PAT (13-1233)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001233
Property Address: 57181 MERION
APN: 762-031-012- - - -
Application description: PATIO COVER RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000
T4'�v
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
CC) 04fLA-P__
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of peri"h h Ila licens under provisions of Chapter 9 (commencing with
Section 7 001. f Division 3 of the usi e a d ofe, ionals Code, and my ense is in full force and effect.
License Cl ss: IBqq C27 License No.: 6 857
f�iDate:`- `S_tContracior:�� Y-- —
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 7631.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 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
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.).
(_ 1 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—) I am exempt under Sec. , BAP.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 Name: _
Lender's Address:
LQPERMIT
Owner:
M&M DON BEESWANGER
57-181 MERION t
LA QUINTA, CA 92253
Contractor:
EDWARDS CONSTRUCTION INC,
51455 DESERT CLUB DRIVE
LA QUINTA, CA 92253
(760)777-8202
Lic. No.: 684857
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/21/13
-----------------------------------------------
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' 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 BENCHMARK INS Policy Number WC1914223
I certify that, in the performance, A the work for ' h this p rmit is issued, I shall not employ any
person in any manner so as t become bje to he wo ers' compensation laws of California,
and agree that, if I should bec a subj et to he orker ' compensation provision of Section
3700 of the Labor Code, I s II hw com with se provisions.
Date: ` Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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.
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 su h permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that It ab e iorm ton is correct. I agree to comply with all
city and c unty rdmances and state laws relating to b Iding st uc o , and hereby authorize representatives
of this Co ty enter upon the above-mentioned pro _ e ti n urposes. –
C {y
Date: L - -Signature (Applicant or Agent):.. �� T
Application Number . . . . 13-00001233
Permit PATIO COVER 2013
Additional desc •.
Permit Fee 131.56 Plan Check Fee..
.00
Issue Date . . Valuation
5000
Expiration Date 4/19/14
Qty Unit Charge Per
Extension'
1.00 131.5600 EA MISC PATIO COVER, SPEC
131.56
Special Notes and Comments
ENGINEERED PATIO TRELLIS
October 21, 2013 8:29:12 AM jjohnson..
Other Fees . . . BLDG STDS ADMIN (SB1473)
1.00
HOURLY PLAN CHECK
98.00
PLAN CHECK, PATIO COVER
165.88
J STRONG MOTION (SMI) - RES
.50
` Fee summary Charged Paid Credited
Due
Permit Fee Total 131.56• .00• .00,
131.56
Plan Check Total .00 .00 .00
.00
Other. Fee Total 265.38 .00 00
265.38`
Grand Total 396.94 .00 :00.
396.94
Bin #
G
0
City Of La Qu, inta
Building 8i' Safety Division SFP
P.O. Box 1504, 78-495 Calle Tampico CI 252013
La Quinta, CA 92253 - (760) 777-70fb llM OF 1q
Building Permit Application and Tracking %i fit' pF 4�INTq
Permit #
3 • �Z33
Project Address: -101 mW-46iLl
Owner's Name:
A. P. Number: 7 6 2 O Zj2� Q Z
e
Address5 7 181 �'i�i�, —�
Q
Legal Description: U %r b3 70 `4 So
City, ST, Zip: (x, 00 (JCA–T;6, C;
Contractor: t5l l�U/7r.
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Telephone: %8�%Z
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Address:5! .. g-�s �(1!�
Project Description:
City, ST, Zip 0-l9llL-QYid,C&Q%�iZ Jam►
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.Telephone: 77 7 -97,,07—:
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City Lie. #;
State Lie. # :j¢8 7
Desi ner: '
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Address:
City., ST, Zip:
Telei(a d�
Telephone -
hone:
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Construction Type: Occupancy:
Occupancy:
State Lie. #: '
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. ft/0# ��;
Stories:
#Units:
Telephone # of Contact Person: 76 O 3: 44b Z8
Estimated Value of Project: Lj
APPLICANT: DO NOT WRITE.BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Tide 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°° Review, ready for correctio /issue
V
Electrical
4,L
Subcontactor List
Called Contact Person
":Z
Plumbing
)L—
Grant Deed
Plans picked up
S.M.I. its
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
440 r� Isbt,o
J
StsoSs atm co
I'Zerd�,•at.l�•t�
1
EsGil Corporation
In Partnership with Government for Bui(ding Safety
DATE: 10/8 2013 4
/ �,,; ❑APPLICANT
0 JURIS. ,
JURISDICTION: City.. of La Quints; - o PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: 13-1233 SET I .,
PROJECT ADDRESS: 57-181 Merion . y
PROJECT NAME Beeswanger Residence TrellisOCj X9,0 `
13
❑ The plans transmitted herewith have been correctedv��nec and substan' sally comply
with,the jurisdiction's building codes. ''°��y hr q
VELOP
. The plans transmitted herewith will substantially comply with the juri'sdiction's building codes
when minor deficiencies identified below are resolved and checked by build.ing department staff.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should'be corrected and resubmitted fora complete recheck.
j
The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
❑ The applicant's copy of the check list -is enclosed for the jurisdiction to forward to the applicant
contact'person.
' ❑ The applicant's copy of the check list has been sent to:.
® EsGil Corporation staff did -not advise the applicant that the plan check has been completed.
❑ EsGil Corporation staff,did advise the applicant that the,plan check has been completed:
Person contacted: Telephone #: !
`Date contacted:(by: �) Email: -; Fax #:� ;
Mail Telephone 'Fax In Person
® REMARKS: 1. structural review only. -2. The structural sheets shall be signed and sealed by the
engineer.
} By: David Yao = Enclosures.
EsGil Corporation
❑'.GA ❑ EJ ❑ MB ❑ PC 10/1
9320 Chesapeake•Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576