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BPAT2015-002078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 922 4-4 wQ�rw DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS(760)777-7153 Date: 4/7/2015 Application Number: BPAT2015-0020 Owner: Property Address: 51490 AVENIDA CARRANZA KIM HALSEY APN: 773082012 51490 AVENIDA CARRA z Application Description: HALSEY/240 SQUARE FOOT PATIO COVER WITH PARTIAL SCREENING LA QUINTA, CA 92253 Lu Property Zoning: Application Valuation: $8,000.00. ra o o cif IL— cy LU 3 a Applicant: Contractor: ® u - SUN BOSS CORPORATION SUN BOSS CORPORATIC 3010 VINE ST 3010 VINE ST RIVERSIDE, CA 92507 RIVERSIDE, CA 92507 C) ^ `C)' (951)782-2360 Llc. No.: 310674 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 Business an Professions Code, and my License is in full force and effect. License Class: D03, B License No.: 310674 Date: 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 ? 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, 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,). (—J 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 Address: 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 w 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' compens n i surance carrier and policy number are: Carrier:_ Policy Number:-Q%fp1�7t&( 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 workers' compensation provisions of Section 3700 of the Code, I shall forthwith comply with thgse 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 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 ci to enter upon the above• mentioned prop rty for inspection purposes. q ' Date: " Signature (Applicant or Agt'n .ut n H City of La Quin to . Building $t Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico . U Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Project Address: tUeA/7 Owner's Name: k A A. P. Number: '7'? —D6 Z Q - Address: Legal Description: City, ST, Zip: y / Contractor: s J Telephone: ,<. Address: O S' Project Description: City, ST, Zip: ' �' . Telep ho Z S State Lic. # : City Lic. #t (O Arch., Engr., Designer: 4 7q4 Address: i ti City., ST, Zip: / Telephone: .Stalc PaneY Occupancy: Construction Type: • r Lic. Add'n Alter Repair r DcmNew oProJ ctnPccircle one Name of Contact Person: Sq. Ft.:. # Stories: # Units: Telephone 4,6f Contact Person: Estimated Value of Project: �0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Meelianical' Grading plan 2"d Review, ready for corrcclions/issue Electrical Subcontaetor List, Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN ROUSE:- 3" Revicw, ready for corrcctionsrissuc Developer Impact Fee Planning Approval Called Contact.Person Pub. Wks. Appr Date of permit issue School Fee Total Permit }ccs 1,A QUjy�TK G', Cr Z z,� t + rD. g16i6�871'� ��j�%S Y - 9icl- Pill r- -A RE -INSPECTION FEE WILL BE CHARGED IF THE AF PLANS AND JOB CARE ARE THE SITE FOR A SCH INSPECTION NO E(CEPTIONS! Construction is NOT PERM on the following Code Holid New Year's Day t - Dr. Martin Luther King President's Day Memorial Day -1Y- —Inde-pendence Day Labor Day W.: s ,ay Th'q'.`giving Da t ' 4 , I I t 1 VC, OVED T ON TED IS: r Day - -- - - - - -7.73_09Z - a`:Z.- CITY OF LA QUINTA BUILDING & SAFETY DEPT. ' F.PPRa ED FOR CONST DATE q9�® 76-9 CONSTRUCTION HOURS + October 1st -April 30 t! _z ` Monday Friday: 7:00 a.m. to 5:30;A/e4);A/e4)P�m Saturday: 8:00 a.m. to 5:00 p.m.i ) SUTUlay: ' ldor,e t Governnle t,Co€le Holidays:- - None + �� + pr l u"- A f M -a 1st -'September 30th i I IE!0 rla - Friday: 6:00 a.m. to 7:00 p.m. _zLtc ! fs .tri l6ty: 8:00 a.m. to 5:00 p.M. ! None aMo.rlt Code Holidays: None "AN ADEQUATELY ; ED DEBRIS CONTAINER IS REQUIRED, THE JOB SITE DURING ALL FHASE, CONSTRUCTION AND MUST BE ,rll IrD AS NE CESSARY:-FAILURE TO-DO SO - - 130 a 0� ,AY CAUSE THE CITY TO HAVE THE CONTAINER ' ` ;FED ATTHE EXPENSE OF THE OWNER/ DESCRIPTION FINANCIAL ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, STD, OPEN 101-0000-42404 0 $97.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, STD, OPEN PC 101-0000-42600 0 $95.72 $0.00 "PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PATIO COVER / COVERED PORCH / LATTICE $192.89 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI- RESIDENTIAL 101-0000-20308 0 $1.04 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.04 $0.00 TOTALS:00 Description: HALSEY/240 SQUARE FOOT PATIO COVER WITH PARTIAL SCREENING Type: PATIO COVER Subtype: Status: APPROVED Applied: 4/7/2015 SKH Approved: 4/7/2015 SKH Parcel No: 773082012 Site Address: 51490 AVENIDA CARRANZA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 67 Lot: 13 Issued: UNIT 6 Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $8,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRESSI Details: PATIO COVER - 240 SQ FT INCLUDING 156 SQ FT SCREENED [METALS BUILDING PRODUCTS SPECIFICATIONS]. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES __j Applied to Approved CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SUN BOSS CORPORATION 3010 VINE ST RIVERSIDE CA 92507 CONTRACTOR SUN BOSS CORPORATION 3010 VINE ST RIVERSIDE CA 92507 OWNER KIM HALSEY 51490 AVENIDA CARRANZA LA QUINTA CA 92253 Printed: Tuesday, April 07, 2015 9:55:43 AM 1 of 2 rg?SYSiEMS Printed: Tuesday, April 07, 2015 9:55:43 AM 2 of 2 CrSYSTEMS CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY PATIO COVER, STD, 101-0000-42404 0 $97.17 $0.00 OPEN PATIO COVER, STD, 101-0000-42600 0 $95.72 $0.00 OPEN PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE $192.89 $0.00 SMI -RESIDENTIAL 101-0000-20308 0 $1.04 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.04 $0.00 TOTALS:•• Printed: Tuesday, April 07, 2015 9:55:43 AM 2 of 2 CrSYSTEMS