07-0655 (PAT)t jj
r4
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:' 07-00000655
Property Address: 45120 SUNBERRY CT
APN:. 604'-412-.009-18 -23995 -
Application description: PATIO COVER RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 6384
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
License Cl ss D03 -D24 Licen : 344248
Date•' D 7 Contractor:
_ OWNER -8 DER 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 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) 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 _ 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.). t
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:
Lender's Address:
LQPERMIT
Owner:
CHAROS ERIC & JENNY -
45120 SUNBERRY CT
LA QUINTA, CA 92253
Contractor:
OCEAN PACIFIC PATIOS"
566 STURGEON DRIVE
COSTA MESA, CA 92626
(714)979-5493
Lic. No.: 344248
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777=7153
Date:, 3/01/07
D °
MAR 012007
CITY OF LA QUINTA
FINANCE DEPT.
WORKER'S COMPENSATION DECLARATION
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 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'STATE FUND Policy Number 0653795-2006
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 to the workers' compensation provisions of Section.
�tl 3700 of the Labor Code, I shall forthwith comply t hose provisions.
DatO✓ io Applicant:
r
WARNING: FAILURE TO SECURE WO ERS' COMPENSA ION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMIN _ L 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 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 building construction, and hereby authorize representatives
of this co/myto enter upon the above-mentioned propert or inspecctttiiioonnpurpose .
Date: L{ 0 .Signature(Applicantor.Agent): '"''
Application Number -07-00000655
L
Permit . . . . . PATIO COVER
PERMIT
Additional desc .
Permit Fee 90.00
Plan Check
Fee
58.50
Issue Date:
Valuation
6384
Expiration Date 8/28/07
Qty Unit Charge Per"
Extension
BASE
FEE
45.00
-5.00 9.0000 THOU BLDG
2,001-25,000'
45..00
--------------------------------------------------
Special Notes and Comments
---------
480 SF ALUMAWOOD PATIO COVER
-------------------------------------------------------------------
-Fees
._- .--
-------- -
_.
Othet STRONG MOTION (SMI).
RES
.63
Fee summary Charged
Paid Credited
Due
" Permit Fee Total 90.0.0
.00
.00
90.00
Plan Check Total 58.50
.00
.00
58.50
Other, Fee Total .63
.00-
.00
..63
Grand Total 149.13
.00
00
149:13
LQPERMIT
..
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T.M. YEAR A CONSTRUCTION
7�a�
.% 36o -39-T7,
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Pao /0
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A RE-'NSPECTION FEE �0� j
v'VILL BL CHARGED IF THE APP u
ED
PLANS AND JOB CARD ARE N rON
THE SIZE FOR A SCHED LED
INSPECTIC N.
Nil EXCEPTIONS!
CON OF QUINTA
BUILDING & SA ETY DEPT,
APPR®QED
FOR CONSTR CTION
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DATE 3 BY 0
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#
I
Req'd
Bin #
TRACKING
City Of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (619) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:-/�-0
grg�,�2 c- ,
Owner's Name:l C,7�wf�E��POS
A. P. Number:
Item
Amount
Address:
Legal Description:
City; ST, Zip: �QGtiYT . �j�i
Contractor: N
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Tele h n
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Address: —U
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Called Contact Person
Project Description:
City, ST, Zip: Co S%` , 'G
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J D r 1)!,74 *-va �
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TeleP honC71,y—)qw�
Plans picked up
State Lic. # : 3* IM4
Arch., Engr., Designer:e
CityLic. #:
Q Q /J
1
T76 x"
Address:
Plans resubmitted
City, ST, Zip:
School Fees
Telephone:
P
ic. #:
Name of Contact Person:
•:'
Construction T e: Occupancy:
YP ,u,� ! P Y
H
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Project
e circle one):: Add'n Alter Repair Demo
hP
Sq. Ft.: #Stories: #Units..
Telephone # of Contact Person:
Subcontactor List
Estimated Value of Project: �00®e-06
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Grant Deed
Plans resubmitted
Mechanical
School Fees
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Planning Approval
Plans picked up
S.M.I.
Pub. Wks. Appr
Plans resubmitted
Grading
H.O.A. Approval
'"' Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
Total Permit Fees