07-1567 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00001567
Property Address:
54140 EISENHOWER DR
APN:
774-221-025-19 -000000-
Application description:
PATIO COVER - RESIDENTIAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
. 5825
T4tyl aF 4 4"
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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- C51 '� License No.• 44 79
Date: `QoR4ractor: c
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).:
(_ 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 thepurposeof sale.).
(_ 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.).
(_ 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 performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
JAMIE MILLER
54-140 EISENHOWER DR.
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/25/07.
D \
Contractor:
LA QUINTA PATIO COMPANY
40133 CALLE LOMA ENTRADA MAY 2 5 2007
BERMUDA DUNES, CA 92203
(760) 863-4335 CInCF-UINTA I
Lic. No.: 449379 FIIdANCE
DEP?
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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 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' compensation laws of California,
and agree that, if I should become subjeeXy
workers' compensatio provisions of Section
r
3700 of the Labor Cod II forthwi
Date: t��/ Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UHUNDRED 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 certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authori a represen tives
of thisd7 to enter upon the above-mentioned grope coon pu os
AV --
Date: ✓ f% Signature (Applicant or Agent):
Application Number . . . . . 07-00001567
Permit . . . .
. PATIO COVER PERMIT
Additional desc .
Permit Fee . . .
. 81.00 Plan Check
Fee
52.65
Issue Date . . .
. Valuation
. . .
. 5825
Expiration Date .
11/21/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
4.00 9.0000
THOU BLDG 2,001-25,.000
.36.00
----------------------------------------------------------------------------
Special Notes and
Comments
357SF PATIO COVER
AT REAR (GROUNDED) &
81SF PATIO COVER AT FRONT. [ENGINEERED]
ALUMAWOOD. May 25,
2007 12:39:09 PM
AORTEGA
----------------------------------------------------------------------------
Other Fees . . .
. . . ... . STRONG MOTION (SMI)
- RES
.58
Fee summary
Charged Paid Credited
---------- ---------- ---------- ----------
Due
-----------------
Permit Fee Total
•
81.00 .00
.00
81.00
Plan Check Total
52.65 .00
.00
52.65
Other Fee Total
.58 .00
.00
.58
Grand Total
134.23 .00
.00
134.23
LQPERMIT
#'
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVE®
FOR CONSTRUCTION
.AT ZS o eY
City of La Quinta
Building M Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
r `CM La Quanta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:S--115CN fD w R_
Owner's Name: a,4 Ck If— NI / L• LCA
A. P. Number:
Address:
Legal Description:
City, ST, Zip: ,L H 6? V i N e i4 C/ j z- S 3
Contractor: L,4 UI,V r -'Pi pf} %/ 0 C,4
Telephone:
Address: 40 - ( 3 3 G'/} LL (, L-01110
Project Description: (,Z � � .--_ T_
City, ST, Zip: i N01 O C- �a� o
Lvwta �.� G�IAcN '_/f -7— TACE
Telephone: 7 (O - S 7 q - /6.> `f 3
State Lic. #: 3 % 9 City Lic. #:
Arch., Engr., Designer:
SH- ,� 5 i /Z t� /ZF- S
Structural Calcs.
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Conswction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
bj
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cities.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2•' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.1.
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
FnY
RC USTRICT •- PLANNING REVIEW FORM
This form is to be used by CDD staff for review of'. single family dwellings- in the RC (Cove
Residential) District per Section 9.50.090 of the Zoning Code. Its purpose is to determine: 1)
that the proposed housing design does not duplicate the same- architectural' style of any house
within 200 feet of the applicant; .and/or 2) if there is a need for the applicant to file for Master
Design Guidelines: If the applicant does need to file .a Master .Design Guideline, please.transmit
this information to the Building and Safety Department as part of your correction list. Please
attach additional explanations as necessary.
APPLICANT:
SITE, ADDRE'
APN 0,c25 CASE NO.:
LEGAL: LOT 06 %fA BLOCK 2dI`1 UNIT S.C:@V.L.Q.
CHECK AND APPROVED.BY: CyO�OI DATE: al
Inform the assigned Building plan. checker upon your assignment to this case. The CDD
Executive Secretary maintains 'a log book to track applications. and assign case numbers.
REQUIRED ITEM.
Y .
N .
COMMENT/CORRECTION
Verify legal and APN information
Consistent w.ith.MDG-on file (as
applicable)
.MDG filing required (5 filings
since 9/3/98) .
Architectural variety within 2.00..
feet of the surrounding area:
APPROVED Y COMMUNITY DEVELOPMENT DEPA
BY DATEt2:)
EXHIBIT
CASE NO,
Architectural design features .
ME�tii
Other Requirements:
Sc E rtZ4NC, VN