11-1119 (PAT)Tihf
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: 12/13/11
Application Number: 11-00001119 Owner"
Property Address: 48230 VIA SOLANA MASTER ASSN FOR RANCHO LA QUIN
APN: 646=380-038- - - .48500 WASHINGTON ST
Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 12000
Contractor-
Applicant: Architect or Engineer: DE GEARE BUILDERS & DESIGN IN
42335 WASHINGTON STE, F#344
PALM DESERT,, CA 92211 2
(760) 578-1910.
Lof.(T11r4�-'10/Z 11�Li��P Lic. No.: 795830 CI YYi`�+i!li�fr�
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION _
1 hereby affirm under penalty of perjury that I am licensed u er 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 a���o.:
• 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: B 795830 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. ..
Date: )?-!9Ldl. Contractor:_ 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
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 STATE FUND I Policy Number 0013415-2010
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, it Ishould be me subjec a workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code s II for mp those 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).: Date: Applicant:
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 intended or offered for sale (Sec. 7044, Business and Professions Code: 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 he 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 -
(_ 1 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,
1 _ ) 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 Ouinta, 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 ofperjury 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 agrRR to r.nmply with all
work for which this parmit is issued (Sec. 3097, Civ, C.). city and county ordinances and state laws relating to building construction, and hereby, a re sen atives -
of this county to enter upon the above-mentioned property fo ection pu
Lender's Name: •
Date: Signature (Applicant or Agent):
Lender's Address: -
LQPERMIT
Application Number . . . 11-00001119`
Permit PATIO COVER PERMIT
Additional desc
Permit Fee . . 135.00 -Plan Check Fee
87.75
Issue Date Valuation
12000
Expiration Date .: 6/10/12
-
Qty Unit Charge Per
Extension
BASE.FEE
45.00
10'.00 9.0000 THOU BLDG 2,001-25,000-,
90.00
Permit ELEC-MISCELLANEOUS
Additional desc .
Permit -Fee 15.75 Plan Check Fee
3.94
Issue Date . . Valuation
0
Expiration Date 6/10/12
Qty 'Unit Charge Per
Extension
BASE FEE
15.00-
1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
.75
Permit . . . SOLAR PERMIT
Additional desc .
Permit Fee 22.50_" Plan Check Fee
5.63
Issue Date '. Valuation
12000
Expiration Date 6/10/12
Qty Unit Charge_ Per
Extension.
BASE FEE
15.00
1.00 4.5000 EA SOLAR COLLECTOR < 1000.
4.50
1,00 3.0000 EA SOLAR EQUIP MISCELLANEOUS
3.00'
Special Notes and.Comments
360SF SHADE STRUCTURE WITH SOLAR POOL
WATER HEATER (ENGINEERED] COLLECTOR,
ELECTRICAL CONTROL AND PIPING OF SOLAR
HEATER TO EXISTING'POOL PLUMBING. THIS
PERMIT DOES.NOT INCLUDE'ADDITIONAL OR
ALTERATION TO EXISTING POOL PUMP.'2010
CALIFORNIA -BUILDING CODES.
December 13, 2011 4:12:00 PM AORTEGA
-------------------------------------------------- -
Other Fees . .. BLDG.STDS.ADMIN (SB1473)
1.00
STRONG MOTION (SMI)..- RES.
1.20
Fee. summary Charged Paid Credited
Due
' LQPERMIT
Application Number .
. . . .
11-00001119
Permit•Fee Total
---------------
173.25'
-----
.00
-----
.00
173.25
Plan Check Total*.
97.32
.00
.00
:97.32
Other. Fee Total-.
2.20
.00
.00
2.20
Grand Total
272.77
.00.
.00
272.77
LQPERMIT
d,W.e,
�� armies Wit► � Nom:
ZI13 40N A'PPI(jta�%u
�,cran� pt.�4•
z 7
Bin. #
City of .La Quints
Bd11dtng u Safety Di►dsi'on .
