92253 - (760) 777-7012
Plan Check submitted
Building Permit Application and Tracking Sheet
Project Address:' 1677
pN cx-D4-
Owner's Name: DOL plt-c? (2- 1/c S
A. P. Number:
Address: Po Bax I q (-O
Legal Description:
City, ST, Zip: VA(bb(-E r6A/ (!4-. 75-i�g
Contractor: L C)1 A.) r',j• P+7-/ Q C-0 -
Telephone: '7o7- 82.75—
Addfess: -'/o - l 3 3 C1+ LL I; C,> /t10 iE� N VRA -DA
Project Description:6472
City, ST, zip: N a 1 O C- A,
q a O 3
L 1, temI>E-
Telephone: 760 - 5-7 q `C/�U q3
lance
=Electrical
���� 5 % I% C/ �%
State Lic. #: -q -q / 3 7 !
City Lic. #:
Arch., Engr., Designer:
Address:
Plans picked up
City, ST, Zip:
Energy Caics.
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: w o L F Sq. Ft.: j` 7� # Stories: #Units:
ao
Telephone # of Contact Person: -7 - 5 4 10 3 Estimated Value of Project: 5-C)
n n wT. nn wlnT U/orrc RFI AW THIS' LINE
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
#
Plan Sets
Plan Check submitted
Amount
Reviewed, ready for corrections
osit
Structural Cales.
Called Contact Person
lance
=Electrical
Truss Calcs.
Plans picked up
Energy Caics.
Plans resubmitted
Flood plain plan
2" Review, ready for corrections/issue
Grading plan
Called Contact Person
Plumbing
Subcontactor List
Plans picked up
S.M.I.
Grant Deed
Plans resubmitted
Grading
H,p,A. Approval
Review, ready for corrcctionsfissue
Developer Impact Fee
IN HOUSE:-
Called Contact Person
A.I.P.P.
Planning Approval
Date of permit issue
Pub. Wks. Appr
School Fees
- -
-- ---
Total Pcrmit Fees
.. _..._......._........
-