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11-0722 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000722 'Property Address: 78164 CALLE LAS RAMBLAS APN: 770-014-004- - - Application description: PATIO COVER - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3925 Tuvl 4 4 Q" 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. License Class: C33 C51ice No 8556 Date: � -Contractor: - OWNER -BUILDER DECLA TION I hereby affirm under penalty of perjury that I am exempt from the Contra tor'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.). (_) 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.). (_ 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: CHAKAN RONALD & KATHY 78164 CALLE LAS RAMBLAS LA QUINTA, CA 92253 Contractor: GOLD STAR CSTM PTG LQ PAT 42335 WASHINGTON ST #F363 PALM DESERT, CA 92211 (760)574-1043 Lic. No.: 855623 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/01/11 r " .20111 �i'E Y lad UiN #A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - — -----,dy 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 STATE FUND Policy Number 193290309 _ 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' compensation pro isions of Section -% 37000 of the Labor Code, I s I forthwith ply ith those provisions. Date: L—(-/' Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UN AWFUL, 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. I agree to com y with all city and county ordinances and state laws relating to building construction, and hereby authorize repr ntatives of this county to enter upon the above-mentioned property r inspectio ur as. Date: 74 -// Signature (Applicant or Agent): f LQPERMIT Application Number . . . . . 11-00000722 Permit . . .. PATIO COVER PERMIT Additional desc . Permit Fee 63.00 Plan Check Fee 40.95 Issue Date Valuation . . . . 3925 Expiration Date 12/28/11 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 ALUMAWOOD LATTICE SHADE STRUCTURE ATTACHED TO BACK OF HOME PER APPROVED PLANS,2009 IBC,2009 IRC, 2010 CBC TOTAL OF 270 SQUARE FEET. ------------------------------------------------------------------'---------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 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 1.00 ..00 .00 1.00 Grand Total 104.95 .00 .00 104..95 - _l GOLF COURSE PROPERTY LINE "0" LOT LINE TYPICAL i h OvarAG,9ROEM Y[09WE WjVE4 ,SASSOCrAgroN April 22, 2011 Ron Chakan RE: 78164 Calle Las Ramblas . Architectural Request Dear Mr. Chakan: The Architectural Committee has reviewed and approved your resubmitted architectural application to install a pool; remove concrete and install pavers, add a fountain, Aluma wood patio cover in the approved color, benches and remove a tree. Please be advised once again the gate at the end of the cul de sac is private and not available for your use. I understand from a board member that you approached the homeowner even after I explained this to you on April 8th. The homeowner denied your request and should not have been approached. Thank you for your understanding. Sincerely, By Direction of the Board of Directors Rosie Galla, CCAM Community Association Manager Bin a Contact Person City of La Quinta Truss Cal—Called Building 8L Safety Division i P.O. Box 1504, 78-495 Calle Tampico t Permit a Construction La Quinta, CA 92253 - (760) 777-7012 l.t Building Permit Application and Tracking Sheet Plans resubmitted Mechanical Flood plain plan Project Address: 7V(;,4 el+ t45 AAMB(,6 Owner's Name: D�/ eH4)� A/v A P. Number: 2'' Review, ready for corrections/issue Address: ,��,� Legal Description: Contractor: 40t1,TA P,+Trp Telephone: Plumbing Address: Lf Z 33St,., AS FffN(r70 -VS7. S7--r-F 3E3 Project Description: l7�� City, ST, Zip: PA -c -w► Telephone: 7 [oU -5- 7 c--;1`( 3 S.M.I. / State Lic. q : 8S 56 3 City Lic. q: C1gC//Z1 Grant Deed Arch., Engr., Designer: Plans resubmitted Address: H.O.A. Approval STZip: CitVpN,a.mc Developer Impact Fee Construction Type: Occupancy:' e: : Project type (circle one): New Add'n Alter Repair Demo Person: y1� S wp L Sq. Ft.:�7� a Stories: a Units: Contact ��11 "8 alue of Proect: - (� -5-7- L{jG (p Estimated Vj Telephone a of Contact Person: A.l.l'.P. APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Req'd Recd TRACKING PERMIT FEES p Item Amount Plan Check submitted Plan Sets Reviewed, ready for corrections Plan Check Deposit Structural Calu. o.. .. I"'h.rL Rulw nee 'Ibtal Penni Fccs Contact Person - - Truss Cal—Called Plans picked up Construction Energy Gales. Plans resubmitted Mechanical Flood plain plan 2'' Review, ready for corrections/issue Electrical Grading plan Called Contact Person Plumbing Subcontaetor List S.M.I. Plans picked up Grant Deed Plans resubmitted Grading H.O.A. Approval Developer Impact Fee " Review, ready for corrections/issue IN HOUSE:- A.l.l'.P. planning Approval Called Contact Person Date of permit issue Pub. Wks. APpr School Fees 'Ibtal Penni Fccs