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06-3621 (CRES)Now- P.O. BOX 1.504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: `06-00003621 Property Address: 44950 VISTA DUNES LN APN: 604-032-022- - - Application description: CARPORT - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 12236 - T -&t " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: LA QUINTA REDEVELOPMENT AGENCY 48495 CALLE TAMPICO LA QUINTA, CA 92253 Date: 10/16/06 Contractor: Applicant: rchitect or Engineer: DAVIS/REED CONSTRUCTION INC -- 12250 EL CAMINO REAL, STE1j' )325 (O SAN DIEGO, CA 92130 ZW, (760)634-2350_ LiC. No.. 813480 r ocTr oLA QUJ4 -—------------ ---------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I 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 B in s 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 License Class: B en No.: 813480 for by Section 3700 of the Labor Code, for the performance ofthe work for which this permit is issued. ate: ntractor:.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 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 C2KUB47471C539 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, if I s d become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor od hallOrth ' ith rply with those provisions. 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).: te: %l a, Al (_ 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: FAILdlli TO SECURE WOE KERS' 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 I am exempt under Sec. , BAP.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 permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: I Ix LQPERAIIT 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 becomesnull 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 t above information is correct. I agree to comply with all city and ounty ordinances and state laws relating to ildi g construction, and her by authorize representatives oft ;noun t/o}nter upon the above-mentioned pro�ertyjoinsp c 'on Date: f/ A/v gnature (Applicant or Agent): LQPERMIT Application Number . . . . . 06-00003621 ------ Structure Information DETACHED CARPORT "G" TYPE II -N ----- Other struct info . . . .. . CODE EDITION _ 01BMP04E05EN 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./14/07 .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 "G" (4 SP.) Permit Fee 144.00 Plan Check Fee 23.40 Issue Date . . . Valuation. 12236 Expiration Date 4/14/07 Qty Unit Charge Per Extension BASE FEE 45.00 11.00 9.0000 THOU BLDG 2,001-25,000 9,9.00 --------------------------------------- Special Notes and Comments DETACHED CARPORT "G"(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 r Grand Total 204.11 .00 .00 204.11 5--; LQPERMIT