09-0866 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Annfirnnt-
09-00000866
51446 AVENIDA HERRERA
773-085-010-15 -000000-
REMODEL - RESIDENTIAL
COVE RESIDENTIAL
1500
T4ht-4 e(PQ"
Architect or Engineer:
N r,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 Professionals Code, and my License is in full force and effect.
License Class: B / �+ / S ?LLiicense No.: 9./21518
ate: jQi7/ ntractor: (i/ / / / 1 ��i r
/ 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).:
(_) 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.).
(_) 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. , BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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:
AMERIQUEST MORTGAGE
51446 AVENIDA HERRERA
LA QUINTA, CA 92253
Contractor:
GRISA ENTERPRISES INC
44695 SAN BENITO CIRCLE
PALM DESERT, CA 92260
(760)341-0555
Lic. No.: 921518
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/07/09
a ?..i1 f.". L, i Sd Yea
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 SPARTA INS Policy Number 03WK02881
_ 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 subject to the workers' compensation provisions of Section
700 of t abor Code�,,II shall forthwith comply with those
provisions.
Date!a Applicant: v �. f�1co( F—L117
%—
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 certifrlthat I have read this application and state that the above information is correct. I agree to comply with all
cit nd county ordinances d state laws relating to building construction, and hereby authorize representatives
this cy to enter u the above-mentioned prope=foses.
Date: Signature (Applicant or Agent):
Application Number . . . . . 09-00000866
------ Structure Information 42 SF PATIO COVER -----
Other struct info . . . . . CODE EDITION 2007
# BEDROOMS .00
----------------------------------------------------------------------------
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
BUILDING PERMIT
PATIO COVER = 42 SF
35.00 Plan Check Fee .
Valuation . . . .
2/21/10
22.75
1500
Qty Unit Charge Per
Extension
,
BASE FEE
15.00
10.00 2.0000 HND, BLDG
501-2,000
20.00
----------------------------------------------------------------------------
Special Notes and Comments
REMOVE PORTION OF UNPERMITTED
CARPORT
STRUCTURE AND REMODEL.TO A 42
SF PATIO
COVER PER CITY STANDARD. 2007
CODE.
(DIMENSIONS = 9'-4" X 10'-0"
WITH 13'-8"
HYPOTENUSE SECTION]
----------------------------------------------------------------------------
Other Fees . . . . . . .
BLDG STDS ADMIN (SB1473)
1.00
STRONG MOTION
(SMI) - RES
..50
Fee summary Charged
---------------------------
Paid
--------------------
Credited
----------
Due
Permit Fee Total 35.00
.00
.00
35.00
Plan Check Total 22.75
.00
.00
22.75
Other Fee Total 1.50
.00
.00
1.50
Grand Total 59.25
.00
.00
59.25
LQPERMIT
rZ
•_67 # - -.
.. .._... City of La Qurnta
Building 8L Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
0(0
'0q)
t
Project Address: 1414(0 A-1 e." LA0. e r L
Owner's Name: A WtP.ti 1 C 0. v �M3
A. P. Number:
Address:
Legal Description: 5;t � W �-w CJ I I V1
City, ST, Zip:
Contractor: ,f
Telephone:
Address:
ProjectDescription: (2a.r cA 0 J6,r c•
City, ST, Zip: o (2Ap6 Z ZC 1
d'- "e j W 141n ' v ka l
Telephone:71ob 819 t.3,::;;.•Y>.:;>
:..�:
State Lic. # : 8
City Lic. M
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: .,
,.
State Lic. #: v ;,_,N
Construction Type: Occupancy:
Project type (circle one): New Add'n to Repair
Name of Contact Person: lea n via i
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: ? Value of Project: 3� ' Q�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKINGT ., `.___•.._ ..._ PERMIT FEES
Plan Sets
Plan Check submitted �' Item Amount
Structural Calcs.
Reviewed, ready for corrections s. " r.A R hecklpeposit
Truss Calcs.
Called Contact Person Plsn Checlf Balance ,
Title 24 Calcs.
Plans picked up !By— ___ .__ _Construction
Flood plain plan
Plans resubmitted Mechanical
-7i a
Grading plan
2•' Review, ready for correctionsfissue 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 correctionOssue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
11
Tin#
City of La Quinta
ne7 . Building 8r Safety Division
Box 1504, 78-495 Calle Tampico
<j p • La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
j�(p�0
toot -
Project Address: G 1414 (o �d0. r Lr
Owner's Name: AVv1P.fi I•C a U WI 5 -n13
A. P. Number:
Address:
Legal Description: �{ y,,� ( �tu L� ► n
City, ST, Zip:
Contractor' �^
®r (A K/ �`
Address: �j - (o rhe Qv I H 1r i 03
¢ a`/ `� j}!r y
Telephone: ��<�;. a: •.:�..
Project Description: (ter r � .� � e c•
City, ST, Zip: r o CA -6 Z zo
W I � `'1 ' P la l
Telephone:71ob 819 L3 2b'%«:
.
State Lic. # : 8 — $
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: "� `
%
State Lie. #: 4 .. ';.
o . •. •:.<::<.
Name of Contact Person: n ho
Construction Type: Occupancy:
Pro'ect circle one New Add'n to Repair
J type ( )
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: ? isEstimated Value of Project: -, zo - to
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING PERMrr FEES
Plan Sets
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections 1,C A heckDeposit
Truss Cales.
Called Contact Person Plan Check Balance.
Title 24 Calcs.
Plans picked up . Il; .- Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2'4 Review, ready for correctio ss ue Jjp/ Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M1.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''' Review, ready for correctionstissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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CITY®F LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
Neq�er T'r�,n-t �Gdc�e -�o wle�w5u�e gpprox 15Wk2-
t V's Q- mf on so
"AN A&Mif D�BR�AiV�R� cc�er 59 2 -
IS REQUIRED ON THE JOB SITE DURING ALL
PHASES OF CONSTRUCTION AND MUST BE
EMPTIED AS NECESSARY. FAILURE TO DO SO
MAY CAUSE THE CITY TO HAVE THE CONTAINER C� '
DUMPED AT THE EXPENSE OF THE OWNER/
CONTRACTOR." FUG 1' 4 2.009
a errlte
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i i2�'6"e6i7�
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ITY OF LA QUINTA
To Fer•cc UILDING &SAFETY DEPT.
4
t G►��e UI APPROVE®
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g FOR CONSTRUCTION
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