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09-0747 (PAT)P.O. BOX 1504. 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: �9`-00000747 Property Address: 45435 SUNBROOK LN APN: 604-424-009-29 -23995 - Application description: PATIO COVER 7 RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6703 BUILDING & SAFETY DEPARTMENT ' BUILDING PERMIT Owner: MIKE RITTER 45-435 SUNBROOK LANE LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS'(760) 777-7153 Date: 7/24/.09 Contractor: �n Applicant: Architect or Engineer: S A E BUILDERS 2052 DAFFODIL WAY HEMET, CA 92545 JU4 j (760)567-0709 1J r ! Lic. No.. 625328 �p�.�•--.�� 1 ------------------- ---- LICENSED CONTRACTOR'S DECLARATION - 7 _ 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 and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B License No.: 625328 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - ` issued. ate: -�4"a� ntractor: 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 ZURICH ASSURANC Policy Number WC031.009100 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ 1 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 all 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).: e: -&%i` pplicant: T �— (_) 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 SECURE 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 ($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 ( _) 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 contractors) 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 aresult of this application, 1 _ 1 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 c unty ordinances and state laws relating to building construction, and hereby authorize representatives. Of [hi ounty to enter. upon t e above-mentioned ro erty fo pection purposes. Lender's Name: ate,�VA'�S' ature (Applicant or Agent): Lender's Address: r ' LQPERMIT Application Number 09-00000747 Permit . . PATIO COVER PERMIT Additional desc . Permit Fee. 90.00 Plan Check Fee 58.50 Issue Date Valuation 6703 Expiration Date 1/19%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 - --------- - -.--- 504SF ALUMAWOOD PATIO.COVER AT REAR OF PROPERTY [ENGINEERED] 2007 CALIFORNIA BUILDINGCODES-. July'23,__ 2009 '9c03c4$ AM AORTEGP: ------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) -- 1.00 J STRONG MOTION (SMI) - RES ,.67 Fee summary Charged Paid Credited Due --------- ---------- ---------- Permit Fee Total 90.00 .00 .00 90.00 Plan Check Total 58.50 .00 .00 58.50 Other Fee Total 1.67 .00 .00 1.67 Grand Total 150.17 .00 .00 150.17 LQPERMIT - Bin # f City of La Quinta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Perm' # Project Address: S ��3 S Owner's Name: A. P. Number: oL e -la y 009 Address: 5 gn�y Legal Description: , j7 ,qe,?,ej 1,, 7.a9 City, ST, Zip: Contractor: /-1 �- S � v ,L -C3 v S T ele h one / v 6 P a 3 6�a 3 Address: oc �soZ D',r1_00/ 4_,A V Project Description: City,ST,Zip: I-� /7e% �� 9�25`/,S` /0 /e/, <�8/ A/0,1,4CJO.0, Telephone: 7 — 60 � 7 v D ...................................:..:.::....:. r� o 2 % s�- q 60 State Lic. # r,3 oZ 8 City Lic. Arc ., Engr. Designer: 64/2, e A) % !VA /`1 Address: 3 z Yell City, ST, Zip: L .vCh1,3fJ/2. Ufa lSC�3 Tele h nev3/38�/aS y #i3 State Lic. #: C 6 $/ 3 ci "`::, ; • <>:>:::::.;: #«:::>::>>::»::::>: :.;:.;;::;.;;:. Name of Contact rson: SCoT7 Construction cti n TY e: Occupancy:aneY P • Project a circle ) type ( one): New Add'n Alter Repair Demo Sq: Ft.: # Stories: # Units: Telephone # of Con erson: 6> S 7 - S Estimated Value of Project: ygpp APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance �--� Title 24 Calcs. Plans picked up Construction O Flood plain plan Plans resubmitted I Mechanical —+ Grading plan 2°" Review, ready for corrections/issue Electrical . ---� Subcontactor List Called Contact Person Plumbing —. Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading r--+ IN HOUSE:- '"' Review, ready for correcti s/i ue Developer Impact Fee `--• Planning Approval Called Contact Person A•I.P.P. Pub. Wks. Appr Date of permit issue V" SIP School Fees Total Permit Fees 107 -7JqsJWM - tfa- Aff P&VD