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04-3534 (PAT)01W BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760) 777-7012 i. 78495 CALLS TAMPICO- ; FAX (760) 777-7011 LA Q.uINTA, CALIFORNIAR92253' INSPECTION REQUESTS (760).777-7153 �. BUILDING PERMIT Application Number 04-00003534 Date 4/16/04 Property Address. 43856 BORDEAUX DR APN: 609-380-999-115 -293231- Application description PATIO COVER —RESIDENTIAL Property Zoning . . . . . LOW DENSITY RESIDENTIAL Application valuation 3724 Owner ------------------------ MR GOLDBERG 43856 BORDEAUX DR LA QUINTA, CA' LA QUINTA CA 92253 Contractor ------------------------ CONSTRUCTION DESIGN SYSTEMS, I 78401 HIGHWAY 111, SUITE.F-2 LA.QUINTA CA 92253 (760) 771=3593 WCC: STATE.FUND .02/01/05 WC 17,09785-03 02/01/05 CSLB:. 767086 08/31/05 CCC: B HIC A.. 08/31/05 Permit PATIO COVER PERMIT Additional desc Permit Fee . . . . 63.00 Plan Check Fee 40.95 Issue Date . . . . Valuation . . . . 3724 Qty Unit. Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 18.00 Special Notes and.Comments 280 SF ALUMAWOOD PATIO COVER @ REAR OF HOUSE. Fee summary Charged. Paid Credited Due Permit Fee Total 63.00: .00 .00 63.00 Plan Check Total 40.95 .00 .00 40.95 Grand Total 103.95 .00 .00 103.95 D APR 16 2U04 TitP.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: _ 87V- 3s. 3,V 1 Date: Y -/(.,O -y Applicant: Applicant's Mailing Address: Architect or Engineer - Architect or En�inee�j's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury #01 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code. and my License Is fn M force and effect License -� p�� License Class License No.T_(O L� � Bio 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, after, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for the permit to fife 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).): U 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 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, 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.). V I am exempt under Sec. . BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self4nsure 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. ,1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work tot which this permit is ers' compensation insurance carrier and pol'are: Cartier P10Policy Number 1 % d z4f — a _ I certify that. In the performance of the work for which this permit is issued,) 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 3700 of the Labor Code, I shall forthwith comply with those provisions. DaW,') -)6 '-6;6 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 ATTORNEYS FEES. . CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name NO Alt Lenders 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 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 county to enter upon the above- mentioned property for inspection purposes. DateQY 16 -0 q Signature (Applicant or Agent): 04/09/2004 21:58 8003160021 COMMUNITY INSURANCE ESPLANADE COMMUNITY ,ASSOCIATION C/O QUALITY MANAGEMENT OF TETE DESERT, INC. 42-335 Washington St., Ste #F-427 Palm Desert, CA 92211 (760) 200-9520 FAX (760) 200-9521 Pill Freebern April 6, 2004 Becky Shiffman Mrs. Jani Goldberg 43-856 Bordeaux Drive . La Quints CA 92253 RE: 43-856 Bordeaux Drive Account #026 Dear Mrs. Goldberg: Rebecca Maddox Treasurer APR -12 Your architectural request to install a lattice style alumawood awning was revii and approved by the Architectural Committee with the following conditions: 1. It is understood that the color of the awning is `Mojave' to match the col house. 2. The fiiush lot grading and drainage are constructed on this lot in accori with the requirements of the governmental agencies in this jurisdiction. your own protection, please be sure that landscaping, walls, patios and improvements installed provide for positive drainage away from your ni property. You will be responsible for damage to your home or lot or to ; neighbor's home or lot"due to improper modification of the finish lot gr, and/or drainage. Please refer to Section 4.7 of the CC&R's entitled "Drz for more details. We trust than only licensed, insured contractors will be performing the work and all required permits will be obtained. It is understood that the needed repair to a: common areas due to Ike construction will be your responsibility. Please be'remi that any changes to the submitted plans would need to be submitted to My office review prior to going forward with the change. Thank you for your cooperation in filing for architectural approval. If you have questions or need further assistance, please feel free to contact me. Sincerely, Quality Management of the Desert, Inc. FOR ESPLANADE COMMUNITY ASSOCIATION Mairtha Osborne Larby Property Manager c- I PAGE 01/01 the I GREEN BELT SPA .,q'cS'' �F4J•�i' GREEN BELT G�10N FEPgO p G � RE-1NSP� GEO 1F SNE a N0� ON �i1.1.OS �NOROg CPRO pRE U��O PIAN FOR A S�HEO 20'0 14'0 PATIO COVER 6'0 MASTER LIVING DINING BEDROOM ROOM r GOLDBERG RESIDENCE KITCHEN /L �F LA Q tNTA CIV ;DEPT. BUILDING & S APROVED FpG4 CONSTRUC ION DATE BY. P/.L