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11-0932 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: ' -tyl • 'I�IC+IC BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ` 11-_00000932' 47810 SUMAC ST 649-480-011-23 -28601 - PATIO COVER -.RESIDENTIAL MEDIUM DENSITY RES' 2527 Architect or Engineer: a(a LICENSED CONTRACTOR'S DECLARATION 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 Code, and my License is in full force and effect. License Class: C51 'cense No.: 937811 ate: ._g ^M_1ntractor OWNER -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 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 Coder 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 Piufessions 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 contractors) 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: NJ PX Lender's Address: _ LOPERMIT Owner: FRIED MARVIN L 47810 SUMAC STREET. LA QUINT Contractor: VALLEY P 37897 CH BERMUDA (760)534 Lic. No. VOICE ('760) FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/29/11 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty .of perjury one of the following declarations: 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. 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 SOUTHERN INS CO Policy Number WSIO047500-01' 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 the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the L bor Code, I shall thwith com wi tho a rovisio ate Zcon WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this 'unnt'y to enter upon a above-mentioned property for inspec ' n purposes. ate: v r� nature (Applicant or Agent,: r Application Number 11-00000932 Permit . . . PATIO COVER PERMIT Additional desc . Permit Fee 54.00 Plan Check.Fee 35.10 Issue Date Valuation 2527 Expiration Date 2/25/12 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 INSTALL 190 S.F. ALUMAWOOD PATIO, PER APPROVED PLAN. 2010 CODES. -----------------_-_---------------------------------------------- Other Fees ... .. BLDG STDS ADMIN (SB1473) ----- 1.00 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited Due Permit Fee Total 54:00 .00. .00 54.00 Plan Check Total 35.10 .00 .00 35.10 Other Fee Total 1.50 .00 .00 1.50 Grand Total 90.60 .00 .00 90.60 LQPERMIT F1HDESERT RESORTMANAGEMENT August 5, 2011 Marvin Fried 47-810 Sumac Street La.Quinta, CA 92253 RE: MIRAFLORES HOMEOWNERS ASSOCIATION — Alumna wood patio cover 47-=' Sumac Street Dear Homeowner(s), Please be advised that your Design Review Application requesting 'approval for installation- of an alumna- wood- patio- cover- at your residence -was approved. Thank you for complying with the governing documents of the Association and requesting approval prior to commencement of any work. Please contact me directly with any questions. Sincerely, - Jamie- Saidivar Community Association Manager On Behalf of the Board of Directors Mirafl.ores.,Homeowners Association 42-635 Melanie Place, Suite 103 • Palm Desert, CA 92211 P.O. Box 14387 • Palm Desert, CA 92255-4387 760.346.1161 • FAX 760.346.9918 Email: drm@drminternet.com • www.drminternet.com CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION BY Concrete Color: Desert Tan Patio Cover Color: Sandalwood Permit # Project Address: Quinta Building &Safety Division P.O. Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012 Building uilding Permit Application and Tracking Sheet Owner's Name: j'✓\Ct f/ ✓1 n -e A. P. Number: Address: L17U 1 D S (/^,o C Legal Description: City, ST, Zip: La r't Contractor: o� j �Q 1 `�S l.` L Telephone J 7�' f l� vim;..:>•:�z;:.:: s a' Address: 3 - 9� C�^S,� Project Description: I K / 1 �vNlCGfi✓�j City, ST, Zip: i O C A- -z--2,0 ( d- of � co ✓�� / ��CGI.�� J Telephone: 7 3 `( ` -lCl J >�>•.� . �;;��s: ;, :�Nr; �� nil;;.;,: State Lic. # : 3 % City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: � ` :� .ti x> .rte. <> �`` ?�:>•'+• Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lic. #: Name of Contact Person:. y4o'Ay Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: — Estimated Value of Project: Z vO APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Plan Sets Req'd Rec'd TRACIU NG PERMIT FEES Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Cheek Deposit Truss Cities. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for correctionsrusue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctionsliissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees