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05-1179 (PAT)P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . Date 3/30/05 Property Address 79409 HORIZON PALMS CIR APN: 604-110-028-64 -19903 - Application description . . . PATIO COVER — RESIDENTIAL Property Zoning . LOW.DENSITY RESIDENTIAL Application valuation 1383 Owner Contractor ------------------------ ------------------------ CARMEN RIVERA OWNER 79409,HORIZON PALMS CIRCLE LA QUINTA CA 92253 ----------------------------------------------- Permit PATIO COVER ---------------------------- PERMIT Additional'desc Permit Fee . . . . 33.00 Plan Check Fee 21.45 Issue Date Valuation . . 1.383 Qty Unit Charge Per ,Extension BASE FEE 15.00 •9.00 2.0000 ----------------------- HND BLDG 501-2,000 18.00 ---------------------------------------------------- Special Notes and Comments 104 SF LATTICE PATIO COVER PER CITY STANDARD Other Fees . . . . -------------------------------- . . ... STRONG MOTION (SMI) - RES .50 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total ---------- 33.00 ---------- .00 -------=-- .00 33.00 Plan Check Total 21.45 .00 .00 21.45 Other Fee Total .50 ..00 .00 .50 Grand Total 54.95 0.0 .00. 54.95 P.O. Box 1504 •4 4 '��/� , (�� VOICE (760) 777-7U.12 78-495 CALLE CALIFORNIA FAX (760) 777-7011 LA QulnrA, LIFORN92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: dDate: 3r— Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: tsUILUING PERMIT DECLARATIONS 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 License No. Date Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 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).): 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 or through his or her own employees, provided improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner builder 'Ive the burden proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting ith licensed contractors o construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to er of roperty who builds or impr ves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License/�f U I am exempt under Sec. B.& P.C. or is reason W RKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following de rations: _ I have and will maintain a certificate of consent 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 issue I have and will maintain workers' comp ation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensati insurance carrier and poli y rrombe e Carrier ertify that, in the perfo compensation laws of forthwith comply with 1 Policy Number for whic7thiermit is issued, I sh II not employ any person in any manner so as to become subject to the workers' and a ee that, id become subje o the workers' compensation provisions of Section 3700 of the Labor Code, I shall WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COV RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00 , IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN 'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a const tion lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's 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 w no need within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permitto canc I certify that I have read this application and state that the above Vformatio is rect. I agree to comply ith all city and county ordinances and state laws relating to building construction, a d her by authorize representatives of this cou y to enter p the above-mentioned pr erty for inspection purposes. v1,Dc-R 649 tcax SN Au 11 zx�i 1t06C-R CO w�u f LA QUINTA PALMS HOMEOWNERS ASSOCIATIO N C/O DESERT MANAGEMENT P.O. BOX 799 RANCHO MIRAGE, CA. 92270 760-862-1202 March 29, 2005 Ms. Carmen ,Rivera 79409 Horizon Palms Circle La Quinta, Ca. 92253 Re: Architectural Request Approval Dear Ms. Rivera, Please be advised the Architectural Committee and the Board of Directors have approved your architectural request per the plans submitted. If any changes to the original plans are needed, please inform Desert Management as soon as possible so the original plans can be changed and approved.. Thank you for following all of the proper procedures for your request, which will continue to make La Quinta Palms HOA a beautiful place to reside. If you have any questions, please feel free to call at 760-862-1202. Thank you for your time! Sincerely, Desert Management For La Quinta Palms HOA Amy R. Gunderson Amy R. Gunderson Association Manager :i t - s ti , ' l EXHIBIT "1" ARCHITECTURAL IMPROVEMENT APPLICATION AND AGREEENT �� ,-, _ ✓� !DATE O7 IMPROVEMENT Approval is requested for the above improvement according to the plans attached. We have attached two (2) sets of plans outlining the work to be done along with a complete description of the materials and colors to be used. If we are using a contractor(s), we enclose copies of the Cont.ractor's License. Attachments: (1) Two copies of the Architectural Improvement Application. (2) Two sets of plans with materials and colors to be used. Note: One .set is for the management office; the other set to be returned to you as'"Approved". (3) Contractor's name and copy of contractor's license. required if the improvement is nder (Not u "Owner -Builder"). $300.00 or if (4)beBrocusehures (2) and/or color samples !Of manufactured products We have read the Architectural Committ'e Rules and Guidelines and have furnished copies to all contractors to be engaged by us and we agree to comply with those' Rules and Guidelines. We also understand that it is our responsibility our Contractorto insure that s) comply with said Rules. We to that Building Permits for home improvements 'may be required by the City of La Quinta. The cost of permits, -responsibility for obtaining them, and the subsequent inspections will be our responsibility. In all cases we recognize the requirement to be. in compliance with applicable building codes including, but not limited to, those adopted subsequent to the original completion and acceptance of our dwelling! i i i Page Two The. Association has no responsibility whatever in achieving compliance with newer building codes !which apply as a result of Homeowner prompted modifications. 1 Further, we understand that approval will not be granted for any modification which directly or indirectly conflicts with the Declarations of Covenants, Conditions and Restrictions. We also understand we are responsible for' the accurate determination of property lines and setbacks (as applicable). I We also understand that we will be responsible for all costs of this improvement and for costs associated with any repair to common area occurring as a result of implementing this improvement. Examples include,. but are not limitedto, sprinkler and irrigation systems, buildings, roofs, exterior walls, lawns,. plants and drainage. Further we recognize that any modifications to the common area irrigation and landscaping scheme, are subject to formal acceptance by the Association: Any required remedy to achieve the required maintenance Istandard or irrigation standard are our responsibility. Additionally, we understand that the job site must be left reasonably clean at the end of each day, that no debris nor dirt may be dumped in common area or left at job site.. Any maintenance or ireplacement of permitted improvements, except for certain landscaping, which are beyond .initial improvements; shall -be the homeowner's responsibility. We agree to indemnify for ourselves; as well as for our successors and assigns, and covenant and agree to hold Association harmless from all claims, demands or liability arising out of or encountered in connection with-- Agreement,' whether such claims, demands or liability are caused by Owners, Owners.' agents or employees, or contractors or subcontractors employed. on. the project, their agents :or employees, or caused by any products installed on the project by said contractor(s) or subcontractor(s). Such indemnificationshall extend to claims, demands or liability for personal injurie' and/or damage occurring during installation, as well as afteroperty completion, including, but not limited to, all Owners' maintenance responsibilities provided herein. We - further indemnify and hold the Association harmless from all liability related to any damage to. existing improvements (wherever located within the Subdivision) resulting from the installation/construction of the Architectural Improvement If required by the Architectural Review Committee, we agree to record, and pay for the recording, 'of this improvement at the County Recorder's office. I We further acknowledge that the Architectural Commi require a deposit be submitted 'before work is begun, ttee may Page Three �. We .further. agree` that this improvement will be completed in a reasonable and diligent manner. We. further agree that 1) if we do not correct any damage caused as a! ..result of implementation of this improvement or, 2) if we !fail to complete this improvement within the allowed .timeI frame the Homeowners Association may elect to complete' the work and/or repairs., and we will be responsible for the actual. costs of such work.. Payment to the Association is authorized by bus in the' form of an assessment or monthly penalty payments as approved in the Guidelines. i By signing -this Agreement below, we agree to be bound by its terms and conditions and any conditions set. forth by the Architectural Committee in the Architectural Committee Certificate, which is attached hereto jas Exhibit "A" and made a part hereof by this reference. (Signature) ( I i ARCHITECTURAL COMMITTEE CERTIFICATE .(Exhibit "A" to the Architectural Improvement Application and Agreement) The Architectural Improvement Application and Agreement was reviewed by the Architectural Committee on and has been: ; Approved Conditionally Approved ; Rejected subject to the following's conditions set forth below Returned for Further Information Required Modifications Comments Yes No Recording to be sent by ownler to Count R d J ecor er s office for roof and/or xterilor wall modifications. Dep Required si moun eq'uired $ F `�� 5 ©D ArcfiYtqex� chitectural Committee Ar,&hiterturalfCommi te�� Architectural Committee NOTE: THIS APPROVAL IS VALID FOR 90 DAYS FROM APPROVAL DATE OWNERBUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (7 7 7-7012 FAX:( 0) 777- 011 OWNER'S SIGNAT /DATE /� fcJ G PROPER DRESS PERMIT NUMBER(S)