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12-0994 (PAT) IIIIIII VIII III VIII IIII 07 P.O. BOX 1504 — IE - �� VOICE(760) 777-7012 78-495 CALLE TAMPICO 4FAX(760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS(760) 777-7153 BUILDING PERMIT Date: 8/28/12 Application Number: 12-00000994 Owner: Property Address: 80879 CALLE AZUL JERRY ANDERSON APN: 762-240-003-55 -300962- 80879 CALLE AZUL Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: MEDIUM DENSITY RES n Xmmfflll`� Application valuation: 2075 ILII AUG Contractor: AUG 23 2012 Applicant: Architect or Engineer: CSER, RYAN GABOR 29811 CALLE COLINA eIyy(3FL9UJWA CATHEDRAL CITY, CA 92234 FINANCEDE (760)861-8953 Lic. No. : 928413 ------------------------------ --------------- ------ -- -------- 7 ----- ------------- - ---------------- 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 Lice Class: C29 D03 License No.: 928413 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ate: 8 Z Fl. Z� ntractor: ��"� - - _ 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 OWNER-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier E EMPT Policy Number EXEMPT following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to 1 certify that,in the performance of the work for which this permit is issued,I shall not employ any 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, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that,if I should become subject to the workers'compensation provisions of Section License Law(Chapter 9(commencing with Section 70001 of Division 3 of the Business and Professions Code)or 3700 of the abor Code,I shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by (! � pp any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: •Z ate: O licant�� 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,Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL Contractors'State License Law does not apply to an owner of property who 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 employees,provided that the DOLLARS($100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT 1_1 1,as owner of the property,am exclusively contracting with licensed contractors to construct the 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 person upon whose behalf this application is made,each person at 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_1 I am exempt under Sec. ,BAP.C.for this reason the owner,and the applicant,each agrees to,and shall defend,indemnity 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. 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 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.I. city and y ordinances and state laws relating to building construction,and hereby authorize representatives of th' county to enter upon thea ove-mentioned property for' tion purposes. Lender's Name: ate: Z 28. ?,Signa e(Applicant or Agent(: Lender's Address: p Ir LQPERMIT Application Number . . . . . 12-00000994 PermitPATIO COVER PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee 35.10 Issue Date . . . . Valuation . . . . 2075 Expiration' Date 2/24/13 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ---------------------------------------------------------------------------- Special'Notes and Comments 156 S.F. WETHERWOOD LATTICE SHADE STRUCTURE. 2010 CODES. --------------------------------------------------------------------"-------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 54.00 .00 .00 54.00 Plan Check Total 35.10 .00 .00 35.10 Other Fee Total 1.50 .00 .00 1.50 Grand Total 90.60 .00 .00 90.60• LQPERMIT 641 LlPl� wRd- � . xx 156sq-,Attached Weatherwood shade structure_ Anderson Residence: p 80-879 Calle Azul p L L Driveway N P Street L Cordractor. CITY OF LA C UINTA 'BUILDING &SAFETY DEPT. APPROVED L� A FOR CONSTRUCTION q AMY -f- CA Lic. 928413 DATE o 764.861.8953 Page 1 of 1 -= Puerta Azul Homeowners' Association 57325 Paseo del Lago La Quinta, CA 92253 949-254-3698 August 27, 2012 Via email: ierry anderson&att.blackberrv_net Mr. William Anderson 80-879 Calle Azul LA QUINTA, CA 92253 Dear Mr. Anderson: Puerta Azul, Inc. ("Association:) is in receipt of your completed application . Please be advised your application has been approved upon City of La Quinta final approval of the project. Please provide upon completion the final inspection approval from the Cibl of La Quinta. Upon completion the Board will approve deposits to be refunded less the non-refundable deposit of 550,04 and less the billing from Wayne Connors , Puerta AzuPs architectural advisor. Should you 'have any questions or concerns during the process please feel free to contact us. Sincerely, Lori Livacich President Board of Directors for Puerta Azul HOA Inc. 949 254-3698 https:Hdocs.google.com/a/precisionpatios.com/viewer?attid=0.1.1&pid=gmail&thid=1396... 8/28/2012 CitY Of La Quinta Building&Safety Division Permit# P.O. Box1504, 78-49.5 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit APPlication and Tracking Sheet .X' Project Address: 40 6 C CCF A. P. Number: A Wner's Name: DEW 50AJ Legal Description: Address: 6067q Clmlltc- 19 ,Z(/L- Cit)-,ST,Z:ip: LA qtl(VTA 614 14 Contractor: P. YA tJ c S r- elephone: 7,� 40 Address: Z 41 C6 I IlJ 4 CitY. ST.Zip: c CALIc G INJA - Project Description: CA 7 T/C C- 1-4 OX A C. C MH tAJE47AYE-CW00,0 r, v" Telephone: 760 7/Z (0)�c7,L State Lic.# : 172,9 Lf(i City Lic. #: Ar ch.,Engr.,Designer: Address: Ciq, ST,Zip. City,ST,Zip: Telephone: Construction Type: Occupancy: State Lic.#: X" 'Y' Name of Contact Person: Project type(circle one): Ne- Add'n Alter Repair Demo Sq. Ft.: # Stories: Telephone#of Co-.--.Person: Oof Project: # Units: 00 , UV APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Rcq'd Rcc'd TRACKING Plan Sets PERMIT FEES Plan Check submitted Item Structural Calcs. Reviewed,readv for corrections Amount Truss Calcs. Plan Check Deposit Called Contact Person ---------- Title 24 Calcs. Plans picked up Plan Check Balance Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"Review,readv for correctionsfIssue - --------- Electrical -------- SubcOntactor List Called Contact Person ------------—------- k, Plumbing Grant Decd Plans picked up -------------— S.M.I. ------- 11-O.A.Approval Plans resubmitted IN HOUSE:- Grading Review,ready for corrections/issue ------ Planning Approval Developer Impact Fee Called Contact Person ------------ -------- Pub.Wks-Aper A.I.P.P. Date Of permit issue ---------- School Fees TOW Permit Fees