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04-5460 (CGAR)l Tjhf 4 4 Q" ,x 1504 CALLE TAMPICO VTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 LKP—pi- cation Number . . . 04-000054.60 Date 9/20/04 Property Address . . . . . . 5.1080 EI.SENHOWER DR APN: 773-071-017- - - Tenant nbr, name 4" -CARPORT STRUCTURES Application description . . . GARAGE - COMMERCIAL Property Zoning . . . . . . . VILLAGE COMMERCIAL Application valuation . . . . 54,583 Owner Contractor MAUKA VIEW LLC SIPOVAC CONSTRUCTION, INC:. 56895.JACK NICKOLAS BLVD 726.51 THOEDORA LANE LA QUINTA CA 92253 PALM DESERT CA 92260 809-7538 WCC: EXEMPT WC.: EXEMPT 09/30/05 CSLB: 581636 06./30/06 CCC: B. ------ Structure Information 4 METAL CARPORTS ----- Construction Type . . . . TYPE II - NON RATED Occupancy Type GAR,.CARPORT, SHED, AG Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other'struc.t info . . . . CODE EDITION 2001 FIRE SPRINKLERS NO FLOOD ZONE NO GARAGE SQ FTG 4104.00 Permit . . . . . CARPORT/GARAGE Additional. desc . Permit Fee . . . . 423.50 Plan Check Fee 2.75.28 Issue Date . . . . Valuatign . . . . 51710 Qty Unit Charge Per Extension BASE FEE 414.50 2.00 4.5000 THOU BLDG 50,001-100,000 9.00 Permit . . . . . . ELECTRICAL-CARPORT/GARAGE Additional desc . Permit Fee . . . . 92.76 Plan Check Fee 23..19 Issue Date . . . . Valuation. 0 Qty Unit Charge Per Extension BASE FEE 15.00 3888.00 .0200 ELEC GARAGE.OR NON-RESIDENTIAL 77.76 P.O. BOX 1.504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760),777-7011 LA QUINT -A, CALIFORNIA 92253 444 INSPECTIONS (•76'0) 777.-77.53 BUILDING & SAFETY DEPARTMENT Application Number: 611i_S 4;4 b C% Date: -o Applicant: f Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION, I hereby.affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commenc'ing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in f arce'and effect. p 6 License Class License No. cs'U / 6 13 pate / 7. D Contractor �(9`! .acn L.- Of OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt.from the Contractors'' State LieenseLaw forthe.following reasom(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 sheds licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 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 permitzubjects the applicant to a civil penalty of not morethan five hundred dollars ($500):): C) 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 offered4or 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 I, as owner of theproperty, am exclusively contracting with licensed contractors to construct the project (Seo. 7644; 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 pursuantto the Contractors' State License Law.). O lam exempt under Sec. B.&'P.C. for this reason Date WORKERS' 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 work for which this permitis. 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: Cartier Policy Number --:Xl certify that, in the performance•ofthe-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 3700 of he Labor Code, I shall forthwith Comply with those provisions. rol WARNING: FAILURE TO SECURE WORKERS' COMPENSATI09 COVERAGE IS UNLAWFUL, ANDSHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TOTHE 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. Chi, C:). Lender's Name Lender's Address APPLICANT. ACKNOWLEDGEMENT IMPORTANT Application is hereby madeto the Director of Building and Safety for a permit_subject to the.conditions and'rest ictions•set forth on this applk Boon. 1.. Each.person upon whose behalf this applicationis made, each person at whose request and for whose benefit work is performed under or pursuant to any pernit 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 Quints. 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'permitissued asi 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 ofwork for,180 days will subject permitto cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and,stete laws relating to building construction, and hereby authorize representatives of this county to enter upon the abov ntloned property for inspection purposes. Date ! 2 Signature (Applicant or Agent): Page 2 Application Number . . . . . 04-00005460 Date 9/20/04 Permit . . . . . . ELECTRICAL-CARPORT/GARAGE Additional desc . . Permit Fee . . . . 97.0`8 Plan Check Fee 24.27 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per 'Extension BASE FEE 15.00 4104.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 82.08 ----------------------------------------------------------------------------- Permit . . . . . . GRADING'PERMIT ,Additional desc . Permit Fee . . 1153.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 117.00 4.00 9.0000 THOU GRADING 1001-10,000 36.00 ------------------------------------------------------------------------ Special Notes and Comments 4 STEEL CARPORT STRUCTURES (2 @ 19FT X 361FT, 1 @ 19.FT. X 54FT., 1 @ 19FT. X 90FT.1 U-1 OCC. TYPE II -N, 20011 CODES. Other Fees .. . . . . . . . .. ART IN PUBLIC PLACES -COM 252.91 STRONG MOTION (SMI) - COM 10.85. Fee summary Charged Paid. Credited Due Permit Fee Total 766.34 .00 .00 766.34 Plan Check Total 322.74 .00 .00 322.74 Other Fee Total 263.76 .00 .00 263.76 Grand Total 13.52.84 .00 .0;0 1352.84