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06-3617 (CRES)r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation:. Applicant: 06-00003617 44950 VISTA DUNES LN 604-032-022- - CARPORT - RESIDENTIAL LOW DENSITY RESIDENTIAL 12236 rchitect or Engineer: 1 ` N 4'4 144P BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/12/06 Owner: LA QUINTA REDEVELOPMENT AGENCY 48495 CALLE TAMPICO LA QUINTA, CA 92253 Contractor: DAVIS/REED CONSTRUCTION INC1 I— O 12250 EL CAMINO REALIDSTE #325 3 60)634-2350 92130 ll NOVn r.( 2006 Lic. No.: 813480 1 JY' CITY OF LA QUINTA 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 permitis issued (Sec. 3097, Civ. C.). Lender's Name: F. Lender's Address: LQPERMIT 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 cancellation. I certify that 1 have read this application and state that the above information is corr ct. I agree to comply with all city and county ordinances and state laws relating to 'ng onsJon ti an er y authorize representatives of this co t er upo he above-mentioned pro erty or nsp pup s Bate: 1 ignatura (Applicant or Agent): FINANCE DEPT. LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the nsi ss and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Lice a Clas :. B en a No.:813480 for by Section 3700 of the Labor Code, for the performance of .the work for which this permit is Date: [tractor: issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor ��"'TTT�� Code, for the performance of the work for which this permit is issued. My workers' compensation - OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier TRAVELERS INDEM Policy Number C2KUB4747C539 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to - _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the , person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, irvou.Id becomVb'he workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code)or the La r C d , I s al fply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �0of any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: plicant: , (_ 1 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 WARNING: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND - and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). - APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the " 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of . conditions and restrictions set forth on this application. - -property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed - 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). .whose benefit work is performed under or pursuant to any permit issued as a result of this application, 1 _ 1 I am exempt under Sec. B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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 permitis issued (Sec. 3097, Civ. C.). Lender's Name: F. Lender's Address: LQPERMIT 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 cancellation. I certify that 1 have read this application and state that the above information is corr ct. I agree to comply with all city and county ordinances and state laws relating to 'ng onsJon ti an er y authorize representatives of this co t er upo he above-mentioned pro erty or nsp pup s Bate: 1 ignatura (Applicant or Agent): Application Number . . . . 06-00003617 --=--- Structure Information DETACHED CARPORT "C" TYPE II -N ----- Other struct info . . . . . CODE EDITION O1BMP04E05EN FLOOD ZONE NO ---------------------------------------------------------------------------- GARAGE SQ FTG 920.00 Permit . . . ELECTRICAL-CARPORT/GARAGE Additional desc . Permit Fee . . 33.40 Plan Check Fee 2.09 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/10/07 Qty Unit Charge Per Extension BASE FEE 15.00 920.00 .0200 ----------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 18.40 Permit . . . CARPORT/GARAGE Additional desc . ., DETACHED CARPORT (4 SP.) "C" Permit Fee . . . . 144.00 Plan Check Fee 23.40 Issue Date . . . . Valuation . . . . 12236 Expiration Date 4/10/07 Qty Unit Charge Per Extension BASE FEE 45.00 11.00 9.0000 THOU BLDG 2,001-25,000 99.00 Special Notes and Comments DETACHED CARPORT "C" (4 SPACES)920 SF,U-1 OCCUPANCY, TYPE II -N CONSTR.2001 CBC,2004 CEC.*REDUCED FEE PERMIT*, -_-------------------------------------------------------------------------- Other Fees . . . - . . . . STRONG MOTION (SMI) RES 1.22 Fee summary Charged Paid Credited Due Permit Fee Total 177.40 .00 .00 177.40 Plan.Check Total 25.49 .00 .00 25.49 Other Fee Total 1_22 .00 .00 1.22 Grand Total 204.11 .00 .00 204.11 LQPERMIT