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05-5041 (PAT)P.O. BOX 1504 ^' VOICE (760) 777-7012. 78-495 CALLE TAMPICO FAX (760),777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153.1 BUILDING PERMIT Date: 11/15/05 Application Number. 05-00005041 ; Owner: Property Address: 4863-9" VISTA`-TIERRA ' CARMODY POLAK EILEEN MARIE APN: 646-081-020- - 904 N SIERRA VIEW ST Application description: PATIO COVER - RESIDENTIAL �y RIDGECREST, CA 93555 Property Zoning: LOW DENSITY RESIDENTIAL O @ - ,v a Application valuati6n:2115 - ; S ((QW �V Contractor: Applicant: Architect or Engineer: © PELLETIER PATIO 2 79275 DESERT STREAM DR LA QUINTA, CA 92253 - (760)275-7593 Lic. No.: 860958 —-------—----------------—------------------—---—---—-------------------------------------------- LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION ' I hereby affirm under penalty of perjury tha sed 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 Susi s and PfOfe ionals Code an 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 License o 860958 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is A 1 f7 For - issued. Da1p� 1 C�ctor: _ 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 WNER-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 E CEMPT Policy Number EXEDJU following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to ertify that, in the performance of the work for which t1 ' per 't 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 manners to bec subject to the orker is; 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 sh Id become sub) ct to the work rs' c pensation 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 C e, I sh forthw' h omplywith th a 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).: Date: Ik� cant: • (_) 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 WOR OMPENSATION 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 (_) 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 1 am exempt under Seca , B.&P.C.-for this reason - 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 relate a work being performed under or following issuance of this permit. Date: Owner: - - 2. Any permit issued as a result of this application becomes null and void if ork is not co menced within 180 days from date of issu a of suc t it, or cessation of w rk for 180 d ys will subject . CONSTRUCTION LENDING AGENCY permit to cancellation. 'I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application an state that the above inf rmation is correct. agree to omply with all - work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws lating to building cons ction, and hereby authorize presentatives of this county to enter upon thea a -men 'oned grope or ' ctio urposes. Lender's Name: re: ii1�nature (Applicant or entl: Lender's Address: r LQPERMIT .. Application Number . . . . 05-00005041 , Permit PATIO COVER PERMIT Additional desc Permit' Fee 54.00 .. Plan Check Fee 35.10 Issue Date . . . Valuation 2753 Expiration Date'. 5/14/06 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 -- - ------ --------------------------------------------------- Special Notes and Comments 207 S.F. ALUMAWOOD LATTICE'PATIO COVER Other Fees .-. . .. STRONG MOTION (SMI) - RES .50 Fee summary., Charged ------------------------------------- Paid Credited Due - Permit Fee Total 54.00 ---------- .00.E ----------- .00 54.00 Plan Check Total. 3.5.10 .00 .00 35.10 Other Fee Total .50 .00 .00 .50 Grand Total 89.60 .00 .00 89.60 - LQPERMIT - - _ r-�-•... ^ Y��. - -. Y. .� -r.wr � rte.-�+�. r_...-. __e _. _i _ - . Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: L . G3q uy{-m � � Owner's Name: A. P. Number: 'Address: Legal Description: Contractor: � � City, ST, Zip: Le 42� cA qz2'>3 Telephone: 3d2 j,52 Address: Project Description: (a4 im City, ST, Zi ( C 22!7 3 a+f�D Couey- Telephone,--)ij ' 2f7-7 State Lic. # City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: 2c) 7 # Stories: # Units: Telephone # of Contact Person: crt� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Chec z Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanic.l Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees LAGUNA DE LA PAZ HOMEOWNERS ASSOCY.�TION 48-300 VISTA DE NOPAL, LA QUINTA, CA 92253 TEL 760-564-8864, FAX 760-564-8867 November 4, 2005 John & Eileeu Marie Carmody -Polak 904 N. Sierra View Ridgecrest, CA 93555 Re: Architectural Application for Variance 48639 Vista Tierra, La Quinta 92253 Dear Homeowners: Your application to install an Alumawood patio eovec in the back yard was approved as submitted. Color -matching of material is required as submitted. The Architectural Committee reserves the right to request a deposit, but one is not -required at this time. Please observe all completion deadlines, and where appropriate, be sure to obtain any permits prior to commencement. Owners are responsible to disclose any modifications to subsequent buyers, and all. associated costs of variances (including but not 'limited to maintenance and removal) are the sole responsibility of the homeowner(s) and run with the land.. Please keep a copy of this latter with your permanent records for the home. On behalf of the Architectural Review Committee Laguna de la Paz HOA 'fin, Christe Smith, Association Manager L0 39Vd 2tid C-1 3G:VNn9V-1 L988b9S09L 6? :EZ 5002/80/LL M1 . 'Page Two ; The Association. has no responsibility whatever in achieving compliance with newer building codes which apply as, a result .of Homeowner prompted modifications. Further, we. understand that approval will not be granted for. any modification which directly or 'indirectly conflicts• with the Declarations of Covenants, Conditions and Restrictions, We also understand, we are responsible for the accurate. determination of property lines. and setbacks (as applicable). We -also understand that we'will be responsible. for all costs of 'this improvement and for costs* associated with any repair to common -area occurring, as a result of implementing this improvement. Examples include, but are not limited, to, sprinkler~ and irrigation systems, buildings, roofs, exterior, walls, lawns, plants .and drainage. Further we recognise that any • modifications.