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04-6061 (PAT)°0MW BUILDING SAFETY DEPARTMENT j O'Bo�1?04 (760).777-7012 Vf9 ' r7&`VV�S C�\LIL�E TAMPICO FAX (760) 777-7011 V %, LA QUIN-T-A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 . Of G�o�QBUILDING PERMIT App'ication Number . . . . 04-00 61�'' Date 8/27/04 Property Address . . . . 43686 PARKWAY ESPLANF_DE E APN: 609 -600 -003 - Application description . . . PAT -IO COVER- RESIDENTIAL Property Zoning . . . • LOW DENSITY RESIDENTIAL Application valuation 8565 Owner Contractor CANNON CONSTRUCTION LESIGN SYSTEMS, I 43-686 PARKWAY ESPLANADE EAST 78401 HIGHWAY 111, SUITE F-2 LA QUINTA, CA LA QUINTA CA 92253 LA QUINTA CA 92253 (760) 771-3593 WCC: STATE FUND WC: 1709785 02/01/05 CSLB: 7670$6 08/31/05 CCC: A-B ----------------------------------------------------------------------------- Permit . . . PATIO COVER PERMIT Additional desc Permit Fee . . . . 108.00 Plan Check Fee 70.20 Issue Date . . . . Valuation 8565 Qty Unit Charge Per Extension BASE FEE 45.00 .7.00 9.0000 THOU BLDG' 2-'; 001•=25, 000 63.00 -------------- Special Notes and Comments 644 S.F. PATIO COVER PER APPROVED >' ENGINEERING PLANS -----7-------------- Other Fees . . . STRONG MOTION (SMI) - RES .8.5 Fee summary Charged Paid. Credited Due Permit Fee Total 108.00 .00 0.D 108.00 Plan -Check Total 70.20 00 .0') 70.20 Other Fee Total .8.5. .00 ;0?� ,. 85 Grand Total 179.05 .00 179.05 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number. u y - to o tv / Applicant: Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8°• • O'� Architect or Engineer: Architect or Engineer's Address: Lic. No.: MUILUINU PERMIT DECLARATIONS 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 Licens is in 1}/ 11 force and effect. // License Class -- License No. �tD 7616 Date �(I 2� b � tractor / OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 exempfion. 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).): U 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 or 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.). U 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.). U I am exempt under Sec. , B.& P.C. for this reason Date WORKERS' 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 insuranc, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is is ued. My workers' compensation insurance cam and p�i are: Carder _Policy Num t 7 l _ I certify that, in the performance of the work for which this permits 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 Labor Code, I shall forthwith comply with those provisions. bate 044- b Applicant J S A" AC ver -7 A 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. 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 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 county to enter upon the above-mentioned property for inspection purposes. ate r' Q `2-4 -0< 'nature (Applicant or Agent): NEWPORT AND LAGUNA ORDER FORA ORDER DATE �/ J! PICK UP CUSTOMER Tawny Covered. Inc. PO#/_Job Nam_C&wiom CITY L4Qu i r to PHONE [760] 771-9103 FAX [760] 7�71-4933 PROJECTION LENGTH LIVE LOAD 1 --G -0 MPHCC> ATTACHED RESIDENTIAL lel ATTACHMENT WALL EAVES ❑ MOBILE HOME ❑ SLAB ❑ to CITY ❑ FOOTING ❑ FREE -STAND PATIO COVER ❑ COMMERCIAL LIAGUNA.■Lattice■ NEWPORT"Solid" fd] STD SPACE 3" O.C. WITH 1-1/2"TUB D l!!I STEEL C BEAfi11S Y" STD SPACE 4' O.C. WITH 2" TUBES ❑ DESERT SAND STEE LEAF 0 10` 1112' D 14' COLORS ❑ WHITE ❑ DESERT SAND ❑ SONORA BEIGE 0 ADOBE X, MOJAVE TAN ❑ FLAT MITERED ❑ CORBEL o SONORA BEIGE ❑ ADOBE O .MOJAV ❑ R POST HEIGHTS: a0' GUTTER 8011006 ONLY Extra Pa its ALL COVERS ORDERE=D AS PACKAGE MUST COtdFt 2M Tn IFunnurromn nei.— ■ ■ HOMEOWNER'S NAME ADDRESS/ZIP/PHONE# i .P/IL