04-5085 (PAT)A
BUILDING & SAFETY DEPART
P.O. Box 1504 DEPARTMENT
(760).777-7.012
OF 78-495 CALLS TAMPICO FAX (7.60) 777-7011
LA QUINTA, CALIFORNIA 9,2253 INSPECTION REQUESTS (.760) 777-7153
BUILDING PERMIT
Application Number 04-000050_85__,___ Date, 6/22/04
Property Address
-4'865 VIA ALONDRA
. . . .
API: 604-032-009-14 -305211-
Application'description PATIO COVER -. RESIDENTIAL
Property Zoning.. LOW DENSITY RESIDENTIAL
Applitation valuation— 42001
Owner Contractor
- - - - - - - - ---- 7 - - - - - - - - - - - - - - - - - - - - - -
LENNAR HOMES OF CALIFORNIA OUTBACK PATIO & SUNROOMS, INC.
78401 HIGHWAY 111, STE C 1450 W 6TH STREET, #118
..-LA -QUI NTA , CA.. CORONACA .92882: - -
LA.-QUINTA CA 92253 (9.09) 272-4.997."
WCC: STATE. FUND.
WC:.1423157 02/01/05*'
CSLB:' 483069 10/.3.1/05
B -C36..
-------------------------------------------------------------------------- ---------
Permit . . .. . . . PATIO COVER PERMIT,
Additional desc
Permit Fee 72.00. Plan Check Fee 46-.80
Issue Date Valuation 42.00
Qty Unit Charge Per Extension
BASE -,FEE 45.00
3.00 9.0.000 THOU. BLDG 2,001-25,000 x.27.00
- - - 7- - --- - -- - - - - - - - - --- - - - - - - - 7. - - - - - - - - - - - - - - - - - - - - - -
Special Notes and Comments
412 SQ FT ALUMINUM LATTICE PATIO COVER -
AS 1OX13,6X22,'6X25 DIMENSIONS.
Fee.summary Charged Paid credited. Due
-------------------------- ---------- ---------- ----------
Permit Fee Total .72.00 00 .00 72.00
Plan Check Tbtal 80 00 .0"0. 46.80
Grand +�6, aI
.8,0 ..00 .00. 118.80
JUN
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P.O. Box 1504 • �II / VOICE (760) 777-7012
78-495 CALLE TAMPICO w FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 7774153
BUILDING & SAFETY DEPARTMENT
Application Number: Date:
Applicant:
Applicant's Mailing Address: n
.117 l ri
Architect or Engineer:
Architect or Engine ess:
Lic. No.:
BUILDING PERMIT DECLARATIONS
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 ' 'n full force and effect.
'License Class J u Li ense No. (� V T
CDate G i2/ • 1 Contractor (JV I 4C Il �G- �iId J L.1 /yro b m S
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 1, 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 or 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.).
U I, as owner of theproperty, 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I 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 w ricers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
e m sue_Q. y w ers' c pensation insurance carrier and polity m[ e
Carrier ) GTC V J,- Policy Number
_ I certify that, in the performance of the work for which this �' �^
per it 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, l shall
forthwith comply with those pro
Date W21nt
Applica
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.
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
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, indemnity 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 fo ati is rrect. I agree to comply with all city and county ordinances and state laws relating to building
constructio , and h reby authorize representatives of this conn a er pon a abo entioned property for inspection purposes.
R
Date Z 7- b Signature (Applicant or Agent):
Dec. OF, 2002 10:21AM P2
A
1CB0 nIALVAnON SERVICE, INC Not
Evaluate 5 Inform - Protect
5MJ Woiman bAW fa • Vmttet CA 06m Lfsj,
February 4, 2002
CaA Putnam ER-2e2i P
Engineering Supervisor Please reference this number
Ameiimax BuffdIng Products, Inc. on all correspondence
1.1141 All Pro C)Ti�4e
RMW, }ndtana 46S14
Dear Mr. Putnam:
In reference to your recent request, the above -referenced evaluation report dated April I
1, 2001, continues to be in good standing under the 1997 Unffom 80ding Code"O,.
if ym-u ha%ze 2nyW_"fjw5, pjA_BS& =tact M, at (M) 899-0543, extemton 3260.
Youre very truly,
Briw. C. C-Arber, G.E.
Pr(nc)Pal Structural Engineer
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PHONE NO. 7.3164035
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