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13-1609 (PAT)P.O. BOX 1504 ' . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001609 Property Address: 80335 VIA VALEROSA APN: 777-250-005- - - Application description: PATIO COVER - RESIDENTIAL Property Zoning: LOFTJDENSITY RESIDENTIAL Application valuation: 15000 Tu!t-4-44"- Applicant* Architect or Engineer: C� ✓ " V BUILDING & SAFETY. DEPARTMENT BUILDING PERMIT ------------------------------------------------ LICENSED CONTRACTOR'S DECLARATION 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 Cl s: B C20 License No.: 878070 Date: Contractor: 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).: I _ 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 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.). 1, 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 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: ROGER PETERSON 80335 VIA VALEROSA LA QUINTA, CA 92253 (503)551-5789 Contractor: NICOL CONSTRUCTION COMPANY 67851 OCOTILLO TRAIL. DESERT HOT SPRINGS, CA 92241 (760)567-0397. Lic. No.: 878070 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760)777-7153 Date: 4/23/14 1Ir[APPIR p a i r `' r i 19 it J Clr/ O!: !.,A QUINTA ----------------------------------------------- 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 -- _-- - Codo, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number' 9080745 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 L/3�7/y010 of the Labor�shallith complywith those provisions. Date: Applicant: - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND - . DOLLARS (5100.000). 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. - r • 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 1 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 representatives of this county to enter upon the above-mentioned pr51rty for inspection purposes. Datet��s�-�-`--F Signature (Applicant or Agent): 2---t+ y Application Number 13-00001609 Permit •ELECTRICAL 2.013 Additional desc Permit Fee . . . . 23.83 Plan Check Fee .00 Issue Date 1/28/14 Valuation 0 Expiration Date 7/27/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC FIXTURES, FIRST 20, 23.83 Permit PATIO COVER 2013 . Additional desc . ' Permit Fee 131.56 Plan"Check Fee 00 Issue Date1/28/14 Valuation 15000 Expiration Date 7/27/14 Qty Unit Charge Per Extension " 1.00 131.5600 EA MISC PATIO COVER, SPEC 131.56 Special Notes and Comments ADD240 S. FT. CUSTOM PATIO COVER TO EXISTING RES. TILE ROOF TO MATCH EXISTING HOME . HAS FAN AND TWO EXT LIGHTS. January 3,2014 12:34:38 PM JJOHNSON. - - ------------7------------------ Other Fees . . . ... . . .. BLDG STDS ADMIN (SB1473) 1.00 - - - ADM: CHANGE CTR/ARCH/OWNR. 95.81 HOURLY PLAN CHECK - -- - 105.00` ---_- PLAN CHECK, PATIO COVER 165.88 PLAN CHECK, ELECTRICAL 23.83 STRONG MOTION (SMI) - RES 1.50. Fee summary Charged Paid Credited Due' Permit Fee Total 155.39 155.39 .00• .00 Plan Check.Total .00 .00 .00 .00 Other Fee Total 393.02 297.21 .00 95.81 Grand Total 548.41 452.60 00 95.81 LQPERMIT - Bin # Qty Of La Quinta Building &r Safety Division P.O. Box 1504, 78495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 La Permit Application and Tracking Sheet Permit #' 13—N09 'Project Addiess: Q33� VJA e" cra-A Owners Name: Q.� eY LbYi A. P. Number: t Address;a 0 — c33S \114 VCt1 erod3, , Legal Description: -_Contractor .