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PAT (09-0838)P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: &'9=000008'38 Property Address: 81555 MONARCH CT APN: 764-280-999-6 -300237-- Application description: PATIO COVER - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 4974 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- 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 Businesl an Professionals"DECLARA Licens i in full force and effect. Licens�'e(C/I ss: C5�ontra�clor: L'93 Dale: v � D OWNE -BUILN 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 li 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, 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.). (_ I 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. , BAP.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: 10 Lender's Address: LQPERMIT Owner: RON BASS 81555 MONARCH COURT LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 :TIONS (760) 777-7153 Contractor: LA QUINTA PATIO COMPANY 40133 CALLE LOMA ENTRADA BERMUDA DUNES, CA 92203 (760)863-4335 Lic. No.: 449379 ------------------ 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 1ST COMP INS Policy Number WEN0003727-03 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 should b come subject t he orkers' compensatio ovisions of Section / 3700 of the Labor Code, I sF I forthwith o with provi Date: plicant: , WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 1 have read this application and state that the above information is corr t. I agree to compl with all city and county ordinances and state laws relating to buildi onstruction, h y au ize repre tatives of this cp ent r upon t above -mention property f i ection u o te:/--%�� ture (Applicant or A entL' r_ 09 Application Number . . . 09-00000838 Permit . . . PATIO COVER PERMIT Additional desc . Permit Fee . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation . . 4974 Expiration Date 1/30/10 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,.001-25,000 27.00" ---------------------------------------------------------------------------- Special Notes and Comments 2 ALUMAWOOD LATTICE SHADE STRUCTURES, 1 AT FRONT ENTRY AND 1 AT REAR OF SFD. 2007 CODES (374 TOTAL S.F.) ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited Due --------------------------- Permit Fee Total -------------"------- 72.00 .00 ---------- .00 72.00 Plan Check Total 46.80 .00 .00 46.80 Other Fee Total 1.50 .00 .00 1.50 Grand Total 120.30 .00 .00 120.30 LQPERMIT Bin# City of La Quinta Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico Permit # �a La Quinta, CA 92253 - (760) 777-7012 Permit Tracking Sheet Building Application and Project Address:g��'�'S /j/f�N�2C�% r✓ j Owner's Name: A. P. Number: Address: O %�J- Sr'� /y/o 2 t✓l-/ 5-00&2— ov&Legal LegalDescription: City, ST, Zip: L� �iNi� G,/�, T2-?-s--5r Contractor: L,4 (J1A-) r"� Ptq-'%/U 0— If- - Telephone: ?4C-o_77/— 0-/d Address: 40 - (3 3 C1+ LL c.-) M 1q � N TILA-bA Project Description/-/ City, ST, Zip: I /J a 1 O C A- q a ;k O 3off -TT / '�-� 0 /t Telephone: % 6,9 - S 7�{ -c/�0 `13 State Lic. # : '�I 13 % ! City Lic. Arch., Engr., Designer: a-,f Address: �� ` •7�_� City, ST, Zip: Telephone: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lic. #: Name of Contact Person: Sq. Ft.: 7 #Stories: #Units: Telephone # of Contact Person: 7 ' S - / O �3 Estimated Value of Project: 336�to . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMr1' FEES Plan Sets Plan Check submitted Item Amount Structural Cales. tt Reviewed, read o correcUons� n Plan Check Deposit y t r iin tt 1t Truss Calcs. I t� Called Contact P'e sdn Plan Check Balance Energy CSlcs. Plans picked up' II� Construction Flood plain plan Plans resubmitted Mechanical Grading plan � Electrical 2°' Review, ready or-co ectrons/issue Subcootactor List Called Contact Person Plumbing Grant Dced Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading Review, ready for corrections/issue Developer Impact Fee IN E{OUSE:- Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees -t I 'Ibtal Permit Fees CITY OF LA QUINT. BUILDING & SAFETY ��CpI TION FOR DRIVEWAY (�� DATE!±= BY GARAGE I ENTRY CASITA _Emm! mol COURTYARD O A m 6-10�" T 81555 MONARCH COURT ° PROPOSED ALUMAWOOD OPEN LATTICE SHADE STRUCTURES D r x EXISTING HOUSE 1 BACK YARD PROPERTY LINE TYP.