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05-0411 (AR)BUILDING .Sc SAFETY DEPARTMENT P.O. BOX 1504 (760)_777-7012 p 9 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (76.0) 777-7153 BUILDING PERMIT �gU1Wtp ion Number 05-00000411 Date 5/06/05 operty Address . . . . . . 44295 VIA CORONADO APN: 604-211-.017-38 -23971 - Application description. ADDITION - RESIDENTIAL Property Zoning.. . . . LOW DENSITY RESIDENTIAL Application valuation 4522 Owner Contractor --------------------------------- --------------------------------- WERNESS KATHY A Owner 44-295 VIA CORONADO LA QUINTA, CA 92253 P.O. Box 1504 • �� f� VOICE (760) 777-7012 78-495 CALLS TAMPICO FAx (760),777-7011 La QutNrA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 Applicant: Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS /A 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 Code, and my License is in full force and effect. License Class License No. Date Contractor 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 thr;applicant to a civil penalty of not more than five hundred dollars ($500).): rIM 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 own/ofoperty who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to - the Contractors' State License Law.). U ta�exe;npptunder Sec. B.& P.C. son / / ,/ WORKERS' COMPENSATION DECLARATION 1 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 Policy Number 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 Califomia, an agree that, if 1 should be me subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall (Ortlhh9 itth comply with those pro v,' ' S. o V `� pplicant WARNING: FAILURE TO SECURE WORKERS' 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, defend, indemnify and hold harmless the City of La Quinta, 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 cancellatio I certify that I have read this application and state that the above inform n is correct. I agree comply with all city and county ordinances and state laws relating to building constructind hereby authorize representatives of this county to er up n the above men oned property for inspection purposes. /mate w ignature (Applicant or Agent): ------------------------------------------------------------- �� r Application Number . . . . . 05-00000411 ---------------------------------------------------------------------------- --------------- ------ Structure Information PATIO DECK & DOOR REMODEL ----- Construction Type . . . . . TYPE V - NON RATED Other struct info . . . . . CODE EDITION 2001 PATIO SQ ---------------------------------------------------------------------------- FTG 340.00 Permit . . . . . . BUILDING PERMIT INV FEE Additional desc Permit Fee . . . . 144.00 Plan Check Fee 46.80 Issue Date . . . . Valuation _ 4522 Expiration Date 11/02/05 Qty Unit Charge Per Extension BASE FEE 90.00 3.00 18.0000 THOU BLDG 2,.001-25,000 ---------------------------------------------------------------------------- 54.00 Permit . . . . . . MECHANICAL Additional desc . . Permit Fee 19.50 Plan Check Fee 4.88 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/02/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 ---------------------------------------------------------------------------- Special Notes and Comments Single car garage door remodel (use to remain U-1) and Patio deck w/stair addition (340 sqft). Structure alteration and patio addition constructed with out permit & inspection, Investigation Fee imposed. Existing Stairway to be reconstructed, riser exceeds maximum allowable 8" riser. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid ----------------- Credited Due ------------------=- Permit Fee Total 163.50 -------------------- .00 .00 163.50 Plan Check Total 51.68 .00 .00 51.68 Other Fee Total .50 .00 .00 .50 Grand Total 215.68 .00 .00 215.68 YOUNG ENGINEERING SERVICES •Engineering •Architecture -Surveying• Building & Safety Services Letter of Transmittal To: CITY OF LA QUINTA Date: 04-27-05 Project: WERNESS DECK: _ ( , 44-295 VIA CORONADO Attn: ED RANDALL PC#: 05-0411 Tel No.: (760) 777-7012 Tract No.: We are forwarding: X By Messenger By Mail Your Pickup No. of Copies Description: 1 PLANS 1 STRUCT 1 REDLINED PLANS 1 REDLINED STRUCT Comments: f STRUCTURAL CONTENTS ARE APPROVABLE.' THANK YOU This Material Sent for: Your Files Per Your Request Your Review X Approval Checking At the request of: Other By: NALIN K. PACHUNURI Phone # (760) 360-5770 EXT. 108 77-804 Wildcat Drive, Suite C, Palm Desert, CA. 92211 (760) 360-5770 Bronz Young