12-0691 (PAT)P.O. BOX 1504 -`- VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-.7153
BUILDING PERMIT
Date: 8/22/12
Application Number: 12-00000691 Owner:
Property, Address: 49924 VIA KATALINA MASTER ASSN FOR RANCHO LA QUIN
APN: 602-160-027- C/O JACKSON DEMARCO & PECKENPA
Application description: PATIO COVER - COMMERCIAL P 0 BOX 19704
Property Zoning: , LOW DENSITY RESIDENTIAL. IRVINE, CA 92623
-Application valuation: 14000
Contractor: WHC
Applicant: Architect or Engineer: SANTUCCI BUILDERS INC72529 BEAVERTAIL STREPALM DESERT, CA 92260
(760)578-7757
Lic..No.: 820801
----------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARA7IUN ' -
I hereby affirm under. penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penaltyof 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
Li en CI ss: B LL��y�Lcense No.: 820801 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
_f__ issued.
• Date: �� ntractor: `iLi V - _ 1 have and will maintain workers' compensation insurance, as required by Sec[ion 3700 of the Labor
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 ofperjury that I am exempt from the Contractor's State License Law for the - Carrier GRANITE STATE .Policy Number 2381494311
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 subjeul Lu the wuikers' uumpensation 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 Code) or 700 of the Labor Coye, I shall forthwith copp lywith those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - Q /r\m
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001.: - Dates! 3 /�plicant: cJ -
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: FAILURE TO SECURE WO ERS' CO ENSATION 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.). - APPLICANT ACKNOWLEDGEMENT '
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for '
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, ..
(_) I am exempt under Sec. , BAP.C. for this reason 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.
Date: .Owner. - - 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
CONSTRUCTION LENDING AGENCY permit to cancellation. -
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to.comply with all
work for which this permit is issued (Sec. 3097, Civ. C.)- - city and county ordinances and state laws relating to building construction, and hereby authorize representatives
_ - of this c my t enter on the above-mentioned prope y for inspection pur es. -
Lender's Name: � � - �%� /�
ate/`�S'gnature (Applicant or Agent):' `
Lender's Address: �- -
LQPERMIT
Application Number . . . . 12-00000691
-. Permit PATIO COVER PERMIT
Additional desc .
Permit Fee . . . . 153.00 Plan Check Fee ..
99.45•
Issue Date Valuation . . .
. 14000
Expiration Date 2/18/13
' Qty Unit Charge Per
Extension
BASE FEE
45.00
12.00 9.0000 THOU BLDG 2,001-25,000
.108.00
----- ---------------------------------------------------------
Special Notes and Comments
794 SF TRELLIS CANOPY (FOR FUTURE SOLAR
ARRAYS) X 9 FT HGT. PER ENGINEERED
DESIGN. 2010"CODES.. ARCHITECT:.CHARLES
GARLAND C11991.
--- ----------------------------------------------------
----------------- •. -
Other Fees . . . . . . BLDG STDS ADMIN .(SB1473)°
1:00
HOURLY -PLAN CHECK
157.50
STRONG MOTION (SMI) - COM
2.94
Fee.summary Charged. Paid Credited
Due
Permit Fee Total 153..00 00 . .00
153.00
Plan Check Total 99.45 .00 .00
99.45 c
Other Fee Total 161.44 .00 .00
161.44
Grand Total 413.89 .00 ..00
413:89
LQPERMIT .
: 6111 ff
(o ` City of La Quinta'
Building &r Safety Division
Or # j P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
j�QlA /l Building Permit Application and Tracking Sheet
JC Project Address: le4h61A Z-4 Quin644 C wner'sN_7/L Q
A. P. Number: ///%�S/p h ��., (��5�— Address:��
Legal Description: City ST Zip: G � 4
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Contractor: SCj;ht(,c CG( F3�,,,; >;'YS ern
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Project Description:
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Telephone:
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Arch., Engr., D/esiignner: �/ ,a`(/',c-
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Name of Contact Person: Q?4 k.G GC( k�� k of
Telephone # of Contact Perso : �-o
q I Submittal
Plan Sets
Structural Cates.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
Construction Type: Q0O Occupancy:
Project type (circle one) Ne%v Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
tP
Estimated Value of Project: yr�� G C d
APPLICANT: DO NOT WRITE BELOW THIS LINE
TRec'd TRACKING
heck submitted VI(q
ed, ready for corrections
Contact Person
Plans picked up
Plans resubmitted ti
2nd Review, ready for corrections sue
Called Contact Person
Plans picked up
Plans resubmitted
1rd Review, ready for corrections/issue
Called Contact Person
Date of permit issue
7lC//2. '7/s ,ems.
2 2' dz4e- *G
PERMIT FEES
a4em Amount
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
Electrical
Plumbing
S.M.I.
Grading
Developer Impact Fee
A.I.P.P.
Total Permit Fees 1 , a�;
MIM
.. i •� Lam a�•� :. ; ' � - `, � ,
P.O. BOX 150.4 BUILDING & SAFETY DEPARTMENT
4
' 787495 CALLE TAMPICO (760) 777-70`12
C�MOF Tt� LA QuINTA, CALIFORNIA 92253 FAX(760) 777-701 1
( )
To: Greg Butler, Building & Safety Manager To CDD:
From: Les Johnson, Director -Planning Due Date: a c
Q ti
Permit #:>
Status:_ Ice
Building, Plans Approval
(This is an approval to issue a Building Permit) The Planning Department has reviewed, the Building Plans for the following
project
Description: ��QG. C?7
� �®
Address or General Location:
Applicants Contact:
The Planning Department finds that:
• ❑ ...these Building Plans do not require Planning Department approval
...these Building Plans re approved by the Planning Department.
❑. ...these Building Plan require corrections. Please forward a copy of the,
attached corrections o .the applicant: When the correc_ions are made.
please r u them -to the Planning Department for review.
Les'J nson, Diet r- Ian ing Date