Loading...
BPAT2016-0118R R 78-495:CALiLE,TAMPICQ D 4 094 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPAT2016-0118 Property Address: 79814 AMORA DR APN: 609580044 Application Description: GURROLA / PATIO COVER AT BACKYARD Property Zoning: ,LLJ Application Valuation: $4,275.00 Applicant: LIFETIME PATIOS P 0 BOX 5806 LA QUINTA, CA 92248 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 and Professions Code, and my License is in full force and effect. License Class: License No.: 770843 Date Contract �/� V OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that l 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, 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 Lender's 0 Owner: LINDA GURROLA , 92253 Contractor: LIFETIME PATIOS P 0 BOX 5806 LA QUINTA, CA 92 (760)772-0013 Llc. No.: 770843 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/16/2016 C� UJ Iz ca ¢ w r Zo S � g UJ a Qe) l09 o ,LLJ V� � z 2 8 C) U 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 th ork for which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 00 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: MID-CENTURY INSURANCE COMPANY Policy Number: A09461819 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 Ca5fornia, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor. Code, I shall forthwith comply with those provisions. /i Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' COMP ATION 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. Date: Signature (Applicant or Agent) J Date: 12/16/2016 Application,hlumber: ,t BPpT2016=0118 Owner:. Property Address: 79814 AMORA DR LINDA GURROLA APN: 609580044 . Application Description: GURROLA / PATIO COVER AT BACKYARD 92253 Property Zoning: ' Application Valuation:. $4,275.00 Applicant: Contractor: LIFETIME PATIOS LIFETIME PATIOS P 0 BOX 5806 P 0 BOX 5806 LA QUI NTA, CA 92248 LA QUINTA, CA 92248 (760)772-0013 Llc. No.: 770843 Detail: 475SF SOLID AND OPEN LATICE PATIO COVER AT REAR YARD [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2013 CALIFORNIA BUILDING CODES. DESCRIPTIONACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 'DESCRIPTION ACCOUNT QTY AMOUNT PATIO COVER, STD, OPEN 101-0000-42404 0 $101.84 DESCRIPTION ACCOUNT QTY AMOUNT PATIO COVER, STD, OPEN PC 101-0000-42600 0 $100.32 Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $202.16 DESCRIPTION ACCOUNTQTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $0.56 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.56 Bfn.# City., 0f Quo: Building & Safety Division P.O. Box 1504,78-495 Calle Tampico ia.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ProjectAddress: 79814 Amora Dr. Owner's Name:. Linda Gurrola A. P. Number. Address: 79814 Amora Dr. Legal Description: City, ST, Zip: La Quinta, CA, 92253 Contractor Lifetime Patios Telephone: Address: PO Box 5806 Project Description: City, ST, zip: La Quinta, CA, 92248 Attached combination Lattice and Solid Telephone: 760 777 2650? " y' Weatherwood Shade Strueuture. . Approx 9.5' x 50' State Lic. 4: B 770843 City Lie. #; 3258 Arch., Engr., Designer. Address: City., ST, Zip: Telephone: 4 Construction Type: _ Occupancy: L ' State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Charles Tunstead Sq. Ft : 475 # Stories: Units: Telephone # of Contact Person: 760 777 2650/ 760 668 1700 Estimated Value of Project: $4275:00 APPLICANT: DO NOT WRITE BELOW THIS UNE If Submittal Req'd Recd TRACMNG PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Calls. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Pians picked up Construction In9ood plain plan Plans resubmitted.'. Mechanical Grading plan tad Review, ready for correctioneLvue Electrical Subcontactor list Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN ROUSE:- ''d 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 Rear Property Line, 3W t �P.roposed combination W6ath&ocl Solid and Open Latfte Aftcheid �§hade'Structure.-Sandalwood colo .12' -26 i9.5' - tatfice Solid flafPan 12' -cWfice 10' Linda Gurrola Res. 79814 Arnoral Dr. La Quinta, 92253. 76.0 238 8668 IDriveway 'Ambra Dr. CITY OF LA QUW:FA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRU TIPN B DADATEYT 20' 'North I