11-0935 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 11-00000935
Property Address: 81139 "LAGUNA-CT
APN: 764-280-004-14 -35996 -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 4070
T`�
t44Q"
Applicant: JV Architect or Engineer:
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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.
Licens Class: B License No.: 906650
ate tractor:
OWNER -BUILDER DECLARATION
hereby affirm under penalty rjury [hat 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 heorshe 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 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—) 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:
SHEA LA QUINTA
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253 FrD
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/30/11
Contractor: - AUG 3 0
BONESTEEL, JAMES X011
78735 WAKEFIELD CIR C1
LA QUINTA, CA 92253 IN Ab Qi/iNra
(760)774-5786
Lic. No.: 906650
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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 EXEMPT Policy Number EXEMPT
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
3700 of the Labor Co I shall forthwith comply with those provisions.
D Ap �RIMINA
WARNING: FAILURE TOSPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER 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, indemnity 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 buildin onstruction, and hereby a ftOr representatives
of this county to enter upon the above-mentioned property inspection purpo .
Da Si t.re (Applicant or Agent):
Application Number . . . . . 11 -00000935 -
Permit PATIO COVER
PERMIT
Additional desc .
Permit Fee . . . . 72.00
Plan Check
Fee
46.80
Issue Date . . . .
Valuation
4070
Expiration Date 2/26/12
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
2 ALUMAWOOD PATIO COVERS 1 @ 169
SF AND
1 @ 137 SF AT REAR AND SIDE OF
RESIDENCE. 2010 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
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 1.50
.00
.00
1.50
Grand Total 120.30
.00
.00
120.30
LQPERMIT
$1 13cl' L A&U A 4C T.
r ll - 0 0f 4-A Qt) # tJTA,
CITY OFLA C PT.
BUILDING & SAFETY .
AF)PP®VED
FOR CO
DA ' X11 BY
WE
3'®4
5"X8" ALUMAWOOD BEAM (I
TOTAL)
2"X3" ALUMAAOOD LATTICE
WITH 2" SPACING, RUNNING
PERPENDICULAR TO EXI5TING
PATIO FASCIA
DOUBLE 2"X&" ALUMAINOOD
RAFTERS, SPACED 6" APART
O.G.
2 "X3'
WITH
PERP
PATIC
Bin #
City of La Q[unta
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
. Building Permit Application and Tracking Sheet
Permit #
1 (,�
Project Address: 113 1 L/S GV PA GT
Owner's Name: G dig Fd XTH
A. P. Number:
Address: F1111 � 46L)PA CT(
Legal Description:
City, ST, Zip:
Contractor:S N b'
5b M e�D' �ST�E L G N S f
Telephone:
Address: 7 8 7 3 6 WA K„C F t c LD G I
Project Description: ,d L UM A WU D
City, ST, Zip: pa Gb 9 22 5-k
Telephone: -7C0-:77q--579C,
:<:> y.,
State Lic. # : !, 6 6 (1 5 D
City Lic. #. I Q% 75oi
3 7 �i Z
Arch., Engr., Designer:
Address:
1-0 Tb L_ F1, 2- = `j C). 6
City., ST, Zip:
Telephone:
P f ,»
State Lic: #: ::;:;:;4<;/:,.#;#:::>::' :•::• • <:.;::;:
Name of Contact Person: M ao i 1 t= S j F (�
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:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21" 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 correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees