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07-1754 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 ' Application Number: -07-00001754 Property Address: 81785 SUN CACTUS LN APN: 764-270-999-29 -300231- Application description: PATIO COVER - RESIDENTIAL Property. Zoning: MEDIUM HIGH DENSITY RES Application valuation: '2128 T4'!t 4 4-Q" Applicant: Architect or Engineer: 1� I - BUILDING & SAFETY DEPARTMENT BUILDING PERMIT - ------------------------------------------------- i - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th under pr sons f Chapter 9 (commencing with Section 7000) of Division 3 of the Bus' ess and Profess' e, and _. License is in full force and effect. Lice Class: B en No.: 60958 I LA Date: tU�on tor: NER-BUILDER DECLARATION I 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).: / ( 1 1, 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 1 I am exempt under Sec. , B.&P.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: Len der'sAddress: .� LQPERMIT Owner: RICHARD LAWRENCE 81785 SUN CACTUS LANE LA QUINTA, CA 92253 Contractor: PELLETIER PATIO 79275 DESERT STREAM LA QUINTA, CA 92253 (760)275-7593 Lic. No.: 860958 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/18/07 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 CNCLD/ACE AMRCN Policy Number WLRC44460427 I certify that, in the performance of the work for which this p?issued, I shall not employ any person in any manner so as to bec bj t to workensation laws of California, and agree that, if I should b me subject wo kers' tion provisions of Section 3700 of the Labor Co shall f hwit compl th thons. Date: i pplicant: WARNING: FAILURE TO SECURE WO ERS' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 mit;: or cessation of 180 days will subject permit to cancellation. I certify that I have read this application and sta hat the above infor ion i rrect. I agre to comply with all city and unty ordinances a d state laws rela ng to building nstruc' an h 'eby author a representatives of thi oynty to enter u n the above -menti ed property f r i p on p r ses. Signature (Applicant or Application Number . . . . ." 07-00001754 Permit PATIO COVER PERMIT Additional desc . Permit Fee ". . . 54.00 Plan Check Fee 35.10 Issue Date Valuation. 2128 Expiration Date 12/15/07 Qty Unit Charge Per Extension BASE FEE 45.00 '1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ------------------------------------------------------------ ' Special Notes and Comments, 160 S.F. ALULMAWOOD LATTICE PATIO COVER Fee summary Charged Paid Credited Due Permit Fee Total 54.00. --------- - -- .00 - ---- .00 -- ------ 54:00 Plan Check Total '35.10 .00 .00' 35.10 Grand Total 89.10 .00 .00 89.10 �o x-11 uvv. W O O I c' 4 5u V C1.C` -h.s y 1 f �A rC� L Ccw�rz� c.e cv 17c� S Sun. Cc, -c4 -1&s L-AfA, C14 OtZ2.53 CITY OF LA QUINTA .BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DAME— O '7 BY-2e� . ' Q:s C,�to�'•. r1�'iave �� \ CI t ` Bin # -City of La Quinta Building U Safety Division Permit # IxP.O. Box 1504, 78-4915 Calle Tampico �� La Quinta- CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: (J �� Svc WCWS Owner's Name: 940h A. P. Number: L4q�Address: )7 _ 1 (2 Legal Description: City, ST, Zip.La �M C ( 2'� Contractor: ) q a . Telephone:[-1(QO) 2i V- ? :• . _ - Address: 2WV Project Descriptiio�ln. MA M .City, ST, Zip: Telephone: LIAIs— St}aytte� Lie.. # : City Lia # S . rclL, Engr., D&,si fter . Ad&=: City,.-ST, Zip: Telephone: Construction Type: OccuPancY: State Lie. #: 'Project J type (cirde one): New • Add'n Alter 'Repair Demo Name of Contact PersonM-=- : MV_V 0 �, Sq. Ft iu 0 Stories: # Units: Telephone # of Contact Person:7K q Estimated value of Project: APPLICANT; DO NOT WRITE BELOW THIS LINE # Submittal Req'd : Ree'd TRACE3NG .. PERMIP FEES Plan Sets Pian Check submitted Item Amount Structural Calcs. Reviewed,.ready for corrections Planeck Deposit Plan Check Balance Truss Calcs. Called Contact person Energy Cdcs. Plaus picked up Construction Flood plain plan Plans resubmitted Mechanical Gradingplan, 2" Review, ready for eorreetionslissue Electrical Subcontactor Ust Called Contact Person Plumbing Grant Deed Pleas picked up $.M I. H.O.A. Approval Plans resubmitted. I.Grading W HOUSE:- .'"'Review, ready for corrections/ Mme Developer Impact Fet. ; Planning Approval Called Contact Person Pub. Wks. Appr Date of permit Issue School Fees . .. Total Permit Fees : ,. • 06/10/2007 19:08 RAJ MANUFACTURING.INC. 4 17603454396 ND.176 9003 r Trilogy at La Quinfia Design Guidelines EXHIBITY NOT ICE OF COMPLETION FORM TRILOGY AT LA QUINTA MAINTENANCE ASSOCIATION / '7 r Today's Date: (D Tract #: Lot #: Address 'Where Work Took Plaei: Mailing Address: C1 Ir Daytime Phone: Evening Phone: (.y�.L) Brief Description of Improvement: - 11 �U aWTENANCE ASSOC1AT10i,1: Notice is hereby given that,ihe above-described improveme0t has been completed in accordance with the Application as subwitted to and approved by the Design Review Committee. Date Work was completed: � 4 � . � � ® 7 Applicant's dame: A 4-WAAAW-'' Applicant's Signature: (Pleas�.Prinl) Applicant's Name: Applicant's Signature: (Piease Print) (Do Not Write Below iine. This is to Be Completed By Design Review,Camminee Only) .................. ... ........ ..............................i.. llimittee Comments:` APPROVED [] DISAPPROVED �] Additional work repaired [� RETURNED TO APPLICANVOWNER - +- t Staff Signatures: _. . Business Services Manager Date Shea Representative l Date �a Landscape Supervisor t Date ........................................................., .......... ........................... ,..................................,................................. k 34