11-0107 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760.) 777-7012.
FAX (760)'777-7011
INSPECTIONS (760) 777-7153'
Date: 1/31/11
Application Number: �1•
1=00000107� Owner -
Property Address: l44061 -W -SUNDOWN CREST DR, SIMON BARRY M D
APN: 604-100-066-144 -19903 - 44061 W. SUNDOWN CREST
Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253 A
Property Zoning: LOW DENSITY RESIDENTIAL JAN 31` 2011 '
Application valuation: 2394
CITY OF LA QUINTA
Contractor: FIN,Q!J��E
DEPT
Applic t: Architect or Engineer: VALLEY PATIOS
37897,CHESTERFIELD STREET
BERMUDA DUNES, CA 92203
(760)534=41634.
-Lic. No.: 937811
LICENSED CONTRACTOR'S DECLARATION -
hereby affirm under penalty of perjury that) 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: C51 License No.: 937811
Date: Contractor:
J _ 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 fivehundreddollars ($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
5, 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
4 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 uhder 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.). - -
Lender's Name:
Lender's Address:
LQPERMIT
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' compensation provisions of Section
(�Q 3700 of the Labor Code, I shall forthwith
comply withth Spm/n/nvi/sf(% s.
Date: ! / •' Applicant: 1
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
Y city and county ordinances and state laws relating to building construction, and hereby authorize representatives.
of this county to enter upon the above-mentioned property for inspection purposes.
-
,Date: -� �:Signature (Applicant or Agent):
Application -Number 11-00000107
- Permit PATIO COVER
PERMIT
Additional desc .
Permit. Fee 54.00
Plan Check Fee
35.10
Issue Date
Valuation.
2394
Expiration Date 7/30/11
Qty Unit Charge Per
Extension
BASE
FEE-
45•.00
1.00 9.0000 THOU BLDG
2,001-25,0'00
9.00
---- - ----
Special Notes and Comments
--------
REPLACE EXISTING WOOD PATIO COVER
WITH
NEW ALUMINUM,PATIO COVER TOTAL OF
180
SQUARE -FEET PER APPROVED PLANS _&
2009
IBC; 2009IRC;: 2010 CBC.:
---- -----------------------------------------------
Other Fees BLDG STDS ADMIN .(SB1473)
1.00
. Fee summary Charged
Paid Credited
Due
Permit Fee Total 54.00
.00 .00.
54.00
Plan Check Total 35.10
.00 .00
35.10
Other Fee Total -1.00
00: .00.
1.00.
Grand Total 90.10,
:00 .00
90.10
..LQPERMIT
Bin #
City of LA Quirt
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: �-J '4'0 (0 1 V SV LAJ A ' eSk
Owner's Name: ot(( Si Moo'
A. P. Number:
Address: L4 4()b ( W , U- e. -
Legal Description:
City, ST, Zip:
Contractor OS
elephone: .F :: L's•• <<�•?o
Address: 3 `7 $q�_S �-e( 5 �,
Project Description:
City, ST, Zip: f � d f 0 64 - b - 2-o 3
[AC.0-Qk krj�
Telephone: � 4"
? a° :z. :%;:?:`.':::L: G�F:::v • :':'s ::F
^iry,%Cb`v: i$+:�:A;): C�<Yi'+:vi:fj f i4r u•
a70 CA�� W J Vl9�!v
State Lic. # : �?j� City Lic. #:
Arch., Engr., Designer:
A. (Lf yyl I pt e-1 .
G SOX. lob ST -
T -Address:
Address:
City., ST, Zip:
Telephone:
:k
Construction Type: Occupancy:
State Lic. #:Vi??y>
project type (circle one) New Add'n Alter Repair Demo
Name of Contact Person: a(toi
Sq. Ft.: ! �
#Stories: —F#
Units:
Telephone # of Contact Person: 4 b 3L4
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'rd 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
r
r La Quetta Palms
39-249 Leopard St., Suite A -
Palm Desert; CA 92211
Ph: 760-8342480 r `
Fax: 760-834-2495
Monday, January 24, 2011
SIMON TRUST
9337 MARINA PACIFICA DR N
LONG BEACH CA 90803-7004
RE: Architectural Modification Conditionally Approved
Dear Simon Trust:
We are pleased toinform you that your plans were Conditionally Approved on January 24, 2011 by L'a
Quinta Board of Directors
Please ensure that you, comply with the conditions noted below: .
Plan approved per Architectural submission..
'(1) The Committee approves plans and specifications based on aesthetics and compliance with the community
guidelines: They do not review for engineering design or structural integrity. Zoning and building permits are the ••
responsibility of the homeowner.
(2) The Committee'has the right to inspect improvements,. constructed or being constructed, to determine that
such improvements have been or are being built in compliance with the plans and specifications approved:'
Thank you for your patience and cooperation: If you have any questions, please refer to your Community Policies
or contact me at 760-834-2480 or at mwilkir@meritpm.com. Thank you.
Sincerely, o
l.�J. d
M .
all ..
Miry Walker .�.
Property Administrator