The URL can be used to link to this page

06-2135 (PC)uu'�1w 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 _ _ Y , Date: 5/26/06. Application Number: 6 00002135 Owner. Property. Address: 57390 VIA VISTA PUERTA AZUL PARTNERS APN: 762-240-003-72 -300962- 17700 SW UPPER BOONES FERRY RD Application description: PATIO COVER COMMERCIAL SUITE 100 Property Zoning: MEDIUM DENSITY RES' PORTLAND, OR 97224 D d Application valuation: 3192 " Contractor: q Applicant: Architect or. Engineer: MIRAGE BUILDERS_ MAY 2 6 2006 27372 MERIDIAN WAY CITM®S :LAGUNA'NIGUR7,, ;CA 92677 LA (949)235-1202 F��AIVC� �i%'pTA .` No. c. 792314• --—-—————————————————-———---='--------- — -- — -— ——————--——--—--——————————————--————————————————————— LICENSED CONTRACTOR'S DECLARATION' - WORKER'S COMPENSATION DECLARATION r"`•• I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (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; 13 Lite No.: 792314 for by Section 3700 of the Labor Code, for the performance of the work for which this, permit is ' issued. ontractor: / _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor ^ ` • - - 1 Code, for the performance of the work for which this permitis issued.. My workers' compensation OWNER -BUILDER DECLARATION — " insurance carrier and policy number are:. .. i I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier AXPMPT :Policy Number EXEMPT following reason. (Sec. 7031.5, Business and Professions Code: Any city or'county'that requires a permit to ,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 pursunt to the provisions of the Contractor's State - .i and agree that, if I should beco 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 - 3700 of the Labor Code, I sn 0 with comply, with those provisions:, ` ? e 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).: ate: plicant: - ('_) I, as owner of the property, or my employees with wages as their sole compensationwill 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 herself through his or her own employees, provided that the DOLLARS ($100,0001 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 • (_ 11, 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 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 constS��uction, and hereb authorize representative's of this unty to enter upon the above-mentioned proper in actio pur ,ses. Lender's Name: .� - ate.`S 2. ature (Applicant or Agent): - i A Lender's Address: - LQPERMIT " - - Application Number. : .. . .. . 06-00002135 Permit . ... . . . PATIO COVER PERMIT Additional desc Permit Fee 63.00' Plan Check Fee -. 40.95 Issue Date, Valuation 3192 Expiration Date 11/22/06 ' Qty Unit Charge Per Extension BASE FEE 45.00 2.00" 9.0000 THOU • BLDG 2,001-25,000 18.00 ---------------------------- Special Notes and Comments ---------- ---- -------------- 240 S.F;. ALUMINUM PATIO COVER Other Fees. . . '. STRONG 'MOTION (SMI) -------.7------ - COM 6 Fee summary Charged Pai.y Credited Due Permit: Fee _Total 63:00 .; .00. ':. ..00 . 631.00:."', Plan Check Total :40,:95 06 00 40:95. Other.Fee Total ,. .67 .00 .00 .67:. Grand Total` ":.. 104.62 Z, -00 :00 104:62: ' LQPERMIT" r' i � � • ?n��`��i�� f � it •at yt� tF;.r • TT t� •id".147y ..��,. x.,4g1 F 1: ai , • i/ . FT E - P� 1 h Ski _.Z A - - • _ t j. Y'�"r t Approved by Date Reso # z O Planning Commission ti. ❑❑ COt1nCil a ommunit ev. Dept. y \` Initials Case No. Exhibit It _ ,� •,t i is ;h i7 With.. Conditions , � j�ic1 S/2G/cam i 0 X_ 44 Z An ' Bin # - City of La Quinta Building at 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: 51 _3qp Owner's.Name: A. P. Number: Address: 57— -3q 0 V ,'ca 0: . Legal Description: Contractor: / ' 1; f a { City, ST, Zip: f� (� „t`�� C,- q ZZ s Telephone: Project Description: Address: �-� 3 2 /�iC r �„ Lop., City, ST, Zip: L—a vt tia �J 1 k cC% ' A l u e+<< -to'" - l oto tc c- p e;rt 4,F� . Telephone: cl 4J 17 02 State Lic. # : `% Z 31 City Lic. #: Arch., Engr., Designer: G(7V C -r f Address: City, ST, Zip: n R. LJ,2.C�v Gt1`ft.2 �t.et�3 ,bt Telephone: State Lic. #: Name of Contact Person: S Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: -Z Stories: # Units: Telephone # of Contact Person: �.3 S J 7- -0 2' 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 Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading. plan Z" 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:- 7nd 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 N r I Hpr 28 2006 1:50ph 7603240630 i - �_ it O p.2 U1111i c•