BPAT2015-003478-495 CALLE TAMPICO D A., VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/19/2015
Application Number: BPAT2015-0034 Owner:
Property Address: 54295 AVENIDA MENDOZA ROBERT BUNTON
APN: 774254021 54295 AVENIDA MENDO_ZA
Application Description: BUNTON RESIDENCE ALUMAWOOD PATIO 361 SF LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $4,000.00
l
J
JUN 19
C 2015
v OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
Applicant:
ANILOM INC DBA GOLD STAR CUSTO
42-335 WASHINGTON STREET
SUITE F363
PALM DESERT, CA 92211
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 Busin and Professions Code,
and my License is in full force and effect.
License Cllas . C33. C51 License No.: 855623
j�Date: `E �4 Contractor:
��\\ OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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
Contractor's 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).:
( I 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 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.).
I ) 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.).
(_) I am exempt under Sec. . B.&P.C. for this reason
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
Lender's
Contractor:
ANILOM INC DBA GOLD STAR CUSTO
42-335 WASHINGTON STREET
SUITE F363
PALM DESERT, CA 92211
(760)641-7544
Llc. No.: 855623
• WORKER'S 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'
compensaf , as provided for by Section 3700 of the Labor Code, for the performance
of the rk 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: _
I 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 bec e -subject to the
workers' compensation provisions of SectioVthe r Code, I shall forthwith
comply with thosp provisions.
Date: Z -O Applicant:
WARNING: FAILURE TO SECURE WORKERS' CO ENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL 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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT:Application is hereby made to the Building Official 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 cancellation.
I certify that I have read this application and state that the above information is -erect.
I agree to comply with all city and county ordinances and state laws relati o building
construction, and hereby authorize representatives of this city to en r on the above•
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
:DESCRIPTION
FINANCIAL • •
ACCOUNT QTY
AMOUNT '
PAID
PAID'DATE
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$1.00
6/19/15
PAID BY
- METHOD RECEIPT #
CHECK #
CLTD BY
LA QUINTA PATIO
DEBIT R7188
CPA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PATIO COVER, STD, OPEN
101-0000-42404
0
$97.17
$97.17
6/19/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LA QUINTA PATIO
DEBIT
R7188
CPA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PATIO COVER, STD, OPEN PC
101-0000-02600
0
$95.72
$95.72
6/19/15
PAID BY
METHOD
RECEIPT #
CHECK#
CLTD BY
LA QUINTA PATIO
DEBIT
R7188
CPA
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $192.89 $192.89
DESCRIPTION
ACCOUNT
CITY.
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$0.52
$0.52
6/19/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
LA QUINTA PATIO
DEBIT
R7188
CPA
Total Paid forSTRONG MOTION INSTRUMENTATION SMI $0.52 $0.52
TOTALS:
Description: BUNTON RESIDENCE ALUMAWOOD PATIO 361 SF
Type: PATIO COVER Subtype:
Status: ISSUED
Applied: 6/9/2015 MFA
Approved: 6/19/2015 CPA
Parcel No: 774254021 Site Address: 54295 AVENIDA MENDOZA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 301
Lot: 3
Issued: 6/19/2015 CPA
UNIT 27
LUIS URIBE
6/11/2015
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $4,000.00. Occupancy Type:
Construction Type:
Expired: 12/16/2015 CPA
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: 361 SF PATIO COVER [ALUMAWOOD] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. PER 2013 CALIFORNIA BUILDING
CODES.
NEEDED ON HIS PLANS. I TRIED TO CONTACT HIM ON THE
10
0
j Applied to Approved
Approved to Issued
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
TELEPHONE CALL
LUIS URIBE
6/11/2015
6/11/2015
CONTACTED VERN AND EXPLAINED CHANGES NEEDED.
VERN CAME IN WITH QUESTIONS ABOUT CORRECTIONS
NEEDED ON HIS PLANS. I TRIED TO CONTACT HIM ON THE
PHONE NUMBER PROVIDED LEFT MESSAGE. WAITING ON A'
RETURN CALL.
