07-1983 (PAT)~ P.O. BOX 1504^' VOICE (760) 777-7012
78-495 CALLE TAMPICO 4 4 QFAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/10/07
Application Number: 07-00001983 Owner:
Property Address: 60367 DESERT SHADOWS DR GERALD BOETTCHER
APN: 764-270-999-82 -300231- 60367 DESERT SHADOWS DRIVE D a
Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 2075 j
11 2007
Contractor: C
Applicant: Architect or Engineer: LA QUINTA PATIO COMPANY QUINTA
40133 CALLE LOMA ENTRADA CE DEPT.
BERMUDA DUNES, CA 92203
(760)863-4335
LiC. No.: 449379
Y/
---------- ---------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION 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 Business and Prof ionals CJNo.:4
se is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Licens CI s: _C51 ice9 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date:` / O retractor: C 1 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
OWNER-BUILDEinsurance carrier and policy number are:I hereby affirm under penalty of perjury that I am exempt from ttate License Law for the Carrier VIRGINIA SURETY Policy Number WEN0003727-01
following reason (Sec. 7031.5, Business and Professions Code:nty 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 orkers' compensation 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 all forthw' c I y ith tho e prov' i
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).: te: P O rcant:
( 1 1, 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' OMPENSATION COVERA IS UNLAWFUL, 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 ($100,000). 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
improve for the purpose of sale.).
(_) 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 contractors) licensed
pursuant to the Contractors' State License Law.).
( ) 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
. . 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 comp) with all
city and county ordinances and state laws relating to building construction, and herppy authorize repre ntatives
of this coun y toe r upon the above-mentioned property f cti on p
PIK �S' ture (Applicant or Agent): c
Application Number
. . . . . 07-00001983
Permit . .
. PATIO COVER PERMIT
Additional desc .
.
Permit Fee . . .
. 54.00
Plan Check
Fee
35.10
Issue Date . . .
.
Valuation
. . .
. 2075
Expiration Date
1/06/08
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
156 S.F. ATTACHED
ALULMAWOOD LATTICE
SHADE STRUCTURE
----------------------------------------------
Other Fees .
------------------------------
. .. . . STRONG MOTION (SMI)
- RES
.50
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
.50
.00
.00
.50
Grand Total
89.60
.00
.00
89.60
LQPERMIT
w
Bin #City
of La Quinta
Building a 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: 6;a367 Es C 5 tis p�
Owner's Name: GE L� 1BdETTGft-.
A. P. Number:
Address: 6,9 36
Legal Description:
Contractor: L f} L)1 ,J r6f Rf -7-/ 0 C, O
City, ST, Zip: 1-4— L) N "t A (fA ` c? 2 ZS3
Telephone:
Address: 40 - 33 C4 LL L= /—OMo jE-ti TR+bA
Project Description:
City, ST, Zip: 1 N D 1 o 14 C- R- , q a 0 3
aye, dj C9 lbE-=,A-J
Telephone: 7 60 - S 7 q-/ '13
C-C�
State Lic. #: -q -q cl 3 7 9
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: W o L F
Construction Type: Occupancy: .
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: /S'� # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project: Z 7O am
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cities.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'' Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
I Plans resubmitted
Grading
1N HOUSE:-
''' 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
n�
11,
_.
......_.......
- — -
-- �_..
.
I
)Tot rmit Fees' I
V�
LBY---.--
60367 DESERT SHAIIJUWS
PROPOSED ALUMAWOOD OPEN LATTICE
SHADE STRUCTURE ADDITION
5'-1"1-1
�--16'-102"
g, NEW ADDITION 10'
15'
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
EXISTING STRUCTURE
O
r 5'-1$" -i
11 BACK YARD I -J!
PROPERTY LINE TYP.