BPAT2016-007078-495 CALLE TAMPICO Ct 0 D VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
B ILDINGPERMIT
Date: 7/6/2016
Application Number: BPAT2016-0070 �J �1 --- Owner:
Property Address: 61805 MESA CT CT'' II DUVALL RESIDENCE
APN: 764550016 11A 6 261-; 61805 MESA CT
Application Description: DUVALL RESIDENCE / PATIO COVER i r _ f LA QUINTA, CA
Property Zoning:
Application Valuation: $1,500.00
Applicant: Contractor:
VALLEY PATIOS INC DBA VALLEY CONCRETE & VALLEY PATIOS INC DBA VALLEY CONCRETE &
37897 CHESTERFIELD STREET 37897 CHESTERFIELD STREET
INDIO, CA 92203 INDIO, CA 92203.. .:
(760)534-4634
Llc. No.: 937811
---------------------------------------------------------------------------------------------
a� LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C-8. C51 License No.: 937811
*=W. ?V6 tractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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).:
(_J 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, 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 Name:
Lender's
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: 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 become subject to the
works' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions. ' B
W : 7 ! % plicant: k�/'t r-,— C'� L,! e, U I,/1
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 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 correct:
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Dahature (Applicant or Agent): 1
loop
FINANCIAL • • a •
DESCRIPTIONACCO,UNTp
pu >
QTY rAMOUNT� ° PAID s PAIDDATE
.. •p,
BSAS SB1473 FEE
101-0000-20306 0
$1.00 $1.00 7/6/16
::?,; PAID BY ; S
METHOD, ` t « "RECEIPT #`. CIiECK CLTD BY
. •
VALLEY PATIOS INC DBA VALLEY C
CHECK R16839 1358 MFA
Total Paid for BUILDING
STANDARDS ADMINISTRATION BSA: $1.00 $1:00
`DESCRIPTION •
s
ACCOUNT:' x
;QTY
,AMOUNT
PAID
'PAID DATE;
�?
PATIO COVER, STD, OPEN
101-0000-42404
0
$97.17
$97.17
7/6/16
PAIDBY a
s METHODS - `"
� !`"RECEIPT #
CHECK #
CLTD BY>
W
VALLEY PATIOS INC DBA VALLEY C
CHECK
R16839
1358
MFA
DESCRIPTION k.
T ACCOUN
Q TY�
p AMOUNTo
�� PAID"
PATIO COVER, STD, OPEN PC
.101-0000-41600
0
$95.72
$95.72
7/6/16
'yPAID BYCHECK
#
CLTD BY
VALLEY PATIOS INC DBA VALLEY C
CHECK
R16839
1358
= MFA
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $192.89•
a.:DESCRIPTION, �r'
w ACCOUNT•
QTY
y AMOUNT°:jt F
4 •PAID -
':PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
$0.50
7/6/16
PAID 6Y " ;:''
METHOD
RECEIPT#
CHECK#"
CLTD BY.`
VALLEY PATIOS INC DBA VALLEY C
CHECK
R16839
1358
MFA
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50
TOTALS:•.
Description: DUVALL RESIDENCE / PATIO COVER
Type: PATIO COVER
Subtype: CITY STANDARD/PRE- Status: ISSUED
Applied: 7/6/2016 MFA
ENGINEERED- OPEN
Approved: 7/6/2016 MFA
Parcel No: 764550016 Site Address: 61805 MESA CT CT LA QUINTA,CA 92253
Subdivision: TR 30023-7
Block: Lot: 59
Issued: 7/6/2016 MFA
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,500.00
Occupancy Type: Construction Type:
Expired: 1/2/2017 MFA
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details:
ADDITIONAL SITES
CHRONOLOGY ....
FINANCIAL INFORMATION
_._ __ ..0
Printed: Wednesday, July 06, 2016 12:48:30 PM 1 of 2
Sys-ri 1s
INSPECTIONS
Printed: Wednesday, July 06, 2016.12:48:30 PM 2 of 2
SYSTEMS
vAMOIINT
Y
CLTD ,
DESCRIPTION
ACCOUNT
QTY
PAID ,
PAID ,DATE
RECEIPT,#
CHECK#�
METHOD
PAID BY •
BY;
BSAS SB1473 FEE
101-0000-20306
0-
$1.00
$1.00
7/6/16
R16839
1358
CHECK
VALLEY PATIOS INC
MFA
DBA VALLEY C
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
PATIO COVER, STD,
101-0000-42404
0
$97.17
$97.17
7/6/16
R16839
1358
CHECK
VALLEY PATIOS INC
MFA
OPEN
DBA VALLEY C
PATIO COVER, STD,
101-0000-42600
.0
$95.72
$95.72
7/6/16
R16839
1358
CHECK
VALLEY PATIOS INC
MFA
OPEN PC
DBA VALLEY C
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $192.89
SMI - RESIDENTIAL
101-0000-20308
0.
$0.50
$0.50
7/6/16
R16839
1358
CHECK
VALLEY PATIOS INC
MFA
DBA VALLEY C
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50
•,
INSPECTIONS
Printed: Wednesday, July 06, 2016.12:48:30 PM 2 of 2
SYSTEMS
Bin #
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #f
Project Address: �w
Owner's Name t✓
A. P. Number: 64
Address: S C-klmr-- C-+
Legal Description:
City, ST, Zip:
Contractor: 1
0
P fl s
Telephone:,,
.........................................
Address: CtC � �r
Project Description: 6� 1 , 141Uf�CL
City, ST, Zip: 610 L 1 z ZU 3
Telephone:
S �
� 3' 3
6
...........................................
State Lic. # : 3 /b«
City Lic. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
hone:
Telephone:
Cn trucfton Type: Occupancy:ane
Y:
State #•
Add'nProJect type (circle one): New Alter Repair Demo
Name of Contact Person:
Sq. Ft.: ' �j
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: �7
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2wd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I-I.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
"AN ADEQUATELY SIZED DEBRIS CONTAINER
H® IS REQUIRED ON THE JOB SITE DURING ALL Construction is NOT PERMITTED
e(, -u Ist - April 30°RASES OF CONSTRUCTION AND MUST BE on the following Code Holidays:
rida�� 7:Oo a.m. t® 5:30 p.m. V7 ED AS NECESSARY. FAILURE TO DO SO ' -
�a_ a.m. to 5:00 p.m. ry New Year's Day
',AAv CNUS THE CITY TO HAVE THE CONTAINER
¢ 1� 4l ays: Nope ' a,ar HE EXPENSE OF THE OWNER/ Dr. Martin Luther KingJr. Day
Presidents Day
AU
thMemorial
` w= ; E a.m. to 'i:oo p.m. Day
r Independ '
a.rn. to 5:00 p.m. _ ence Day
Labor .Day
alidays: lone Veteran's Day
Thanksgiving Day
Christmas Day -
Duvall Residence
61805 Mesa Ct.
La Quinta, CA 92253
Proposed Alumawood `
patio cover
'a
w - . A RE -INSPECTION FEE OF $ .
WILL BE CHARGED IF THE APPROVED
e PLANS AND JOB CARE ARE NOT ON
THE SITE FOR A SCHEDULED
3. INSPECTION
Driveway - NO EXCEPTIONS!
C' OF LA C UINT
BUILDING & SAFETY DEPT.
APPR® ED.
' FOR CONSTR TION
DPTE 71G Cel
BY