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11-1264 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-iht 4 e(P Qum& Application Number: 11-00001264 Property Address: 81140 GOLF VIEW DR APN: 762-280-024- - - Application description: PATIO COVER - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL L; Application valuation: 3352 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 Business and Profe ion Is Code, and my License is in full force and effect. License Class: B Li ense No.: 903 943 Date: Contractor. NER-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.). (_ 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 contractors) 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: 12/16/11 Owner: ALBANESE WILLIAM 1.7070 LON RD MONTE SERENO, CA T 95030 Contractor: Y.:N �D & R REPAIR,.144630 FRANKLI(.. d 2011 1 LA QUINTA, CAP 92 53 mom` (760) 218-6414 (;I'tyF!.A Lic. No.: 903-643 F!NiaA:`e: 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 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 37PO of the Labor Cod�11hall �comply h those provisions. Date: Applica I I WARNING: FAILURE TO SECURE WORKE 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 Ouinta, 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 infoation is correct. I agree to comply with all city and county ordinances and state laws relating to building construct n n hereby authorize representatives of this cou ty to nter upon the above-mentioned property f inspectio as. Dater Signature (Applicant or Age Application.Number . . . . . 11-00001264 Permit . . . PATIO COVER PERMIT INV FEE Additional desc . Permit Fee 126.00 Plan Check Fee 40.95 Issue Date . . . . Valuation . . . . 3352 Expiration Date 6/13/12 Qty Unit Charge Per Extension BASE FEE 90.00 . 2.00 18.0000 THOU BLDG 2,001725,000 --------------------------------------------------------------- 36.00 -------------- Permit ELEC-MISCELLANEOUS INV FEE Additional desc . Permit Fee . . . 36.00 Plan Check Fee 4.50 -.ssijP,. nate. ValuatbQn _ - 0 Expiration Date 6/13/12 - Qty Unit Charge Per Extension BASE FEE 30.00 4.00 1.5000 PER ELEC DEVICE/FIXTURE 1ST 20, 6.00 ------------------------------------- -------------------------------------- Special Notes and Comments 252SF TRELLIS PATIO COVER AT COURTYARD [ENGINEERED] CONTROLS FOR EXTERIOR LIGHTING TO COMPLY WITH ENERGY CODE ***INVESTIGATION FEE ASSESSED PER 2010 CALIFORNIA RESIDENTIAL CODE CHAPTER 1 §108.6 FOR WORK COMMENCING BEFORE PERMIT ISSUANCE*** 2010 CALIFORNIA BUILDING CODES. December 16, 2011 9:01:19 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 STRONG MOTION (SMI)'- RES .50 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 162.00 .00 .00 162.00 Plan Check Total 45.45 .00 .00 45.45 Other Fee Total 1.50 .00 .00 1.50 Grand Total 208.95 .00 .00 208.95 LQPERMIT D196q)q Bin # City ofLa Quinta Building 8r Safety Division P.O. Box 1504, 78495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ^ I� Project Address:' Q l � � U 1 � � ( Owner's Name: i ):�rAr e se A. P. Number: Address:_ 8 (I qo Legal Description: City, ST, Zip:�l A. 93X5. V t Contractor.` �- Telephone: a'r<;• >� > *�� g�-,� �•� Address:y 3�= C� Project Description: City, ST, Zip: L61- 001VAr-, C, �taa 53 �� e . Tele hone.0-1(5 .:• .;;:;.. ,�..�,,.y., � n o�t�� E ' State Lic. # :q 039 42 City Lie. #; Arch., Engr.; Designer: Address: City, ST, Zip: Telephone: p State Lie. ;f Construction Type: Occupancy: Project circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: I, -SA, it Stories: —7#—Units: Telephone # of Contact Person: Estimated Value of Project: 3 1101 #&]. 06 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets z Plan Check submitted Item Amount Structural Calcs. �, Reviewed, ready for corrections Plan Check Deposit ^ Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up I Construction 046two 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 �/1^ S.M.I. • +� H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for corrections/issue g Developer Impact Fee Planning Approval Called Contact Person, A.I.P.P. r- Pub. Wks. Appr Date of permit issue silo School Fees Total Permit Fees AS -7(� -a I cg l 0 l'tLb << _ 1A.A) biplaw,w0ja