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13-0728 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000728 Property Address: 47715 DANCING BUTTERFLY APN: 649-030-069-91 -31311 - Application description: PATIO COVER - RESIDENTIAL Property Zoning: HIGH DENSITY RESIDENTIAL Application valuation: 1500 TWT 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: ���� A4 - 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: C51 C8 LicenseNo.: 937811 \ Date: to ZS- 3 Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 apermit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) 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 ftuilding 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.). (_) 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: SHOLEH AMIRMOR 47715 DANCING LA QUINTA, CA ( Contractor: VALLEY PATIOS 37897 CHESTERFIELD BERMUDA DUNES, CA (760)534-4634 Lica No.: 937811 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/25/13 STREET 92203 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 SOUTHERN INS CO Policy Number PWC006609-13 _ 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 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ZS Applicant: 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. 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 con struction, and hereby authorize representatives of this county to enter upon the above-mentioned proper�� Date: 6ZS 1 Signature (Applicant or Agent): '// Application Number . . . . .. 13-00000728 Permit . . PATIO COVER 2013 Additional desc . Permit Fee . . . . 95.81 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1500 Expiration Date . . 12/22/13 Qty Unit Charge Per Extension 1.00 95.8100 EA MISC PATIO COVER, STD 95.81 ------7--------------------------------=------------------------------------ Special Notes and Comments PATIO COVER - 160 SQ FT DURALUM PATIO COVER (DURALUM ENGINEERING] AT FRONT OF PROPERTY 2010 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN.(SB1413) 1.00 PLAN CHECK, PATIO COVER 94.38 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 95..81 .00 .00 95.81 Plan Check Total .00 .00 .00 .00 Other Fee Total 95.88 .00 .00 95.88 Grand Total 191.69 .00 .00 191.69 LQPERMIT Bin # City Of La Quinta Building &r Safety Division . P.O. Box 1504, 78-495 Calle Tampico 1a Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Ad Project Address: '17-7) 5 Vu,Gi uT T Owner's Name: S h d tK A7 VIA t ( A-0 1:4' A. P. Number: Address: '--177 �j Oa rt G i Legal Description: City, ST, Zip: �o �v t ^ � ' /( AJC V r` ^ Contractor: `"� P 'I't b $ Telephone: ? Address: -57S.O 7 Project Description: jq(v4, wc>0tk City, ST, Zip: CA I27_z) 3 Telephone: q&3 :. ::<! ! :. State Lie. # : 37gd f City Lie. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: ;;;>.r:r :::<:;::::<<:«'::r><><:;:•:<i p :•.;:.:,: �:#:.<::. State Lie. #: ;;y{;.; i;:;; ;. << < u > ;. Construction Type: Occupancy: Project type (circle one). New Add'n Alter Repair Demo Name of Contact Person: ( PMJ T i 5 K.P—( Sq. Ft.: 0 # Stories: # Units: Telephone # of Contact Person: 5-3" r Ll 6 3 Estimated Value of Project: /'5-00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Coles. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2q0 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 AMIRMOKRI RESIDENCE 47715 Dancing Butterfly La Quinta., CA 92253 Proposed Alumawood Patio Cover CITY OF LA QUINT"A BUILDING & SAFETY DEPT, APPROVED FOR CONSTRUCTION DAT WI(O )1 BY Solid Roof 16,_10„ Patio Cover A ---- WATERCOLORS AT LA QUINT'A HOME®WNEUt ASSOCIATION ARCHITECTURAL IMPROVEMENT APPLICATIOili AND REVIEW FORM �{nt {2naoK2 Lot Number: Owner Name:___�/�OLGif_S_H�l�:2C N __ LDate: Property Address:. 7-21-5 DAMctIZFI � Contact Phone4gL Nature of Improvement___ C`o v�`G,�✓• f h / Color, if applicable: 6f aLZ, _ te,/,? o_8 -Estimate start date: SA -P J location, if applicable: 5Qe a� 6✓rf Dimensions, if applicable: 5e!� D�i�`�� G�ra0­11 _ Construction materials, if applicable: }t -{JM " P1 ` WOO Supplier/vendor: V°`Qi ��°`}jos Appcox. Cost: 2,000 Attach an additional page for description, if necessary. One set of plans of all improvements must be attached to this application to show location and dimensions, or a picture of the item if more appropriate. If construction is involved, the owner is responsible for obtaining City of La Quinta permit to do the work. Owner Signature: 26�i6�- Z -"r— L, ---a Send the application by any of the following: Via email - IreneLawhitestarrnamt.com By mail to Watercolors c/o Whitestar MAnagement 0 72-171 Highway 1 h 1, Suite 110 Palm Desert, CAS 92260 Phone: 760.773.0123 Fax 760.773.5432 For Internal Use Only - Date Received: OzS;_ Z Inspection date, if applicable: rov Disapproval (circle line) Date: �s Committee Signature_ ward Liaison Initials: 041& Conditions: Whitestar Management for Watercolors at La Quinta HOA t{ Rev. 4.13.20 10 .