�G I� fCity, ST; Zip: LA Ga. Tele hoiie•- ........... Address: ��' 000 ) I I wP;oject_Description: City, ST, Zip: �JCc,-1 ZZ l l' - _ __ _ — J 1- Tele h ne P o . —G State Lic. # : 97200 070 City Lic. #: �Alk LJ Arch., Engr., Designer: Address: City., ST, Zip: - Telephone: ho. ne: Construction TY Pe: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo ,Name of Contact Person: Sq. Ft.: # Stories: # Units: J — Telephone -#-,of Contact Person: S(27— Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god 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 correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees ricardolinares.caoba - Yahoo Mail https://us-mg5.mail.yahoo.com/neo/launch?.rand=OpIa2ib9ub7kn Letter to City of La Quinta.pdf 1 Of1 Fff:# tier West � "Builders- Inc.- April 22, 2014 City of La Quinta Building and Safety Department 78-495 Calle Tampico La Quinta; CA 92253 Re: Permit #13-1609 80335 Via Valerosa, La Quinta. To whom it may concern, This letter is to formally acknowledge that Frontier West Builder; -constructing the work' permitted by the city. on 1/28/2014, buildir my understanding that the project will be done by another gener- owner/builder. No work was done by Frontier West Builders, an been called -in. Should you have any questions, Please feel free to contact me. Sincerely, Pat Schlicht 1 of 1 4/23/2014 7:25 AM i 'r ' CITY OF LA QiJINTA I z COMMUNITY DEVELOPMENT DEPARTMENT v 760 77 INSPECTION R QU E Y OF (760) 77 -71 3 Owner ROGER o +:. - C0 Contrastor w ` Permit Number POST ON JOB IN CONSPIC OS P_LA , INSPECTOR MUST SIGN ALL AP CE JOB ADDRESS • co. i- ------ i.. ADD240 S. FT -'CUSTOM PATIO COVER ' TO EXISTING RES. TILE ROOF TO MATCH .EXISTING HOME.. HAS '{ FAN AND TWO EXT LIGHTS. j . L. QTE INSP. ' TEMPORARY POWER ' SETBACKS U/G PLUMBING /WASTE U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL ( CONCRETE SLAB + DO NOT POUR CONCRETE UNTIL ABOVE SIGNED I!; ROOF NAIL /PRE -ROOF • OKAY TO WRAP � p FRAMING COMBINATION • • •` ' ROUGH ELECTRIC ROUGH PLUMBING I ROUGH MECHANICAL ' . INSULATION COVER NO WORK UNTIL ABOVE SIGNED C GYP. BD. DRYWALL 'LATH �4 �-ANDONMENNNECTION TREASE 1(13 INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM t .� POOL / SPA / WATER FEATURE INSPECTIONS J PRE-GUNITE / SETBACKS i U/G PLUMBING U/G GAS j U/G ELECTRICAL ~� PRE -PLASTER ALARMS / BARRIERS PERIMETER SURFACE BONDING + FINAL INSPECTIONS � J TEMP. USE OF PERMANENT POWER � ELECTRICAL PLUMBING °i MECHANICAL PUBLIC WORKS DEPARTMENT V I PLANNING DIVISION i FINAL / JOB COMPLETED " ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILMES OR OCCUPY BUILDING - &4R P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001609 Property Address: 80335 VIA VALEROSA APN: 777 -250 -005 -- Application description: PATIO COVER - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15000' Tay/.'4,40". BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: ----------------- I LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of -the Busi es and Professionals Code, and my License is in full force and effect. License Class: B License No.: 975443 LIU �1Date: �. Contractor:� / OWNER -BUILDER DECLARATION 1 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 the purpose of 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.). I _ 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: ROGER PETERSON 80335 VIA VALEROSA LA QUINTA, CA 92253 (503)551-5789 . Contractor: FRONTIER WEST BUILDER! 