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07-2778 (PAT)P.O. BOX 1504 ,8-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002778 Property'Address: -48553 VIA AMISTAD APN: 646-122-008- - - Application description: PATIO COVER - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5121 . - Applicant: Architect or Engineer: � 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ' 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: B No.: 860958 Date:I��rrIC7 ontractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury t m 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 fora 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 Code: The Contractors' State License Law does not.apply to an owner of property who builds or improves thereon, and who does the workhimself or herselfthrough 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—) 1, 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 Owner: VIC & DONNA GATES 48553 VIA AMISTAD 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: _ 10/17/07 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., Myworkers' compensation insurance carrier and policy number are: , Carrier EXEMPT Policy Number EXEMPT- 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 Ishoul ome subj o the workers' compensation provisions of Section 3700 of the Labor C e, I sha forth ith imply with those provisions. e: L h 101 cant: fA WARNING: FAILURE TO SECURE R4NALTIES S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN 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 permit, or cesse ' o rk for 180 days will subject permit to cancellation. I certify that I have read this application and state t bove informati n is correc . I agree to comply with all city and county ordinances and state laws relati to buildi construction, and here authorize representatives of this county to enter upon the above -mention d property forT7pection pu oses Date: I V lSi we (Applicant or A ntl: "Application Number . . . . . 07-00002778 Permit . . PATIO COVER PERMIT Additional desc . Permit Fee `. . . . 81.00 Plan Check Fee 52.65 Issue Date' Valuation . . . 5121 Expiration Date 4/14/08 Qty 'Unit Charge Per Extension BASE FEE 45.00 4.'00 9.0000 THOU BLDG 2,001-25,000 36.00 ---------------------------------------------------------------------------- Special Notes and Comments 385 S.F. LATTICE ALUMAWOOD PATIO COVER " 'Other Fees . . . . . . . . . STRONG MOTION,(SMI) - RES .51 Fee summary Charged Paid Credited Due Permit Fee Total 81.00 .00 .00. 81..00 Plan Check Total 52.65 .00 .00 52.65 Other Fee Total' .51 .00 .00 -51, Grand Total 134.16 .00 .00 134.16 LQPERAiIT Bin # City of La Quints Building aI Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # � � a- Project Address: % p, ,. 5-53 V %a Owner's Name:(�0�� V1 c A. P. Number: Address: H b - 5Y 3 . V 0. Legal Description: Contractor: p 'QJ��I-Q�"��- Q�"1'L"� City, ST, Zip: (2A c122 `S 3 Telephone: �` �-( Address: 2'% j c�T- S-f-� e�� Project Description: City, ST, Zip:C �nnrcn �7,� A Ct22 S -3 Oc�C `0. . Telephone: a% City Lic. #: State Lic. # Arch., Engr., Designer: Address: City, ST, Zip: Telephone: {s Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: �drv. �C �,C�'4� 1 Sq. Ft.: <3 �� # _ries: # Units: Telephone # of Contact Person: a't 5 -7 5cl "3 Estimated Value of Proje • �PJ2� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d 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 IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 0(15 e 0`' OF Ql1INTA ' P RU€!_DING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE wL� 'BY Vi c- EXHIBIT "I" ARCHITEGTURAL.IMPROVEMENT APPLICATION AND AGREEMENT DATE NAME STREET ADDRESS 553 (print) •S LOCAL PHONE �_� OTHER PHONE REQUESTED IMPROVEMENT vi3 jo Approval is. requested. -for the above improvement according to, the_ plans 'attached.- We have,: ''attached two (2)- sets . of plans outlining the o wrk to balong with a complete' description of, the materials. ae�nd col.ors-• to be used. If we are - using a contractor(s), we enclose copies of the. Contractor `s License. - Attachments, (I) Two copies of the Architectural Improvement Application. -.(2) Two sets of 'plans .with materials an.d colors to be .used. Note: - •0�e;_ ,s -et ..,is : f.or the, ma•na,gement office; the other set to be returned to :you- -as "Approved' - (3) .. Contractor's. name and copy of .contractor`s license. (Not required if the -improvement • is under $300.00 or if - "Owner —Bixi.lder") , (4) Brochures`( -2`) and/or color samples. of manufactured products to be 'used . We:have read the Architectural Committee Rules and Guidelines and have furnished copies to all contractors to be 'engag`ed by us and we agree to comply with those Rules'' and Gu.id-elines . We also understand that it is our responsibility to- insure that our Contractor(s) comply with said Rules. • We acknowledge. that Building Permits for home improvements may be. re-quired by the' City of Lam. Quinta. The cost of permits, responsibility for obtaining them, and the subsequent inspections 'wi11' be our responsibility. In all -cases we recognize the requirement to be in compliance with applicable building codes.; including, but not limited to, those. adopted subsequent to: th.e