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07-3005 (PAT)N 41 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA,, CALIFORNIA 92253 Application Number: 07-00003005 Property Address: 46245 ROADRUNNER LN APN: 600-0411023- - Application description: PATIO COVER .- RESIDENTIAL Prnparty 7nnin0: MEDIUM DENSITY RES Application valuation: 2713 i Applicant: Architect or Engineer: 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 Class: _C51 Lice a No.: 449379 Date: it Contractor: _ OWNER -BUR DER 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 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.). (_) 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 doesnotapply 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 1 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 Owner: DOWNEY PETER M/ROBERTA 46245 ROADRUNNER LN LA QUINTA, CA 92253 ( VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/26/07 K NOV 26 2OU77 Contractor: LA QUINTA PATIO COMPANY CITY 40133 CALLE LOMA ENTRADA I FINANCE BERMUDA DUNES, CA 92203 (760)863-4335 Lic. No.: 449379 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 ENDURANCE REIN Policy Number WEN0003727-02 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' compensationlaws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor C de, I shall forth 'th co ply with se provisions. Date: I1 + Applicant: WARNING: FAILURE TO SECURE WORKE ' COMPENSATION C 1 VERAGE 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. 1 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 authoriz presentatives of this county to enter upon the above-mentioned prop< •for inspec n p poses. Date: /� l%� Signature (Applicant or Agent): LQPERMIT Application Number . . . . . 07-00003005 Permit . . . PATIO COVER PERMIT Additional desc . Permit -Fee 54.00 Plan Check Fee 35.10 Issue Date Valuation 2713 Expiration Date 5/24/08 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 - - ---------------------------------- Special Notes and Comments ------- FREE STANDING ALUMAWOOD OPEN LATTICE SHADE STUCTURE IN REAR YARD TOTAL OF 204 SQUARE FEET PER ICBO ER -2621P Other Fees STRONG MOTION (SMI) -- ---------------- - RES .50 Fee summary Charged Paid Credited Due Permit Fee Total 54.00 .00 .00 54.00 Plan Check Total 35.10 .00 .00 35.10 Other Fee Total .50 .00 .00 .50 Grand Total 89.60 .00 .00 89.60 Bin a City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico Permit # La Quinta, CA 92253 - (760) 777-7012 01400 Building Permit Application and Tracking Sheet Project Address: I�(p,2 �p�=}� uNN E� LN Owner's Name: Pi_ 't_ fZ �C� v->AJ Address:� S 1Z0� /EC�R.%lJ �� LA-t-1 )a A. P. Number. City, ST, Zip: LAf qLY Legal Description: Contractor: L14 UI/V 7-,Prper/L) �� Telephone:? �' TOO Address: 40 - ( 3 -3 C4 LL O /ti o riLA-DA Project Description: City, ST, Zip: /v V I O G A' . a 2,o A �_ O aA A t1v �v o P .Z-7- lu L-- A-7 Telephone: 760-5-74- �f 3 .' f -�1 t�� 5 L.11t�-� ell 'q -7 3 7 City Lic. #: 99 / (P S ,( State Lic. # : 1 ! Arch., Engr., Designer: Address: City, ST, Zip: Construction Type: Occupancy: Telephone: Project type (circle one): New Add'n Alter Repair Demo State Lic. #: S # Stories: Person: `�( bZ L W O lL q Ft.: l�-�'' # Units: Name of Contact /�}- e� Value Project: 5 (o Telephone # of Contact Person: -5 -7 4 - 3 Estimated of APPLICANT: DO NOT WRITE BELOW THIS LINE PERMIT FEES TRACKING # Submittal Req'd Rec'd Item Amount Plan Check submitted Plan Sets Plan Check Deposit Structural Calcs. Reviewed, ready for corrections Plan Check Balance Called Contact Person Truss Calcs. Construction Energy Calcs. Plans picked up Mechanical Plans resubmitted Flood plain plan Electrical 21' Review, ready for corrections/issue Grading plan Plumbing Subcoutactor List Called Contact Person S.M.I. Plans picked up Grant Deed Grading H.O.A. Approval Plans resubmitted ''+ Review, ready for corrections/issue Developer Impact Fee IN HOUSE:- A.1.P.P. Planning Approval Called Contact Person Pub. Wks. APpr Date of permit issue School Fees __.-.-------- Total Permit Fees 46245 ROADRUNNER LANt,- :PROPOSED FREE STANDING OPEN LATTICE SHADE STRUCTURE i_ 12' 5'- 22" 17' POOL BOND TO SPA POOL PUMP 5' 2" • 5 POOL EQUIP PROPERTY LINE TYP. CITY OF LA 0UI6 1.`• UILDING & SAFETY DERE • APPROVED FOR CONSTRUCTION DAT BY