139 BELLINI WAY PALM DESERT, CA 92211 (760)702-1098 Lic. No.: 975443 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/28/14 ----------------------------------------------- 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 i33ucd. My workers' Compensation insurance carrier and policy number are: Carrier STATE NTL Policy Number AWL003283-13 _ 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 t become subject to the workers' compensation laws of California, and agree that, if I shout b ome subject to the workers' compensation provisions of Section l 3700 of the Labor Whall forthwi comply with thosl provisions. / Date: I I Applicant: WARNING: FAILURE TO SECURE KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO TIME 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, br cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the ov information is correct. I agree to comply with all city and county ordinances and state laws relating to buildi g nstruction, and hereby authorize representatives of this unty o enter upon the above-mentioned prope y f r inspection Mposes. gate: Signature (Applicant or Agent): Application Number 13-00001609 Permit . . . ELECTRICAL 2013 Additional desc . Permit Fee . . . 23.83 Plan Check Fee .' .00 Issue Date Valuation . . . . 0 Expiration Date 7/27/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC FIXTURES, FIRST 20 23.83 Permit . . . PATIO COVER 2013 Additional desc . Permit Fee 131.56 Plan. Check Fee 00 Issue Date Valuation 15000 Expiration Date 7/27/14 Qty Unit Charge Per Extension 1.00 131.5600 EA MISC PATIO COVER, SPEC 131.56 - - ------------------------------------------ Special Notes and Comments ADD240 S. FT. CUSTOM PATIO COVER TO EXISTING RES. TILE ROOF TO MATCH " EXISTING HOME . HAS FAN AND TWO EXT LIGHTS. January 3, 2014 12:34:38 PM JJOHNSON. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 , HOURLY PLAN CHECK 105.00 PLAN CHECK, PATIO COVER 165.88 PLAN CHECK, ELECTRICAL 23:83 STRONG MOTION (SMI) - RES 1.50 Fee summary Charged Raid Credited -------- Due ---------- __-- ---------- Permit Fee Total 155.39 .00 .00 155.39 Plan Check'Total 00 .00 .00 .00 Other Fee Total 297.21 .00 .00 297.21 Grand Total 452.60 .00 .00 452.60 LQPERMIT Bin # 'F La Qd0ta qOty 0 _ ... ... "-Buffdit�g $r Safely Atvrtarl' . • _ . - . R Permit;<� ' P:: B x-150:78=95 C:afte Tampfcv - . _ 4.Qufnta, CA 92253 -.-(760) 777.7012 Building Permit ALpligtlon and Tracking Sleet Project Addtrss: , - 3 `%' l` r Owner's Name:. A. P. Nornber. Addtess: o- - S3 Legal Description: City ST -� r / � Zip; Contractor. ib t`i t',W e� v �S Telephone: � Address: � l ,.r- ��Se� 1 �/ProjeetDescript ion: City, ST, Zip: , Iz%n f4 . C + I.2,7/5--3 rc9 O ��CJ� L�i�t✓t-�S'7 /` - Telephone; 7(v - 707- - �' o . r State Lie. #: % W City Lie. Arch,. Bag., Desigiea �'v l i✓�+ �n - DEC 0 5 A�ddccss: ��! �.�r� �S :S � � 2a 13 �� CITY pF tA Q IIIA __ City., ST, Zip: l' V;'i%,7171. .2j O . cS J� DEVELopM . Telephone: 6v V6q- Construction Type: • V - ompanay: -L. - Sta;cLis: #: Project type (circle one): Nov., (2b> .Altar Repair Demo Name of Contact Person; V-& _ Sq; F;; # Siories: #Univ: Telephone # of Catttetct Peon: Estimaw Value of PrRiecit- (� AM IMIR —. till Firwr "rn a t ncl ^I., -we 1^ s.... # SabadtWl Req'd ReNd TRACIMG PERMr FRES° PtnaSeis Ph-Checksubmitted 3Lcm - Amotmt. &Mete:in! Qdcs. ,Reviewed, resdp for con ections Plan ChedcDeposit_ - 'bussCalm . Called Contact Person Plan Check Dalamx 'Cilie 24 (ales. Plans picked up Constmction Flood plaln plan PEARS resubmlthd - Mechariicat Grading plan V Review, ready for eorctctio Issue � I?dectricat SubcoatactOr I:ist Called ConlactPcraon PtumEing - GraatDeed Plans picked ap u 1C�2nOGrLro t I�j l S.1Vi,I: __ H.D.A. Approval Plans mubmitbed Grading 130USE... '"`Revtew; ceudy for coirect o aeJ4 Devdopar Impact Fee 1?IanningApproval- CdltdContactPerson-- Pub. Wks. Aper - Date of getanit issue . School FoesLai