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08-0622 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: ,r08-00000622 54940 SECRETARIAT DR 767-320-999-248 -32879 - PATIO COVER -'RESIDENTIAL LOW DENSITY RESIDENTIAL 5320 Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 B ' es and Pr sionals Code, and my License is in full force and effect. LicenseClas : B -C8 -C27 -C _LicenseNo.: 852625. (� 3 _ 7 Date: -� .� �O Contract.. - y - - OWNERSBUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 thathe 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 155001.: (_) 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 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: LQPERA11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/16/08 Owner: KELLY / VALENTE RESIDENCE 54-940 SECRETARIAT DR. LA QUINTA, CA 92253 a D p Contractor: MAl 1 2000 GAROCCO 74399 HIGHWAY 111, SU E CITY OF LA QUINTA SOUTH PASADENA, CA 910 o FINANCE DEPT (760)341-1245 Lic. No.: 852625 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: f' Carrier EXEMPT 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 s bject to the workers'compensation laws of California, and agree that, if I should a ome sub" e t o the workers' compensation provisions of Section 700 of the Lab d sh II fort omply with those provisions. - Date: Applicant: 1, WARM G: FAILURE TO SECURE.WORKERS' COMPENSA ION COVERAGE IS UNLAWFUL, AND SHALL - SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$1 00,000). 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 ab information is correct. I agree to comply with all city and county ordinances and state laws relating to bu' ding co truction, and hereby authorize representatives of thi ty t enter upon the above-mentioned prop t fo in ecti purposes. I _ /' t Date:, l/ Signature (Applicant or Agent): Application Number . . . . 08-00000622' Permit . . . . . . PATIO COVER PERMIT Additional desc . Permit Fee 81.00 P1an.Check Fee 52.65 •Issue Date . . . . Valuation 5320 Expiration Date 11/12/08 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 THOU BLDG 2,001-25,-000 36.00 ---------------------------------------------------------------------------- Special Notes and Comments 400 SQ. FT. FREE STANDING COVERED PATIO.BBQ WAS EXISTING NOT PART OF THIS . PERMIT. ------ - - - - ---- - - - - -- Other Fees . . . . . . . . . STRONG MOTION (SMI) -RES ..53 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 .53 .00 .00 ..53 Grand Total 134.18 .00 .00 134.18 LQPERA1IT Bin # City Of La Quints =` -Building 8i Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: SaX7—tt k�7- b/Z Owner's Name: A. P. Number: Address: i:r:::; Skv- e by;4L; e. Legal Description:/1�%/`� '�/���/`// Contractor: - -1I ��rC ••I/-`• City, ST, Zip: Telephone: �;::::<<...�:::: �<;;:<•:;�:<::,: Project Description: Address: % �j�- 9 ��^ ! Seg ' C City, ST, Zip: 9L v Telephone: v` 3`f/ '" 2 `�� ':.;.r:;::':^�>�`<>:::z;;;,'•;�<��;<•�:#>���:> City Lie. #; State Lic. # : Arch., Engr., Designer: Address: City, ST, Zip:et Z Tele hone: � Fihl.ih\oL:C.'.`.:� .::r<::>;;:..::::�.,{ �:%5:':•,'•>?%::;psi'%f State Lie. #: z ;�.;:.gzg Name of Contact Person: f Construction Type: Occupancy: r A'& Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: 0 # Stories: OA(4 # Units:. Telephone # of Contact Person: 7 0' 3 ` L Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Calcs. Reviewed, read for corrections 6 Plan Check Deposit Truss Calcs. Called Contact Perso Plan Check Balance Title 24 Calcs. Plans picked up LA.J CAJA 1q. �. • Construction Flood plain plan Plans resubmitted ' ' Mechanical ' Grading plan 21' Review, ready for correctio /issue 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/issue Developer Impact Fee Planning Approval Called Contact Person A.I,P.P, Pub. Wks. Appr Date of permit issue School Fees Total Permit -Fees ?(f,),,,a ; RM16 (SS u W30 a 4-4- -4— - 7 M it i i j J. _­�-_4_r -T ............... 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