05-0739 (PAT)U _
a BUILDING & SAFETY DEPARTMENT
Box 1504 (760).777-7012
8-495 CALLE TAMPICO FAX (760) 777-7011
QUINTA, CALIFORNIA. 92253 INSPECTION REQUESTS (760) 777-7153
D
MRR _ 35 BUILDING PERMIT
CIT`f ®a►CE DEPT
V _
Applrcation Number K 05 .0:0000.739 - ? Date .3/03/05
Property Address X44690 VIT�_'CATALINA -
APN: 604 -032 -999 -84 -305212 -
Application description PATIO COVER -'RESIDENTIAL
Property Zoning LOW DENSITY -RESIDENTIAL
Application valuation 6384
Owner Contractor
DANIEL INGLE LDR CONSTRUCTION COMPANY
44690 VIA CATALINA 78155 CALLE FORTUNA
LA QUINTA CA' 92253. LA QUINTA CA'92253
(760) 771-8071
WCC: EXEMPT
WC: EXEMPT, 05/31/05
CSLB: 261325 01/31/07
CCC: B
Permit PATIO COVER PERMIT
Additional desc
Permit Fee 90.00- Plan Check Fee 58.50
Issue Date Valuation . . 6384
Qty Unit Charge Per Extension
BASE FEE 45.00
5.0.0 9.0000 THOU BLDG 2,001-25 O&0�
---------------------------------------------------------------------------
Special Notes and Comments
3 ALUMAWOOD PATIO`COVERS TOTALLING 480
SF, PER APPROVED PLANS.
Other Fees STRONG MOTION ( SMI) - RES .63
Fee summary Charged -Paid Credited Due
Permit Fee'Total 90.0`0 .00 .00 90.00
Plan Check Total 58.50 .00 .00 58.50
Other Fee Total .63 00 _'.00' 63
Grand Total 149.13- .00 .00 149.13
P.O. Box 1504
78-495 CALLE TAbiPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number: U.7 %j4f
Applicant:
Applicant's Mailing Address:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:-?- 3 - os -
Architect or Engineer:
Architect or Engineer's Address:
N A&
Lic. No.:
tSUIL UINU PERMIT DECLARATIONS
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 Business and Professionals
CSOLeand my License is i fu fo ce an ffect. /
icense Class / ense No, 7
tractor
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 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.).
U I am 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
i 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-'-rance carrier and policy number are:
terrier ~-rolicy Number
1 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 3700 of the Labor Code, I shall
forthwith comply with those provisions.
3=3 -os
Date A:.plicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 11 1
/�
Lender's Address a
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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building
construction, andherebby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
ate — / U 7i� (Applicant or Agent):
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FEB -18 -EM 14:23 FROM LENNAR HM ES DESERT 760 325 3791 T0:760 7764740 P. i'4
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LA QUIN'1'A DEL ORO
COMMUNITY HOMEOWNERS ASSOCIATION
Lai do CLAYnM & OSBORNE PROFEM MANAGEMENT'. INC.
ha
PaDowd CA9Q236
78x.7734573
f6x 7t&77i4740
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14:23 FROM:LENNRR HOMES DESERT 760 325 3791 TO:760 7764740
X07/2005 17:38 7607764740 RI04AROMBDRNE
an 05 OS.OI:IOp Dan and Ann Ingle [760) 345-2574
LA QUINTA. DEL ORO
l COMMUNITY HOMEOWNERS ASSOCIATION
do CLAYTON $ OSBORNE pROPERTY MANAGEMENT. INC.
P. O; Box .13463
Palm Desert CA 92255
- 764-773-9573
f2ut 76p.M4740 _
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