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06-3811 (PAT)r� 1; N el P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: • 06-00003811 Property Address: 54240. AVENIDA VALLEJO APN: 774-213-012-13 -000000- Application description: PATIO COVER - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 3205 (::ii� 414Qi�A4I Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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. LicenseClas : C51 can No.: 449379 Dater 2� ,,4ontractor: 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 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.). - - (_ 1 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.). ( ) 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: _ Lender's Address: LQPERMIT VOICE (760) '777-7012 FAX (760).777-7011 INSPECTIONS (760) 777-7153 Date: 10/25/06 Owner: CAMPISE CYNTHIA 54240 AVENIDA VALL LA QUINTA, CA 9225 Contractor. OrT LA QUINTA PATIO /0M P) ?s?p06Nt�i/n,�� 53660 AVENIDA HERR LA QUINTA, CA 92253 (760)771-1316 LiC. No.: 449379 ------------------------------------------------ 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 VIRGINIA SURETY Policy Number WEN0003727-01 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'Wprovin ovisions of Section 3700 of the Labor Code, ith co ply ' h thDate: *�4licant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAL, 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.. 1 agree to co y with all city and county ordinances and state laws relating to building construction, and reby out rize r entatives ofthis county to enter upon the above-mentioned prop .for insDecti ur S. Date: io - Signature (Applicant or Agent): - Application Number 06-00003811 Permit . . PATIO COVER PERMIT Additional desc . Permit Fee . . . . 63.00 Plan Check Fee 40.95 Issue Date Valuation . . . 3205 Expiration Date 4/23/07 Qty' Unit Charge Per - Extension BASE FEE. 45.00 2.00 9.0000 THOU BLDG 2,.001-25,000 18.00 _ Special Notes and Comments 241 SF ALUMAWOOD LATTICE PATIO COVERS (2) ---------------------------------------------------------------------------- Other Fees . . . . . . . . STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 63.00 .00 .00 63.00 . Fk Plan Check Total- 40.95 .00 .00 40.95 Other Fee Total .50 .00 .00 .50 Grand Total 104.45 .00 .00 104.45 Bin # .. : City. of L3 Quinn Building & Safety Division P.O. Box � 92253 9(76 Calle ) 777-7012 Permit # La Qulnta, 2, L) ` Building Permit Application and Tracking Sheet �� /� T/i9"��'v Owner's Name: Project Address: � Z � �'// �,��D Address: A. P. Number: Cr �� X79 City, ST, Zip: �-f% Legal Description: Contractor: L U("i Pt�-r� �D - Telephone- ��0`.�� D3 LL (� L O M v N T A Project Description: Address: <{O - (�j 3 C� lZ City, ST, Zip: i /U � 1 O � A- , O � d ' /v L - Telephone: 7 6z9 - S 7 4 / v � f 3State Lic. # : {-7 3 7 / City Lic. #: 99 / (p Js,vCiv d1�SArch., Engr., Designer:City, ST, Zip:Construction Type: Telephone: i " r, _•'" Project type (circle one): New Add'n Alter Repair Demo State Lic. #: Name of Contact Person: W O L Sq. Ft.: ':�� ' #Stories: #Units: ! O Estimated Value of Project: 9�. Telephone # of Contact Person: — 5Ll `3 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TR flan Check submitted rections Plan Sets Plan Check Balance Structural Cales. Reviewed, ready for co Truss Cales. Called Contact Person Electrical Energy Calcs. Plans (picked up Flood plain plan Plans resubmitted Grading Grading.plan 2"" Review, ready for c Subcontactor.List Called Contact Person Grant Deed Plans picked up H.O.A. Approval flans resubmitted IN HOUSE:- ''d Review, ready for c Planning Approval Called Contact Persot Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees PERMrr FEES LCKING . Item Amount rections Plan Check Deposit Plan Check Balance Construction Mechanical mrections/issue Electrical Plumbing S.M.I. Grading irrections/'issue Developer Impact Fee A.I.P.P. Total Permit Fees PROPERTY LINE TYP. BACK YARD DRIVEWAY 54240 VALLEJO PROPOSED ALUMAWOOD SHADE STRUCTURES r 19'-4" NORTH 12' Li 5' EXISTING HOUSE _ FRONT Q LLI YARD LA > v POOL ►--� � - 10'-4" Z W Q A RE-INSPECTION FEE OF $30 CONTA WILL BE CHARGED IF THE APPROVED F L GiiY9.qAFDEPT. _ PLANS AND JOB CARD -ARE NO CALLE, MADRID ' THE SITE FOR A SCHEDULED CONSTRUCTION , INSPECTION. FOR��®VE® NO EXCEPTIONS!— eY- '