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06-0255 (PAT)P.O.. BOX 1504 ^� 78-495 CALLE TAMPICO ' LA QUINTA, CALIFORNIA 92253 BUILDING.& SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00000255 Property Address: 54746`SOUTHERN HILLS APN: 775-120-040- - - Application description: PATIO COVER - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL 4 Application valuation: 4549 Applicant: Architect or Engineer: -------------------------------------------------- `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 Pes i nals Code, and my License is in full force and effect. License/�Class: . AA -B License N .: 833207 Date: _ — 7 - Contractor: _ OWNER -BUILDER DECLARATION Thereby 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 `t•`r 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 theContractor'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).: (_) 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 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. 7644, 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.). , (_) 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 - r� work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: - Lender's Address: ' LQPERMIT Owner: CRAWLEY THOMAS 54746 SOUTHERN HILLS LA QUINTA•, CA 92253 Contractor: EWING BUILDERS 77885 LAS MONTANAS, SUITE PALM DESERT, CA 92211 (760)564-6833 Lic..No.: 833207 VOICE (760) 777-7012 . FAX (760) 7.77-7011 INSPECTIONS (760) 777-7153 Date: 2/03/06 D A FEB 0 3 2006 CITY OF LA QUINTA FINANCE DEFT. - WORKER'S COMPENSATION DECLARATION - 1 hereby affirm under penalty of perjury one of the following declarations: -1 1 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 theperformance 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 GRANITE STATE. . Policy Number WC001517982 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 shouldbecomesubject to the workers' compensation provisions of Section 3700 of tiSECURE Code, I hall f rthwith comply with those provisions. Date:_ App WARNING: FAILURE TO WORK S' 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 LaQuinta, its officers, agents and employees for any act or omission related to the work being performed.underor 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 aboveinformation is correct. I agree to comply with all city and county ordinances and state laws relating to building constructi n, and hereby authorize representatives of this county to enter upon the above-mentioned property for i cti rposes.' y' Application Number 06-00000255 ` Permit . . PATIO COVER PERMIT ' Additional desc . Permit Fee 72.00 Plan Check Fee 46.80 Issue Date Valuation . . . . 4549 Expiration Date 7/16/06 Qty Unit Charge Per.' Extension BASE 'FEE 45.00 3.00, 9.0000 THOU BLDG 2,001-25,000 27.00 --------------------------=----------------=----------------------=--------= Special Notes and Comments 342 S.F. ALUMAWOOD SHADE STRUCTURE Other Fees . . ., STRONG MOTION (SMI) -- - RES - - - - - - - - - - - - - .50 Fee.summary Charged Paid Credited .Due Permit Fee Total 72.00 .00 .00 72.00' Plan Check Total 46.80 .00 .00 46.80 Other Fee Total. .50 .00 .00 .50 Grand Total 119.30 .00 .00 119.30 ell LQPERMTT Bin # - City of La Ouinta - . . Building 8t Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico n 5 y La Quinta, CA 92253 - (760) 777-7012 o� Building Permit Application and Tracking Sheet Project Address: 5 17 y l0 S O 07-1 tcn/W LL Owner's Name: C A. P. Number: Legal Description: Address: S Ll 7 i_ (D :'5 v A) City, ST, Zip: Contractor: ���� U Telephone: s -» y � Project Description: Address: 7 -' City, ST, Zip: Telephone: State Lie: # : 83 3 Z O . Arch., Engr., Designer: _ City Lie. #: J G� Address: City, ST, Zip: Telephone: . State Lie. #: Name of Contact Person: ? Construction Type: Occupancy:' Project type (circle one): New "Add'n Alter Repair Demo Sq. Ft.: 3 kq 2— 1 # Stories: # Un' its:• Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd Recd TRACKING Plan Check submitted - PERMIT FEES Item t Amount Structural Calcs. Reviewed, ready"for corrections Pian Check Deposit Truss Calcs. f Called Contact Persons Plan Check Balance Energy Calcs. Plans picked up , Construction Flood plain plan Plans resubmitted Mechanical Grading plan, 2°a Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing S.M.I. Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''a 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 � .ti r - i .... r 30 8 --------._.....- I I C ITY OF LA FEE. OF $30 I V -- ---. BUILDING & SAFETY DEPT, -THE APPROVED _- FOR CONSTRUCTION CARD ARE NOT ON i. THE- SITE FOR A SCHEDULED � - _. BY ---,- -- .-:--- -INSPECTION. _ ._._..... - ------ - --- NO EXCEPTIONS!