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0302-217 (PAT)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of ._aper 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Licensery##.�/�}Sqq -Lic. 9yC✓✓llyass Exp. Date r� (Lci4/'V GF•f• B (vn�'i7 3 •i. 4i,1.7 s P V•� ,,,A to ¢y % Signature of Contract6r f o• ff }� `!7 OWNER -BUILDER DE'CL RATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). O I,am exempt under Section , B&P.C. for this reason Date Signature of Owner 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 p rformance 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 & policy no. are: Carrier 3"FF�:L3 FT II:� Policy No. 2 -M95_204 (This (This section need not be completed if the permit valuation is for $100.00 or less). ( ) I certify that in the performanceof 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 subject to the workers' compensation provisions -of Section 3700 of the Labor Cope, I shall forthwith comply with those provisions; > Date: '> f tt t• - Applicant Warning: Failure to secure WoriersCompensation coverage is unlawful and shall subject an employer to crimiAat penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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_z!nd State laws relating to the building construction, and hereby authorize representatives of this'" -City to enter upon HIe aUUVUe lnenlluned plupeltx,<[Vi IIIsNecliu , pwpu t Sig lure (Owner/Agent) ,, �'� / � Date -)! ;.I I`0's PERMIT# But DATE V LOT TRACT 2,17,704 red JOB SITE APN ADDRESS „ OWNER CONTRACTOR/DESIGNER/EN (NEER PAT & RMM SHE RUi . P�; dA.MIM Cd'i7NMUCIDIIXT 9-3 �� A 74,691SI��Jg'��•q�.?.T . 32�; A 77 yp�+3��?',p�kRA.'i9:�t�'� ;A g� pUY�?�:�,¢��+ 92176 C;60)271-05017 CSIX 3106 USE OF PERMIT PAW 401 S.`V, A1,yf11/F.A,WOOD LAII.109 PATIO Ct3'd'h2t, PZ11 AP?•'llEIVzO MAW PORCH/PATIO 401.00 3F 3991MM" COS; &' OF G°t?NOTMUA'll'ON POUM.FK9 SilNTtl A RY PIAN C HICK FEE 101-C10CJ-439-318 CONSTRUCTIC1114 FEE 101 -000 -418 -WO $81.f�tE a`PAMl A4C>`1''1OAI FE'S • RESID 101-000-2-41.1000 &$3 FEB 27 3 CITY OF Lv� OUINTA FINANCE DEPT. S36SJ!.":dl�l.!'9F./ MS•J.id'ti w.:xC.:l�.a Sd®.6VF J.'S,I.YJ���'•[[�;.C��.i. AItW R.,��r'++S7'•[���.1f�1y.(�iai[h`�+. b Jy��d•. +�'�f?�Y�ry��'} 12o"S 1`.Y1.4 -RA7M J. +LhUe"A7l ygpG�: '1°tJ`l AL FER'Wr FMS DCF. ! NOW RECEIPT DATEBY DATE FI LED INSPECTOR Test COMMENTS: Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underaround Conduit Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Tema. Use of Power Final INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR Footings - BUILDING APPROVALS MECHANICAL APPROVALS Set Backs • Underground Ducts Forms & Footings Final Ducts PLUMBING APPROVALS Slab Grade Electric Final Return Air Heater Final Steel Plumbing Final Combustion Air Equipment Enclosure Roof Deck O.K. for Finish Plaster Exhaust Fans Pool Cover O.K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drvwall - Int. Lath Test COMMENTS: Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underaround Conduit Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Tema. Use of Power Final Final Final S7POOLS - SPAS BLOCKWALL AP ROVALS Steel Set Backs • Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location • Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final bing Top Out Equipment Enclosure Ner Pans Mer O.K. for Finish Plaster Lateral Pool Cover Test COMMENTS: Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underaround Conduit Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Tema. Use of Power Final CITY OF to QUINTA BUILDING I SAFELY DEPT. APPROVED ! FOR CONSTRUCTION DATE 2 Z%Zo 3 �Y pot+ Q QLAA _ Caa�3 Douse :� I� Ake P4 L 02/26/2003 14:15 7603273278 SPEERBUSSVCS PAGE 65 ALISO LA QUINTA