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09-0985 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING &SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 O Date: 9/11/09 Application Number: 09=00.00'09&5 Owner: Property Address: 61690 TULARE LN KING CONNIE & STAN APN: 764-280-999-107 -30023.7- 61690 TULARE LANE C Application description: PATIO COVER . - RESIDENTIAL LA QUINTA, CA 9 53 n Property Zoning: MEDIUM HIGH DENSITY RES (760)61972598 Application valuation: 4921 Contractor 4•%®� Applicant: Architect, or Engineer: LIFETIME PATIOS P.O. BOX 5806 l� / LA QUINTA;. CA 92248 v -(/ (760)772-0013 Lic. No.: 770843 LICENSED -CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm, under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing. with I hereby affirm under penaltyof perjury one of the following declarations: Section 7000) of Division 3.of the Business and Professionals Code; and my License is'in full Iorce and effect.^ _ I have and will maintain a certificate'of consent to self -insure for workers' compensation; as'provided License Class:: --B .License No.: 77084'3 for by Section 3700 of the Labor Code, for the: performance of the work for whi this permit is„•o ” issued:. Date: Contractor. .. - ' - - _ 1; 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 m workers' copensation:." N, - - ow BUILDER:DECLARATIO- - J - insurance cafrienand policy number are: 41 I hereby affirm under penally, of perjury that I am exempt from the Contractor's'State License Law for the Carrier ENDURANCE' REISN .Policy Number- WEN001`576�6-01 N following; reason (Sec. 703'1 .5; Business and Professions Code: Any city or. county that requires a permit.to _ I c6tify that,- in the performance`of the work forwhich,this permit is issued,, l shall not employ any-. - construct, alter %irtiprovetdl molish,:ori repair any3lructure :prior.;o rts issuance also requires the applicant.for the •person in,any mannerso asao.become subject.to�the workers',compa sation laws of California',' v ,. permrtto`file a signe'd�statementahat he-oi she is hcensedpursuant to the�p�ovlsions of.tlteContractor's State and;agree,that, if I should become"subject to4Fie workers compensation provisions, ofSectiori I ; ;mow License; Law.(Chapter.9,(c'ommencing with Section 7066) of:Division 3•of,the BusiAess'and'Professions Code) or - _ OP of".the Labor Code, I shall forthwith comply with those'provisions. 5 - that he:or she is exempt therefrom and the basis for the alleged ezempUon: Any violation of"Section 703.1 .5 by nt .any applicaf6i_. j$ermlt subjects the appf6Ait t6 a civiPpenalty'oI not more than fiGe hun&r &dpllars-(5500).: Date: ,ApphcanT. l - - - •'1 _ 1 I^as owner' 0H ihe•pioperty or my�employees with wages -as their sole'c6oiinsanon, will do the'vvork, and [u • - ::the 'structure hot intended or'offeied for sale (Sec:,•7044, Business and_Professions Code: The - WARNING,, FAILURE TO SECURE WORKER MPENSATION COVERAGE:15_ 11NLAWFUL,•AND SHALL - Contractors Stateljcensi Law does not apply to, an ow%nerof property who builds of improves thereon, '• SUBJECT AN:EMP-LIJYER TO CRIMINAL PENALTIES AND I CIVIL FINES. UP TO ONE HUNDRED THOUSAND - . and who-does:the work him§elf, or. herself`tfirough'his or, henown employees; provided that the DOLLARS (S100,000). IN ADDITION T - THE COST, OF COMPENSATION,- DAMAGES AS PROVIDED FOR IN _ improvements are riot intendoi ed•offered'for sale.- If, however, the building or improvement. is:sold within SECTION 3766 OF- THE .LABOR CODE,'INTERESTi AND ATTORNEY'S FEES. T!" !c_ , .one year.of?completion,-tne own er-builder;will'have the burden of: provingthat he or she did not build or - improve for the purpose of sale.).APPLICANT ACKNOWLEDGEMENT (_ 1 1, as owner of the. property; -am exclusively contracting with licensed contractors to construct•the'project (Sec. , IMPORTANT Applicationis hereby made to the Director of Building and Safety fora permit subject to the 7044, Business and Professions Code: The.Contractors' State License Law does not apply to an owner of conditions and restricti6ns set forth on this application: . property who builds or improves thereon, and who contracts -for -the projects with a contiactor(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_Aaysfrom date of issuanceof such *permit, or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to'cancellation. - - 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 comply 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 authorize representatives - of this countyVI'''e r upon the above-mentioned•property for inspection purposes. - Lender's Name: Date: �_ ig" nature (Applicant or Agent): Lender's Address: _ [['''••••''��� LQPER114IT Application Number . . . . . 09-00000985 Permit . . . . . PATIO COVER PERMIT Additional desc . . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation . . . . 4921 Expiration Date 3/10/10. 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 370 SQ. FT PATIO WEATHERWOOD OPEN LATTICE PER APPROVED PLANS & 2006 IBC CODE; 2006 IRC; 2007 CBC CODE. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 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 1.00 .00 .00 1.00 Grand Total 119.80 .00 .00 119.80 LQPERMIT W Q©l c s �z • -� ga9�� Yu B �+`���:-,� � � � cep ���g �; • Y. 7335: ' /': •r• ..;t:. �f y _ .M� % �9.prr�n� . -.: �i � ?' ..•! :fir � : �: -�' - "a • i°;:,, : � " 3c 3, weM 11 . r r. � l;�`� .,• s ®,jam-� _ � 1 fir kc jai � � , r • fi'�r : � ei � � _.. :` . 1. ' �_1 -..... �r1 r •dam .�..J 4— jM z°®off I f 1 .��•1 , �� �. ��. w _ iii .'f. —" ., rr• • ''•" ,-tom, w - A '•�I`i, , -�'�• _ - �I�'( �- �X'�j Llconse tt07708J.7 C U S T'O M SHADE STRUCTURES Charles Tunstead Owner 4 Bin # City. of La Quinta Building & 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:' . — - Owner's Name:•.S fit Address: A. P. Number: Legal Description: City, ST, Zip: LA 0 ..7 Contractor: /FET Af g 4 7-1,0,5 Address: �� �0X 5g06 ��r Telephone: Wile, Project Description: City, ST, Zip: 1A ( VIA)T� Telephone: 7IOO - 77,? - Dd State Lic. #: 13 -7,709 43. City Lic. #: 3-?59,� Arch., Engr., Designer: s Address: d City, ST, Zip: Telephone: State Lic. #: _ ` A Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n . Alter Repair Demo Sq. Ft.: # Stories, #Units: Telephone # of Contact Person: 760 X06$ -170D Estimated. Value of Project: APPLICANT: DO NOT WRITE BELOW THIS, LINE. # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance - Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for corrections/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:- 3rd 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