11-1226 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:•,�11=00Q01226-
- --
Property Address: 57895 STONECREEKTR E
APN: 762-430-047-65 -30834 -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: ' LOW DENSITY RESIDENTIAL
Application valuation:
Applicant:
4309
Architect.or Engineer:
alAr
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that 1 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: License No.:
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).:
( I, as owner of the property, or myemployees 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.). -
1 1 I am exempt undei Sec. B.&P.C. for this reason
• 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
Owner:
BOB ENRIGHT
57895 STONE CREEK TRAIL
LA QUINTA, CA 92253.
(760)805-8883
VOICE (760) 777-7012
FAX (760) 777-7011
- INSPECTIONS (760) 777-7153
Date: 3/22/12
Contractor: 0—_
Owner _ M4R 2 2 20i2i ,
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 - - - - - -------- --- - - -- -- - Policy Number
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
37.0 of the Labor Cod hall rthwith comply with those provisions. -
.
WARNING: FAIL E TO SECURE WORKERS' COM SATION 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
city and county ordinances and tate laws relating to building construction, and hereby authorize representatives
of this ty to enter upo a above-mentioned pr pe for ins -io urposes.
te: ignature (Applicant or Agent): `//
LQPERMIT
Application Number
11-00001226
Permit
PATIO COVER PERMIT
Additional des_c .
Permit Fee . . . .
72.00 Plan Check Fee
46.80
Issue Date . . . .
Valuation . .
. 4309
Expiration Date
9/18/12
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
--------
324 SF TRELLIS (18FT X 18FT X 9.4 FT
HGT) IN REAR YARD -PER
ENGINEERED DESIGN.
2010 CODES. ENGINEER:
JOE CICCHINI
#35727
--------------------- -------------------------------------------------------
Other Fees . .
BLDG STDS ADMIN (SB1473)
1.00
HOURLY PLAN CHECK
35..00
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
36.50 .00 .00
36.50
Grand Total
155.30 .00 .00
155.30
i,
in # City of La Quints '
Building & Safety .Division
Permit # P.O. Box 1504, 78-495• Calle Tampico
`V La Quinta; CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 57. 51- /Y 4/rh; � A6'- r 9W,g0 13 t FN�sl
A. P. Number: Address: -517 W �S ,�%ON6 f/76L�11 7/�///LY/v�Sfi
Legal Description: City, ST, ZipZ&&6pt 1' Z 2-3—:r
Contractor: Tele hone: 7 >'
kJ fZC/�1< T_w ve LosAddress:S Q�
City, ST, Zip: 1-4 Lrc,0' �j �- 2S 3 a`m AV
Telephone: 7(i,,;)5 e6—
StateLic. # : City Lic. #:
Arch., Engr., Designer: Oro � C'( G [ /?i 1
Address: ro 3-a
City, ST, Zip :Pl,44O / /%Ay Sa Ae T C-Ivl
776 .r'n
Telephone: 7"/' 'e, :';k:r:::?ic> ':;
G � ::.�<:#>r- - �'c?:�;��'�; f� ��`y'-` Construction Type: Occupancy:
:mow rim..
State Lic. #: 7S ? e circle one . New Add'n Alter Repair Demo
Name of Contact Person: cG; G f e L/�//i,! Sq. Ft.: '� �?J # Stories: -T-Unit-S.
Telephone # of Contact Person: 7 (0 8 7 74," Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd PERMIT FEES
Plan Sets Plan Check submi' I I i�I t Item Amount
Structural Calcs Reviewed, ready fog eorrechQV Plan Check Deposit
'[fuss Calls. Called Contact PersonPlan Check Balance .
Tide 24 Calls. Plans picked up`,_ —. _ _ l� Construction
Flood plain plan Plans resubmitted ema- 12. b It Mechanical
Grading plan 20° 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{V Grading
IN HOUSE:- 1rd Review, ready for correctionasu Developer Impact Fee
Planning Approval Called Contact Person
A.I.P.P.
