07-2215 (PAT)Tityl 4
-.P.O. BOX 1504 + o VOICE (760) 777-7012
j. 78-495 CALLE TAMPICO' i FAX (760) 777.'7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
�� f BUILDING PERMIT Date: 8/13/07
Application Number: 07.-00002215 ��.. Owner:
Property Address: 44185 SWEETBU LN 1 GERMANO. RESIDENCE .
A'PN:, 604-081-028 298 44-185 SWEET, BUSH LN..
Application description: PATIO COVE SZDENTT3AL .��' ~" LA QUINTA, CA 92253
Property Zoning:. LOW DENSI`fY SIDENT�IAL G1
r Application valuation: �8 \\S^
\'\ll Contractor:
N'
Applicant: , rohimc0 Engineer: MOUNTAIN• VIEW. PATIO ROOMS
77851 JLAS, MONTANAS ROAD STE A
PALM DESERT, CA 92211
{ _ (760).345-6464
Lic. No.': 858912 J
' LICENSED CONTRACTOR'S DECLARATION ..,. WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I d 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 t�e Busines nd f ionals Code, and my License is in full force and effect. _ I have and.will maintain a certificate of consent to self-insure for workers' compensation, as provided
License Class: B .- License No.: 858912 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
• yd (�,' ii ry issued.
Date: �I ` v Contractor. ,la. _ 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
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 performan f 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 s s e e sub t 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 h Id b su ject o 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 s 11 mp y with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by V! C� -
any applicant for a permit subjects the applicant to.a civil penalty of not more than five hundred dollars ($500).:- _ DateO"k ` .07 Applicant: -�
(_) 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 'WARNING: FAILURE TO SECU E WORKERS' COMPENSATION COVERAGE 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.(5100,00.0). 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
(_) I, 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 1 certify that I have read this application and state.that the ave ' fo a ion is co ct. 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 b i tr c d he b 'ze representatives.
of.this county to enter upon'the above-mentioned pro for i iop r s
Lender's Name:
- - DateO- / —� Signature (Applicant or Age •� -
Lender's Address:
LQPERMIT ' i • -
Application:Number . . 07-0000.2215
'Permit "PATIO COVER PERMIT
'
•
_ � _ •Additional 'desc - - �
--
_ -.._. -
-
Permit.. Fee 54 .'00 Plan Check
Fee . `
35.10
Issue Date Valuation
•.
'
2128
.
Expiration -Date. 2/09/0,8
Qty Unit Charge Per
Extension
BASE FEE..
45'.00
1.00'. 9.0000 THOU BLDG, 2,001-.25;000
9 00 .
Fee `summary Charged.'Paid Credited
Due'`
------------------------
,. Permit Fee Total 54:00 00 :
.00 :
54'. 00'
' -Plan Check Total 35.10 , 00 ,.,
00'
3.5 .10
Grand -Total 89.10 00_
00 .`
89.i0
LQPERN11T