original. completion and acceptance of o•ur dwelling. OVER Page Two The Association' has no responsibility whatever in achieving compliance with newer building codes which apply as a result of Homeowner prompted modifications. .Further, we understand that approval will not be granted fo.r any modification which directly or indirectly conflicts- with the Declarations of Covenants, Conditi.ons and Restri-ctions. We also understand we- are responsible for the accurate determination- of property 1 Ines and -setbacks (as applicable). We also understand that we -will be responsible. for all costs. of this improvement and for costs associated with any repair to common -area occurring as a result of implementing this improvement.. -Examples . incl.ude,..but- are note limited to, sprinkler and irrigation systems., buildings, roofs, exterior walls, lawns, plants .and' drainage. Further we recognize that any modifications. t'o the common --area i*rr-igatio-if- and ' landscaping scheme, are subject to formal acceptance by -the* Association. Any- required remedy. t a achieve 'the *required maintenance standard or irrigation standard are our responsibility. Additionally,. we understand that the j o -b site must' be left: reasonably clean at the end of each d.ay, that' no debris nor dirt *may be dumped. in -c.ommon -area or -left at job .site. Any maintenance or replacement of permitted improvements,' except for certain landscaping, which are beyond "initial" improvements., shall be the homeowners responsibility. We agree to indemnify.- for ourselves, as well as f.or our successors and assigns.,. and covenant and agree 'to hold Association harmless from all claims, demands or liability arising out of or encountered in connection with. this Agreement, whether such claims, demands or liability are. caused by Owners, Owners', agents or_' employees, or contractors or subcontractors employed - on. the project, their agents or employees, or caused by any products install -ed on the .project by said contractors) or subcontractor(s). Such indemnification shall extend to claims,` demands or liability for personal injuries and/or property damage occurring during installation, as well as after' completion, including, b.ut - not limited to , all Owners.'. maintenance responsibilities provided herein. We further indemnify and hold the Association harmless from all liability- related to any . damage to'" existing improvements (wherever located within. the Subdivision) resulting from the installation/construction of the Architectural Improvement If required by the Architectural Review Committee, we agree to record, .and pay for the recording, o -f this improvement at the County -Recorder's office. We further acknowledge that the Architectural -Committee may requite *a .deposit be .submitted before work is begun. Rev. 4-96 Page Three- We hreeWe further agree that this improvement will be completed in a: reasonable . and-. .diligent. manner-. We- further agree- that 1) -if we do not correct any damage caused as a --result of implementation of this improvement or,. 2)' -if we fail to, complete this improvement within the allowed. time frame the Homeowners. Association may elect to ,complete -.the work_ and/or, repairs, and we will be. responsible for the actual costs of such work.Payment to the..Association is authorized by us in. the form of an assessment or monthly penalty: payments as. approved in the 'Guidelines. By signing this Agreement below, w -e agree to be bound by its terms and. conditions and --:any Gond_ itio"ns set forth. by the. Architectural Committee in. the Archi-tectural Committee - Cer.tifica.te, which is. attached hereto as Exhibit "A" and made a part hereof -by thisreference. -Szg-n.a-tiires" o -f' a I1 Owners.: (SJignatu ('Signature) Rev. 4-96 r- ARCHITECTURAL COMMITTEE CERTIFICATE (Exhibit "A" to the Architectural Improvement Application and Agreement) The .Architectural Improv-ement' 'Application and Agreement was reviewed by the Architectural Committee on and has been': Approved Conditionally Approved Rejected subject to the following conditions set forth below Returned for Further:Informat-i.o-n Required Modifications Comments Yes No .11� P.ecording to be .-.sent -by owner to County Recorder's office for roof and/or exterior wall modifications. eposit-Required Deposit.Amoumt-Requir.ed $ Da Archit ural Co mittee -A-rc-tectural Architectural. Committee Archi-Eectural Committee Architectural Committee "NOTE_ THIS APPROVAL IS VALID FOR 90 DAYS FROM APPROVAL DATE Rcv _ !i-9Fi .COMPLETION INSPECTION Completed work inspected ,and approved Date: Deposit return ' authorized (if applicable„ and less any reimbursement to the Association for costs incurred to bring homeowner into compliance with the ,governing documents) Recording verified. Comments Signed: Date.: - Architectural Committee Chairperson Rev. 4-96 'LY COO' AV'V iV:1 tV SACTORY. • 'INSULATED ALUMINUM ROOFS INSULATED ALUMINUM SIDING PATIO ENCLOSURES' AL -CAN ' • ALUMINUM AWNINGS DISTRIBUTOR OF ALCAN QUALITY PRODUCTS LOCALLY OWNED & OPERATED MATERIAL FOR DO -IT- YOURSELFERS �vAT94 7604*2:1=1277. OR LOW PRICE �G9 ,S4cv. 95-im-�32-.2312 RAN Lic. NO. 501 572 68211 RAMON RD. CATHEDRAL CITY, CA OVER 25 YEARS.: EXPERIENCE