07-1478 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LX QUINTA, CALIFORNIA 92253
Application Number: 07-00001478
`- Property Address: 79798 PARKWAY ESPLANADE N
APN: 609-380-998-70 -293232—
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2234
Applicant:Architect or Engineer:
All
60 .
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Bu sin s.e ofessional Code, and my License is in full force and effect.
License Class: B Lic nse No.: 860958
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 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 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 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 (Sec. 3097, Civ. C.). -
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
ELLERBROCK RESIDENCE
79-798 PARKWAY ESPLANADE N.
LA QUINTA, CA 92253
(760)834-9701
Contractor: n
PELLETIER PATIO 315
79275 DESERT ST DF4Z
LA QUINTA, CA 9
(760)275-7593
Lid. No.: 860958 ®�.
C
VOICE'(760) 777-7012
FA -)X (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/17/07
6. ---
WORKER' COMPEN TION
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.
Ihave 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 CNCLD/ACE AMRCN Policy Number WLRC44460427
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 ' compensation provisions of Section
3700 of the Labor CodFaw,ith com ywith th a provisions.Date: " �:7t Applicant:WARNING: FAILURE TO SECURE WONSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 actor 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. - -
1 certify that I have read this application and statptheabo mation is coragree to comply with all
cityand county ordinances and state laws relatition, and reby au orize representatives
of this county to enter upon the above-mentioneion purpos s.
Date: li (off Signature (Applicant or Age
Application Number 07-00001478
Permit PATIO COVER
PERMIT
Additional desc
Permit Fee- 54.00
Plan Check
Feer.
35.10
Issue. Date . . . .. -
Valuation
. ...
. 2234
Expiration Date .11/13/07
Qty Unit Charge Per
Extension
BASE•.
FEE
45.00
1..00• 9.0000 THOU BLDG
2,001-25,000
9.00
--------------
. Special Notes and Comments
168' ALLUMAWOOD LATTICE PATIO COVER
Fee summary Charged
Paid.
Credited
Due
Permit Fee Total 54.00
.00
.00..
54.00.
Plan Check Total 35.10
.00
.00
35.10
Grand Total 89.10
.00
.00
89.10
A RE-INSPE
CTION FEE OF $30
WILL BE CHARGED IF THE APPROVED.
PLANS AND JOB CARD ARE NOT ON
THE SITE -FOR A SCHEDULED
INSPE
NO EXCEPTIONS!.
Cons tructim is NOT PERMITTED
on t e following Code Holidays:
Nm Year's Day
D Martin Luther King Jr. Day
P esident's Day
emorial Day
I, dependence Day
L 3bor Day l ;
Weran's Day
Thanksgiving Day
hristmas Day ;
I,c..r 0_c 0,
CITY.OF LA QUINTA.
BUILDING & SAFETY DEPT.. - ---- :�
APPROVED.
FOR CONSTFiUCT ON
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04/30/2007 13:41 7603603264. PERMA PAGE 01/01
F-S.FLANADE
Community Association
April 20, 2007
Scott ft Monica Ellerl►rock
79-798 Parkway Esplanade N.
La Quanta, CA 92253
RE: ESPLANADE: COMMUNITY ASSOCIATION
79-798 Parkway Esplanade North- Plans Dated 4.16-07 - Patio Cover
Dear Mr. S AAs. Ellertirock:
Your architectural request to install a patio cover has been approved as submitted
under the following conditions.
We trust that only licensed�and insured contractors will be performing the work and
that any required permits will be obtained. Please be reminded that any damage to
the common area du,! to construction in your rear yard should be repaired in a
timely manner.
Thank you for your cooperation in filing for Architectural approval. If you have any
questions or need further assistance, please feel free to contact me.
Please review the enclosed;excerpts from the Homeowner Maintenance Manual.
Sincerely,
r
A hitommittee
SP l `6ADE COMMUNITY ASSOCIATION
Kathy Coleman
Assistant Association Manager
kc
Enclosures
Post -IV Fax Note 7671
Date
paw a►
To
FM"
co./Dept.
co.
Phone #
Phom #
•�SQ r i
Fax # Qr
Fax 0
DESERT RESORT MANAGEMENT
P.O. Box 4772 / Palm Desert, California 92261-4772
73-SSO Alessandro / Palm Desert, California 927.60
relephone: 760.346.1 16.1 / Fax: 760.346.9918/ E-mail: drm@drminternet.com
Bin #
.._
j City of La Quetta a
Building U Safety Division '
, P.O. Box 1504,78-495 Calle Tampico
F , La Quintal CA 92253 - (760),777-7.01T`
Building Permit Application and Tracking Sheet
Permit #
/ �, • l A 7 Q
. o
Project Address: �-I .1 �� j�,,� 5 ,,h�4,e
-Owner's Name: rueAr
A. P. Number:
Address: `C V Gc> Es
Legal Description:
Contractor:. 'f '
��
City, ST, Zip:" =- .ei 2253 _
Telephone: 19 L(- 97 O 1.
Address: _?g21 (iif� �'
Project Description:
City, ST, Zip: l.Q l X.tw� v,�{ c� (' �' 22� 3
_
Telephone:
City Lic. #:
State Lic. # 6
qfvn 07
Arch., Engr., Designer:
Address:
r
City, ST, Zip: ,
Telephone: '
�ti ; '
Construction Type: • Occupancy:
State Lic. #: '
Project type (circle one): New Add'e. Alter Repair Demo
Name of Contact Person:
Sq. Ft;:.
#Stories:
#Units:
Telephone # of Contact Person: • 7 973
Estimated Value of Project: - e2 °F-f—lb
" APPLICANT: DO NOT WRITE BELOW THIS LINE r.
#
Submittal
Req'd
Recd
TRACKING .
PERMIT FEES
Plan SetsPlan
Check submitted
rt7 fillItem
Amount
Structural Calcs.
Reviewed, ready for corrections ..
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check 3alance
Energy Calcs.
Plans picked up
Construction
Flood plain plan.
r'
Plans resubmitted
Mechanical -
Grading. plan
2nd 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:-
Review, ready for correctionshssue
Developer Impact Fee,
Planning Approval
Called Contact Person • `
A.I.P.P.
Pub. Wks. Appr .
Date of permit issue `
School Fees
-
'
Total Permia Fees