05-3442 (PAT)IJ
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
05-00003442
Property Address:
54460 AVENIDA VALLEJO
APN:
774-245-011-14 -000000-
Application description:
PATIO COVER - RESIDENTIAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
3963
Applica
D Q �
AUG 0 4 2005
CITY OF I.A QUINTA
FINANCE DEPT.
c&ht �4 VOICE (760) 7774012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/04/05
Owner:
GARY MESSENGER
54460 AVENIDA VALLEJO
LA QUINTA, CA 92253
Architect or Engineer:
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: R I icense No.: 838743
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 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),'icensed
pursuant to the Contractors' State License Law.). _ - -
(_ 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.1.
Lender's Name: -
Lender's Address:
LQPERMIT
S `�
Contractor:
ALLIGATOR CONSTRUCTION INC
41589 ALLIGATOR POND ROAD
INDIO, CA 92203
(760)200-9211
Lic. No.: 838743
WORKER'S COMPENSATION DECLARATION
hereby affirm under 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 EXEMPT Policy Number EXEMPT
_ '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 of the Labor Code, I shall f hwith comply wi ose provisions.
Daty Applicant:
WARNING: FAILURE TO SE REPINAL
KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER T C PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN 'TION 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 couyn�t to a er upon the above-mentioned prop7y for ins ction purposes.
Date: O' Signature (Applicant or Agent):
Application Number . . . . . 05-00003442
Permit PATIO COVER
PERMIT
Additional desc .
Permit Fee 63.00
Plan Check
Fee
40.95
Issue Date
Valuation
3963
Expiration Date 1/31/06
Qty Unit Charge Per
Extension
BASE -FEE
45.00
2.00 9.0000 THOU BLDG
2,001-25,000
18.00
Special Notes and Comments
-----------------------------
298 SF LATTICE ALUMAWOOD PATIO COVER IN
REAR YARD.
- - ------------------------------
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
Bin if ` r,
Permit if
Project Address:
A. P. Number:
Legal -Description:
Contractor:
Address:
City, ST, Zip: JR
State Lic. # : 3
Arch.,. Engr., Designer:
Address:
City, ST, Zip:
City Of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
t UOwner's Name: r
Address: _
City, ST, Zip: '
v
Telephone: hon
e.
d ila Project Description:
Wr—,....... 1,4
.....
Lic. #:
Telephone:
Construction rct
t
on
Type:
Oc
cu
P
an
cN-
State
t
Lic. #
Project ct
type
(circle Ic
one):.
New
Add'n Alter
Repair Demo
Name of Contact Person:
Sq. Ft.: 2C) . (D) # Stories: #Units;
Telephone # of Contact Person:
Total Permit Fees
Estimated Value of Project:
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural talcs.
Reviewed, ready for corrections
Plan Check Deposit
TrussCalcs.
.Called Contact Person
Plan Check Balance
Title 24 talcs:
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Aiechanical
Grading plan
2w' Review, read}• for corrections/issue Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
s.nl.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, mcly 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