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07-1739 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001739 Property Address: 61427 TOPAZ DR APN: 764-280-999-13 -300237- Application description: PATIO COVER - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 1596 Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION • �W 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 Business and Professionals o , and y Licen s in full force and effect. ' License Class: C51 Professiona=ls' . 449 Date i6 ��ontractor. OWNER -BUILDER DECLAIVION ' 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).: (_ I'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. BAP.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 Owner: RYND RESIDENCE 61-427 TOPAZ DR. - LA QUINTA, CA 92253 VOICE (760) 777-7012 . FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/15/07 Contractor: LA QUINTA PATIO COMPANY u 40133 CALLE LOMA ENTRADA LAWN 1 S 2001 BERMUDA DUNES, CA 92203 (j60)863-4335 CITY OFLfAQU1NTJ Lic. No.: 449379 FINANCE DEPT --------------- - - - 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: Carrier VIRGINIA SURETY Policy Number WEN0003727-01 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 the7,..rkers' compensation laws of California, and agree that, if hould becom b' t to the' w mpensation provisions of Section 0�oL'7t he Labor , I shal o h e ose provisions.. Date:�ll�pplicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSAT N 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 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 information is correct. I agree omply with all city and county ordinances and state laws relating to building construction, d ereb author' a epresentatives of this cou ty upon the above-mentioned pro ctio u es. Date: Signature (Applicant or Agentl: Application Number . . . . . 07-00001739 Permit . . . PATIO COVER PERMIT Additional desc . Permit Fee 37.00 Plan Check Fee 24.05 Issue Date . . . Valuation 1596 Expiration Date 12/12/07 Qty Unit Charge Per Extension BASE FEE 15.00 11.00 2.0000 HND BLDG 501-2,000 22.00 ------------- ----- -- ----------------------------- - Special Notes and Comments ---------- 120 SQ. FT. ATTACHED ALUMAWOOD OPEN LATTICE SHADE STRUCTURE PER APPROVED PLAN. =------------------------------------- -------------------------------------- Other Fees . . . . . . . ... STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited Due Permit Fee Total 37.00 .00 .00 37.00 Plan Check Total 24.05 .00 .00 24.05 Other Fee Total .50 .00 .00 .50' Grand Total 61.55 .00 .00 61.55 LQPERMIT Bin # City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico Permit # /% La Quints, CA 92253 - (760) 777-7012 J Building Permit Application and Tracking Sheet Project Address: /-112 7. l APA z. 1')/11 V)F— Owner's Name: BR1+E1-> (zy/1/� A. P. Number: Address: 4— /-f ?— � � v� Legal Description: Ciry, ST, zip: G� �vrN � � ��• � ZZS� Contractor: L r� Pl "-7-1 � �� Telephone: 83i 7.6-3 -1 QC) Z� Z Address: 40 - t 3 3 C/} LL 11 O /h o iE-: N TR -A -©A Project Description: city, ST, INSI o GAqa 03 T�eff�/� Telephone: ? (D - S 7 �' i��3 ©/���✓State Liic. # : 1{ `% ?j 7 . city Lie. #: 99 S :57 /Z Arch., Engr., Designer: Address: City, ST, Zip: Construction Type: Occupancy: Telephone: Project type (circle one): New Add'n Alter Repair Demo State Lic. #: W O L F Sq. Ft.: I Z4P # Stories: #Units: Name of Contact Person: Z � 5 Z Estimated Value of Project: Contact Person: Telephone # of APPLICANT: DO NOT WRITE BELOW THIS LINE PERMIT FEES # Submittal Req'd TRACKING Recd Amount Plan Check submitted Item Plan Sets Plan Check Deposit Reviewed, ready for corrections Structural Cates. Plan Check Balance Called Contact Person Truss Cates. Construction Plans picked up Energy Calcs. Mechanical Plans resubmitted Flood plain plan 21' Review, ready for corrections issue Electrical Grading plan Plumbing Called Contact Person Subcoutaetor List S.M.I. Plans picked up Grant Deed Grading Plans resubmitted H.O.A. Approval Developer impact Fee ''a Review, ready for corrections issue IN HOUSE:- A.I.P.P. Called Contact Person Planning Approval Date o[ permit issue Pub. Wks. APpr School Fees tal Permit Fees - - APPROVED FOR CONSTRUCTION JUN 15 2007 J DATE`= -13Y By 61427 TOPAZ DRIVE PROPOSED ALUMAWOOD OPEN LATTICE SHADE STRUCTURE EXISTING ROOF 7'-72" - 8X8 COLUMNS WITH OF TWO STEELINSERTS TYP. OF TWO r- 8 CITY OF LA QUINTA BUILDING& SAFETY DEPT. . APPROVED FOR CONSTRUCTION 40' - • a7 BY %57- JUN 15 2007 J 13Y