09-1004 (PAT)P.O: BOX 1504
78-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Application Number: -09-00001004
Property Address: 78790_ WAKEFIELD CIR
APN: 604'-433-014-71 -23995 -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 4682
Applicant: Architect or Engineer: .
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GENE HENRY
78790 WAKEFIELD CIRCLE
LA QUINTA, CA 92253
LICENSED CONTRACTOR'S DECLARATION
I 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 y License is in full force and effect.
Licenses:/C51 LicenseNo.• 449379
Date: �` ® rector:
OWNER -BUILDER D C RATION
I.hereby affirm under penalty of perjury that I am exempt from the C tractor'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, priorto 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 applicantto a civil penalty of not more than five hundred dollars ($500).:
( I 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 of she did not build or
improve for the purpose of sale.).
l _ 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 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
Contractor:
LA QUINTA PATIO COMPANY
40133 CALLE LOMA ENTRADA
BERMUDA DUNES, CA 92203
(760)863-4335
Lic. No.: 449379
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
9/16/09
------------------
WORKER'S COMPENSATION. DECLARATION
hereby affirm under penalty of perjury one of the following declarations: '
_ 1 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 issued. My workers' compensation
.insurance carrier and policy number are:
Carrier SOUTHERN 'INS Policy Number WSII002541901
_ 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 sh d become subject tote workers' c pensation provisions of Section
Sys 3700 of the La or C , 1 shall fo i co y with t provisions.
D` 1 icant•
WARNING: FA URE TO SECURE WORKE ' COMPENSATION C ERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND -
DOLLARS ($100,000). 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.: €ach PQr§9n upon whose behalf this agulicatian is made. each geraQn 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, or cessation of work for 180 days will subject
permit to cancellation. -
1 certify that I have read this application and state that the above information is correct. I agree to omply with all
city and county ordinances and state laws relating to building construc ' n nd hereby authoriz presentatives -
D�of t �iyc�ou) ty to enter upon eabove-mentioned grope or inspe rpos s
v / v gnature (Applicant or Agent):
Application Number
i
. . . . . 09-00001004.
Permit . .
. PATIO COVER PERMIT.
Additional desc .
Permit Fee
72.00 Plan Check
Fee
46.'80
Issue Date . . .
. Valuation
. . .
. 4682
Expiration Date.:
3/15/10
Qty Unit Charge
Per
Extension
BASE FEE
45.00
3.00 9.0000
THOU- BLDG 2,001-25,000
27::00
----
Special Notes and
Comments
2 SOLID ALUMAWOOD
SHADE STRUCTURES", 1 @
FRONT ENTRY AND 1
@ REAR OF 'HOME. 2007
CODES E35.2 £' f
--------------------------------
Other Fees .
--------------------------------------------
. . . BLDG STDS•ADMIN :(SB1473)
11.00
STRONG MOTION (SMI)
- RES
50
Fee.summary -
Charged Paid Credited
Due
-----------------
Permit Fee"Total
-------
72.00- :00
.00
72.00
Plan Check Total
46.80 .00
.00
46.80
Other Fee Total
1.50 .00
.00
1.50
Grand Total
120.30 .00
.00
120.30
LQPERMIT
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Permit #
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 78.7 7O
Owner's Name:
Address:7�
:W:
A. P. Number:
City, ST, Zip: Lf QV I NC1+ (?,4,Z Z $3
Legal Description:
Contractor: L � U(iV �� p�-r1 0 �� Telephone:
MAMM
Address: 40 - (3 3 C1+ LL 1: O M A N-rg-A-bA Project Description: L
City, ST, Zip: I N 7 I O C A-
RL D -� f}-L vv[n A-1.t>
Telephone: 7 - S 7 V'q 3
-city
� 37
S 4 oti c
State Lic. # :
Arch., Engr., Designer:
i�
Address:
City, ST, Zip:
Construction Type: Occupancy:
Telephone:
Project type (circle one): New Add'n Alter Repair Demo
#:C::
State Lic. #:q
Sq. Ft.: 3
Stories: #Stories: Units:
Name of Contact Person:
7 U
-7
- -2 Lt _ / D Ai 3 Estimated Value of Project:
Telephone # of Contact Person:
NOT WRITE BELOW THIS LINE
APPLICANT: DO
PERMIT FEES
H Submittal Req'd
Rec'd TRACKING
Item Amount
Plan Check submitted
Plan Sets
Plan Check Deposit
Reviewed, ready for corrections
Structural Calcs.
Plan Check Balance
Called Contact Person
Truss Calcs.
Construction
Plans picked up
Energy Calcs.
Mechanical
Plans resubmitted !""
Flood plain plan
•
2"' Review, ready for corrections issue Electrical
Grading plan
Plumbing
Called Contact Person
Subcoutactor List
S.M.I.
Plans picked up
Grant Deed
Grading
Plans resubmitted
Approval
H.O.A. App
Developer Impact Fee
- Review, ready for correctionstissue
IN HOUSE:-
A.I.P.P.
Planning Approval
Called Contact Person
Date of permit issue
Pub. Wks. Appr
School Fees
"Total Permit Fees