07-0254 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA.92253
Application Number: �O7-0000025'4.
Property Address: 8'3515'-W HARLAND DR
APN: 604-232-002-131 -23268 -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY -RESIDENTIAL
Application valuation: :2554
C&hf 4 4 4",
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm -under penalty of perjury that I sm_licansed under provisions of Chapter.9-(commencing with
Section 7000) of Division 3of`theBusiness and Professionals Code, and 'my License is in fulPforce and effect.
License Class: LicenseNo.:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury thatd 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 is licensed pursuant to the provisions,of the Contractor's, State
License Law (Chapter 9 Icommencing 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'703, 1;5 by
any applicant fore permit subjects the applicant to a civil Penalty of -.nut more than five hundred dollars(86001;:
1 _) l,,as owner of the property, or my employees with wages;as their sole compensation, will do the work,.and
the structure:ls notintended 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 hisor her own employees, provided that the
improvements; are not intended or offered for sale.:H, 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, Wild or
improve for the purpose of sale.).
I—) I,.as owner of the property, am exclusively contracting with licensed contractors to construcrthe 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 coritractor(s) licensed.
pursuant to,the Contractors' State License Le
1 _) I am exempt under Sec. _� a.h�C: f this re n
Date: Z3• o�
CONSTRUCTION LENDING AGENCY
1 hereby affirm under penalty of perjury that there isTa construction lending agency for the,performance of the
work,for which this permit is.issued'ISec. 3097, Civ. -CJ.
Lender's Name:.
Lender's Address:
LQPERbUT
Owner:
AIKEN LARRY W
78755 W HARLAND DR
LA QUINTA, CA 92253
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 7777701.1
INSPECTIONS (760) 777-7153
Date: 1/23/07
n -27
--- -------------- - - - - -- -s+urJSrUft%AUJMA–---
I-----
WORKER S COMr ewe " DEPT.
I he'rebyaffirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate ot. consent to self -insure for-wdrkers',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 therwork for which this,,permit is issued. ,'My.:workers' compensation
insurance carrier and policy number are:
Carrier Policy Number
I certify that, in the performanceof the work for which this permit is issued, I shall not employ any
person inany mVsh,
rso a to, me subject to the workers' compensation laws of California,
and agree .thet,ut me ect,to the workers! compensation provisions of Section
3700 of the Laocd , j 1( fort thtcomply with those provisions.
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 (5100,000)• IN ADDITION TO THE COST OF COMPENSATION,.DAMAGES.AS PROVIDED FOR IN
SECTION'3706 OF THE.LABOR CODE, INTEREST, AND ATTORNEY'5FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application.is hereby made to the Director of Building and Safety for a permirsubject 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 be it work,is performed under or pursuem,to,any permiefasued as,a result of this application,
the,owner, and the applicant, each agrees to, and shall defend, indemnify andl,hold harmless; the City
of La Quints, its officers,:agents and employees for any act or omission related to the work being
performed under or following issuance of;this permit.
2. Anypermit issued:as a result of this application becomes null and void if work is not commenced
within 180deya from date .ofissuance of such permit,or cessation ofwork for 180 dayewlll'subject
permit to cancellation.
I certify that I have read this application and, state that the ab41eion
ormation is; orrect: I agree to comply with all
city and county ordinances and state'laws relating to buil 'ngo an reby authorize.representatives
of•this county to enter•upon the above+mentioned props o pu
Application Number . . . . . 07-00000254
Permit . .
. PATIO COVER
PERMIT
Additional desc :
.
Permit_ Fee . . .
. 54.00
Plan Check
Fee
35.10
Issue Date . .
.
Valuation
. . .
. '2554
Expiration Date
7/22°/0.7
Qty Unit Charge Per
Extension
BASE
FEE
45.00-
5.001.00
1.009.0000 THOU BLDG
2,001-25,000
9.00
---------------------------------------------------------•---------------
Special Notes and
Comments
112 LF LATTICE DURALUM PATIO COVER/80
SF COVERD DURALUM
PATIO COVER.-
--------------------------------------------------------_------------------
--ther Fees .
. . . . . . STRONG MOTION. (SMI)
RES
-
.5.0
Fee summary
Charged-
Paid Credited
Due
-----------------
Permit Fee Total
---_-----------------
54.0.0
----------
.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
.LQrruMrr
Bin ,i
City Of La Quinta
Building & Safety Division
P.O. Box 1504, 78495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Perini .1
Project Address: 4) ,tIM jo a
Owner's Name: �(
A.T.,Number:
/
Address: 1-1 An1
Description:
City, ST;. Zip:
Contractor:
Telephone:
Address:
Project Description:
77
City, ST, Zip:
Telephone:
State-Lic.4 : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephoner
Statetic. #:
Name of Contact Person:
Construction Type: �_ Occupancy:
Project type(circle one): ew dd'n Alter Repair Demo
Sq. FL: Z'
# Stories:
# Units:
Telephone# of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BROW`THIS LINE
#
Submittal
Req'd
Recd
TRACIMG .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Gales.
Reviewed, rrady for corrections
Plan Check'Deposit
TMM Calcs.
Called Contact Person
Plan Check Balance
Energy Coles.
Plans jdcked .ap
Construction
Flood plain, plan
Plans.resabmitled
Mechanical
Grilling plan
2" Review, ready for correetionalissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
ELO_AL.Approval
Plans resubmitted
Grading
IN'UOUSE:-
Revlew, ready for,correetions/issue
Developer Impact Fee'
Planning Approval
Called.:Contact;Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if'that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license. number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that -you plan to subcontract, you should be.
aware of the following information for your benefit and protection.
If you employ or otherwise engage any persons other than your immediate .family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors; then you may be an employer.
If you are :an employer, you must register with the State and Federal Government as an employer and you aresubject
to several obligations include, State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to; worker's compensation insurance.
For more specific information about your obligations under Federal. Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For more specific information about your obligations under State
Law, contact the. Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their,
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent ,practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performi
ng their own work
personally.
Information .about licensed contractors may be obtained by contacting the. Contractors' State License. Board in your
community or at 1,020 N. Street, _Sacramento, California.958.14.
Please complete and return the enclosed owner -builder verification form so that we canconfirm that you are aware of
these matters. The building,permit.will not be.issued until the verification is, returned:
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253.
(760) 777-7012
FAX: (7b0) 7%N7 1
OWNER'S-SIGNATURE/DATE
%�?�5 0, dM�cll, ,
PROPERTY ADDRESS
7 -
PERMIT NUMBER(S)