11-1071 (PAT)r
P.O. BOX , 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
"`&t!t - 4 44"
BUILDING & SAFETY DEPARTMENT
BUILDING ,PERMIT
Application Number: 11-00001071 Owner:
Property Address! 782.85 HACIENDA LA QUINTA WEAVER GARY & GAYLE
APN: 646-280-021- - - 78285 HACIENDA -LA QUINTA
Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253
Property' Zoning: LOW DENSITY RESIDENTIAL
Application valuation-.. 13214
Applicant: Architect -or Engineer:
V"
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I li sed under provisions of Chapter 9 (commencing.with
Section 7000)' of. Division 3 of the Business! P, ssionalsCode, and m_ yLicense is in full force and.effect.
License C a : B License No.: 743317
Date-IffLF1. Coritractor. _ _
owNER•BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contracto'r's State License Lbw for the
following reason (Sec. 7031.5; Business and Professions Code. Any or county that requires.a permit. to
construct, alter;'improve, demolish, or repair structure,, prior to its, issuance;, also requires�the applicantforthe
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 (8500).:
( _7 I, as,owner of -the property, or my employees with wages as.their,sole.compensation, will do,the work, and
the structure isnot intended;dr offered.for sale (Sec. 7044, Business and P,.rofessions Code: The
Contractors' State License Law does not apply town owner of property who buildsor improves thereon,
and who,does the work himself or herself through hworher own employees, provided thatahe
improvemenfs,are not;intended oroffered: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':forthe purpose of sale:):.
(_) I, as owner ofthe 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 enowner 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 J.
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 for the,perforrnance;of the
work for which this permit is,issued (Sec.�3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Contractor:
PERRI CONSTR.A -PARTNERSHIP
72263 DESERT DRIVE
RANCHO MIRAGE, CA 92270
(760).340=5898
Lic. No.: 743377
VOICE (760) .777-7012.
FAX (760) 777=7011 -
INSPECTIONS (760) 777-7153
Date:: 11/04/11
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty ofperjury one,oflthe 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 isissued. My, workers"cornpensatjon
insurance carrier;and policy number are:
Carrier EXEMPT Policy Number' `EXEMPT
_ I certify that,: in the.performance�of the work for which thWpermivis issued; I.stiall 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 workers' compensation provisions of Section
3700 o the kabV10 I s_h forth w th comply with those provisions.
Date!/ r/ / t Applicant: fli✓i/�
WARNING:. FAILURE TO SECURE WORKERS' COMPENSATION 'COVERAGE IS`UNLAWFUL„AND SHALL
SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVILFINES UP'TO.ONE HUNDRED THOUSAND
DOLLARS0.100,000)., IN ADDITION TO THE COST OF COMPENSATION, DAMAGES A&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,subjectao 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 agreesto, and shall, defend,. indemnify and hold harmless the City
of LS Quinta, its officers, agents and employees for any, act or omission related to the work being
performed under or following issuancebfthis)permit.
2. Any permit issued as ra result of this;appljcation 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:day1s will subject
permit to cancellation.
I certify -that I have read this application and state that the;ab infoeio-n,
tion is correct. I agre&to comply with all
city and county ordinances and state laws relating to buildin nst yand'hereby authorize representatives
of this coun t/o�enterupon the above -mentions ins tion purposes:
late* f( Signature (Applicantor Agent):AA
-
Application Number . . . .. 11-0000107.1
Permit . . . ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee 17.25 Plan Check Fee 4.31
Issue Date . . . Valuation 0
Expiration Date 5/02/12
Qty Unit Charge Per Extension
BASE FEE 15.00
3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 2:0 2.25
Permit PATIO COVER PERMIT
Additional desc .
Permit Fee 153.00 Plan Check.Fee 99.45
Issue.Date Valuation . . 13;214
Expiration Date 5/02/12
Qty Unit Charge. Per Extension
BASE FEE 45..00
12.00 '9.0000 THOU BLDG 2,001-25,000 108.00.
Permit PLUMBING
Additional desc . .
Permit Fee . . . . 27.00 Plan Check Fee 6.75.
Issue Date . . . . Valuation_ 0
Expiration. Date 5/02/12
Qty Unit Charge Per Extension
_BASE FEE 15.00
1..00 6..0000 EA PLB FIXTURE 6.00
1.:00 3.0000 EA PLB WATER INST/ALT/REP 3..00
1.00 3.0000 EA PLB FIXTURE DRAIN/VENT REP/ALT 3.00
Special Notes. and Comments
768 SF ENGINEERED LATTICE COVER ALONG
REAR OF BUILDING. BBQ,,, SINK AND ICE BIN
INCLUDED PER PLANS. 2,010 CODES.
