07-2575 (PAT)P.O. BOX 1504
78-495 CALLE TAMP ICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00002575
Property Address: 79293 SIGN OF SPRING
APN: 649-030-069-63 -31311 -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: HIGH DENSITY RESIDENTIAL
Application valuation: 1676
Applicant:
ho
Architect or Engineer:
I
4
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 Pr fessionals Code, and nrtpy/ License is in full force and effect.
I icen—CI%ss lis — / - License._Nrs. nZ^843
Date•l : :it/ I Contractor:
OWNER -BUILDER DECLARATION
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.).
(_) " 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:
Lender's Address: -
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760).777-7153
Date: 9/20/07
Owner:
MARDELL CAROL
79293 SIGN OF SPRING
LA QUINTA, CA 92253
(760)296-7919
a
Contractor:
LIFETIME PAT ry
P.O. BOX 5 8 0 6"'21 boo
LA QUINTA, CA 48
(760) 772-0013 ®F�
L i c. No.: 7708 3 c'1riidpNC
. WORKER'S COMPENSATION DECLARATION
I hereby Q11hunder 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
certify that, in the performance of the workfor which this permit is issued,.I shall not employ any
person in any manner so as to become subjecttothe workers' compensation laws of California,
and agree that, if 1 should become subject to the workers' compensation provisions of Section
4Q $700 of the Labor C e, I hall forthwith com ' with those provisions.
Date) �/� ApplicanI.
rti
WARNING: FAILURE TO SE R ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER T IMINAL 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 t ' ilding construction, and qereby authorize representatives
of this u y to nter upon the above-mentione ro etiewP
Date: � Signature (Applicant or Agen
Application Number 07-00002575
PermitPATIO COVER PERMIT INV FEE .
Additional desc .
Permit Fee—.'. . . . 78.00 Plan Check
Fee
25.35 .
Issue Date Valuation
. . .
. 1676
Expiration Date 3/18/08
" Qty Unit Charge Per
Extension
BASE FEE
.30.00.
12.00 4.0000 HND BLDG -501-2,000-
48.00
----------- ----------------- --- ----------------------------
Special Notes and Comments
7X18 ALUMAWOOD-PATIO COVER ICBG
STANDARDS.INVESTIGATION FEE ASSESSED
PER 1997 UNIFORM ADMINISTRATIVE CODE
5304.5 FOR WORK BEGUN WITHOUT PERMIT.
----------------------------------------------------------------------------
Other Fees . . . STRONG MOTION (SMI)
RES
.50
Fee summary Charged Paid Credited
Due
Permit Fee Total - 78.00 .00
.00
78.0.0
Plan Check Total 25.35 .00
.00
25.35
Other Fee Total .50 .00
.00
.50
Grand Total 103.85 .00
.00
103..85
LQPERMIT
Bin #
City of La Quints
Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit .# /
- a-
Project Address: c Q�
Owner's Name: 64&z 1n4"E-Gz—
A. P. Number: (4—q i y.9 -D D9-46` /
Address: a9 O�
Legal Description: f
`CSN
City, ST, Zip:
Contractor: I /FETlAf E IDS
Telephone: 0/ ' ?`?
Address: �® -&X 572?196
Project Description:
City, ST, Zip: 1A 4QV/N77� L!�7 oio�
Telephone: 76D - 77,7- 00
t7 eol,t
O
State Lic. #: �3.
City Lic. #: -3a5-9
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:rk.57umfmd'Sq.
Construction Type: Occupancy:
Project type (circle one): New Add'n . Alter Repair Dema
FL: # Stories: # Units:
Telephone # of Contact Person: 'ItD4 l0�$ -/ 7f�t�
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIQNG
PERMIT FEES
Plan Sets
Plan Check submitted
I
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Coles.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
V Review, ready for correctionstiissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3n° Review, ready for correctionsfssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
88/03/2007 10:24
7602029260
AR !T"MCOIAM HOA
APPUCAITOW AM PROV$y r
PAGE 02/02
Unit/ Lot owner: y
PmpertY Address: Date:
lYature of Impro1ement:Phone:
Color (if applicable):
Location Cif aPPffcable):
DiuWmns (if applicable): 14F
Cor!�Material Of applicable):..
Supplier: I
Ire
prowmate Cost=
(One set of plans of all lmprovern ft must be attached to this application to show location `
and dimenswS,) "
Send to: Watercolors Homeowners Association
C/O Gold Coast Enterprises, Inc.
34400 Date Palm Drive, Suites A
Cathedral City, CA 92234
J
OR FAX TO:
760-202.9260
Signed: 1 Date Subrrfned:S4067._
FOR INTERNAL USE UN LT
Date Received:
Inspecbn Date:
Date A W%ried W Staff Disapproved On:
Signed by Gommifte Mairperson:
09/10/2007 13:35 7602029260 GOLDCOAST
W.AITI.ER COLCORS -AT-SA QUINA
NON -ASSOCIA'77OW
August Z1, Z007
Carol Mardell
79--293 Sign of Spring
La Quinta, Ca 92253
RE: Architectural Request
Dear Homeowner:
I am huffy to inform you tiw your ambitectiml apphcaxion for an AltunawoodRatio Cover
was approved as swatted with tt�e `osio-J±+T,g �vltdi$ioii:
You are responsible for ail pats necessaw and w r= = �.v
y J
City of Pia Quinti and m:,ua f'br�44A�va�� Asa,
Good luck with your renovation.
Cif aV a3LlG._l(.14Pl ag AGNi31 d131aY LAWN a0 as e—IAQI 1)] tial iPIA aGa_ VEP aa %,A igheiaq.pS epi at
760.202.9880 ext 26 or my aes:%et t p3�� Q at _v
-;7n-r- firm 9%n q"A of nirb-pti -,
W,gtercn1nr- at9T.a Chiintn T -MA
:7eTTv T 1tt, ane. MR-napar
�vi�raae
PAGE 03/04
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