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06-1425 (PAT)�4 (10 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00001425 Property Address: 79925 CORTE APN: 609 -580 -051 - Application description: PATIO COVER Property Zoning: LOW DENSITY Application valuation: 9975 Applicant: T4&t " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT. CALERO - RESIDENTIAL RESIDENTIAL Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: License No.: 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).: 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.). (—)'I am exempt under Sec. , B.&P.C. for this reason Date: Owner: C NSXRMT10N 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: LQPER11fIT Owner: COLLEEN GALVIN 79925 CORTE CALERO LA QUINTA, CA 92253 ----------------------------- Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/30/06 rears 12006 L QP lA QUINTA. 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. 1 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 Policy Number 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 s kKLes a subject to the workers' compensation provisions of Section 3700 of the Lab a hall rthwith comply with those provisions. Date Applicant. WARNING: FAILURE TO SECUR RS' 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 'have read this application and state that the above information is correct. I agree to comply withall city and county ordinances and state laws. relating to building cons stie , and hereby authorize representatives of this c ty t enter upon the above-mntioned prop or i ec purposes. Date: 0 G Signature (Applicant or Agent): Application Number . . . . . 06-00001425 Permit . . PATIO COVER PERMIT Additional desc . Permit Fee . . . . 117.00 Plan Check Fee 76.•05 Issue Date . . . Valuation . . . . 9975 Expiration Date 11/26/06 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9..0000 THOU BLDG 2,001-25,000 72.00 ------------------------------------------------ ---------------- ---------------------------------------------------------- Special Special Notes and Comments" 7 ---------------------------- 750 SF PATIO COVER IN REAR YARD PER. APPROVED DRAWINGS & STRUCT CALLS --------------------------------------------------------- Other Fees . . . . . . . . .STRONG MOTION (SMI) ------------------ - RES .99 Fee summary Charged Paid Credited- Due Permit Fee Total ------------- 117.00 ---------- .00 — .00 -------- 111.00 Plan Check Total. 76.05 .00 .00 76.05 Other Fee Total .99 .00 .00 .99 Grand Total 194.04 .00 .00 194.04 LQPERMIT Wn # City of La Quinta Recd Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico Permv , 4. -. Plan Sets 1 La Quinta, CA 92253 - (760) 777-7012 Building Permit Plan. Check submitte 443 Item Amount Application and. Tracking Sheet Project Address:' 71 2)�,f �o C e/1� Owner's Name: Q V )olJ A. P. Number: Address: c?JJ Ca V -4P_ Legal Description: City, ST, Zip: 6z �`fu Contractor:Telephone Address- Project Description: At n-0 City, ST, Zip: Telephoner ©y ©� State Lio. # : CityLic. #: Arch., Engr., Designer: 1�1A LAI N 2"" Review, ready for correctio lectrical Address: ; AA I r . City, ST, Zip: PI mbing Telephone:. .,.. " Construction Type- ccupancy- State Lic. #: Project type (circle _one): New Add'ri Alter Repair Demo Name of Contact Pelson: e?_ IJ- ,, a `�% Sq, Ft.: # Stories: # Units: Review, ready for corrections/issue. Developer Impact Fee Planning Approval Telephone # of Co tact Person:60 q V t!o Estimated Value of Project: APPUCANT DO NOT WRITE BELOW THIS LINE # I Submittal :;,-q'd Recd TRACKING PERMIT FEES Plan Sets 1 a Plan. Check submitte 443 Item Amount Structural Calcs. Z, Reviewed, rea for corrections Plan Check Deposit ixusstalcs!. S Called. Contac erson Plan Check Balance Energy Calcs. Plans picked up Construction . Flood plain plan Plans resubmitted Mechanical Grading. plan' 2"" Review, ready for correctio lectrical Subcontactor List Called Contact Person PI mbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue. Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 12- -2)PvcA- VV `lila ofg- ?_� (412 lVP/f,406 607/& l 45:87 QU CITY DEPT. �•�y 8U1►.DING O ED P P Ati FOR C.ONs-r UCTION 0 \ � - my 7� tiA •Q'�:.. ' `� 4. L08,� n, o 5°