06-0551 (PAT)P.O. BOX 1504 _ j ^� . VOICE (760) 777-7012'
` 78-495 CALLE TAMPICO - FAX (760) 777-7011
LA'QUINTA, CALIFORNIA 92253 k BUILDING &SAFETY DEPARTMENT INSPECTIONS (760) 777-7153,,
BUILDING PERMIT-
"
Date: 2/06/06
ApplicationNumber �06 00.000551 4 Owner
Property Address: 81201 VICTORIA LN SHEA LA QUINTA
APN: 764-270-999-127 -300234= .
• , - C/O JEFF MCQUEEN
Application description: _ PATIO COVER- RESIDENTIAL F ,8800 N GAINEY CENTER 350
Property Zoning: MEDIUM. HLGH DENSITY RES SCOTTSDALE, AZ 85258
Application valuation: 4469
• , i Contractor;
/nt..* - Architect or Enginee . FEBry ;" YBARRA CONSTR CO, ,TONY M.
\ FED 0 / 2006 I 566 STURGEON DRIVE
_ I CITYQF� 'COSTA MESA -,'CA -92626 •
QUTAITq ^ (714)979-5493.
ANCEpE�°T - Lic. No.: 344248
' k
` -
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'�•• LICENSED CONTRACTOR'S DECLARATION • .� WORKER'S COMPENSATION DECLARATION
I hereby affirm under. penalty of perjury that I am licensed 'under provisions of Chapter 9 (commencing -with Ihereby affirm under penalty of perjury one of the following declarations:
. •Section 700 ) 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 ense Cla si 1 3 C51' • - License 44248 - for by'Section3700 of the Labor Code, -for the performance of the work. for which this permit is
�t issued. - - "r
Date.- Y !/ _Contractor..' I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor .
't . Code, for the performance of the work for -which this permit is issued. My workers' compensation
- • •` Z OWNER-BUIL ER DECLARATION insurance carrier and policy number are: ,
I hereby.affiA under penalty of perjury,that 1 am exempt from the Contractor's State License Lawfor the •- Carrier STATE FUND' Policy Number 0653795-206l5,
c ` _ 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 thispermitis issued, I shall not employ any;
• .construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the +y. person -in any manner so as'to become subject totheworkers' compensation laws of California,
y 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 70001'of Division 3 of the Business and Professions Code) or 00 of,the Labor Code 1 shall forthwith comply wit a provisions. ' that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by • -� , �� - - - i
• + • any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: te: OG plicant: / Y
•�i
(_W, as owner of'the property, or my employees with wages as their sole compensation; will do the work, and - - KN
_ the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The - WARNING: FAILURE TO -SECURE WORKE ' COMPENSAT COVERAGE IS UNLAWFUL, SAND SHALLContractors' StateLicense Law does not apply to an owner of propertywho builds or improves thereon, . :SUBJECT AN -EMPLOYER TO CRIMINAL PENALTIES AND C F.INES'UP•TO ONE HUNDRED THOUSAND ' _ -
' _ c 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 OFtTHE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
_ . one year of completion, the owner -builder will have the burden of proving that he or she dill not.build or r - . - - -
--yy improve for the Purpose of sale.). -' - - - ..` - APPLICANT ACKNOWLEDGEMENT.
l
,.• Y _ 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: TheContractors' State License Law does not apply to an owne?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.). - - - - - 1 whose benefit work is performed under.or pursuant to any permit issued as a -result of this application,.'N -
(_ ). 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 underor following issuance of this permit.*
••i �"
r - Date:. Owner: - - .. 2. " An
y 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 construction lending agency for the performance of the - f certify that I haveread 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 c_ . ty ordinances and state laws relating to building construction, and hereby a thorize representatives
.of this cou y to ter upon he above-mentionedproperty or inspection purposes.- �.
r T
Lender's Name - ,
J•
a //__ re (Applicant or Agent): / /;� r
to (� nature
Lender's Address: - i. _
LQPERMIT
y
"Application Number.. 06-00000551,
Permit PATIO COVER
".
PERMIT
Additional` desc
Permit Fee 72.00;.
Plan Check
46.80
Issue Date.
Valuation
•Fee
4469.
Expiration Date 8/05/06 .
4
Qty'Un t. Charge, Per
Extension
BASE
FEE
45.00
3.00 9.0000 THOU BLDG
2,001-25,00.0
27.00 -
---------------------------
Special -Notes and'Comments
----------- -- - ---
---------
- - -- ----'
- .. ... ' 336.S.F-..ALUMAWOOD'LATTICE PATIO
COVER,-
PER APPROVED PLANS:
----------- ------- ------------------------------------------
-- -------------------------------------------------
Oth
Other Fees . . •: STRONG MOTION (SMI)
- RES
.SO
Fee summary. Charged -
------------�---- --- __--:--
Pal •; Credited
Due
---------•-
Permit:Fee Total^ 72.00
---=------
.00
----------
00
72.00
Plan.'Check Total" 46.80•
.00
.00
46.80
Other Fee''Total .50
.00
.00
.50
Grand Total 119.30.
00' ':00
119.30
4
,
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LQPERMIT .
-Bin #'.-
� •_ .- .
City of La Quints
Building U SafetyDivision'
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253.- (760)' 777-70.12. ,
Building Permit, Application and,Tracking. Sheet
Permit_#
Project Address: D v(c ��
Owner's Name:
A. P. Number:..
Address:
Legal Description:
Contractor: 0 ty,- to GO
City; ST, Zip: �aiL4�
Telephone: k {
Address: - . �' d %- .
Project Description: ;
City, ST, ZiP:. Cp? ;yl M93 0/f7 � �`� _
O l ✓\ '-7f - � ` /jri Gf/D� '
Telephone
State Lic. # : 5
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
'
r
Telephone:Construction
State Lic. #:
Name of Contact Person:.
T e:
yp (,� , . '. .Occupancy:
Project type (circle one): New Add'n- Alter Repair Demo
Sq. Ft:: 33 e,)
# Stories:
#Units:
Telephone # of Contact Person:Estimated
Value of Project: 6 6 F P P%
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
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:-
M
"d Review, ready for coerect,ons/issue.
Developer Impact Fee
Planning Approval
Called Contact Person <i `' c t
A.LP.P.
Pub. Wks. Appr,ry
Date of permit issue
_
School Fees
Total Permit Fees '
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(16 FB K
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. E M S T I N G , 4 CONSIRUC--'IO f .. a.
~ October 1st -April a o
i- Monday -Friday: 7 00
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s: PATIO COVER 1 t ,.. ent,Code
May, l st �. Se ; o7ae :
SEE JOE MONDO Mond Pted'�ber t
Monday -Y idayc 6:00 `z xc • a
Saturday �. 00' P. ; - . • . ' ; ' • - ' .
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Construct�'on Is NOT PEWITTE[ � - : - + • :.... : :. ,
`i',.on the following Code Holiday ` , _.._ ,,,�.:. .....
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Dr. Martin Luther KingJr. Diiyy
, President's Day
' ,� ;Memorial Day 8-
Independence
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Independence Day CITY O� DEPT:.. x
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Veteran's Day„`
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EMPTIED As �tEi;.�tli T�aIT ;:e L� rylf;
" MAY CAUSETHE CIiYTO HAVE THE D it n
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Wtt.L ECHARGED IFTHEAPPROVED 1 QED AT THE DWISE OF T, E o��
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