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06-3612 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00003612 Owner: Property Address: 45360 DESERT EAGLE CT MICHELLE HOLLADAY APN: 604-241-024-14 -23935 - 45360 DESERT EAGLE CT. Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL ( Application valuation: 2650 Contractor: Applicant: Architect or Engineer: PELLETIER PATIO 79275 DESERT STREAM DR 01-6 LA QUINTA, CA 92253 �pou (760) 275-7593 IIV1Lic. No.: 860958 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 B i s an ofessionals Code, and my License is in full force and effect. License Class: B utfte No.: 860958 Date: 10 (( Uontracto OWNER -BUILDER DECLARATION I hereby affirm under penalty of perju 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 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.l. I _ 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 ISec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/11/06 D La e OCT 112006 CITY OF LAQUINTA FINANCE DEPT. 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 mann come subject to a workers' compensation laws of California, and agree that, if hould becom subject to th wor rs' compensation provisions of Section X�111/ 3l700 of the Lab Code, I shall f hwith com wi those provisions. Date: V 1 1 (/1 (%�pplicant: WARNING: FAILURE TO SECUREO' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI RK ENALTIES 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 r 180 days will subject permit to cancellation. I certify that I have read this application and state [ha bove information is corre I gree to comply with all city and county ordinances and state laws relati o building nstruction, and here a horize representatives ' of this county to enter upon the above -mention d prope for spection, rposes. DatJo 1 I O (?gnature (Applicant or Ag t): Application Number . . . . . 06-00003612 Permit . . . PATIO COVER PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee 35.10 Issue Date . . . . Valuation 2650 Expiration Date 4/09/07 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ---------------------------------------------------------------------------- Special Notes and Comments ALUMAWOOD PATIO COVER 250 SQ. FT. PER APPROVED PLANS. ---------------------------------------------------------------------------- Other Fees . . . . . . . STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited Due ----------------- ---------- Permit Fee Total ---------- 54.00 ---------- .00 ---------- .00 54.00 Plan Check Total 35.10 .00 .00 35.10 Other Fee Total .50 .00 .00 .50 Grand Total 89.60 .00 .00 89.60 LQPERMIT f. Bin ffCity of La Quinta Building U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico Q1� La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: L)5 3 �� Owner's Name: A. P. Number: Address: -LJ5 3(.0 CLLQ Legal Description: City, ST, Zip:t� 22 a 3 e.RGtI Contractor: �L,,,'�l7 . Telephone: % Address: �� Z'1 j � �e, *()ve- Project Description:..c City, ST, Zip: LICA- Telephone: Telephone: �) 7 5 — 75 4 r5 to -so State Lit. # : d (�� j yj . City Lic. #: Arch , Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lie. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Cph a CU tA` A Sq. Ft.: Stories: # Units: Telephone # of Contact Person: - - � Estimated Value of Project: o' c.� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd _ : Recd TRACKING .. PERMIT FEES Plan Check submitted Item Amount Structural Calcs. Reviewed,.ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy .Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading, plan 2"° Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up $.M.I. I.O.A. Approval Plans resubmitted . Grading IN HOUSE:- 3" Review, ready for corrections/issue Developer Impact Fei .. ; Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit. Fees ; .:.. . e -t. H 53 Gon �Uese,�rf cs i e °122 53 M A 12- Q P�� %Cstv�� � gCo��1 Ja w r'tu Gt -? a 0 -I, CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FO NSTRUC�TIION DA (� 0 BY v A RE -INSPECTION FEE OF $3( WILL BE CHARGED IF THE APPROVEC PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. CEPTIONS!