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07-3128 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA"QUINTA, CALIFORNIA 92253 " Application Number: 07-00003128 Property Address: 78690 AVENIDA TORRES APN:, X770-171-011- - - Application description: PATIO COVER - RESIDENTIAL e Property Zoning:, LOW DENSITY RESIDENTIAL Application valuation: 15000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 DENNIS & JAN HIGHLAND 78-690 AVENIDA TORRES LA QUINTA, CA LA QUINTA, CA 9 Contractor: .� TADEVELOPMEN L F 0 P.O. BOX 816 LA QUINTA, 922�� 160/ �QQ(7 (760)989-8559 A OF Lic. No.: 896003 'NA�1CF FpTT,q Date: 2/06/08 ------------------------------------------------------------------------------------------------- - 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 penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. I have andwillmaintain a certificate of consent to self -insure for workers' compensation, as provided License Class: License No.: 896003 . for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �p ® I`� V ��Kj"� issued. - - -Date�"� Contra! or: _ 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 workers' compensation -OWNER-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EXEMPT . Policy Number EXEMPT following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any ' construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to.the workers' compensation provisions of Section License Law (Chapter 9' (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. 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� v��HA _ =Date: 016tH ;�® Applicant: (_ I 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intendedor offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO S_ � SRF ^r axFacr•nn^o trFRAGE IS UNLAWFUL, AND SHALL - - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT. ACKNOWLEDGEMENT (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the . . 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. ' • property who builds or improves thereon, and who contracts for the projects with a contractor(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, (_) 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 days from date of issuance of such permit, or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. I 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 county to enter upon the above-mentioned yiorinspee4io ses. - Lender's Name: - Date; L Y OU6JSSignature 1Appli nt or Age • _ Lender's Address: LQPERMIT Application Number . . . . . 07-00003128 --=--:- Structure Information. 204SF PATIO COVER/V-NR/RES-3/ENGINEERED ----- Permit . . ELEC-MISCELLANEOUS Additional desc,. Permit Fee . . .. 18.75 Plan Check Fee 4.69. Issue Date Valuation 0 Expiration Date 8/04/08 Qty Unit Charge Per Extension BASE FEE 15.00 .7500 PER ELEC'DEVICE/FIXTURE 1ST 20 3.75 Permit .. . . PATIO COVER PERMIT Additional desc . Permit Fee- 162.00 Plan Check Fee 105.30 Issue Date Valuation 15000 Expiration Date 8/04/0.8 Qty Unit. Charge Per Extension BASE FEE 45.0'0. 13.00 9.0000 THOU BLDG 2,001-25,000 117.00 - ------------------------------------------------ Special Special Notes and Comments - - - 204SF PATIO COVER/V-NR/RES-3[ENGINEERED] 2001 CBC, 2004 CEC, 2005 ENERGY. THIS ` PERMIT DOES NOT INCLUDE BLOCKWALLS, OR SITE DRAINAGE AS SHOWN ON PLANS. February S, 2008 10;17:10 AM AORTEGA ---------------------------------------------------------------------------- Other Fees ENERGY REVIEW FEE 10.53 STRONG MOTION (SMI). - RES 1.50 Fee summary Charged Paid Credited Due Permit Fee Total 180.75 .00 .00 180.75 Plan Check Total 109.99 00.00 109.99 Other Fee Total 12.03 .00 .00 12.03 Grand Total 302.77 .00 .00 302.77