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13-0873 (PAT)I P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 1 � Application Number: 13-00000873 Property Address: 47725 DANCING BUTTERFLY APN: 649-030-069-92 -31311 - Application description: PATIO COVER - RESIDENTIA Property Zoning: HIGH DENSITY RESIDENTIAL Application valuation: 1292 4 VOICE (760) 777-7012 FAX (760) 777-7011' BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/12/13 P�.LJL'l Owner: DICKENSON RESIDENCE 47725B DANING BUTTERFLY LA QUINTA, CA 92253 2013 (760) 771-3345 n# L:'TY OF - QU FI MANCE pEpr '� Contractor: Applicant: Architect or n i er: LIFETIME PATIOS PO BOX 5806 CSG/ LA QUINTA, CA 92253 (760)610-5380 Lic. No.: 770843 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: 13 License No.: 770843 _`\Date: Contractor: 1E I DER 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 Codel 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 1, 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 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 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 MED CENTURY INS Policy Number A09461819 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. Applicant: %b ' WARNING: FAILURE TO SECURE ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date*Ossignature (Applicant or Agent):..�� Application Number . . . . . 13-00000873 a. Permit PATIO COVER 2013 Additional desc . Permit Fee . . . . 95.81 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1292 Expiration Date . . 1/08/14 Qty Unit Charge Per Extension 1.00 95.8100 EA MISC PATIO COVER, STD 95.81 ---------------------------------------------------------------------------- Special Notes and Comments PATIO COVER OPEN LATTICE -PATIO COVER - TOTAL OF 161.5 SQ FT 9FT 6 INCHES X 17 FT PER 2010 CBC. PER APPROVED PLANS. ---------------------------------------------------------------------------- Other Fees .. . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 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 91.57 .00 .00 91.57 Grand Total 187.38 .00 .00 187.38 LQPERMIT Bin #' Permit # Project.Address: A: P. Number. Legal Description: Contractor: El 441 V!A'G Address: Spy Gt city, ST, Zip: Telcphone: 77 LG --M 4C -So State Lie. # Arch., Engr., Designer: Address: .City, ST, Zip: Telephone: State Lia #: Name of Contact Person: Telephone # of Contact Person: City of -La Quinta Building SSC Safety Division. P.O. Box 1504, 78-495 Calle Tampico La Quinta;=CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet QwneesName: sd J Address: -City, ST, Zip: A pill Telephone: Project Description: �ZZq 4 .y%G4 ity Lic. #: 325 ir'_ /! `.i w ♦♦ J !p` # Submittal Req'd - Construction -Type: 'Occupancy: TRACKING Project type (circle. one): New Add'n Alter Repair Demo Sq. Ft : G # Stories: Units: Item Estimated -Value of Project APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd - Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for correction's Plan Check Deposit Truss Cafes. ; .. Called Contact Person* Plan Check Balancql Energy Cafes. l Plans picked up Construction Flood plain plan Plans resubmitted Mechanical GradinFplarf V Review, ready for corrections/issue Electrical Subcontactor List Called -Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Appioval Plans resubmitted Grading IN HOUSE:- '�'-Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue - School Fees Total Permit Fees 10.50 J JC. 4-" q!r= .WATERCOLORS AT LA QUINTA HOMEOWNER ASSOCIATION ARCHITECTURAL IMPROVEMENT APPLICATION AND REVIEW FORM � � Lot Number: ____ Ow�7 e ame.:.�_�S __ _ ___�_ Date:_��___ Property Address: _%_ "- ontact Phone:--------- Nature hone:___—_—__Nature of Improvement - Color, if applicable: tl�t�es+�rs _________Estimate start date:__�-45..1.9_ Location, if applicable: _�_ � t,E 0 ___ ------ --- Dimensions, if applicable: °l_�C_1 _______________ ----- ___--_______________�_� Construction materials if applica le: 1trs��tr.+l,___________ Supplier/vendor:_ �,,,1� _ 2s;L• Approx. Cost: __M_________ s 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:.___— -------- __— Send the application by any of the following: Via email - Irene@�rhitestarmgmt.com By mail to' Watercolors c/o Whitestar Management 71687 Highway 111, Suite 102, Rancho Mirage, CA 92270 Phone: 760.773.0123 Fax: 760.773.5432 * For Internal Use Only - Date Received: _ _ Inspection date, if applicable: A rova Disa val icircle one) Date: 9� Committee Signature: +�/ ��Q Board Liaison Initials: Whltestar Management for Watercolors at La Quinta HOA Rev. 4.13