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10-0454 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 I Application Number: J 10-00000454 .-Property Address 52295 MERIWETHER WY APN: 767-690-009- - - Application description: PATIO' COVER - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: ArchitectW,050AJ gineer: 1�"�e�s7/ ------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. - License ✓ Class:. B License No.: 915336 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 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, BusinessandProfessions 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.). (_) 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: LQPERDIIT Owner. LOUIS & MICHU WELCH FAM 7 EMERALD BAY LAGUNA BEACH, CA 92651 Contractor: DBCA INC P.O. BOX 1482 LA QUINTA, CA 92247 (760)393-5271 'Lic. No.: 915336 VOICE (760).777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/08/10 TRUST (D d JUL 0 9 2010 CITY OF u►OUww -------------------- 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. 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 insurance carrier and policy number are: " Carrier TRAVELERS PROP Policy Number YEUB282D779708. 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 lawsofCalifornia, - and agree that, if I should become subject to the workers' compensation provisions of Section J/ 3700 ; he Labor Code, I shall forthwith comply with those provisions. Date: to V_`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 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�coJunty to enter pon the above-mentioned property for inspection purposes. /Date:. "r 14 �� Signature (Applicant or Agent):-` LQPERMIT Application.Number. 10-00000454 Permit . . . PATIO COVER PERMIT Additional desc . Permit Fee 162.00 Plan Check Fee 105.30 Issue Date Valuation . . 15000. _ Expiration Date 1/04/11 ; Qty Unit Charge, Per Extension - BASE FEE 45.00 13.00 .9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 117.00 Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee 25.50 Plan Check Fee 6.38 Issue Date Valuation 0 Expiration.Date 1/-04/11 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 10.50 - Permit . . . MECHANICAL Additional desc . Permit Fee 21.50 Plan Check Fee .. 5.38 Issue Date Valuation 0 Expiration Date 1/04/11 Qty- Unit Charge Per _Extension BASE FEE 15.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . PLUMBING Additional desc . Permit Fee 30.75 Plan Check Fee 7.69 Issue Date . . . . Valuation 0 Expiration Date 1/04/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 6".0000 EA PLB ROOF'DRAIN 6.00 1'.00 3.0000 EA - PLB WATER INST/ALT/REP 3.00 1.00 .7500 EA. PLB GAS. PIPE >=5 .75 ----------------------------------------------------------------------------- Special Notes and Comments 181 SF X 13.5 FT HGT DETACHED PAVILION LQPERMIT Application Number . . . 10-00000454 Special Notes and Comments W/ GAS BBQ, HOOD, SINK & ELECTRICAL PER ENGINEERED PLANS. 2007,CODES / 2008 ENERGY. Other Fees . . . . . . .BLDG STDS ADMIN (SB1473) 1.00 ' ENERGY REVIEW FEE 10.53 STRONG MOTION (SMI) - RES 1.50 Fee summary Charged Paid Credited Due Permit Fee Total. 239.75 .00 .00 239.:75 Plan Check Total 124.75 .00 .'00 124.75 Other Fee Total 13.03 .00 .00 13.03 Grand Total .377.53 .00 .00 377.53 r Bin # City of La Quinta . (� Building 8T Safety Division 010. P.O. Box 1504 78-495 Calle Tampico � La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # to Project Address: 52.- 2 - ,%WJE ,�. Owner's Name: LOVIS 'KIC.gv --,4ze_9 A. P. Number: (9 9 — a03 Address: =a - ZQs tAzej,,♦fiC>� Legal Description: Contractor: City, ST, Zip:/—AcA fi'Zz3q T , ele h on e. O. P Address: TO 25S_��t� 5-.7— Project Description: City, ST, Zip: Telephone: hone: &1A -,D State Lic. # City Lic. #; ^11A � Arch., Engr., Designer: Address:12 . 1 #A City., ST, Zip:00 h Telephone: one: ' 6 Lic. #:G of Contact Person:C_1S'Z>P/fEtZ_ 1kJ-6W,= Con structi n o Type: Occupancy: P P Y• cttYPStato Project e e (circle le one : A dd n Alter Repair berno 'lIName Sq. Ft.: D# Stories: /—T#Units: /q Telephone # of Contact Person: %GO L10(p vp Estimated Value of Project:- AIO Q0Q APPLICANT: DO NOT WRITE BELOW LINE # Submittal Req'd Rec'.d TTT�HIST T �1 V PERMIT FEES Plan Sets a Plan Check submitte Item Amount Structural Calcs. Reviewed, ready C r correctio 27, . O��j Plan Check Deposit Truss Calcs. Called Contact Pcrssbn Plan Check Balance Title 24 Calcs. Plans picked upConstruction Flood plain plan Plans resubmitted iaechanical Grading plan 2"" Review, ready for corrections ssue Electrical F ~ Subcontactor List Called Contact Person i Plumbing 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 r 37 .Jft Total Permit Fees 6yo )V,*)i�o .