08-1546 (PAT)•. 'P.O. -BOX 1504
78-495 CALLE TAMPICO '
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT '
BUILDING PERMIT.
Application Number:
.Property Address:
APN:
Application description:
Property Zoning:_
Application valuation:
.68-00001'546
51705 AVENIDA VALLEJO
773-131-022-10 -0001000-
PATIO COVER RESIDENTIAL
COVE.'RESIDENTIAL ,.
3658
Owner:
SANTANA TERESA DAMIAN
51705 AVENIDA VALLEJO
LA QUINTA, CA 92253
Contractor:
VOICE (760) 777-7012
` FAX'(760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/10/08
0
Applicant: Architect or Engineer: COACHELLA VALLEY SCREEN`/;?3WN'3�T
-P.O. BOX". 1434
INDIO, CA 92202
(760) 342-7272.
Lic. No.: 735369
LICENSED CONTRACTOR'S DECLARATION- WORKER'S COMPENSATION DECLARATION
I 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 Code, 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: D03 D52 ' License No.: 735369 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
- a•�. - " issued. -
e: �9 ontractor: / _ _ 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
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the, - Carrier EXEMPT Policy Number EXEMPT -
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to tZ_l 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, prior to 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 a signed statement that he or she is licensed pursuant to the provisions of the -Contractor's Stateand agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I all forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by. ' V
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 155001.:-
(_ 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 . WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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 FINES UP TO ONE HUNDRED THOUSAND '
and who does the work himself or herself through his or her own employees, provided that the DOLLARS J$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
•r (_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for 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,
(_ I 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 result of this application becomes null and void if work is not commenced _
within 180 days from date of Issuance ofsuch 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 representatives
- - .
of county to ente�uponthe bove-mentioned property for inspection purposes.Lender's Name: te: PPlicant or Agent):
Lender's Address: -
LQPERMIT '
Application Number . . . . . 08-00001546
Permit PATIO COVER PERMIT
Additional desc
Permit Fee . _ . 63.00 Plan Check
Fee
40.95
Issue Date Valuation
3658.
Expiration 'Daae 3/09/09.
Qty Unit Charge Per
Extension
BASE FEE
45.00
2:00 9.0000 THOU BLDG 2,001725,000
18.00
-----------------------------------------------------------------------------
Special Notes. and Comments
_
2"PATIO COVERS.AT REAR OF HOUSE (275 SF
TOTAL), ALUMAWOOD CONSTRUCTION, PER
APPROVED PLANS
Other Fees . . . STRONG MOTION. -(SMI)
-'RES
.50
Fee summary Charged Paid Credited
Due
Permit Fee Total 63.00' 00
.00
63.00
Plan Check Total 40:95 .00
.00
40.95
Other Fee Total .50 .00
.00
.50
Grand Total 104.45 :00 -.
00
104.45
LQPERMIT _'
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATEq - 04 BY k�--------------
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Bin #
City of La Quints
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Pert&
Project Address•
er' e:e. - d
A. P. Number:
C
7Addrct,.�'
Legal Description:
City, ST, Zip:.,
Contractor: cv,
Telephone:
P 8 / 1r'
..1}.
Address: ?-I VO Ave q% —
Project Description:
City, ST,Zip: 922Q i
0 01,
_ '/ ai N -.
Telephone: (�
.
State Lic. #: 7J City Lic. 4--
Arch.,
:Arch., Engr., Designer:
Ta gr(e iq
�✓
Address:
City, ST, Zip:
Telephone:Construction
State Lic. #:
Name of Contact Person:
Type: Occupancy:
YP
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:.Y
# Stories:
# Units -
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
-
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
�i
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d 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