13-0324 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000324
Property Address:
49010 BALADA
APN:
646-290-058-
Application description,
PATIO COVER
Property Zoning:
LOW DENSITY
Application valuation:
4000
Applicant:
CT
- RESIDENTIAL
RESIDENTIAL
Architect or Engineer:
m
l.
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GIPSON
49010 BALADA CT
LA QUINTA, CA 9
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor: MAR 2 o 2013
VALLEY PATIOS
37897 CHESTERFI LD ISTKNETZE i w nrttu're
Date: 3/20/13
BERMUDA DUNES, �A 9220jtyp� ❑EPi J
(760)534-4634
Lic. No.: 937811
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 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: C51 C8 Q LicenseNo.: 937811 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. Date: // Contractor: U11 �Gr� % /" /%�.�%S I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
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 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 saleJ.
(_ I 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:
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier MARKEL INS CO Policy Number MWC0034417-01
_ 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 become subject to the workers' compensation provisions of Section
3700 of the Labor Co e, II shall 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 0100,000). 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 for inspection purposes.
Date: 3 fi /ll Signature (Applicant or Agent):
I.QPIiRMIT
Application Number . . . . . 13-00000324
Permit PATIO COVER PERMIT
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee 40.95
Issue Date . . . . Valuation . . . . 4000
Expiration Date . . 9/16/13
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
~
400 SF DURALUM
PATIO COVER.
2010 CODES.
----------------
Other Fees
=_--�-----_-----
. . . . .
_---------
. BLDG STDS ADMIN (SB1473)
1.00
STRONG MOTION (SMI) - RES
.50
Fee summary Charged
Permit Fee Total 63.00
Plan Check Total 40.95
Other Fee Total 1.50
Grand Total 105.45
Paid Credited Due
.00 .00 63.00
.00 .00 40.95
.00 .00 1.50
.00 .00 105.45
LQPERMIT
Bin #
Oty Of La QuInua
Bdkfing a Safety Division
P.O. Box 1504, 78-495 Cafie Tampko
La.Qulata, CA 92233 -{760) 777-7012
Building Permit Application and Tracking Sheet
Pemtit #
Project Address: L1d l0 13+1,44A
C Owner's Name: ►�
A. P. Number.
Address: i,11010
Legal Description:
Contractor b,f1 If�
City, ST Zip: C A Qu r n A . Z f 3
"Telephone:
Address: 3�617
/
PtrojectDe)seription: S� C ulyJ/hu
City, ST, Zip: I'dV,
Telepho 7 q0v
State Lic. #: q 3 7- 1/
Arch., Eng., Designer:
City Lie. #
Address:
City, ST, Zip:
Telephone:
State Lies #: /
Name of Conn wt Persm: 1Tn 14 `e �
Construction Type: Ocarpancy:
Project type (citde. om): Netvl Add'n Alter Repair Demo
Fl SAP f Sq. Ft -. �(,� # Stories: # Units:
Telephoue # of Contact Person:
�16 3 y E 'mad Value of Project:
APPLICANT: DO NOT WRITE BELOW THM LINE
M
Submittal Req'd
Reed TRACISIT+TG
PERMU FM
Plan Sets
Plan Cheek submitted
Item Amount
Stractmal Cales.
Reviewed, ready for corrections
Plan Cb c& Deposit
Tease Cale.
CaUed Contact Pcrsoa
Plan Cheek iialance
Title I4 Cala.
Ptaas picked up
Construction
Flood plain plan
Plans resubmitted
MecLaoieal
Grading plan
2' Red—, ready for correctionewme
L ecdical
Snbcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S M.I.
H.O.A. Approval
Plans resabmitted I
Grading
IN UOUSE:-
''i Review, ready for cormctionsfissac
Developer Impact Fee
Planning Approval
Called COatact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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PARC LA QuiNTA HOMEOWNERS ASSOCIATION
Professionally managed by
Personalized
Property
Management
March 19, 2013
Robert & Wendy Gipson
49010 Balada Ct.
La Quinta, CA 92253
"0 r.delina Road
Cathedral City, CA 92235
Phone: (760) 325-9500
Fax: (760) 325-9300
Re: Architectural Request Approval — Solid Patio Shade — 49010 Balada Ct.
Dear Homeowner:
Your request to install a solid patio shade in your back yard per the Homeowners Association
Architectural Request Form dated March 8, 2013 is approved as submitted.
You will be mailed a copy of the signed, approved Architectural Request Form for your file after
the March 26, 2013 Board of Directors meeting.
Thank you,
Parc La Quinta Homwwners Aswaziltion
ARC Committee Chairman
cc: Board of Directors
File.
R PARC LA QUINTA1ArtlrdecWaalW9010 Balada patio cover Approval 031913.docx 3/192013