Permit # P.O. Box 1504,78-495 Caife Tampico
1-a.Qldnta, CA 92253 -{760) 777-7012
px�XA Building Pennit Application�and Tracking Sheet
Project Addtrss: pxd, p f v S O Owner's Name:. j(.�
A. F Number. S•2 .S 1w r 132 Address:
Legal Description: S^ -f V �� C—
City, ST, Zip:
Contractor. / I��
l� 12 ` Telephone:
Address: y� 3�5 �(% �v.: Si /s 3�/ Project Description:
City, ST, Zip: ZZ /! W 0 V S S 0Ly c 'l/ . (1
Telephone: r1 /
State Lie. # :^%� � 30 City Lic #: CJ
Arch, �•, Designer.
esiign«
Address.
City., ST. Zip: �i . / 0
Telephone: (� -2=L Construction Type:. Occupancy:
State Lica#: Project type (circle one): New Add'n Alter Repair Demo
ame Coama Person: Ft; J.#Stories: #.Units
T ephone # of Contact Person: Estimated Value of Project: (9.�
-
APPLICANT: DO NOT WRITE BELOW THIS LINE ,
N Submittal Rey'd ' Reed
CImVG PERMIT FEES
Ptah Sets Plea Check submitted �0 l Item Amount
Structural Calces Reviewed, rady for corrections Plan Chcck Deposit.
Truss Cala. Called Contact Person A 1 Plan Cheek Balance. 8
Title 24 Calcs. Plans picked up �� Construction I
Flood plain plan Plans resubmitted 11 �( I Mechanical' �*
Grading plea 2'' Review, ready f rectio issue ll� Electrical
Subeoatector List Called Contact PersonIL 144,�Lj Plumbing—�
Grant Deed Plans picked up l�
H.O.A. Approval Plans resubmitted , 3D Grading �s
AV HOUSE:- ''� Review; ready for correc 1i� Developer Impact Fee �•
Planning Approval Called Contact Person �iL A.I.P.P.
Pub. Wks. Appr Date of permit issue 00^
School Fees h t
Total
Permit Fees
�2.1�
d,W.e,
�� armies Wit► � Nom:
ZI13 40N A'PPI(jta�%u
�,cran� pt.�4•
z 7
Bin. #
City of .La Quints
Bd11dtng u Safety Di►dsi'on .
Permit # P.O. Box 1504,78-495 Caife Tampico
1-a.Qldnta, CA 92253 -{760) 777-7012
px�XA Building Pennit Application�and Tracking Sheet
Project Addtrss: pxd, p f v S O Owner's Name:. j(.�
A. F Number. S•2 .S 1w r 132 Address:
Legal Description: S^ -f V �� C—
City, ST, Zip:
Contractor. / I��
l� 12 ` Telephone:
Address: y� 3�5 �(% �v.: Si /s 3�/ Project Description:
City, ST, Zip: ZZ /! W 0 V S S 0Ly c 'l/ . (1
Telephone: r1 /
State Lie. # :^%� � 30 City Lic #: CJ
Arch, �•, Designer.
esiign«
Address.
City., ST. Zip: �i . / 0
Telephone: (� -2=L Construction Type:. Occupancy:
State Lica#: Project type (circle one): New Add'n Alter Repair Demo
ame Coama Person: Ft; J.#Stories: #.Units
T ephone # of Contact Person: Estimated Value of Project: (9.�
-
APPLICANT: DO NOT WRITE BELOW THIS LINE ,
N Submittal Rey'd ' Reed
CImVG PERMIT FEES
Ptah Sets Plea Check submitted �0 l Item Amount
Structural Calces Reviewed, rady for corrections Plan Chcck Deposit.
Truss Cala. Called Contact Person A 1 Plan Cheek Balance. 8
Title 24 Calcs. Plans picked up �� Construction I
Flood plain plan Plans resubmitted 11 �( I Mechanical' �*
Grading plea 2'' Review, ready f rectio issue ll� Electrical
Subeoatector List Called Contact PersonIL 144,�Lj Plumbing—�
Grant Deed Plans picked up l�
H.O.A. Approval Plans resubmitted , 3D Grading �s
AV HOUSE:- ''� Review; ready for correc 1i� Developer Impact Fee �•
Planning Approval Called Contact Person �iL A.I.P.P.
Pub. Wks. Appr Date of permit issue 00^
School Fees h t
Total
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