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PAT (08-1004)P.O.- BOX 1504 F r " 78-495 CALLE TAMPICb LA QUINTA,.CALIFORNIA 92253. Application Number: C1,08-00.001004 Property Address: 79878 MORRIS AVE �. APN: 604-512-002-6 -24197 - Application description: PATIO COVER - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 14244 Applicant : j � Architect *or Engineer: AAA - 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 Business and Professionals Code, and my License is in full force and effect. License Cl ss: B C36 LicenseNo.: 483069LOO rI-Dace' ��I Contractor.` .. L.� 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 Cade: 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).: (_) 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 nohintended 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: I.QPERAIIT Owner: ESPINOSA JOYCE M 79878 MORRIS AVENUE LA QUINTA, CA 92253 Contractor: OUTBACK PATIO & SUNROO 1450 W 6TH STREET, 411 CORONA, -CA 92882 (951)272-4997 Lic. No.: 483069 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/01/08 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 insurahce, 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 STATE FUND Policy Number 3003606-2008 _ 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 become subject to the workers' compensation provisio Section � 0 of the Labor Code, I shall forthwith comply with rhos rovisions. Dale Applicant: ' WARNING: FAILURE TO SECURE WORKERS' C PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE TEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT- . IMPORTANT Application is hereby made to the Director of Building and Safely 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.l 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 representativ of this count o enter upon the above-mentioned property for i tion purposes. Date: � Signature (Applicant or Agent): LQPEwwir Application Number . . . . . 08-00001004 Permit . . . PATIO COVER PERMIT ' Additional desc . Permit,Fee 162:00 Plan Check Fee 105.30 Issue.Date Valuation 14244 Expiration Date 12/28/08 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 117.00 - - --------------------- Special Notes and Comments ------------ ------- -------------- 17' X 63' SOLID ALUMINUM ROOF PATIO COVER (1071 SF), PER APPROVED SITE SPECIFIC ENGINEERING. -----------------------------------------------------------------------------. Other Fees . . . . STRONG MOTION (SMI) - RES 1.42 Fee summary Charged Paid -------------------=----------------- Credited ---------- ---------- Due, Permit Fee Total 162.00 .00 .00 162.00 Plan Check Total 105.30 .00 .00 105.30 Other Fee Total 1.42 .00 .00 1.42 Grand Total 268.72 .00 .00 268.72 LQPEwwir �Bip CItY of, La' •Q Uinta Building a Safety Division P.O. Box 1504,, 78-495 Calle Tampico La.Quinta, CA 92253' (760) 777-7012 Building Permit Application and Tracking ng Sheet Permit #. Project Address: �96 �� 77 Owner's.Name: /1059. A. P. Number: Address: / 10 ice✓ Legal.Description: Contracior:. c Q6;P * I S ..IS'hs . l Address: U0 City, ST, Zip:. tat QA'Vl* CA— Telephone: Project Description: .City, ST, Zip: ue- c Telephone: 9!�f 467 d 1 r C, r/ State Lit. # : �f t76 9 City Lic. #: i Arch., Engr.:, Designer: Address: City, ST, Zip: Telephone: x Construction Type: Occupancy: State Lic. #:, Projectew Add'n Alter Repair Demo Name of Contact Person: Tom% CV1 S we q• Ft•: to 7 tories: # Units: Telephone. # of Contact Person: 6 a ue of Project: 2 C262 0 APPLICANT: DO NOT..WRITE BELOW THMONE #` Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets a aa Plan Check submitted �.J item Amount Structural Calcs. Reviewed, ready forcorrec ra _} _ Plan Check Deposit Truss Calcs. Io•�s Called .Contact Person U L', LJ U L, 1§ Check Balance Energy Cales. Plans picked up J truction Flood plain. plan' UU Plans resubmittedRR i U hanical Grading. plan 2°d Review, ready for cor ec ssa EI trical Subcontaetor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review; ready for correctionsrssue Developer Impact Fee Planning Approval Called Contact Person A.I.P:P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees (800) 37 -PATIO GUTBACK PATIO &SURROOMS INC. (9109) 272-4997. Street #118 : �,Corona; Califorriia 92882-6501 X. L \ LOT# 'T'T A f1TJi - T A -%7,-n A D I -M 41 E Sr i 1416Cn 11 11- 11T X. 1 [- o P/ is FRONT PROPERTY LINE �v