13-0332 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
TdY
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE:(760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date
Application Number:
13-00000332
Owner:
Property Address:
78121 AVENIDA LA FONDA
GRIFFITH INV.
APN:
770-122-017- - -
1301 ALASKAN WAY
Application description:
Property Zoning:
PATIO COVER - COMMERCIAL
VILLAGE COMMERCIAL
SEATTLE, WA 98101
D L�, O
Application valuuG0i'l.
3600
Contractor:
JUL 2 4
2013
Applicant:
Architect or Engineer:
MC LELLAN, SCOTT
229 W . MARQUITA UNIT A
C)N OF lA (�u)NTA
SAN CLEMENTE, CA 92672
FINANCEDEPT.
(949)291-0913
Lic. No.: 427358
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 a Professionals Code, and my License is in full force and effect.
License Cla n e No.: 427358
�( C
Date: Contractor::
OWNER -BUILDER DECLARATION
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
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 ($500).:
(_) 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
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.).
(_) 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 contractorls) licensed
pursuant to the Contractors' State License Law.). -
(_ 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:
LQPERMIT
-5/30./13
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.
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 EX PT Policy Number EXEMPT `
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 should b oma subject .to the workers' compensation provisions of Section
700 of the Labor Code all forthwith comply with those provisions.
Date Applicant•
WARNING: FAILURE TO SECURE 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 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.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property fo pection putpee�s'es.
;Date: Z Signature (Applicant or Agentl: T r•'� C�
Application Number . . . . . 13-00000332
Permit . . . PATIO COVER PERMIT
Additional desc . .
Permit Fee . . . . 54.00 Plan Check Fee ."
35.10
Issue Date . . . . Valuation
3000
Expiration Date 11/26/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 18.75 Plan Check Fee
4.69
Issue Date . . . . Valuation . . .
. 0
Expiration Date 11/26/13
Qty Unit - Charge Per
Extension
BASE FEE
15.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
1.00 .7500 EA PLB GAS PIPE >=5
.75
----------------------------------------------------------------------------
Special Notes and Comments
60SF ADDITION TO EXISTING PATIO COVER
WITH ADDITION OF (3) PATIO HEATERS AND
RELOCATION OF (2) EXISTING PATIO HEATERS
(ENGINEERED] THIS PERMIT DOES NOT
INCLUDE PATIO SCREENING. 2010 CALIFORNIA
BUILDING CODES.
May 30, 2013 9:28:01 AM AORTEGA
-----------------------------------------------------------------7----------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
HOURLY PLAN CHECK
130.73
STRONG MOTION (SMI) - COM
.63
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 72.75 .00 .00
72.75
Plan Check Total 39.79 .00 .00
39.79
Other Fee Total 132.36 .00 .00
132.36
Grand Total 244.90 .00 .00
244.90
LQPERMIT
Bin. #
fit,
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c1ty. Of is Qul: to
Building 8r Safety Division
P.O. Box 1504,78-495 Calle Tampico
ia.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjeetAddress:78-121 Avenida La Fonda ( The Crab Pot)
Owner's Name:. Hal Griffith
A. P. Number. 770-122-001.
Address: . 1301 Alaskan Way
Legal Description:
Contractor. Scott Mclellan
City, ST, Zip: Seattle, WA 9$101
Telephone:
Address: 229 W Marqulta #A
Proje'etDescription: Addition of (3) new gas patio heaters
City, ST, Zip: San Clemente, CA 92672
and relocation of (2) existing patio heaters on existing.'
Telephone: 949-291-0913
P
patio cover. Addition of new 1/2" gas pipe for the new
gas heaters. Addition of (2) 4"x10"x16' beams to existing
State Lia # : 427358 City Lie.. #; 108501
Arm 13W•, Designer: RA Structural Engineering
patio cover structure to carry new heaters.
Address: 78008 Calle Amigo Suite 102
City., ST, Zip: La Quinta, CA 92253
Telephone: 760-771-9993
State Lic. #: -
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Scott Mclellan
Sq. FL:
# Stories: # Units:
Telephone # of Contact Person: 949-291=0913
Estimated Value of Project: $3,000.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req-d
Reed
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted Hem Amount
Structural Calcs.
Reviewed, ready for corrections ��I Plan Check Deposit. .
Truss Cales.Called
Contact Person Plan Check Balance.
Tide 24 Cales.
Plans pieked up 1 1 Construction
Flood plain plan
Plans resubmitted.. Mechanical
Grading plan
2'! Review, ready for correct ue Electrical
Subeostactor List
Called Contact Person �p ® Plumbing
Grant Deed
Plans picked up S M.L
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE.-
Review; ready for corrections/issoe Developer Impact Pee
Planning Approval.
Called Contact Person .P.
Pub. Wks. Appr
Date of permit issue
School Fees
1t
•
va..
Total Permit Fees
-%4'T AJIA-
cS&Ai ve 046406014.
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