10-0799 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000799
Property Address: 48500 LEGACY DR
APN: 658-130-011-11 -31379 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2500
Applicant:
Architect or Eng ne
BUILDING & SAFETY DEPARTMENT.
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professio aIs Code, and my License is in full force and effect.
License Class: 13 License 942804
Dater ZV (- ! jvTractor,
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).:
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 safe. 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 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 forthe performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT •F
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/25/10
Owner:
MORNE ANDREA/ HOPKINS DARRIN
48-500 LEGACY DR
LA QUINTA, CA 92253
(
' D a
Contractor: AUGKOMPLETE INC 2 J
79409 PASEO DEL REY �/ 1010
LA QUINTA, CA 92253
(760) 625-6720 CITY 1 LA
Lic. No.: 942804 Rpy4T�i
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 GUARD INS Policy Number KOWC110176
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 subje o the workers' compensation provisions of Section
A '^ 3700 of the Labor Code, I shall for ith comp) ith those provisions.
,?ate: f7' C� ;-`Applicant:
WARNING: FAILURE TO SECURE RKER COMPEN ATION 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 state laws relating to building construction, and ereby authoriz representatives
of this county to enter upon the above-mentioned property for inspection p oses.
Date: �-�� (d Signature (Applicant or Agent):
Application Number . . . . . 10-00000799
Permit . . .
ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee . . . .
15.75 Plan Check Fee
3.94
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
2/21/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 .7500
----------------------------------------------------------------------------
PER ELEC DEVICE/FIXTURE 1ST 20
.75
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
21.00 Plan Check Fee
5.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
2/21/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
----------------------------------------------------------------------------
EA PLB FIXTURE
6.00
Permit . . .
WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . .
19.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 688
Expiration Date
2/21/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 2.0000
HND BLDG 501-2,000
4.00
----------------------------------------------------------------------------
Special Notes and Comments
43 LN FT X 4 FT HT BLOCK WALL PER CITY
STANDARD; (1) ELECTRICAL
OUTLET & (1)
PLUMBING FIXTURE APPROVED
S.T.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
---------------------------
Paid Credited
Due
Permit Fee Total
------------------------------
55.75 .00 .00
55.75
Plan Check Total
9.19 .00 .00
9.19
Other Fee Total
1.00 .00 .00
1.00
Grand Total
65.94 .00 .00
65.94
LQPERMIT
IT -10 1/2
NEW PATIO WALL
14'-8 1/2"—
EXISTING
/2"EXISTING PATIO WALL
TO BE DEMOLISHED
EXISTING PATIO WALL
EXISTING PILASTER
TO REMAIN
OUTDOOR POWER OUTLET (GFI)
EXISTING PILASTER
TO REMAIN
Existing open patio to remain 144 SQ.FT.
Proposed open patio to enlarge 107 SQ.FT.
TOTAL open patio 251 SQ.FT.
OUTDOOR TAP
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DAT o BY l
ATEAM Project: 77 680, Tradition Drive, La Quinta, CA
KOMPLIETE Wrk no. 07-10 Drawn by: Madis Keru
Date: 811912010 Client: John Lavarato
KOMPLETE INC. La Quinta, 92253 CA Drawing name: Drawing scale: vs°
teamkomplete@gmal.com Phone: (760) 625 6720
www.teamkomplete.can Fax : (760) 645 6225 Partial floor plan Page A: 1/1