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10-0893 (PAT)P.O. BOX 1504 78-495 CALLE TAMP ICO LA QUINTA, CALIFORNIA 92253 Tiht °F 4Qar«tu, Application Number: 10-00000893 Property Address: 78329 DESERT FALL WY APN: 770-020-007-I' -28019 - Application description: PATIO COVER - COMMERCIAL Property Zoning: PARKS & RECREATION Application valuation: 2660 Applicant: Architect or Engineer: 6,vw tof L,+ Q.U,,-m * OsAr GtW* BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Profes ionals Code, and my License is in full force and effect. License Class: A -B -C27 License No.: 839815 Date: 101A to. Contractor: OWNE BUILDER DECLARATION I hereby affirm under penalty of perjury th t I a exem from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business a P fession Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair struct e, 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 _ 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 _ 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: LQPERI%IIT Owner: CITY OF LA QUINTA P O BOX 1504 LA QUINTA, CA 92253 Contractor: ARAMEXX CONSTRUCTION 13040 SMOKETREE PLACE CHINO, CA 91710 (818)428-8657 Lic. No.: 839815 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/07/10 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 497001059 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, iVKKERS e subject to the workers' compensation provisions of Section 3700 of the Laborthwith comply with those provisions. (Date: f Applicant: WARNING: FAILURE TO SECURPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT ANEMPLOYER TO CIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDIOST 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 infor ation is correct. I agree to comply with all city and county ordinances and state laws relating to ilding co struc on, and hereby authorize representatives of this county to enter upon the above-mentioned pro y for i pecti n purposes. [Date: D a (a Signature (Applicant or Agent): Application Number . . . 10-00000893 Permit . . . PATIO COVER PERMIT Additional desc . Permit Fee . . . . .00 Plan Check Fee .00 Issue Date . . . . 10/07/10 Valuation 2660 Expiration Date 4/06/11 -------------------------------------------------------- --------- Special Notes and Comments (2)10 X 10 SHADE STRUCTURES - CONSTRUCTION PART OF THE 2010 SEASONS PARK (DOG PARK) IMPROVEMENTS PLAN SET NUMBER 10020. 2007 CALIFORNIA BUILDING CODES. October 7, 2010 10:06:51 AM AORTEGA Fee summary Charged Paid Credited Due -- - - - - - - - - - - - - - ------ - - - - ------ - - - - ------ - - - - ------------ Permit Fee Total .00 .00 00 .00 Plan Check Total .00 .00 .00 :-00. Grand Total .00 .00 .00 .00 LQPERAIIT Bin # City of La Quinta Building 8i Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ' ° Project Address:716.' fAtAi Owner's Name: 6* ( OF 4 O►>'I&A4 A. P. Number: 710 • W.0 Address: Address: -70-14is atA e n Legal Description: LOT '['M141 City, ST, Zip: Contractor: Telephone: `?• :k%: s"%°i <''S3S • c Project Description: IS DK P Address: City, ST, Zip: Telephone: State Lie. # : City Lie. #; Arch., Engr., Designer: Address: City, ST, Zip: ' Telephone: wCiJ::.. .Y . .... <•";°;�<>sh# • :��`;,4',Fy �yfr:.4J'.$.+';,�r,�o'~.''�: Constructi on Type: Occupancy: State Lie. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: TDO'K Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: % Estimated Value of Project: Er APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted 0i Item Amount Structural Cafes. Reviewed, ready for corrections W Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Calm Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2". Review, ready for correctio i ue Electrical Called Contact Person Plumbing Subcontactor List Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person .I.P.P. Pub. Wks. Appr Date of permit issue School Fees i Total Permit Fees 5 to lAto • 5upo-pa-[6D -4 %ftd7- 0.I II UL6 &ca- pe, (Ws" vo w[�l how • srn• '' omw " wt*.