• to the, tommon--area i'rriggtiorf''knd•landsciping""scheme, are subject ; to formal acceptance by -the" ,Asscciat> on. Any • required remedy to achieve the required maintenance standard or irrigation standard., are our responsibility.` Additionally, we understand that the 'job site must be lef reasonably clean at the end of each d.ay, that no debris nor dirt 'may be dumped. in common -area or 'left at job site. Any "intioaace .or replacement of permitted itaprovep►ents, except for certain landscaping, 'which are beyond "initial" improvements, shall -be the homeowner's responsibility. We agree to Indemnify- for ourselves, as 'wellas f.or our successors and assigns,, and ',covenant and agreeto hold Association harmless from all claims, demands or liability arising 'out of or encountered in connection with. this •Agreemeat, whether such claims, demands or liab'ilitp are caused. by Owners; Owners' agents or', employees, or contractors or : subcontractors employed on the project, their agents or employees, or caused by any 'products installed on the project by said contractor(s) or subcontracior(s). Such 'indemnification shall extend to claims, demands or liability for personal injuries and/or property damage occurring during installation-, as well as after completion, including, ,but not limited to, all Owners,'. -maintenance responsibilities provided herein. We further indemnify and hold the Association harmless from all liability. related to any damage.�to existing improvements (wherever located within. the Subdivision) resulting from the installation/construction of the Architectural Improvement If required by the Architectural Review Committee, we agree to record, ;and pay for the recording, of this improvement at the County Recorder 's office. We further acknowledge that the Architectural Committee may require a deposit be submitted before work is begun. Rev. 4-96 60 3Jdd zdd V1 3G:VNnDVI L98809909L 6L:EZ S00Z/80/LL G .a o py E%EIBIT "1" -,ARCHITECTURAL IMPROVEMENT APPLICATION ANDAGREEMENT DATE � l f4 N A ME (S YU0 h Y1 �' �i �e r, _ct r i F . _ �Q/- m ���' )C A7 k` - STREET ADDRESS k �. 9 61.9 ! I e_ k )_A__ LOCAL PHONE L` O - %7/- 31LO OTHER �J ti REQUESTED IMPROVEMENT h S CS I] JN/�l -�ir� e,ot/e.f- !n �o� 1c v�►r� Approval is requested. for the above improvement according to the, plans attached., We ,have: attached two (2) sets, of plans ouilining the work- to be-don,e'along with a complete description of the materials, and colors' to be used. If ire are using a contractor(s), we enclose copies of the.Contractor's License. Attachments: (1) Tw.o copies of the Architectural Iiaprovement Application. (2) -Two sets of plans with materials anal colors to .be used. Note.,. ;,One;; ,s•et ...is . for the, mama,gement office; ' the other set to be -.returned' to ;you, as "Approved". '(3) Contractor's name. and copy of 4ontractor's license. (N'ot required if the 'improvement is under $300.00, or if' "Owner -Builder").' (4) Brochures (2) and/or color samples- of manufactured products to be used. We have read the Architectural Committee Rules and Guidelines and have furnished copies'-to'all contractors to be engaged by us and we - agree to comply with those Rules and Cuid-elines. Wealso understand. that it is our responsibility to insure that our Contractor(s) that with said Rules. 'We acknowledge that Building' Permits for home improvements may be, required by 'the City of La Quinta. The cost of` permits, responsibility for obtaining them, and the subsequent inspections will be our responsibility. In all 'cases we recognize the requirement to be - in compliasice with applicable building code's.aincluding, but not limited to, those adopted subsequent to: th.e original completion and acceptance of our dw.elling. �R WF1 lee�d �_A_j_ Z0 : 39bd ZVd d1 3a:VNn9V1 2.98809909L 6T:Ct 5002/80/LZ I Page Three We further agree that this imp-'r•ovewent -will be completed in a reasonable and diligent manner.. We further 'agr,ee that 1}:if. we do not correct any damage caused as -a.--result of implementation of this improvement or,.. 2)' -i*f- we fail to complete this improvement within. the ,allowed. time frame the homeowners. Association may elect to complete -.the work and/or repaizs', and we will be. responsible for the- actual coats of such' work. Payment to the.. Association is. authorized by us in the !form of an assessment or monthly penalty payments as. approved, in the, Guidelines By signing this Agreement below, we agree to be bound by its terms and 'conditions and any c•onditio'ns set forth.. by the Architectural Committee -in the Architectural Committee Certificate, which , is. attached hereto, as Exhibit' "A" and made a part hereof-by this reference. -Signa-tures ' of al-1 Owners: Signature Signature } Rev. 4-96 60 3JVd ZVd d-1 3Q vNnov-i L98809909L 6L'EL S00Z/80 1v ARCHITECTURAL COMMITTEE CERTIFICATE ' (Exhibit "A" to the A•xchitec•tural Improvement Applicetion,and Agreement) Thm e Architectural improv-ement Application' and Agreeent was reviewed by the Architectural, Comniittee "on11— S and, has been: Approved �_ Conditionally Approved Rejected s`ubi ect to' the following t conditions set forth below Returned for. Further Informatio-n j .? Required Modifications Comments TC 'COL 68brF' I QGGA Yes` No j Recording to be sent by owner 'to Count._T Recorder's office for roof and/or exterior wall modfleations. Deposit Required Deposi Am t' quired $ a b itec ura mi t - Arc it Lural Committee Architectural Commitee Architectural Committee. Architectural Committee NOTE THIS'APPROVAL.IS VALID'FOR 90 DAYS FROMAPPROVAL DATE 00 39Vd i 2Vd d-1 3Q:dNf1JC_1 6T:EL 900Z/80/IT 1C) ;wi �Clc�l�'hi 80' "3�t/d.. ' Zhd C-1 3G: VNngvi L988b9909L 61 :£L 90O."/BO/Tl