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PAT (04-3527)53425 Avenida Madero 04-3527 c P.O. BOX 1504 "OFW (760) 7774012 qv 78-495 CALLE TAMPICO FAX (760) 77DI 4 I LA QVINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760)777-7153 BUILDING PERMIT Application Number. 04-100003527 Date 4/16/04 Property Address . . . 53425 AVENIDA MADERO APN: 774-033-019-11 -000000- Application'de'scription'. PATIO COVER 7 RESIDENTIAL P-roperty Zoning 'COVE RESIDENTIAL Application valuation .2527 Owner Contractor/_',- ------------------------- - - --------------------.---- 'MCMANUS TIMOTHY F CONSTRUCTION DESIGN SYSTEMS, I I 53425 AVENIDA. MADERO 784-01 HIGHWAY 111, SUITE F-2. LA QUI NTA CA 92'253 LA.QUINTA. ' CA -92253 (760).:7.71=3593 WCC: STATE FUND' 02/0 1/05 WC: 1709785-03 02/01/05 CS.LB: 767086.. 08/31/05 CCC:. 2 HIC1A ..08/31/05 7 7 - --- - - - - --- - - - - - Permit PATIO COVER - - - - - - - - - - - - - - - - - - - --- - - - - PERMIT. - - - - --- - - - - Additional d6sc' Permit Fee 54.00 Plan Check Pee 35.10 Issue Date ... . . . valuation 2527 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 ,--- - - - - - - - - - INSTALLATION OF ALUMAWOOD PATIO COVER@ -REAR OF HOUSE. Fee summary Charged. - - --- - - - Paid Credited,- --- -Due - - -- - - - - -- - - - - - - 7 - - - ..Permi-t.:Fee Total 54.0.0 - - - - - - - - --- - - - - --- - - - - - - - - 00 A0. - - - 7-7- -'54.00. Plan Check Tot*a'l 35.10 .00 .00-. 35 * '10 Grand Total- 89.10' 00 .00 89.10 P.O. Box 1504 / a w VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: oI Date: Applicant: Architect or En ineer Applicant's Mailing Address: to Architect or Engineer's Address: Lic. No.: N/ BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code. and my LIom►se Class in full force and affect /1/License No. (0 7 P-16/n re Y 1,41, A 1 here affirm under OWNER-R=ER DECLARATION by penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sea 7031.5. Business and Professions Code: Any city or county that requires a permit to constrict, alter. improve. demolish. or repair any structure, prioi to its issuance, also requires the applicant for the permit to file a signed statement that he or she Is ficensed pursuant to the provisions of the Contractors' 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).): U 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 (Sea 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 or through his or her own employees, provided that the improvements are not intended or offered for sale. If, howeyer, the budding 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 themon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. . B.3 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to se"4nsure 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 pertortnanca of the work for which this permit is .s wq lcer4 mpensation insurance prier and liar bgr Cartier AT `i` ` ' Policy Number / % X — 0 _ I certify that, in a performance of the work for which this permit' issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree dot, If 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date I — 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 ATTORNEYS FEES. . CONSTRUCTION LENDING AGENCY I thereby 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 ^' Lenders Address 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 Ouinta, 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. 1 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 '-16— 01 - Signature (Applicant , VIP y NEWPORT AND LACUNA ORDER FORM ORDER DATE3/c2%P*ICK UP _1_! D# /Job Deane: _ X L " Q /,/% FAX (760) 771-4933 DAD —10— MPH -90 – ATTACHED J ATTACHMENT WALL EAVES U MOBILE HOME SLAB � ❑ LA CITY A3 FOOTING 0 FREE -STAND PATIO COVER D COMMERCIAL LAGUNA LA'T'TICE S E STD SPAC s C. WIT; i 1-112" TUBES u 'd:HITE STD SPACE- 4" O.C. WITH 2" TUBES D DSERA E3 8-19 O ORA COLORS 0 AD BE WHITE 0 fv)OJ VE T DESERT SAND 0 RF SONORA BEIGE 0 At -AS)' `ry GU-FTER 801J00G ONLY EXTRAPAR'I'S SOLED. EEL C- " 'Il vis 20'24' Dap' S EEL CL ER L F 03 10'V- 12' O 14' PO T HEiGH S: 10' ❑ ADOBE ❑ MOJAVE TAN ❑ FLAT MITCRED O CORBEL ALL COVERS ORDERED AS i ACKAGE MUST CONFORM TO ENGINEERING PRINTS. LAYOUT PLOT PLAN (SHOW GENERAL LAYOUT OF HOUSE AND COVER LOCATIONS). Please draw In proporlln" ngd fully dimension._ HOME OWN R®S NAME ADDRESS PHONEi ltiie 1'��-N�s 5-9 Y 22S Abe M4&& -o Ln Total Sq. 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