TELEPHONE CALL
LUIS URIBE
6/17/2015
6/17/2015
SPOKE WITH VERN.. I EXPLAINED TO HIM WHAT WE NEEDED
TO SEE ON THE SITE PLAN. HE NEEDS TO SHOW THAT THE
PATIO STRUCTURE IS 20FT FROM THE PROPERTY LINE.
ORIGINAL SITE PLAN SHOWS MESURMENT FROM CURB.
CONDITIONS
Printed: Friday, June 19, 2015 12:07:58 PM 1 of 3 C
SYSTEMS
INSPECTIONS
FINANCIAL
INFORMATION
CONTACTS
DESCRIPTION ACCOUNT QTY
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
ANILOM INC DBA GOLD STAR CUSTO
42-335 WASHINGTON
PALM DESERT
CA
92211
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$1.00
6/19/15
R7188
STREET
LA QUINTA PATIO
CPA
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00.
$1.00
CONTRACTOR
ANILOM INC DBA GOLD STAR CUSTO
42-335 WASHINGTON
PALM DESERT
CA
92211
STREET
PATIO COVER, STD,
101-0000-42404
0
$97.17
$97.17
6/19/15
OWNER
ROBERT BUNTON
54295 AVENIDA
LA QUINTA
CA
92253
MENDOZA
PATIO COVER, STD,
101-0000-42600
INSPECTIONS
FINANCIAL
INFORMATION
FINAL" BLD
DESCRIPTION ACCOUNT QTY
AMOUNT
PAID
PAID DATE
RECEIPT # CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$1.00
6/19/15
R7188
DEBIT
LA QUINTA PATIO
CPA
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00.
$1.00
BSA:
PATIO COVER, STD,
101-0000-42404
0
$97.17
$97.17
6/19/15
R7188
DEBIT
LA QUINTA PATIO
CPA
OPEN
PATIO COVER, STD,
101-0000-42600
0
$95.72
$95.72
6/19/15
R7188
DEBIT
LA QUINTA PATIO
CPA
OPEN PC
Total Paid forPATIO COVER / COVERED PORCH /. LATTICE
$192.89
$192.89
SMI • RESIDENTIAL
101-0000-20308
0
$0.52
$0.52
6/19/15
117188
DEBIT
LA QUINTA PATIO
CPA
Total Paid forSTRONG MOTION INSTRUMENTATION SMI:
$0.52
$0.52
TOTALS:
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL" BLD
Printed: Friday, June 19, 2015 12:07:58 PM 2 of 3
RI.JLJ SYS7Eti1S
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
STATUS
REMARKS
NOTES
DATE
NON-STRUCTURAL -
PATIO NEED TO BE 20FT FROM PROPERTY LINE.
LUIS URIBE
6/9/2015
6/16/2015
6/11/2015
REVISIONS REQUIRED
1 WK
SHOW PROPERTY LINE ON SITE PLAN.
Printed: Friday., June 19, 2015 12:07:58 PM 3 of 3 CBM
SYSTEMS
Bin #
City of La Quinta
Building 8z' Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjectAddress: �cj Z
Owner's Name: '120 yb� L2
A. P. Number.
Address:
Legal Description:
City, ST, Zip:
Contractor:Z;E k aZjb4tW�
Te phone:
Address:Z S �J(,ts(,t� (� S at. F h-L3�_3
Project Description
City, ST, Zip:
Telephone: 1 bti t;-7 QU
State Lie. # : S'-�(p a City Lie. #:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lie. #: afkA ':
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft: 3u
# Stories:
# Units:
Telephone #,of Contact Person: n
Estimated Value of Project. .
APPLICANT: DO NOT-WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready;for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Pian Check Balance.
Title 24 Cates.
Pians picked up
Construction
Flood plaln pian
.Plans resubmitted
Mechanical
Grading plan
2" Revlew, 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:
3"i 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
17'
y
54295 M EN DO
LAQUINTA, CA
101:91TI:WTHY
20'-0-83"
N OF LA Q
INTA
m.oiNa &
oErt
APPROV
D
FORCONSfRUTiol
STREET