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05-3187 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: I hereby affirm under penalty o Section 7000) of Division 3 of Li eClass: B -C33 Date: tra Td�/ 4 4 Qum L BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 05-00003187 - 60458 -LACE LEAF CT 764-270-999-123 -300231- PATIO COVER - RESIDENTIAL MEDIUM HIGH DENSITY RES or Engineer: /a CONTRACTOR'S DECLARATION I per' t at I acensed under f Chapter 9 (commencing with th usmess and P fessionals ode. and m License is in full force and effect. /� Li ense No.: 60484 cto 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 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 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.). 1 1 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: AUBREY MOORE 60458 LACE LEAF COURT LA QUINTA, CA 92253 Contractor: PELLETIER CONSTRUCTION 74691 SWEET WELL ROAD THOUSAND PALMS, CA 92276 (760)275-7593 Lic. No.: 260484 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/26/05 ----------------------------------------------— WORKER'S COMPENSATION DECLARATION I hereby affirm under pe.nAlty of perjury one of the folluwing 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 STATEFUND Policy Number 5495 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner me subject to the wo ' compensation laws of California, and agree that, if I ould becomes ject wor s' co pensation provisions of Section 3700 of the Lab r ode, I IIfort com wit tho provisions. ate: (IZUfVf plicant: WARNING: FAILURE TO SECURE W ER ' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NAI TIES 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 su ermit, or cessation ofDagreeto ubject permit to cancellation. I certify that I have read this application and state at the above formation is corrith all city and county ordinances and state laws relatin to building con ruction, and hereves of this county to enter upon above-mentione grope r in =rposes. P,de: - �Z41B� ignature (Applicant or Ag t): Application Number . . . . . 05-00003187 Permit . . . . PATIO COVER PERMIT Additional desc . Permit Fee . . . . 63.00 Plan Check Fee 40.95 Issue Date . . . . Valuation . . . . 3591 Expiration Date 1/22/06 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 270 S.F. ALUMAWOOD LATTICE PATIO COVER ----------------------------------------=----------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES .50 Fee summary ----------------- Charged ---------- ---------- Paid Credited ---------- --- Due - ------ Permit Fee Total 63.00 .00 .00 63.00 Plan Check Total 40.95 .00 .00 40.95 Other Fee Total .50 .00 .00 .50 Grand Total 104.45 .00 .00 104.45 LQPERMrr Total Permit Fees Bin CltY of La Quilltd'.. . Permit Building 8t SafetyDivision ' P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Project Building Permit APPlication and Tracking Sheet Address: C�0 �� ! e, u_ e l— . A. P: Number: QF Crt Owner's Name: 4�� O r2 ' Legal Description: Address: (QYjB L.c�c,e feG.�t- ,,r. Contractor: City. ST, zip: 9 22 53 Ad d r e s• s�. -CQ G I S U Telephone:' " ........... City, ST, Zip:_1V\_0T1V3 (1 �� —�/ Project Description: Telephone: `� QA G22 ?� ,Q 'CC e c�"`'T�r^ S - 3 StatoLic. #- o �1" Arch., Engr., Designer: . Address: FEE Citv,. ST, Zip: Telephone: s ruc- Construction n 0 nTy Type: an c v: Occupancy: P Name of Contact Person: i Project type (circle one):. New` Add'n Alter Repair Demo Telephone # oCContact Person: Sq. Ft.: �rJv #'Stories: #Units;. Estimated Value -'r D__ I APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Re9'd Recd Plan Sets TTRACKING*NTRACKING*I PERMIT EPS Plan Check submitted Structural Calcs. Reviewed, ready for Item Amount Trusr*Calcs. corrections Plan Check Deposit .Called Contact Person Title 24 talcs. Plan Check Balance Plans kicked -up Flood plain plan Construction Plans resubmitted Grading. plan Mcchanicil Subcontactor List . 2"' Review, ready for correctionsrissue Electrical Called Contact Person Grant Deed I:lumbing Plans picked up . ILO.A. Approval S.M.I. Plans. resubmitted IN IIOUSE:_ Grading Planning Approval Review eady for corrections/issuer Developer Impact Fee Called Contact Person :Pu:b.1'I s. ApprA.I.P.P. Date of permit issue School Fees Total Permit Fees TRILOGYAT LA QU17VTA MAINTENANCE ASSOCIATION June 16, 2005 Aubrey & Peggy Moore 60458 Lace Leaf Court La Quinta, CA 92253 Property Address: 60458 Lace Leaf Court We are pleased to inform you that your application for attached patio cover, received on June 10, 2005, has been conditionally approved by the Design Review Committee per the attached Conditions of Approval form. This approval does not constitute consent by the Association for the applicant to encroach, trespass, or build on any property other than that of the applicant. This approval is related solely to the items reserved for approval by the CC&R's in accordance with the Architectural Guidelines. The approval does not extend to the quality of work done by your architect; or contractor, or to any structural engineering, soils engineering, or site grading and drainage design. You are urged to obtain the services of a state licensed professional for consultation as needed. Please be advised that this approval does not relieve you from obtaining any necessary building permits from the governmental agencies involved. It is strongly recommended that you hold your final payment to any contractor doing work on the exterior of your home until such time that a Design Review Committee member has inspected Your property and your deposit has been refunded to you.. If any damage has been caused by your contractor to common area property, the Association will have the necessary repairs made and deduct the cost from your deposit. Therefore, it is important for you to wait for the deposit refund before you pay your contractor in full. Sincerely, For the Design Review Committee %'1 ==-l.!7A Melinda Gutierrez, CCAM Association Business Manager Enclosures cc: Board of Directors Design Review Committee Professionally Managed By Action Property Management, Inc. 60-750 Trilogy Parkway, La Quinta, CA 92253 (760) 777-6059 (760) 777-6097 fax -gutierrez@actionlife.com www.actionlife.com CITY OF LA QUINTA BUILDING & SAFE 1Y DEPT. APPROVED FOR CONSTRUCTION grGC� CaOC i% L Le, cf v►tie g22S 3 VZe. oa-) `1 covek- a2 C,�lo�'; (CcQ,v�se � �Cod��y