07-1599 (PAT)P.O. BOX 1504 i
78-495 CALLE TAMPICO
LA QUINTA; .CALIFORNIA 92253
ApplicationNumber: 07-00001599
Property Address: 79317 SIGN OF SPRING
APN: 649-030-069-55 -31311 =
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: HIGH DENSITY RESIDENTIAL
Application valuation: 1769
Applicant: 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.
License Class: B License No.: 261325
-5^50
Date: Contractor:
OWNER -BUILDER 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).:
• ( 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is novintended 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. , BAP.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: ,
LUISE WILLIAMSON
79-317.SIGN OF SPRING,
LA QUINTA, CA 92253
(760)771-3345
Contractor:
LDR.CONST
78155 CALLE FORTUNA
LA QUINTA, CA 92253
(760)771-8071
-Lic. No.: 261325 +
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/30/07
b
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 STATE FUND Policy Number 1795403-2006
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
- 3700 ofthe Labor Code hall for ply with those provisions.
Date: Applicant: -
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND 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 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 county to
ant upon the above-mentioned property foP ins ection es.
Date: / —” V ignature (Applicant or Agent): `
LQPERMIT
Application Number . . . . . 07-00001599
Permit PATIO COVER PERMIT
Additional desc
Permit Fee . . . . 41.00 Plan Check
Fee
26.65
Issue Date -Valuation
1769
Expiration Date 11/26/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
13:00 2.0000 HND BLDG 501-2,000
--------------------------------=-----------------------------=
26.00
Special Notes and Comments
-------------
133SF ALUMINUM/LATTICE PATIO COVER.
[ENGINEERED]. POST 3' MIN TO PROPERTY
LINE, MAX 12" OVERHANG. May 30,•2007
11:24:36 AM AORTEGA
Fee summary Charged Paid Credited
Due
-----------------------------------------------
Permit Fee Total 41.00 .00
----------
.00
41.00
Plan Check Total 26.65 .00
.00
26.65
Grand Total 67.65 .00
.00
67.65
LQPERMIT
i
CITY OF LA BUILDING & SAFETY DEP
T.
APPROVED
FOR CONSTRUCTION
DAT CN-
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CITY OF LA BUILDING & SAFETY DEP
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APPROVED
FOR CONSTRUCTION
DAT CN-
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 #
CSl-�
Project Address:' 7131-7 ,
Owner's Name: � 1`5<.
A. P. Number:
Address: 7" 3
Legal Description:
City, ST, Zip: L tr 2 2 S
Contractor:
Telephone: 76o-762- ^ 3 3 % 0
Address: -%
City, ST, Zip: Qk�� 2 2 5 3
Project Description: I I L4 ia.0 X7
Telephone: 746
State Lic. # : �j / 3Z5 City Lic. #:
Arch., Engr., Designer:
Address:
City, ST; Zip:
Telephone:
State Lic. #:Project
Name of Contact Person:. �Gu tee_ 5 �`� ...
Construction Type: Occupancy:
type (circle one): ew Add'n Alter Repair Demo
Sq. Ft.: 03# 3#Stories:
/
# Units:
Telephone # of Contact Person: 7 607 7 l 7 Y- 70 16
Estimated Value of Project: K (a 0 &b
APPLICANT: DO NOT WRITE BELOW THIS LINE
#.
Submittal
Req'd
Recd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes..
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Energy Cafes.
Plans ticked up
Construction
Flood plain plan
Plans -resubmitted
Mechanical
Grading. plan
2°" Review, ready for correctioussue
Electrical
Subcontactor List
Called Contact Perjon .
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:=
"Review, ready for correctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person IA,I
p,p,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees