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07-0298 (PAT)I P.O. BOX 1504 VOICE (7 60) 77:77-7012 78-495 CALLE TAMPICO FAX (760) 777,77.Q1 I LA'QUINTA, CALIFORNIA 92253 BUILDING;& SAFETY, DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING "PERMIT Date. 1/30/07 Application Number. ,;_0600 9,8 Owner: Property Address: 52195 AVENIDA OBREGON PROCKNOW BUTCff: APN:• 773-214-021-10 000000- 52195 AVENIDA OBREGON Application description: PATIO COVER.- RESIDENTIAL LA QUINTA, CA 92253 Property,Zoning: COVE RESIDENTIAL Application valuation: 3192 Contractor: Applicant: Architect or Engineer: HAWKINS, CONSTRU_ CTION. J> '77'850DELAWARE PLACE. y PALM DESERT, CA 92211 2 (76'0)413-3017CA LIC: N6.: 510847 AC ------ - - - --- - -- - -- - -- -- --------------------- - - - - -- 1. LICENSED CONTRACTOR'S DECLARATION _ WORKER'S COMPENSATION DEC ATION >a I hereby affirm under penalty of perjury that I amilicensed under provisions of Chapter 9 (commencing, with - 1 hereby affirm under•perialty of perjury one of:thb'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 forw�compensabon; as provided License Class B — License'N -51084.7 - ';for by Section 3700 of the Labor Code, for the performance of the work for which,thispermit is? ",'. _ +, .r -issued. Daworkers' •,i Y: ' _te:. `�! Contractor:r " L. .�-P&e and will maintain workers ycompensation insurance, as required by Section 3700 of the Labor Code, forahe performance of the woWfor which this permit.is issued. My workers' compensation rc. ` N "-BUILDER, DECLARATION l ".- insi rance carrier and policy number are: ` + I hereby affirm under penalty of perjury that I am'� xie npt from theContractor's State License ,Law .for the Carrier STATE : FUND Policy Number 0026451-2006 - - following reason (Sec. 7031 .5,:Business and Professions Code: Any city,or county that,requires aapermit to _ I'certify that; in the performance of the work•for.which this -permit is issued, I -shall, notemployany construct, alter, improve.! demolish, or'repair any.structure, prior to its issuance, also requires the applicant for the ,..person in any manner so.as to become subject=to the workers' compensation laws of'California, 1,. Permit to file a signed'statement that he'.or she is licensed"pursuant to the provisions of tfie.Contractor's State ` and. agree that; if I si`ouid become subject to the workers compensation provisions of Section 'License Law'(Ctiapter 9'{commencing with Section'7000) of. Division 3 of the Business and.Professions Code) or . 3700rof the Labor Code, 1 shall forthwith comply with those provisions. - i that h6 orshe is exempt therefrom and the basis. for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicam: to a civil penalty'of not more than five hundred dollars ($5001.: _ D,a't , �:--�/� Applicant: is - (�_ 1 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,.Businesrand Professions Code:'. The WARNING: FAILURE TO SECURE WORKEg - COMPENSATION COVERAGE IS UNLAWFUL, ANDISHALL ' Contractors' License does not apply to an;owner of'propertywho,builds:or improves thereon, , SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED .THOUSAND and who does the.work himself or herself through his or her own employeesiprovided,that the DOLLARS ($100,000). IN ADDITIONTO THE COST`OF. COMPENSATION, DAMAGES AS PROVIDEO`FOR IN improvements are not intended or offered forsale,' however, the building pr,improvement is sold within SECTION 3706OF THE"LABOR: CODE, INTEREST, AND ATTORNEY'S FEES., one year of completion, thi3 owner•builder will have the burden of proving that he or she did not build or improve for the purpose of sale.): ' . r f APPLICANTACKNOWLEDGEMENT.. (_ 1 I, as owner of the property;'am exclusively contracting with licensed contractors to construcfthe,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: The Contractors' State License Law does not apply to an'owner 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 personupon whose behalf this. application is made, each persohat whose request and for pursuant to the Contractors''State License Law.).' whose benefit work;is,performed under, or pursuant to.any permit issued as a result of this application, (_ 1 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, i&officers,-'agents and employees for any actor omission related to the work being ' • - - - performed under or following issuance of this permit: Date: Owner: - 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 - `n CONSTRUCTION LENDING AGENCY .permit to cancellation.- - -I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that•I.have read 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 county ordinances and state laws relating to building construction, and hereby authorizerepresentatives of this county to enterupon the above-mentioned property for inspection pu Do S. Lender's Name: � � � ?,1 n Lender's Address: � na ur�e (Applicant or Agent): ' LQPERMIT - Application Number . . . . . 07-00000298 Permit . . . . . . PATIO COVER PERMIT Additional desc Permit Fee . . . . -63.00 Plan Check Fee 40.95 Issue Date . . . . Valuation 3192 Expiration Date 7/2-9/07 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0006 THOU BLDG 2,001-25,000 18.00 ----------------------- -- Special Notes and5p. Comme nt s Spec - ------ 240 SF.ALUMAWOOD PATIO COVER IN REAR ------------------------ ---------- ---------------------------- 'Fees r STRONG MOTION (SMI) - "RES. .5 Fee.summary ..Charged' Paid Credited --7 - Due - - - - - - - - - - - - - ----_---- - - - - - - - - Permit F6e Total .63.00 .00 ..00 - - - - - --- - - - 63.00 Plan. check Total -40.55 00 . . 00 4`0.95` 'Othe'r Fe' Total .50 ob dra-id Total 104.45 .00* .00 104.45.: :c LQPERMIT Bin # City of la Quinta Building &.Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico 'CA � La Quinta, 92253 -.(760)- 777=7012 �l' Building.Permit Application and'Tracking Sheet Project Address:' Z Q��� Owner's Name..: z411 Aev c__ A. P. Number: Address: _ 5 z/� 1�6� Legal Description: City, ST, Zip: Contractor: �� 1 Telephone: ,. 2 O MEN Address: •% S'n Project Desi lion: City, ST, Zip.- ip:Telephone: Telephone: State Lic. City Lic. #: Arch., Engn, Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lie. #: rr�jcct.type (circle one): New Add, n Alter Repair Demo Name of Contact Person: S .. Ft: 9" # Stories: # Units: Telephone # of Contact Person; Estimated Value of Project:. APPUCANT: DO: 'NOT WRITE BELOW. THIS UNE # Submittal Req'd •: Ree'd TRACIaNG - PERMIT FEES . Plan Sets Plan Check submitted . Item Structural Calm� Reviewed; ready for corrections Amount . Plan Check Deposit Truss Cala. 'Called"Contact Person Plan Cheek Balance Energy Calcs. Plans picked np" Construction . Flood plain plan Plans resubmitted 'Mechanical Grading.plan 3'' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked ap S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: - Review, ready for.corrections/i�ssue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks..Appr Date of permit issue School Fees 'Total Permit Fees LA. L i 9sr Cil Gni S �7 %�y�,.,,��5• �[-'o�c!/( Lam^ I.�Py�i V07 wr G.fJ 1'orll.;v ' A/ /r 1 A• F OF LA UINTA. G APP�®VE® CONSTRUCTION D " 02 BY NtA RE-INSPECT.I.ON FEE OF $30 'WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS!