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06-2070 (PAT)i P.O. BOX 1,504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 .Application Number:: Property Address: APN: Application description Property, Zoning: Application valuation: Applicant: 06-00002070 78820 W HARLAND DR 604-231-.009-23 -23268 PATIO COVER - RESIDENTI LOW DENSITY-RESIDENTIAI 4416 Architect or pip Til4t 4 4 Q," 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 Bust and Professionals Coda, and my License is in full force and effect. . LicenserC p B C36' Udense Noi: 483069 e: ,i � • �rtraaor• / OWNER-BUILDE.WDECLARATION i hereby affirm under penalty of perjurythet 1 em exempt from the Contractor's State.License Law for the following: reason (Sec. 7031.5, Business an&Professions Coder Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior,to its issuance, also requires the.applicent for the. permWto file.a signed statement that he, orsheas hoensed pursuant to.the provisions of the Contract`ms 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 Sectton .703t 5 by any"applicerft fore permit subjeets.the applicant to a civil penalty ofnot more,than five hundred dollars (8500):: f=) l,;as owner of the property, or myemployses with wages as their sole compensation, will,do the work,�and the structure is not intended or offered:forsale (Seo. 7044, Business and Professions: Code: The Contractors' Stste.Ucense Lew does not apply to an ownerofproperty who builds or improves thereon, and who;doesthe work himself arherself through his or.;her own employees,.provided thahthe improvements are not.intended oroffered for,sals. If, howsver,•the building or improvement is sold. within one year&'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—) I,.as owner of the property, am exclusivelycontracting 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,improyes thereon,,and'who contracts'for the projects with "a contractor(s) licensed pursuantto the Contractors' State License Lew.). I— 1 I.am exempt under Sec. , BAP.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 1Sec. 3097, Civ. C.). Lender's'Nama:� lender's Address: L.QiI'IBRMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777 -7153 - Date: 5/18/06 Owner: MAZET CHARLES 78820 WEST HARLAND DRIVE LA QUINTA, CA 92253 Contractor: OUTBACK,PATIO & SUNROOMS., INC. 1450 W 6TH STREET., -#118 CORONA, CA 92882 (90.9)272-4997 Lic. No.: 483`0.69' WORKER'S COMPENSATION, DECLARATION I hereby affirm under'penelty of perjury one of the-fullowing declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided'. forby Sectiom3700 of•the Labor Code, for the. performance of the work for which -this permit is issued _kI haveand will maintain workers' compensation msuranoe;'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 "1423157-2006 _ I certify that, in the performance of the work for which this permit is issued, I shall novemployany person in any. manner so as to'become subject to the workers' compensation laws of California, and agreettiat; •rf I shout me subject to the workers' compensation provisions of Section 3700 of the LaborC e 1 sit' 'fo " with comply with those provisions_: �� iCaM: WARNING: FAILURE TO',SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBA& AN EMPLOYER TO CRIMINAL PENALTIMMb CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100,000): IN ADDITION TO THE COST OF'COMPENSATIOK DAMAGES.AS PROVIDED FOR IN SECTION 3708 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. I.. Each person upon whose'betialfthis application is'made, each person at whose request end 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'hermless the City of Le Quints; its officers; agents and employees for any actor omission related to the work being performed(under'or following issuance of this permit. '2. Anypermit,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 ISO dayswill subject -permit to cancellation. I certify thavi have read this application and state that the above informatiomis correct. I agree to comply with all cityand my ordinances and state laws relating to building construction,:and"hereby authorize representatives of.tt71 ntyEo enter upon t"bove mentioned prol[flr� jjEl►inspection purposes. (Applicant or -Agent): Application Number . . . . .. 06-00002.070 Permit . . . PATIO COVER PERMIT Additional desc . . Permit Fee . . 72..00 Plan Check Fee 46.80 Issue Date . . . Valuation . . . . 4416 Expiration Date . . 11/14/06 Qty Unit. Charge Per Extension BASE FEE 45.00 3..00 9.0000 THOU `BLDG 2,0.01-25,:000 27.00 ------------------------------------- --------------------------------------- Special Notes. and.Comments 16' X 22 ' (332 S.F.).ALUMAWOOD LATTICE PATIO COVER -------------------------------------------------------------------. --------- . Other Fees . . . STRONG MOTION (,SMI) RES .50 Fee summary Charged - Paid Credited Due ----------------- --- Permit Fee Total - --------.- 12.00 ----- - .00 .00 72.00 Plan Check Total 46:80 .00. .00 46.:80 Other-. Fee Total_ .50 .00 .00 .50 Grand Total 119.30 .00 .00 .119.30 LQPERMFf Bin # City of La Quinta Building 'Safety Division No: BOX 1:504, 78-4.95• Calle Tampico La Quinta, CA 92253 -- (760) 777-7012 Building Permit Application and Tracking. Sheet Permit:# 110 Project.,Address: xUb k OA DPd Owner's.Name: ck ei 1*)Cr A. P. Number: t8 Address: Q 8 Z0 . _ qJ I ryv d. % Legal Description:City, ST, Zip:Lh G� 1 Z lzs J Contractor: ( �tJ�bar.JC- �� Sao �, � g/Ic, one Telephone:, % L I N E A0040, (800) 37 -RATIO OUTBACK PATIO & SUNROOMS INC. (909) 272-4997 REAR .PROPERTY LINE U Q D 0 o P ITY OF LA QUINTA UILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION i QA � BY ti� FRONT PROPERTY LINE CNaZk*:!5 ti<r f� �� c� Rtitir3 -