ENGINEER: RONALD T. WHARTON 032320
---------------------------•---------------------------------------------------
Other Fees . . . . BLDG STDS ADMIN (SB1473) 1.00
HOURLY PLAN CHECK 70.0.0
STRONG MOTION (SMI) - RES 1.32
Fee summary Charged Paid Credited Due
Permit Fee Total 197..25 .00 .00 197.25
LQPERMIT
Application Number 11-.00001071
Plan Check Total 110.5.1 .00 .00 110.51
Other Fee Total 72.32 .00 .00 72.32
Grand Total .380.08 .00 .00 380.08
LQFERMIT '
-.p #&jlor 4tAAZ— /0//3 V&aZ gvc-
*4AII
kin';
-1 C 0
-ty' f La Q.. u*..thta
L TIA
BuMng 8r'Safety.Mdon
P'O. Box 1504,78-495, Calle Tampico
Permit #
La Writa, CA -92253 - (760) 777 -7012 -
Building Permit Application and Tracking- Sheet
Project Address: 7 9.- A7_1_hVe,
Owner's,Name-j�,;
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
JA
Telephone.
Address:i1roi
eqDescription;
City, ST, Zip:
Telephon4�-�/
State Lic-41- 713-31-1
Arch., Engr_
ZZ4
City, ST. Zip: 2-aLl I
Telephon: W-0) -'2ZS 9-711. Conn tion Type: 00Mq=CY:
State Lie, ti: Project type (circle one): New Ad&n Alter Repair Demo
,Name of ContwtPerson-IAXL� Sq- Fu-, 1,10T N Units:
Telep4one # of Contact Estimated Valut'of Project:
APPLJCANT- 00 NOT wRrrE. BELow THIS LINE
#
Submittal
Req'd
Ree'd
, F, TIF,
PERNM FEES
Plan Sets
U3 iv LIZ U _j
Plan Cbec k submita
tem Amount'
Structural Cults.
29 '011 !Van Cbeek Deposit
Reviewed, ready fw, ' 4E P -
TrussCRIcs.
CalIled Contact Perat a fun Cheek Balance
Intle 24Cake.Plans
picked u- t3y a
P
Flood &b plan
Plans resubmitted Mechanical
Grading lAsn
r! Review. ready for correcd,Electrical
Subcontselor List
Called Contact Person rl I PI utablag
Grant,Deed
Plausylcked up SMA.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE-
Review, ready for correctionaft Developer Impact Fee
Ak
PlanningApprovalCalled
Coated Person ww AJI.P. . P.
Pub. Wks. Appr
Date ,orpermit issue AL
School Fees
Total Permit Fees
-.p #&jlor 4tAAZ— /0//3 V&aZ gvc-
*4AII
Cpl ATE /7 ESTABLISHED IN 1918.AS A PUBLIC AGENCY
MTRIG�
COACHELLA VALLEY WATER DISTRICT
POST OFFICE BOX 1058 - COACHELLA, CALIFORNIA 92236 - TELEPHONE (760) 398-2651 - FAX (760) 398-3711
DIRECTORS: OFFICERS:
JOHN W. MCFADDEN, PRESIDENT
STEVEN B: ROBBINS.
PETER NELSON, VICE PRESIDENT
GENERAL MANAGER -CHIEF ENGINEER
TELLIS,CODEKAS
MARK BEUHLER,.
RUSSELL KITAHARA
ASST. GENERALMANAGER
PATRICIA A..LARSON
JULIA FERNANDEZ; SECRETARY
DAN PARKS, ASST. TO GENERAL MANAGER
February 11, 2004
REDWINE AND SHERRILL, ATTORNEYS'
File: 1112.
Cheryl Ward
48-800 San Pedro Street
La Quinta, California 92253
Dear Ms. Ward:
Subject: 78-285 Hacienda
Account No. -507313,154.0.1
.In response to your inquiry, this district does not have available information regarding the
completion of actual hook up to our sanitation collection system for the above -referenced
property.. _
In researching our records, we found that the subject°property has met our sewer requirements.
It is the homeowner's responsibility to connect theirpipeline to the sewer lateral.
If you have any questions please contact Rosie Anacleto, Customer Service Representative,
extension 2420.
RLA:ra
bc: City of La Quinta
Post Office Box 1504
„L:a.Quinta,. California 92253.
Yours very truly,
Richard. Shonerd
Customer Service Supervisor
TRUE CONSERVATION
USE WATER WISELY