10-1389 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Q"
Application Number:
10-0000.1389
Property Address:
79295 DESERT STREAM DR
APN:
604-323-004-23 -23935 -
Application description:
PATIO COVER - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
7116
Applicant: Architect or Engineer
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am ' ensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines d Pro sionals Code, and my License is in full force and effect.
License Cl s: License No.: 734081
Date: Contractor: If
O �JER•BUILDER DECLARATION
I hereby affirm under penalty of perjury t(t!m empt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Businesso essions 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 (5500).:
(_ 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 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.).
( I 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
MAY KELLY
79295 DESERT STREAM DR
LA QUINTA, CA 92253 IJ
Contractor: j
YESTER CONSTRCTION INC, DAARON
P.O. BOX 1318
MORONGO VALLEY, CA 92256
(760)363-6710
Lic. No.: 734081
Date: 2/22/11
ILII i
2 2011
GlTyOF.� : U-- T4
Plitt °r� •`.SEPT
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 STATE FUND Policy Number 238-0013386
I certify that, in the performance of t work for which this permit is issued, I shall not employ any
person in any manner so as ecom subject to the workers' compensation laws of California,
an agree that, if I should b come subj ct to the workers' compensation provisions of Section
7 37 0 of the Labor C de, I s all forth th comply with those provisions.
Date: Z Z Applicant:
WARNING: FAIL RE TO SECURE WOR( RS' C PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL NA ES 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 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 h ive read this application and state that the above ' rmation correct. I agree to comply with all
city and count ordinances and state laws relating to building co struction, and ereby authorize representatives
of this co ty t enter upon the above-mentioned property fo� cti n purpo es.
Date: (' Signature (Applicant or Agent):
Application Number
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
. . . . 10-00001389
. PATIO COVER PERMIT INV FEE
198.00 Plan Check Fee . . 64.35
Valuation . . . . 7116
8/21/11
Qty Unit Charge Per Extension
BASE FEE 90.00
6.00 18.0000 THOU BLDG 2,001-25,000 108.00
--------------------------7-------------------------------------------------
Special Notes and Comments
535SF PATIO COVER AT REAR OF DWELLING
[ENGINEERED] THIS PERMIT DOES NOT
INCLUDE ELECTRICAL OR PLUMBING
INSTALLATIONS. ***INVESTIGATION FEE
ASSESSED PER 2007 CALIFORNIA BUILDING
CODE APPENDIX CHAPTER 1 §108.6 FOR WORK
COMMENCING BEFORE PERMIT ISSUANCE***
CODE CASE NUMBER: 10-6172 [WC] 2007
CALIFORNIA BUILDING CODE.
February 11, 2011 4:30:26 PM AORTEGA
------------------------------------7---------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
STRONG MOTION (SMI) - RES .71
Fee summary Charged Paid Credited Due
Permit Fee Total 198.00 .00 .00 .198.00
Plan Check Total 64.35 .00 .00 64.35
Other Fee Total 1.71 .00 .00 1.71
Grand Total 264.06 .00 .00 264.06
LQPERMIT
(VIC, .
CITY OF LA QUIfNTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE
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Bin # City of La Quinta
Building 8T Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
q La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: /q_ 2,9 5— 'Owner's Name:
A. P. Number. Address:.�qZ'tj r—
Legal Description: City, ST, Zip:! A /JL a/T-Y3
rAd
ontractor: ,�� ovgvy? yesl�t_ 6s v—dress:ity, ST, Zip: goxewc D f L�iSZv
Telephone: �� 7�j� Z-�0 7 {
State Lic. # '73 q' City Lic.
Arch., Engr., Designer: COY, 1..v"(7 441l cC.O
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Address: 35bM (,s0 e, � R1 D Jew ted
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City, ST, Zip J8"J 1 O (Z% o g
Project Description: . ;: i 2 .X / D
5
Telephone: (� S � ( 3 � LM��ffCc�nstru�ction Occupae►cY:
State Lic. #: one): New Add'n Alter Repan Demo
Name of Contact Person: Sq. Ft: # Stories: # Units:
Telephone # of Contact Person: Estimated Value of Project: oo
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd TRACKING PERMIT FEES
Pian Sets
Plan Check submitted /ak/ Item Amount
Structural Cales.
Reviewed., ready for correction Plan Check Deposit
Truss Calm
Called Contact Person N Plan Check Balance.
ILA
Title 24 Calm
Plans picked up (I �0 t f � Construction �►� � 8
Flood plain plan
Plan resubmitted It 0111 Mechanical ^
Grading plan
2'' Review, ready for ec ' --ue tw Electrical
Subcoutactor List
Called Contact Person Plumbing
Grant Deed
Plan picked up S.M.I. ,11
H.O.A. Approval
Plans resubmitted "4411 ( Grading •�
IN HOUSE:-
i Developer Impact Fee
''' Reyiew, ready for corrcctio nestll
Planning Approval
Called Contact Person A.LP.P. +—
Pub. Wks. Appr
Date of permit issue S10 �• �''
School Fees
Total Permit Fees d.
,A" 10 Al I%x T,a►I - u'64, QIP
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