09-1261 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: '• X09-00001261 0
Property Address: 4433"6 W SUNDOWN -CREST DR
APN: 604-110-0647100 -19903.-
Application description: PATIO COVER - RESIDENTIAL.•
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 3139:
•4 ���IVIN
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
a
Owner:
EARL STEINER
44336 WEST SUNDO
LA QUINTA,'CA 92
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: • 12/10/09
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+
,Contractor:
Applicant: Architect or Engineer:
LA QUINTA PATIO MPANc,?L9n
V9
4 013 3 . CALLE LOMA ENair,
BERMUDA DUNES, CA 92203
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(760) 863-4335 \��✓j�
No.: 449379 \?
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:Lic.
— — — ----------------------------- — — — - — — — ------------------------------
CONTRACTOR'S DECLARATION
e
---------------—----------------LICENSED
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 8�ss Profess' Code, and my Lice�Isinll force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
LicenseClass: C51 is No.: 44
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ,
Contractor: i
issued.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
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/
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:
hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier SOUTHERN INS Policy Number WSII002541901 .
_I
following reason (Sec. 7031.5, Business and Professions Code: Any city or county, that requires a permit to
.I 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 State
and agree that, if I should become subject to the, workers' compensa ' 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 forthw' co y wi h e pro S.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
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any applicant for a permit subjects the applicant to a civil penaltyof not more than five hundred dollars ($500).:
te. , pplicant: -
(_) 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 I NLAWFUL, 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 (5100,000)• 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
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• improve for the purpose of sale.). -
APPLICANT ACKNOWLEDGEMENT
(=1 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 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 Ouinta;,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 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 '
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 c ply with all
work for which -this permit is issuedJSec. 3097, Civ. C.). -
city and county ordinances and state laws relating to building construction, a d hereby uthoriz p sentatives
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of this count toe ter upon the above-mentioned propertyo ' specti p ose .
Lender's Name:
.
i
• ,.
3/91ur a (Applicant or Agent):
Lender's Address:
_
,
LQPERMIT - '
Application Number 09-00001261
Permit. . . PATIO COVER PERMIT
Additional-desc .
Permit Fee 63.00 Plan -Check Fee
40:95
- Issue Date Valuation . . .
. 3139
Expiration Date,. 6/08/1.0
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
INSTALL 236`SF. ALUMA WOOD LATTICE SHADE .
STRUCTURE AT REAR OF SFD, PER APPROVED
PLAN. 2007 CODES
-----------------_----------------------------------------
Other Fees . . BLDG STDS ADMIN (-SB1473).
1.00
STRONG MOTION (SMI) - RES
.50
Fee summary- Charged Paid Credited'
Due
Permit Fee Total 63.00 00 .00
63.00
Plan CheckTotal 40.95_ .00 .00
40.95
-Other-Fee To 1.50 -,.00 .00
1.50
Grand Total 105.45 00 00
105.45
- LQPERMIT
Bin # City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Permit #
La Quinta, CA 92253 - (760) 777-7012
A., 1/ Building Permit Application and Tracking Sheet
Project Address:' `T 7%`/(0 (,pJ, 5UNboty j 5 <
Owner's Name: 44-1?- L, s 7-K WF -2
A. P. Number:
pp
Address: Lf 4,'-53/-CC,r$! JrU.vdD LuA/' 02455 1 �F ,
Legal Description:
Contractor: L f} uiA.) raj ��`%�C� CSO -
City, ST, Zip: Z-* 49& A,,7,,4• e-A�
Telephone:
Project Description:
City, ST, Zip: 1 N D I o c �- , a o
Telephone: 76-9-5-7q- qU `f 3
State Lic. #: �-7 % 3 7 / CityLic. #: 99 S
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
..rt,. -t -t Percnn• y� A3 �� wo L F
7-/Y--,--'-- 7
Item
Cottstntction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: Z! �
#Stories:
a Units:
Telephone # of Contact Person -7 S -7 4 - / O AJ 3 Estimated Value of Project: 3 9�
Total Permit Fees
Amount
APPLICANT: DO NOT WRITE BELOW THIS UNE
Req'd
Recd TRACKING.
PERMIT FEES
N Submittal
Plan Check submitted
Item
Plan Scts
Reviewed, ready for corrections
Plan Check Deposit
Structural Cales.
Called Contact Person
Plan Check Balance
Truss Calcs.
Plans ticked up
Construction
Energy Calcs.
Plans resubmitted
Mechanical
Flood plain plan
2" Review, ready for corrections/issue
Electrical
Grading plan
Subcoutactor List
Called Contact Person
Plumbing
Plans picked up
S.M.I.
Grant Deed
Plans resubmitted
Grading
H.OA. Approval
Review, ready for corrections/'issue
impact Fee
IN HOUSE:-
Called Contact Person
A.LP.P.Developer
Plannigg Approval
Date of permit Issue
Pub. Wks. Appr
School Fees
Total Permit Fees
Amount