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10-0440 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 10-00000440 Owner: Property Address: 54230 AVENIDA VELASCO '` OLMSTEAD RAYMOND APN: 7747215-025-12 -000000- 54230 AVENIDA VELASCO. Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTTAT, (7G0) 564-6103 Application valuation: 6171 - --�- ----'- - - — ----------- _ _ __.Contractor: _.. Applicant: Architect or Engineer: LA QUINTA PATIO COMPANY 1� _ 40133 CALLE LOMA ENTRADA BERMUDA DUNES, CA 92203 `J'/✓�J ` (760)574-1043 Lic. No.:_449379 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 Professiona Code, and my License is in full force and effect. License Class: C51 e No.: 49379 DateContractor: OWNER -BUILDER 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 1, 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: LQPERMIT VOICE (760) 777-7012 FAX (760)777-7011 INSPECTIONS (760) 777-7153 Date: 5/21/10. U � MAN) 212010 cmr 4F LA CUWTA WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 SOUTHERN INS Policy Number WSII002541901 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 I should become b' t to the workers' c mpensation provisions of Section 3700 of the Labo ode, I shall f ' h c99pIy with a provision Date: ,?� Applicant: WARNING: FAILURE TO SECURE WORKS S' COMPENSATION CO E AGE IS UNLAWFUL, AND SHALL - SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE 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. I certify that I have read this application and state that the above informati n is correct. I agree to omply with all city and county ordinances and state laws relating to building constructio a ereb uthoriz epresentatives ofthis county o enter upon the above-mentioned property spectio u e Date: [Qnature (Applicant or Agentl: LQPERMIT -. Application Number .10-00000440 Permit . . :. PATIO COVER PERMIT Additional desc . Permit Fee'- 90.00 Plan Check Fee 58.50 Issue .Date Valuation . . 6171 Expiration Date 11/17/10 Qty Unit Charge Per Extension BASE FEE 45..00 5:00 9.0000.THOU, BLDG 2,001-25,000 45.00 ---------------------------------------------------------------------------- Special Notes and Comments ALUMAWOOD PATIO STRUCTURE TOTAL OF 464 — ---- ----------- ---- -- - _ _. —SQUARE FEET -PER —APPROVED PLANS '& -2006 ._ . --- — - - _............. _ ........ IBC; 2006IRC; 2007CBC. ---------------------------------------------------------'------------------- 1 Other Fees . ... BLDG STDS ADMIN (SB1473) . 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 90.00 -.00 .00 90.00 P1an.Check-Total 58.50 .00 .00 58.50 Other Fee Total. 1.00 .00 .00 1.00 Grand Total 149.50 .00 .00 149.50 LQPERMIT -. Bin # City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico Permit # La Quinta, CA 92253 - (760) 777-7012 �f Building Permit Application and Tracking Sheet Project Address: #fAv 0230 � � V� i�tS �-o Owner's Name: j)) A tC �p,v � p Lwv ,5 A. P. Number: Address: 5-z�J_3 5 ti }I- V t=lct=.S e City, ST, Zip: Let- QvtAJf� C"_!�-, �ZZs3 Legal Description: Contractor: L,4 U(A.) T—A P/�-%/ LD C- - Telephone: - e-, 1,93 Address: //0 - (?j 3 CArLL I•- �--O M p Project Description: City, ST, Zip: /UV1 0 CA- , �a2O j Lc>vrtfFta�� Telephone: 760- S7 q- /v`(3 State Lic. # : -q ') 13 7 City Lic. Arch., Engr., Designer: Address: City, ST, Zip: Construction Type: Occupancy: Telephone: Project type (circle one): New Add'n Alter Repair Demo State Lic. #: `1�/r}- bZ¢¢ , F Sq. Ft.: #Stories: # Units: Name of Contact Person: _ ��OOL4 Value Project: `1 Telephone # of Contact Person: -7 4 3 Estimated of APPLICANT: DO NOT WRITE BELOW THIS LINE Req'd PERMIT FEES Rec'd TRACKING. q Submittal Amount Item Plan Check submitted Plan Sets Reviewed, ready for corrections Plan Check Deposit Structural Calcs. Plan Check Balance Truss Calcs. Called Contact Person Construction Plans picked up Energy Calcs. Mechanical Flood plain plan Plans resubmitted 2"' Review, ready for corrections/issue Electrical Grading plan Plumbing Subcontactor List Called Contact Person S.M.I. Plans picked up Grant Deed Grading H.O.A. Approval Plans resubmitted "I Review, ready for corrections/issue Developer Impact Fee IN HOUSE:- A.I.P.P. Planning Approval Called Contact Person Date of permit issue Pub. Wks. Appr School Fees __.-- ------ - Total 1 crmit Fees