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06-2463 (PAT)q0 P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00002463 Owner: Property Address: 45395 DESERT FOX DR MANGIONE AJ APN: 604-242-005-15 -23935 - 45395 DESERT FOX Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3724 Contractor: Applicant: Architect or Engineer: PELLETIER PATIO 79275 DESERT STREAM DR LA QUINTA,.CA 92253 (760)275-7593 Lic. No:: 860958 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pe ' at licensed un ions of Chapter 9 (commencing with Section 7000) of Division 3 of t Business and fessio Is Code, d my License is in full force and effect. License Class: B License 860958 Date: d Z 10 L Contracto .0 . 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 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.). (_) 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 VOICE (760) 777-7012 . FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/21/06 JUN 2 U 2006 CITY OF LA QUINTA 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 man so as to come subjec to the workers' compensation laws of California, and agree that, i should be a subject th workers' compensation provisions of Section 3700 of the Lab r Code, sh forthwith amp with those provisions. Date: U& l;��D Applicant: WARNING: FAILURE TO SECURE S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL i SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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 ' such permit, or f work for 180 days will subject permit to cancellation. I certify that I have read this appticatio and state that th above i ormation is co ect. I agree to comply with all city and county ordinances and state la s rel g to b ding cons ruction, and h eby authorize representatives of this pounty to enter upon the above- lap: 'rte prop y for ins tion purpo s. G/ DateG/7'. I V 4 Signature (Applica or Agen Application -Number . . . . . 06-00002463 Permit . . PATIO COVER PERMIT Additional desc . Permit Fee 63.00 Plan Check Fee '. 40.95 Issue Date Valuation . . . . 3724 Expiration Date 12/18/06 Qty Unit Charge Per Extension w BASE FEE 45.00 ,;. 2.00 9.0000 THOU BLDG --------------------------------------------------=------------------------- 2,001-25,000 18.00 Special Notes and Comments �{ 280 SF ALUMAWOOD LATTICE PATIO COVER IN REAR YARD --------=--------------------------------------------=----------- . . . . . . . STRONG.MOTION (SMI) RES Other Fees - .50 Fee summary 'Charged Paid Credited Due Permit Fee Total 63.00 .00 .00 63.00 -Plan Check Total 40.95 .00 ,.00 40.95 Other Fee Total .50 .00 .00 .50 Grand Total 104.45 -.00 .00 104.45 LQPERMIT Bi" # City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # / 2 b Project Address.`t-4539S 02,0k �7,x Dr Owner's Name: A. P. Number: Address: �{'� 3Cj S ��-Q QR ✓ �' } v x Legal Description: City, ST, Zip: �� c( ct 2r1 5 3 Contractor: R, eoZj Telephone: ( - -5Address:. Address:. vvc- ,,,.,., Project Description: *�j uoS �u City, ST, Zip: w CA PDJb c.pve^t' ae;o I Telephone: a? Ct3 State Lie. # : VCc O City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: n F_CLc✓A-I-✓i Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. FL-. # Stories: # Units: Telephone # of Contact Person: cu Estimated Value of Project: d Q C) -o APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Floodplain plan Plans resubmitted Mechanical Grading. plan 2"' 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 L CITY OF LA QUINTA BUILDING & SAFETY DEPT. APP( OVER FOR CONSTRU ON DATE aJ BY (� C A RE -INSPECTION FEE OF $30 101ILL BE CHARGED IF THE APPROVED ". ..S `,ND JOB CARD ARE NOT ON " FOR A SCHEDULED Ntl) _jl CEPTIONS! A, T rl an,one y53°►5 Oese,Y~t- RDx lor: Lck. Q�-v.,tc,, CA g2253 Cae,4). " q L..-,� , it . cOve� C, -,N F-1 93' co for Li cz,,,.-,j- 6 c mss C.an jz�.LT ::�shn lrGicv-4 h k k -a- L