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07-1480 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001480 Property Address: 79356 COOL REFLECTION APN:" 649-030-069-10 -31311 - Application description: PATIO COVER - RESIDENTIAL Property Zoning: . HIGH DENSITY RESIDENTIAL Application valuation: 2660 Tav144Q" Applicant: Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that 1 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 License 770843 Date:��-SUIUQER* 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 ISec. 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/17/07 Owner: WILL KLINE 79356 COOL REFLECTION LA QUINTA, CA 92253 D e Contractor: MAY 1 2007 LIFETIME PATIOS P.O. BOX 5806 LA QUINTA, CA 92248 CITYOFLA9IJ F�N�LAQUIN: (760)772-0013 E EISINTA Lic. No.: 770843 WORKER'S COMPENSATION DECLARATION '1 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 WILKINS INSURAN Policy Number WEN0015766-01- 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 Labor Code, I shall forthwith co y with those provisions. Date: Applicant: l//1 'J 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 performedunderor 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 ofthis counter upon the above-mentioned property for inspection purposes. Date: 7 v7 Signature (Applic* or Agent) v7f � r Application Number . . . . . 07-00001480 Permit . . . . . PATIO COVER PERMIT Additional desc Permit Fee . . . . 54.00 Plan Check Fee 35.10 Issue Date Valuation 2660 Expiration Date 11/13/07 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 10' X 20' ALUMAWOOD OPEN LATTICE PATIO COVER AT SOUTH SIDE YARD (PER CDD APPROVAL, ENTIRE STRUCTURE, INCLUDING OVERHANG, MUST BE WITHIN EXISTING PATIO WALL) ---------------------------------------------------------------------------- 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 LQPERMIT 81mm K671F 5&466 GH :z _.�. 7q 35Z eel 2eA.CJVA9_ F > Q V � W U PO Box 58069 La Qum' tag CA m 760-772-0013 U o Fax (760) 772-0239 626711 BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION J z a "1 lBY fA X A X Bin # City of La Quinta Building a 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: S owner's Name: AJ • A. P. Number: Address: Legal Description: Contractor: ': Address: StQ Cite. ST. Zip: FTelephone: Project Description: City. ST. Zip: Telephone: 7G0 Q State Lic. # : 770 Cin Lic. #: 3ZS Arch.. Engr.. Designer: Address: City. ST. Zip: Telephone: State Lic. #: Name of Contact Person: ��/1K.I� t �J Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.:a o # Stories: # Units: Telephone # of Contact Person: ?� Q stimated Value of Project: o?C�O0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"° Review. ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SMA. H.O.A. Approval Plans resubmitted Grading IN HOUSE: M Review, ready for 'corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.i.P.P. Pub. Wks. Appr Date of permit issue f School Fees Total Permit Fees