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06-3903 (PAT)t ri " P.O. BOX 1504 78-495 CALLE.TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003903 Property Address: 45065 DESERT AIR ST APN: 604-331-011-6 -23935 - Application description: PATIO COVER - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5107 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 BufessiongLscode, and my License is in full force and effect. License Cass: B gseNo.: 860958 Date: 1 1 I L 10 Contractor: 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 tie 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 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: CHRISTINE NICHOLS 45065 DESERT AIR ST LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/07/06 Contractor: 1 PELLETIER PATIO D p 79275 DESERT STREAM DR LA QUINTA, CA 92253 (760) 275-7593 Lic. No.: 860958 CITY 01: iA Qe� A 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 EXEMPT Policy Number EXEMPT 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 become subject to the workers' compensation laws of California, and agree that, if ould becom ubject to tl wor rs' compensation provisions of Section 3700 of the La r Code, I shall fo hwith confly wit those provisions. Date: 1-7 10 10 Applican : i WARNING: FAILURE TOSEC E WOItKE S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C INAL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDIT T HE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COD , 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 a in o ion is correct. o comply with all city and county ordinances and state laws relating to b 'ding construction, and hereb authorize presentatives of this count to enter upon the above-mentioned pro erty far inspection p rp.ses. Date.�tl1 �� (Signature (Applicant or Agent): LQPERMIT Application Number . . . . . 06-00003903 Permit . . . PATIO COVER PERMIT Additional desc . Permit Fee 81.00 Plan Check Fee 52.65 Issue Date . . . . Valuation . . . 5107 Expiration Date_ . . 5/06/07 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 THOU BLDG 2,001-25',000 36..00 ---------------------------------------------------------------------------- Special Notes and Comments 384 SF ALUMAWOOD LATTICE PATIO COVER ---------------------------------------------------------------------------- Other Fees STRONG MOTION (SMI) - RES 51 .Fee summary Charged Paid ----------------- Credited Due ----.------------=--- Permit Fee Total 81.00 ---------- .00 ---------- .00 81.00 Plan Check Total 52.65 .00 .00 52.65 Other Fee Total .51 00 .00 .51 Grand Total 134.16 .00 .00 134.16 pct Copy CITY OF LA QUANTA BUILDING & WET -Y DEPT. APPROVE® FOR CONSTRUCTION I 'r 41v- On�i s`t-�� ice, c k o 15 Lis ov� E)estr�- Av St: CA- q 22 3 3i I�91�CLw.g �-� 3 6Lf 47 Sevyoq-n- �e IN co ©at S a�� N� A Mn City of La Quinta Bw1ding SE Safety Division . Permit# P.O. Box 1504, 78-495 Calle Tampico U Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: LJ�So(,,:5 St owner's Name: A. P. Nurn�bcr 8 AAddrcn:.Lf SC) (0 5 De SZvt . A i'�C- Legal Description: Contractor. 77,70 [ Con PEILMIT FEES. ecity-ST.Zip: FTclephonc: ( Address Address. k.tuYCLX.,ooJ City, ST, Z* La 07:2-2 5- Cc> U Z -Y-" TcicPhmc-- ?�5--F3 Ptas Check Deposit Truss Calcs. state Lic.#: 0('110r, Sb Plan Check Balance City ic. lCuaw Cato. Arch. Engr, Designer- Construction Address: Plans resubmitted 1llich2nical City, ST, Zip: Grading plan 24 ReAtW, ready for cotrtctioWuswe Telepbout. State Lie. Construction Type: occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Persoit: :Ti-vva OCk�A4, r Sq. FL: 2&L-( # Stories: # Uaiw. Telephone 9 of Contact Person: Value of Project: q 3-75 cjo Total Permit Fees APPLICANT: DO NOT WRITEBELOW THIS LINE 8 submittal Req'd Rtc'd TRACKING PEILMIT FEES. Pla a Sets Plan Check submitted Item Amount Structural Cdcs.. Reviewed. ready for corrections Ptas Check Deposit Truss Calcs. Called Contact Person Plan Check Balance lCuaw Cato. Plans ticked up Construction Flood plain plan Plans resubmitted 1llich2nical Grading plan 24 ReAtW, ready for cotrtctioWuswe Ekctrical Subcokactor Ust Called Contact Person -Plumbing Grant Deed rhos picked up S.M.I. ll.0JL Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctionsrissut Developer Impact Fee Planning Approval Calkd Contact Person A.I.P.P. Pub. Wks. Appr Date Of permit Issue School Fees Total Permit Fees