HOMEOWNERS ASSOCIATION C/O SPEER BUSINESS SERVICES 200 E. Racquet Club Road, Suite H-38 Palm Springs, Ca 92262 (760) 327-3278 Phone and Fax N.ta.thew Diefenbach Allison. Knight Kelly Grimes Robert Schein Allison Dajkovsky President Vice .President Secretary Treasurer. Di -or .. February 21, 2003 Patrick & Renee Sherer 79-331 Sierra Vista La Quinta, CA 92253 RE: 79-331 Sierra Vista Account #151 Dear Mr. & Mrs. Sherer: Your Architectural Improvement Application. dated February 5, 2003, requesting approval for the installation of an Alumawood Patio Cover in your, back yard was reviewed and approved as submitted by the Architectural Committee, We understand that the color wi,ll,be Mojave Tan to snatch your house. We are glad to see that you have hired a licensed and insured contractor to perform the work and expect that all applicable City .required permits will be pulled prior to the commencement of the work. We thank you for your cooperation in following the guidelines set forth in the CC&R's. If at any time, a portion of the plans or related documents submitted to the Architectural Review Committee is later determined to require significant modifications, the Association reserves the right to require you to submit additional plans for review. In such an event, the Association may withhold approval for, that portion of the modifications until they have been determined to conform to the Association's requirern,ents. We rely on the participation of all residents within. Aliso La Quinta to maintain uniformity within the neighborhood so that the visual experience is appealing, property values increase and the community remains a desirable place to live. Your cooperation in, this matter is very much. appreciated. If you should have a.ny questions, please feel free to contact rr,1e. Sincerely, Speer Business Services FOR ALISO LA WINTA HOA. Nancy Speer Community Association Manager Cc: Pelletier Patio a 02/26/2003 14_15 7603273278 SPEERBUSSUCS PAGE 06 ��+ •i A un i a�.n i. icrc 1 UFf J 1 uN 760 773 3254 P . 01 /02 ALISO LA QVINTA 140MEOWNERS ASS001ATION APPLICATION FOR ARCHITECTURAL IMPROVEMENTS RE7VRN FORM TO., AUSO LA QUINTA HOA Architectural Review Committee CIO Speer Business Services 200 East Racquet Club Road, Suite H-38 Palm Springs, CA 02262 I (760) 327.3278 phoneMax J NAME (pleage print Clearly) DATA r MAIUNG ADDRESS GTV, STATE, ZIP &0 n9XV TELEPKONE NUMBER ASSOCIATION ADDRESS CITY, STATE, ZIP TELEPHONE NUMBER Desorlptlon of Proposed Improvements (Attach plans, simple, etc,) �l�t�naa w A, fro I understand that my proposed ImprovermnIs may require a permit."m the City of La Iluinto andfor other gov&Mivmnt Agenof S And 1 will obtain all requtrad permits before npiameneing any woFk; I agree t WIR. 49. no Wwrk-that'jrNl change the mdating dryaInatle pAttame, I am aware that any changes may result In ®ubstal'Ift damagd to oluees"t propertlae,• 1 will Aseume 11he resparasibtllty for say work ugdar the above -proposed Improvement that my om tftm or I complete which may, In the future, adversely effect adjacent properties, I win assume ruponslbiiity, for ail future malntonnnoe of this addition or Improvement If at any time, a portion of the pians or related decumente submMhed to the Amhltgotural Rsvtew Committee le later determined to require aWnIfIcant modifications, I will v*mlt additional plans fbr rsyiew and aaoept responsibility for any soars aeetoalated WV% the modiflVatlons. I understand that In such an event, lite Assoclatlon may withhold approval for that p0rtlon of the madif=kiona until they hayo been determined to cottforr� oto the Asooclatlon's requirement%, Mn L __.. .- . • e 1 Owner's Signsture OATS: RECEIVI b _ OAT& 111EVIEWED ROVED ,, DISAPPROVE© I July 2002