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06-0839 (PAT)P.O .�OOX 1504 --78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00000839 Property Address: 79849 BARCELONA DR APN: 609-380-998-7 -293232- Application description: PATIO COVER - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6916 Applicant: Tit!t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: D 0 TP- ---------------------------------- ------ - ----- % LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section7 00) of Division 3 of the Business a Professionals Code, and my License is in full force and effect. License CI ss)B C36 License No.: 483069 �at� 3 � ntractor. - / 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 ISec. 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 anv,epplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: 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.). 1 _ 1 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.). ( 1 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: V� LQPERMIT 0111 Owner: ELLIS KRISTEN 79849 BARCELONA DRIVE LA QUINTA, CA LA QUINTA, CA 92253 Contractor: OUTBACK PATIO & SUNROOMS, INC. VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/01/06 1450 W 6TH STREET, #118 ORONA, CA 92882 09)272-4997 LiC. No.: 483069 ~ ----------------------------------------------- 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. 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 STATE FUND Policy Number 1423157-2006 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 provisions of Section 700 of the Labor Code, lqlyll th comply with those provisions. ate: I pplicant: - 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 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 I have read this application and state that the above information is correct. I agree to comply with all city and c unty ordinances and state laws relating to buildin oEtrution, and hereby authorize representatives of this nt .to rater upon above-mentioned prope f on purposes. atFl e: J 0 ignature (Applicant or Agent): Application Number . . . . . 06-00000839 Permit PATIO COVER PERMIT Additional desc . . Permit Fee . . . . 90.00 Plan Check Fee 58.50 Issue Date . . . . Valuation . . . . 6916 Expiration Date 8/28/06 Qty Unit Charge Per Extension BASE FEE 45.00 5.00 9.0000 THOU BLDG 2,001-25,000 45.00 ----------------- -------------- --------------------------------------------- Special Notes and Comments 260 SF. SOLID ALUMINUM PATIO COVER, 140 SF. SOLID ALUMINUM PATIO COVER, 120 SF. LATTICE ALUMINUM PATIO COVER, PER APPROVED PLANS. --------------------------------------------------rte Other Fees . . . . . . . . STRONG MOTION (SMI) - RES -- :69 Fee summary Charged ----------------- Paid Credited Due -------------------- Permit Fee Total 90.00 ---------- .00 ---------- .00 90.00 Plan Check Total 58.50 .00 .00 58.50 Other Fee Total .69 .00 .00 .69 Grand Total 149.19 .00 .00 149.19 LQPERMIT Bin # City of. La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 i Building Permit Application and Tracking Sheet Permit # Project Address: �� C,r70 A f ` Owner's Name: 7 A. P. Number: Address: rCe Legal Description: City, ST, Zip:1- 9Zz�� Contractor: — � � KI' Address: ILKb Lot.Project Description: City, ST, Zip: W f v n� v 0 1 0 Z 07' b 1 , 00'! e% V,'l Telephone: �'� ��•� % D .D Z, 120k State Lia. #: o City Lic. #: . (�,�,�►�;,, tov 81� Arch., Engr., Designer: _LJ,G Lf 0 �U Address: G6 City, ST, Zip: Telephone: ' Construction Type:, Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: u # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG . PERMIT FEES Plan Sets Plaa.Check submitted Item Amount Structural Calcs. Reviewed; ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading.plan tad Review, ready for correctionsrissue Electrical Subcontactor 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 corrections/iissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 5 I D E P R O P E R T Y L I N E OUTBACK PATIO & SUNROOMS INC. (909)272-4997 REAR PROPERTY LINE L fa� SvU., Lia, Li— "n. CITY OF LA QUINTA BUILDING & SAFETY DE". APPROVED FOR CONSTRWr-'nnm DA t v FRONT PROPERTY LINE K -e `STII�A,i C l L,� - . -pk�5 84ec,4-lao."a 182 " bLVcrT-A, CA, 7&0 - ?-7'- - Sq t