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05-3066 (PAT)4 14 4 P.O. BOX 1504 O VOICE (760) 777-7012 78-495 CALLS TAMPICO "�1 O FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 jut I G & SAFETY DEPARTMENT INSPECTIONS (760)777-7153 �t 1Qo� BUILDING PERMIT C/Date: 7/21/05 Application Number: f 05-00003066 p//yOp Owner: Property Address: 43720 CORTE DEL ORO CeQ�,q JERROD PONEL APN: 609-600-043- - - 43720 CORTE DEL ORO Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4256 Contractor: Applicant: Architect or Engineer: LDR CONSTRUCTION COMPANY 78155 CALLE FORTUNA LA QUINTA, CA 92253 (760)413-4708 r Lic. No.: 261325 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: B cense No. 1325 Bate: / ractor: / 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 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 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.). (_ 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 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: LQPERMIT 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 E} EMPT Policy Number EXEMPT �_ 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 1 should become subject to the workers' compensation provisions of Section 3700 of the La r.Code, I shall forth comply na hose provisions. ate: / 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 ($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 county ordinances and state laws relating to building construction, and hereby authorize representatives offthis county to enter pon th ' ove-mentioned property for ectio poses. Date: N �' nature (Applicant or Agent): , Application Number . . . 05-00003066 Permit . . . PATIO COVER PERMIT Additional desc . . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation . . . . 4256 Expiration Date 1/17/06 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 320 S.F. ALUMAWOOD LATTICE PATIO COVER, PER APPROVED ENGINEERING ---------------------------------------------------------------------------- Other Fees . . . . . . . . . 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 .50 .00 .00 .50 Grand Total 119.30 .00 .00 119.30 LQPERMIT N. v -Tp- (--- Q h A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A. SCHEDULED INSPECTION. NO EXCEPTIONS! 14 o f j rro� v/4 C�-i-,L A,/. Ciro L (9 ',—, Com, 02. CITY OF !A QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION- DATE1-_lJ0_ BY 7 c -0 2 325 7,il� L4 Ce, 76d- Yi3- y7� Bin # City of La Quintd.. Pub. INT's. Appr Date or permit issue Building tat Safety. Division Petmi[ # P.O. Box 1504, 78-495 Calle Tampico �0 ((j La Quinta, CA 92253 - (760) 777-7012 Building Permit Sheet Application and Tracking ' Project Address: L� 2t� ['6Y % Orta Owner's Name: G-' A. P. Number: Address: 7 3 7 2 Q &y'4 . l/✓2( ©Y'o escription: City, ST, Zip: G t o r: L � � s 1� P s: 1. s 7 s C-�e. F oY rc{ r a` Project Description: Yd [Add City,T, Zip: L w U' �,� �a- 2 � S � ✓ d ' � �� o •, C � C j�d ' 0 ne:o 7 ic. # : Z6 / Z S City Lic. #:Engr- Designer: ss'. City, -ST, Zip: Telephone: Construction Type: 0 Occu anci: c Lis. #: Project type (circle one): c, c Ad 'n Alter Repair D cm oSto Name of Contact Person: 04,V C SS S [ % Sq. Ft.: 3 2� # Stories: #units: Telephone # of Contact Person: 6('' �� �' 7 �� $ Estimated Value of Project. 0,00 APPLICANT: DO'NOT WRITE BELOW THIS LINE . q Submittal Req'd Rec'd TRACI-INC PERMIT FEES Plan Sets Strueturit Cates. Truss'Calcs. Title Sd Cala. . Flood plaiirplan Grading plan Subcontse(or Lis( Grant Deed II.O.A. Approval IN IIOUSE:- Plan Check submitted Reviewed, ready for corrections .Called Contact Person Plans kicked up Plans resubmitted 2"' Review, ready for eorrectionsfissue Called Contact Person Plans picked up Plans. resubmitted '"' Review eady for correctionstissue' Item Amount Plan Check Deposit Plan Cheek Balance Construction Mechanical Eteclrical Plumbing SM.I. Grading Developer Impact Fee Planning Approval Called Contact Person Pub. INT's. Appr Date or permit issue School Fees Totai rcrmit Fees