07-1713 (PAT)TA
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
r� Date: 6/13/07, '
Application Number: 07-00001713, ti, . ' Owner T'
Property Address:44855'VIA MIRABEL CRAIG OSTENDORF
APN: `' 604'-032,-999-59 -305212 '44855 VIA MIRABEL
Applicationdescriptjon:` PATIO COVER RESIDENTIAL LA QUINTA, CA. N 0
Property Zoning: LOW DENSITY RESIDENTIAL LA QUINTA, CA,92253
Application valuation: 6889' a ff I
.Contractor Z0
D .. •'
Applicant: Architect or Engineer , " SHADE BUILDERS ,
t nr
34110 DATE PALM 'DRIVE' mD
t i _
CATHEDRAL-CITY, CA•,92234 IF
01D
• "�.. (760)403-7268• .. ' �Z�
Lic No '870046
LICENSED CONTRACTOR'S DECLARATION 1.. r ' 4 WORKER'S COMPENSATION •DECLARATION
1 hereby affirm under penalty of perjury that lam licensed under provisions of Chapter9Icommencing with •; .I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Busi a nd Professionals Code, d 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 -
• LiceriJJse Class: 13 License 0046. r - - ' + •for by Section 3700 of the Labor Code, for. the performance•of the work for which this permit is -
• - IL��J�(�1 .4 'issued. s • .r e -
• ate. tor: _.A --I have and will maintain workers' compensation insurance, as required by Section 3700 of the tabor
' •~ `• " ►-. Code, for the performance of the work forwhich this permit is issued. My workers':' compensation
' OWNER-BUILDER DECLARATION ' , ti , 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 EXEMPT i- Policp'Number':'. EXEMPT
following _reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to "• t I certify, in the performance of the work for'. which this permit is issued, I shall not employ any
-Pl
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 tofile a signed statement that he orshe is licensed pursuant to theprovisions of the Contractor's State 7 and agree that; if I sho a subject to the workers' compensation provisionsof Section.
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or, "''` ,, 3700 of the Lab ode, I sh forthw' co plywith th provisions` - -
• 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).:te: �Sy ' is
.1 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 intendedoroffered for sale (Sec. 7044, Business and Professions Coder The•.- >`" - WARNING: FAILURE 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). rIN 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 of she did not build or
improve for the purpose of sale.). - - APPLICANT ACKNOWLEDGEMENT
1 _7 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 issued as a result of this application, ,
t _ I I am exempt under Sec. , B.&P.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. '
hereby affirm under penaltyof 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 buildjtg-cera uction, a ereby authorize representatives
_ of this county to enter upon the above-mentioned prop rte y for insp tion p pos ,
Lender's Name: / _ ,.1 �•••t (/
—��/ rt.eaJ�\� �.] 1 nature (Applicant or Agentl:tender's Address: '`� ' 1 —- -
LQPERMIT
Application Number . . . . . 07-00001713
Permit PATIO COVER PERMIT
Additional desc .
Permit.Fee . . . 90.00 Plan Check
Fee
58.50
Issue Date Valuation
6889
_ Expiration Date 12/10/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
5.00 9.0000 THOU BLDG 2,001-25,000
45.00
- -------------------------------------------------------------
Special Notes and Comments
518 S.F. SOLID ALUMAWOOD PATIO COVER.
BONDING REQUIRED FROM POOL TO ALUMAWOOD
PATIO
--------- - -- - - - - - - - - - -
Other Fees STRONG MOTION (SMI)
- - - - - - -
-.RES
- - - - - - - --- --
,68.
Fee summary Charged Paid Credited
Due
-- -- ---------4
Permit Fee Total 90.00. :00
- -
00
- - - -- --
90 00;'
Plan Check Total 58.50 00
:00
58.50,;:
Other Fee Total .68 00 ,.
00".
68"
Grand Total '149.18 .. 00,.
`..00
149..18."
LQPERMIT
,
i I
•
,
,IJI JQJ'"I! j4 j�!
PINK
fi i t}1 t L
-
4 to, i
WAS
ai
t ! _'i I ! s- ! i s.._ 1i ; _ t ins"
'. MAO
404
OPIUM;!
!liltittilt:iti ' I I F_
x
.._.. A .L ...._. __ 4
hood r t ` �I
r 1A lit
. �_77- -
AJ pit
Lit
tq71 Tit
^ 1Srj..a 14
VT.;wIllyin
t ! t+ Z Wan v 11 Ill
• j
t
il
�LI Iffy
! I , -t ;. � .I , I i I i } �4. ! -s. ! ' I i
i Asti
111 •;�i- + P -i I i , .f_ .'' i ` 1 f i .t I 1
i' Y L'} i., I I.
LA -1. !, 1 •- .. I _ 1 I111
-i_ I a }I I i i i ( " !. f I 1 i I '.I j .�
!1'I . j . l ! 0 Cl two t '0011 .i T 11 i I I } I t ; i i t 1 } i ! J ' ! " I i !V iii_S�.'��-, ! � !
.{ Jam.. .-+d.r ' '•� ' .�. ' 1 i ��1� , 1. ..,
t I .I
1. j. '. i.. rid
I l .
t
! I
!
!
1
� _.__�. i..�...L.T�..� .-_.,. � ....:.. .,. ...i__ .!_ ..i. .r..i.. I �_. '.f. ! ! I , Lip,
_I �"
1 7
} WHO.1 < t .i.' S .I ,�. i i ! 'i f } j t .'I Kill ! ! ! I , t -} •i' i 't
,1! t I fi I1 4+111 t
Bin #
City of La Quinta
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:#
Project Address:
_ GJS L I
Owner'sName:
A. P. Number:
Address: L414 1
Legal Description:
City, ST, Zip: 1
Contracto .�
�jk1��—_–
Telephone:*71l06 " 7'j6`S00_7 S00_7
Address: PM 0(�__
Project Description: �� �� O 4 -T"1 \
City, ST; Zip: � � LA
�S I
Telephone: L4 0b---1vA
City Lic. #:
p
State Lic. # : ��LA
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: �Pbp {�
Construction Type: Occupancy:
Project type (circle one):: New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: �QC] - 44 0 uo 4
Estimated Value of Project:.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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
Energy 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
Plumbing
Grant Deed
Plans picked up
S.M.I.
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