Pub. Wks. Appr Date of permit issue
School Fees
Total Permit Fees
L.
Y ,
SEB/09/2012/TflU 03:47 PM.. The Monarch Group FAX No. 760 776 5111 P. 001/001
A550CIA rloN
February7, 2012.
Mr. & Mrs. Enright
57-895 Stone Creek Trail East
La Quinta', CA 92253
Re: Architectural Request '
Dear Mr. & Mrs. Enright:
The Architectural/Landscape Committee.of the Stone Creek Homeowners'
Association have reviewed the plans for. the Natio Trellis, per the enclosed
application. The committee is pleased to inform you that if has approved:the .
plans as submitted..
_ - .-Thank you-for_yotir_patience.and:understanding during..this approval process.' If .
there are any questions please contact me at 760,-776-5100 ext. 333.
Sincerely
FOR THE BOARD OF DIRECTORS
Stone Creek Ranch Homeowners Assoc. r
Heatherslas
Association Assistant Manager '
r
enclosure.
cc: Board of Directors
Unit File t
P.O. BOX. 1504
LA QUINTA; CALIFORNIA 92247-1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(7'60) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IdFW"T NT1 M. 7'n a tOPRUITV OWI�TRR
Dear Property Owner:
An. application .for a building permit has been submitted m your name listing yourself as the builder of the .property
improvements specified at ,= /1 ''r /Z/� / i 1,5 *11-5 T
We are providing you with an Owner -Builder Acknowledgment and. Information Verification Foran to make you aware of your
Fespensrlbilities and Possible risk you may incur by having ibis permit•issued.in your nam a as .the
Owner -Builder. We Wl not issue a buiiding.per•mit until y9whave read, initiated yourunderstanding of each' ton,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this:Motice
unless you, the property owner, obtain the prior approval of the permitting authority.
!lead and initial each: statement-b`e!o ffi signify you andwsiandor ver¢fy this inforrnation.
1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
g Permit that erroneously implies that the property owner is providing hisor her own labor and material peisonaft_ I, as
an Owner -Builder, may be held liable and subject to serious financial risk for. any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
'on my. property, . .
2. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility:
3. I understand as. an "Owner -Builder" I am.the responsibleparty of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars' ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
6. I understand if I am considered an "employee' under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand 'my failure to abide by these laws may subject me to serious financial
risk.
7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot .legally build them with the .intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
8. 1 understand as an Owner -guilder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal. bouries Sustained by any subsequent owners) that result from any latent construction defects in the
worlananship or materials.
9. I understand I may obtain more information regarding my obligations as an ,employee, from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CS .LB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and f nSancially responsible for proposed construction activity at the following address:
11. [ agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -guilders as well as employers.
12.1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a tieenwr the Contractors' State License Board maybe unable to asset you with any finaneinl loss
you may sustain as a result of a complaint Your only remedy against unlicensed Contractors may be in"Moil court. It is also
important for you tura understand that if an unlicensed.Contractor or employee of that individual or firm is k4 ured while worsting
on your property; you may be held liable for damagss. If you obtain a permit as Owner -Builder and wish to sure Cont tors,
you will be responsible for verifying v4wdier o> not those Contractors are properly licensed and -the status of their weWeW
compensation insuranoe coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issaittg thct-perndt. Note: A copy of lire property owner's dJJver!s! w form naft*40W4 or
other verification 'acceptable to the agency is required to be presented when the permit is inued to verify the psoperq
owner's signature.4
'
Signature of property own pate Z
Note: The following Authorization Foran is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGLtNT TO ACT ON PROPERTY OWNER'S BAF
Excluding.the Notice to Property Owner, the execution of which I understand is my personal responsibility, I h¢r6by authorize
the following person(s) to act as my agents) to apply for, sign, and file the documents necessary to obtain ani Owner=Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location' or Address:
Name of authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjurythat I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature..
Property Owner's Signature: Date: