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05-1732 (PAT)• y "y 'A BUILDING & SAFETY DEPARTMENT w x 1504 (760);777-7012 OF a8- ALLE TAMPICO FAX (760) 777-701`1 IN A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 P �a oF�o� BUILDING PERMIT plication Number 5=00001732 Date 5/05/05 Property Address . . . . C7---5—CAI]EE—HrDA-I-jGOJ APN: 773 -1047012 -13 -000000 - Application description.. PATIO COVER - RESIDENTIAL Property Zoning.. . . COVE RESIDENTIAL Application valuation-. 2594 Owner Contractor VILLECCO MARCO EDWARD PELLETIER CONSTRUCTION 77-960,CALLE HIDALGO. 74691.SWEET WELL ROAD LA QUINTA, CA .92253 THOUSAND PALMS, CA 92276 (.760) 275-7593 WCC: STATE FUND WC:• .5495 01/01/06 CSLB: 260484 12/31/06 CCC:. B -C33 P.O. Box 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO: ,.FAX.(760)_777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS. (760).`777-7153 BUILDING 8t: SAFETY DEPARTMENT Application Number: 1i 2— Date:.- Applicant: aterApplicant: Architect or Engineer: Applicant's Mailing;Td-dress: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 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 Professionals odeaand-my-1 icense_is in full force and effect. icense Class t! (�% License No. Date S_)X1 O Contractor i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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' Slate License Law.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perl'ury 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. M rke pen satiorrinsuraPce ca_rner and polic r are: Carrier �` � ^^^+✓ I Policy Number J= Fcertify that, in the performance of the work-forwhich=this- iirrit is issued, 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 sh Id become sub ect to the workers' compensation provisions of Section 3700 of. the Labor Code, 1 shall forthwith comply with tho ovisions. WARNING: FAILURE TO SECURE WOR _ 4' C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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. 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.). Lenders Name Lender's Address 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, de emnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed der or folio Yin issuance of this permit. 2. Any permit issued as a result of this application becom void if work is not corn enced within 1 days from date of issuance of such permit, or cessation of work for 160 days will subject permi cancellation. 1 certify. that I have read this application and state that th ove information is corre I agree to mply with all ci and county ordinances and state laws relating to building -construction, and hereby authorize representatives oft county to enter upon the ove-mentio ed property for' spectio' purposes. ------------------------------------------------------- Application Number . . . . . 05-00001732 -------------------'----------------------------------=---------------------- ------- -------------- Permit . . . PATIO.COVER PERMIT Additional desc Permit Fee 54.00 Plan Check Fee 35.10 Issue Date Valuation . . . . 2594 Expiration Date 11/01/05 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 195 SF ALUMAWOOD LATTICE PATIO COVER Fee summary Charged ----------------- Paid Credited Due -------------------- Permit Fee Total 54.00 ---------- .00 ---------- .00 54.00 Plan Check Total 35.10 .00 .00 35.10 Grand Total ' 89.10 .00 .00 89.10 ©� Cr:- C CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE .SITE FOR A SCHEDULED a6c NO EXCEPTIONS! Lola 4 tiaxco U,1 l e cco 77 gcoeo 6alLe. Wac,(g o +-it" � �� CA S " - ( pecr) lunr�cc��► ,net„,, -t- q4 �a c:.oto'r: C.bo Y,r,cLit-k s- )