13-0712 (PAT)P.O. BOX 1504— } ` " w A 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: 6/05/13
Application Number: 13-00000712 Owner:
Property Address: 78995 WAKEFIELD CIR BRIAN BOWEN
APN: 604-422-003-11 -23995 78995 WAKEFIELD CIRCLE ,
Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (760)485-7565
Appllcadurl valudtiun: 4000
Applicant: Architect or Engineer:
-----------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provi ' of- Cha pter'9 (commencing with
Section 7000) of Division 3 of the Busine and Professio Cod , and y Licens - n full force and effect. -
License CI s: B C39 C47 e;? e 5175
DJa�te: 13 Contractor
OWNER-BSDECLARATION
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 1
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 1$500).:
(_ 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 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.). -
1 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: -
LQPE%MIT
Contractor:
ROOMS N COVERS E
840 S. ROCHESTER)
ONTAR'IO,. CA,9i7r
(909)390-0555 Juhl
Lic. No.: 51757 0J ZOIJ4g
PpE INYA`
INANCE
---------------------------- -- ---- ---
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.
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 EXPLORER INS Policy Number WSA500038603
1 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 .
p�000 of the Labor Code, I shall forthwith comply with those provisions.
.7 APPlica/ntJ: Yvl
WARNING: FAILURE -To SURE WORKERS' 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 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 Li 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.
I certify that I have read this application and state that the above information is correct. .1 agree t y with all
city and county or finances and state laws relating to buildin s uction, and here hor sentatives
of this o t nter upon the above-mentioned prop
o,' ecti n pur
Date Signature (Applicant or Agent):-/ '
t '
Application Number . . . . . 13-00000712
Permit . .. . . . . "ELECTRICAL 2013
`.I Additional desc .
Permit.Fee 23.83 Plan Check Fee
-. .00
'• Issue.Date Valuation
0
Expiration Date.. 12/02/13
Qty Unit Charge Per
Extension
1.00 .23.8300 LS ELEC FIXTURES, FIRST 20
23.83
Permit PATIO COVER 2013
Additional desc .
Permit Fee . . . . 95.81 Plan Check Fee
.00
Issue Date Valuation . . .
. 4000
Expiration Date 12/02/13
Qty Unit'Charge" Per
Extension
1.00 95.8100 EA ` MISC PATIO COVER, STD
95.81
-----------------------------------------------------------------------------
Special Notes and Comments
DURALUM PATIO COVER - (1).PATIO COVER
WITH THREE SECTIONS: 15'6"X8'6" LATTICE,
12'6"X11'6" SOLID, AND 1516"X7' SOLID
WITH (1) FAN TO DURALUM ENGINEERING.
2010 CALIFORNIA BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473).
1.00
PLAN CHECK, PATIO COVER
94.38
PLAN CHECK, ELECTRICAL
23.83
STRONG MOTION (SMI) - RES
.50
- Fee summary Charged' Paid Credited
Due
Permit Fee Total 119.64 .00 .00
119.64
Plan Check Total .00 .00 .00
.00
Other Fee Total' 119.71 .00: .00.
119.71
Grand Total 239.35 00 .00
239.35
`.
Bin #
City Of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
it
l�l
Project Address: "j 8 9 95
cZ .
Owner's Name:
A. P. Number:
Address:�_A
C,,,_.
Legal Description:
Contractor::
OLWY,-S
City, ST, Zip: .. Z.ZS
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Telephone: i60 �'S- l5(oS%s�<:�«»•.::i»::`::r.>:.">:�:`>?:}<;::
Address: Q
Project Description: s l t."
City, ST, Zip: C,
pAt-a-C
I 1
""' pC i �� \5� �0�� "� `� A
Telephon . l,$fi — ��/
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State Lic. # : Sl'1 5 15
City Lic. #; talb
Arch., Engr., Designer:'
Address:
City, ST, Zip:
Telephone: ;<' < ;;a;<:;.>.;;rs :s>::> >:`: '<:•:`:.>>:>
State Lie. #: «: ';>:::::;.::>«;«:»:>.:•i;:; .i:>;::;:.:.
" :%`•>'" <'<> ' > r%'•< `'':': "
..................... .
Name of Contact Person: AN\VLa
Construction type: Occe ane :
Project a cir
J type ( cle one): New Add'n Alter Repair
Sq. Ft.: # Stories: # Units:
Demo
Telephone # of Contact Person:
l E) I -Estimated
Value of Project: Ell600
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 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:-
'"' Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit5ees
OWNER G. r1
ADDRESS
CITY Chu i ZIP 9Zzs3 PHONE
LOT NO. TRACT -APN
CONTRACTOR '
ROOMS N'. COVERS PROPOSED ITION(S) �'� U``x 8Lo
". 132
840 S ROCHESTER AVE #C Z
ONTARIO, .CA 91761
LIC. B-517575
909-390-0555
WORK COMP (1
ICW GROUP vJ
WSA5000386-03
EXP6/14/2013
L.�
CITY OFLA QUINTA.
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DAT ' BY