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07-1017 (PAT)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 402—,6'0-0:0;101§73 61360 FIRE BARREL DR 764-280-999-148 -300235- PATIO COVER - RESIDENTIAL MEDIUM HIGH DENSITY RES 4549 c&ht 4 4 Q" Architect or Engineer: a.1 A 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 7Prfgals Qpde, and my License is in full force and effect. License Clasps: C51 se N , 449379 ate: i`Lii�7 � ntractor: 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 70001 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 1$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 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 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: ARMANDO SANDOVAL 61360 FIRE BARREL DRIVE LA QUINTA, CA 92253 Contractor: 110 LA QUINTA PATIO COMP 4 40133 CALLE LOMA ENT BERMUDA -DUNES, CA 92203 (760)863-4335 LiC. No.: 449379 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/02/07 e D OR o 2 2001 CITY OF on 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. 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 insurance carrier and policy number are: Carrier VIRGINIA SURETY Policy Number WEN0003727-01 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' compens 'on laws of California, and agree that, if I should become subject tot workers' compensat n rovisions of Section 3700 of the Labor rthwit ply =ithe"aisKrl. rate f p want: 4 _ WARNING: FAILURE TO SECURE WORKERS' C MPENSATION COVERAGE I NLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 a reyb comply with all city and county ordinances and state laws relating to building cons uct , and h y o i e representatives of this county to enter upon the above-mentioned rty for ' p purp bate: ignature (Applicant or Ag a LQPERM IT Application Number . . . . . 07-00001017 Permit . . . .PATIO COVER PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation . . . . 4549 Expiration Date 9/29/07 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 342 S.F. LATTICE ALUMAWOOD SHADE STRUCTURE, PER APPROVED PLANS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . 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 .50 .00 .00 .50 Grand Total 119.30 .00 .00 119.30 r,- r "AN ADEQUATELY SIZED DEBRIS CONTAINER 61360 FIRE BARREL IS REQUIRED ON THE JOB SITE DURING ALL PROPOSED ALUMAWOOD OPEN LATTICE SHADE STRUCTURE PHASES OF CONSTRUCTION AND MUST BE EMPTIED AS NECESSARY. FAILURE TO DO SO WeMA E CITY TO HAVE THE CONTAINER EXISTING HOUSE—13'-8" DUMPED AT HE EXPENSE OF THE OWNER/ L----------------� CONTRACTO V I i 23' I 5'-6" FF 12' EXISTING SLAB 9 -6 EXISTING BAR-B-QUE �13 13'- 281-411 328 -4 A RE -INSPECTION FEE Of WILL BE CHARGED IF THE APPRO Construction is NOT PERMIT I17'-74 1 „ PLANS AND JOB CARD ARE NOT on the following Code Holidays: VHE SITE FOR A SCHEDU INSPECTION. New Year's Day, YARD CONSTRUCTION HOURS N00(CE�fONSi Dr. Martin Luthy� 3 ay October 1st - April 30 President's Day Monday - Friday: 7:00 a.m. to 5:30 p.m. Memorial Day Saturday: Independence Day Sunday: None ° CITY OF LA QUINTA Labor Da o e Holidays: None BUILDING & SAFETY DEPT. e eran's Day May 1st - September 30th APP OV E D Thanksgiving Day Monday - Friday: 6:00 a.m. to 7:00 p.m. FOR ON UCTlO Christmas Da Saturday: 5:00 a.m. to 5:00 p.m. Day Sunday: None Government Code Holidays: None DA U ABY Bin# City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # CO` Project Address: ] 3 ��% ' l.- Owner's Name: hAotiANbd S A. P. Number: Address: L'a& © ��ZWAeL Legal Description: Contractor: L Ul �V f� P+7-/L) �D City, ST, Zip: 44- M7-5-3 Telephone: Address: 40 - ( 3 3 C/} LL (!-= /-D /t1 D Project Description: City, ST, Zip: /U a 1 0 C- R- , a O 3 L V Telephone: 76,9-5-71(- /U q3 ' State Lic. # : -q--/ / 3 7 City Lic. #: / (o � Arch., Engr., Designer: S,�l�vC, �-� Q� �y Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: IA-Z/ W O L (' Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project. 27 ai APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 21d 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees