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12-0034 (PAT)Applicant: 7.3 T4ht 4 4 Qumk- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: p)/ Owner: STEVEN GOODMAN 81225 LEGENDS WAY LA QUINTA, CA 92253 Contractor: / D VALLEY PATIOS i 37897 CHESTERFIELD STRE BERMUDA DUNES, CA 92203 (760)534-4634 J LiC. No.: 937811 L VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/12/12 22�Jlwr. 2 �a-1 ------------------------------'------------------------------------------------------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: P.O. BOX 1504 _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided 79-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 'Application Number: �12=00000, - --�- Property Address: NB W 81225- LEGENDS Y APN: 762-420-025- - - Application description: PATIO COVER - RESIDENTIAL Property Zoning: - LOW DENSITY RESIDENTIAL Application valuation: 7435 Applicant: 7.3 T4ht 4 4 Qumk- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: p)/ Owner: STEVEN GOODMAN 81225 LEGENDS WAY LA QUINTA, CA 92253 Contractor: / D VALLEY PATIOS i 37897 CHESTERFIELD STRE BERMUDA DUNES, CA 92203 (760)534-4634 J LiC. No.: 937811 L VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/12/12 22�Jlwr. 2 �a-1 ------------------------------'------------------------------------------------------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided • License Class: C51 C8 License No.: 93W11 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ate: (./ ntractor: issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Av Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier SOUTHERN INS CO Policy Number WSI0047500-01 ' following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to - _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, ' permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade) 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).: 700 of the Labor Code, I shall f2qhwith comply wi those rovision ate: filL plicant: (_ 1 1, 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 WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). (_ 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: r' LQPERMIT 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. 't 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 as 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 authorize repres atives of this oou//p/ty Ito/f'mer upon the above-mentioned prope r i specti, v�os ' of t/ / / i [[ ature (APPlican genu: Application Number . . . . . 12-00000034 Permit PATIO COVER PERMIT Additional desc . Permit Fee . . . . 99.00 Plan Check Fee 64.35 Issue Date . . . . Valuation . . . . 7435 Expiration Date 7/10/12 Qty Unit Charge Per Extension BASE FEE 45.00 6.00 9.0000 THOU BLDG 2,001-25,000 54.00 ---------------------------------------------------------------------------- Special Notes and.Comments 559 S.F. SOLID ALUMAWOOD PATIO COVER,. OVERHANG TO BE EVEN WITH RESIDENCE. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 1.00 STRONG MOTION (SMI). - RES .74 Fee summary Charged Paid Credited -------------------- Due ------------------------------------- Permit Fee Total 99.00 .00 .00 99.00 Plan Check Total 64.35 .00 .00 64.35 Other Fee Total 1.74 .00 .00 1.74 Grand Total 165.09 .00 .00 165.09 LQPERMIT . AL �-, eAA PGA WESTe FAIRWAYS ASSOCIATION I'chmary 25, 2011 Steven and Sheryl Goodiitan 26166 Oroville Place I.aeuna Hills, CA 92653 Ile: Architectural Application Approval — 81-225 Legends Way Thar Nlr. and Mrs. Goodman: The :Architectural Committee met on February 11. 2011 to discuss your plans for the patio cover and rear yard renovation. The Architectural Committee has approved your application with the condition'that the Japanese Blueberry conceal the rool' line. ' Enclosed is Exhibit C• -- the Compliance Review Request lOrm. Please complete this tiinn after the work is completed and return it by mail or fax to the address below so the completed project can be inspected. If* you have any questions, please contact Christina I nriquez, Operations Manager at 760-776-5100 Ext. ;)S Sincerely, Fur the Arehileclural Committee l v. -i r/a.J "(NTri•at'J J ri - Mc ,mild. PCAN4 A 'St cklanaaer Fnclosure: Exhibit C — Compliance Review Request cc: Lot File \rchitecturaL Comm ince Pint Office Box 1690 • La Quinta, CalitOrnia 922=37.• Phone (760) 776-5100 • Fax (760) 776-51 1 1 Belle Vue Landscaping Pools And Spas 78206 Varner Road, Suite D-134 Palm Desert CA 92211 Phone: 760-345-0122 www.bel-levuelandscapingpoolsandspas.com roland@bellevuelandscapingpoolsandspas.com Lic #499370 Scale: 1" = 10' 1Y D;: -Py. FOR CONS I -RUCTION DATE If /.2'%i BY > Steve and Cheryl Goodman 81225 Legend Way La Quinta, CA Cell: Home: at wall 18" H 1 � RB EXISTING RB FIRE PST 1 Ac SPA RIB PT RIB Ar- e GIB A !Xs RIB a RB O POOL ® S s FIB R16 ` r 4C � FIB Re T FOB_�', r Ois JB x AC JB j ja ja JB r r S LAWN ARTIF. F%RT i JB .kl � RB RB i G Bin# .. .. .. ., .. .. .. .•., .. City of La Quipta Building & 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: I ZZ �� Owner's Name: 5-vewe^- A. P. Number: Address: Legal Description: City, $T, Zip: ^ �,/ Contractor; Vol - l � �� v Telephone: ' - x >•, ` ` > 'v > . Address: 31 oocf '% Cka4e4 trt& S�-. City, ST, Zip: I V4 1 O It cA 877,0 3 Project Description: - / Telephone: �3 q —Lv j ''rye,. n';: ^�`'?;•.:. S:S,v;•^�: �; City Lic. #: State Lic. # : Arch., Engr., Designer: Address: City, ST, Zip: Telephone: ` >::?' Construction Type: Occupancy: Project circle one): Newdd'n ter Repair Demo State Lic. #: Name of Contact Person few Sq. Ft.: 5 59 1 # Stories: # Units: Telephone # of Contact Person: 5 3q— `{ 639 Estimated Value of Project:P '% 000 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 Cheek Deposit Truss Cales. Called Contact Person Plan Check Balance Titre 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Ptumbidg Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review, ready for correctionsrLssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees