05-2280 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
t
r05-000.02280.
Property Address:
49275 VIA BOLERO
APN:
646-290-033- - -
Application description:
PATIO COVER - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
4788 1.
Applicant: Architect or Engineer:
JUN 13. 20035
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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- S D - - - - - - - - --
C"'WL EI�$r rRACTO DECLARATION
I hereby affirm and t arr sed u der ro isions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, a y License is in full force and effect.
License Class: 13 License N .: 838743
Date '
Contract --
OWNER -BUILDER DEC RATION
I hereby affirm under penalty o er' that I am exempt from the Contractor's State License Law for the
following reason ISec. 7031. , siness 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.).
(_ 1 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—) 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 ISec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/10/05
Owner:
RODGERS, WANDA & MANSEL
49-275 VIA BOLERO
LA QUINTA, CA 92253
Contractor:
ALLIGATOR CONSTRUCTION INC
41589 ALLIGATOR POND ROAD
INDIO, CA 92203
(760)200-9211
Lic. No.: 838743
------------------
WORKER'S 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 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' c pensation provisions of Section
37 of the Labor C , I shall fort ith comply with th a rovisions.
t-DateZ�� PPlicant:
t L
WARNING: FAILURE TeSRE ORKERS'COMPENSATION COVERAG UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYI NAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND
DOLLARS ($100,000).ION 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 authq a representatives
• of this county t enter upon the above-mentioned property for inspecti purposes.
-Date d" ature (Applicant or Agent):
Application Number . . . . . 05-00002280
Permit PATIO COVER
PERMIT
Additional desc . .
Permit Fee 72.00
_ Plan Check
Fee
46.80
Issue Date . . . .
Valuation
. . .
. 4788
Expiration Date 12/07/05
Qty Unit Charge .Per'
Extension
BASE
FEE
45.00
-3.00 9.0000 THOU BLDG
2,001-25,000
27.00
----------------------------------------------------------------------------
Special Notes and Comments
360 SF ALUMAWOOD LATTICE PATIO
COVER.HOA APPROVAL CONFIRMED
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STRONG MOTION (SMI)
- RES
.50
Fee summary Charged
----------------- ----- ---- ----------
Paid Credited
----------
----------
Due
Permit Fee Total 72.00
.00•
.00
72.00
Plan Check Total 46.80
.00
.00
46.80
Other Fee Total .50
.00
.00
.50 .
Grand Total 119:30
.00
.00
119.30
LQPERMIT
PARC LA QUINTA HOMEOWNERS ASSOCIATION
Avail Property Management
P. O. Box 1032
Palm Desert, CA 92261-1032
(7601 568-2717
W
June i, 2005
Mr & Mrs Mansel Rogers
49-275 Via Bolero
La Quinta, CA 92253
RE: Architectural Variance Request
Dear Mr. & Mrs Rogers:
Your request to install a patio cover in your rear yard was reviewed and approved by the
Architectural Committee as submitted with the following conditions:
Anydamage to the common area will be your responsibility to repair or replace.
.'All.debris will be removed from the front of your house on a daily basis.
• No materials will be stored in the street overnight.
• All. required permits will be obtained from the City of La Quinta prior to the start of
construction.
• Structure will measure 12' x 30' and be painted to match the stucco color of your house
(Sonora Beige).
Thank you for your cooperation in this matter.
Sincerely,
Cam Anderson
Project,Manager
'Y.
i
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