Loading...
05-4999 (PAT)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/10/05 Application Number: 05-000049_9 � Owner: Property Address: 78775 SAGEBRUSH AVE CHAPMAN BILL APN: 767-070-015- - - 78775 SAGEBRUSH AVE Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5240 3__�—MUOrjactor:tApplicant: Architect or Engineer: WI, DARYL R. NOv,� 005 � _ � 53;6.60. AVENIDA HERRERA tl LA QUINTA, CA 92253 QU,t4-TA ( 760)1771-1316 rp�r cilyoFCE PT. LiC. No.: 449379 PINA14C� t LICENSED CONTRACTOR'S DECLARATION •• WORKER'S COMPENSATION DECLARATION, I hereby affirm under penalty of perjury that I"am licensed underprovisions of Chapter 91commencing with I hereby affirm under penalty of perjury one of the following declarations: - Section 7000) of Division 3 of.the Business and Professionals' Code,'and my License is'in full force and effect. I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided License Class:. C51 - ` License No.: 449379 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 OWNER-BUILDER DECLARATION - insurance carrier and 'policy. number are: I hereby affirm under penalty of perjury that I am exempt from,the Contractor's State1icense Law for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec. 7031.5, Business and Professions Code: Any.city,or county that.iequires a permit to, - • I.certify that, in the performance of the work for. Which this permit is issued, I shall not employ any construct; aherSimproJe,.demolish, or repair any structure, prior to its issuance; also requires the applicant for the person in.any manner so as to become sublect to the workers' compensation laws of California,' permit to file a signed .statement that heJor she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject tothe workers' compensation provisions of Section t License Law (Chapter 9_ lcommencing with Section.7000) of Division 3 of the Business and Professions Code) or 3700 of the La-r C orthwi ly with se pro ' that he or she is.exempt therefrom and the basis for the. alleged, exemption.. Any violati6n of Section 7031.5 by �Wll�plicant: any applicantfor a permit subjects the applicantto a civil penalty of not more-than five hundred dollars.(S500).: ate: �� �. 1 _ 1 1, as owner of the property, or my employees with wages as their•sole compensation, will do the work, and MP- the structureis.not intended or offered for sale (Sec. 7044; Business and Professions -Code: 'The WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVERAGE UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner'of property who builds or improves thereon, SUBJECT;AN,EMPLOYER�TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her, own employees, provided that the ' DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or•improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. s, , one year. of completion, the-owner-builder will have the burden of proving that he or she;didnot build or .d - - •+"M. i• •y -� - •� improve for the purpose of sale.). - - APPLICANT ACKNOWLEDGEMENT I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor's) licensed 1. Each person upon whose behalf this, application is made, each person at whose request and.for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to c mply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby au orize r esentatives of this county to enter thea ove-mentioned props r inspection urp Lender's Name: e: 77 Si urs (Applicant or Agent): Lender's Address: LQPERMIT Application Number . . . . . 05-00004999 Permit . . . PATIO COVER PERMIT Additional desc .. . Permit Fee 81.00 Plan Check Fee 52.65 Issue Date . . . . Valuation . . . . 5240 Expiration Date 5/09/06 Qty Unit Charge Per Extension BASE FEE 45.00. 4.00 9.0000 THOU BLDG 2,001-25,00,0 36.00 Special Notes and Comments 394 S.F. ALUMAWOOD OPEN_LATTICE PATIO CbVER.,..PER APPROVED PLANS Other Fees . . . . . ... . . STRONG'MOTION (SMI) - RES .52' Fee summary Charged Paid Credited Due ------------------------------------- Permit Fee Total 81*."00 ---------- .00 ---------- .00 81.00 Plan Check Total 52.65 .00 .00 52.65 Other Fee Total 52 00. 00. .52 Grand Total 134.17 .00 00 134.17 LQPERMIT 78775 SAGEBRUSH PROPOSED ALUMAWOOD OPEN LATTICE SHADE STRUCTURE FRONT HOUSE 2a'-916" ENTRY SIDE YARD . L 20'-5" . 5 10'-78' 3'-7".., 3'-911 1116" NORTH PROPERTY LINE J CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRU ' TION DA TUl BY O� f'4E 5� 21'-2" BACK YARD 10'-10" EXISTING CONCRETE DECK 7SPA 6'-916" - 31-711 16" CITY OF LA QUIZ T -A BUILDING & SAFE iY DEPT. APPROVEED FOR CONSTRUCTION DATE BY 3'-111611 13'-6" POOL BACK 1