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BPAT2016-005378-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPAT2016-0053 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 49499 EISENHOWER DR APN: 658190011 Application Description: LA QUINTA RESORTS / PATIO COVER / POOL 525 Property Zoning: Application Valuation: $1,000.00 I[JUN Applicant:VALLEY PATIOS INC DBA VALLEY CONCRETE & 16 201637897 CHESTERFIELD STREET INDIO, CA 92203 CITYOFlA0UINTA MMUNITY DEVELOPMENT DEPARTMENT 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: C/-8. C51 License No.: 937811 Date: tO / 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, 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, 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 contractors) 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 Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Dater 6/9/2016 Owner: KSL DESERT RESORT 1 POST OFFICE SQ STE 3100 BOSTON, MA 92253 Contractor: VALLEY PATIOS INC DBA VALLEY CONCRETE & 37897 CHESTERFIELD STREET INDIO, CA 92203 (760)534-4634 Llc. No.: 937811 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith com�ply,�wit�h those 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. 1 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 -menti nned roperty for inspection purposes. Date: ant o� Agent): Z zxz FINANCIAL INFORMATION DESCRIPTION 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 $0.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00 TOTALS:•4 • 00 Description: LA QUINTA RESORTS / PATIO COVER / POOL 525 Type: PATIO COVER Subtype: CITY STANDARD/PRE- Status: APPROVED Applied: 6/9/2016 MFA ENGINEERED - OPEN Approved: 6/9/2016 MFA Parcel No: 658190011 Site Address: 49499 EISENHOWER DR LA QUINTA,CA 92253 Subdivision: TR 28545-3 Block: Lot: 30 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 APPLICANT Details: 811 SF ALUMAWOOD PATIO COVER AT POOL 525. PATIO SHALL BE BONDED WITHIN 5 FT FROM POOL. HORIZONALLY OF THE INSIDE POOL WALL. PER 2013 CALIFORNIA BUILDING CODE. CHRONOLOGY CONDITIONS STATE ZIP PHONE FAX; EMAIL NAME TYPE NAME ADDRESSI CONTACTS CITY APPLICANT VALLEY PATIOS INC DBA VALLEY CONCRETE & 37897 CHESTERFIELD STREET INDIO CA 92203 andy@valleypatios.co m CONTRACTOR VALLEY PATIOS INC DBA VALLEY CONCRETE & 37897 CHESTERFIELD STREET INDIO CA 92203 andy@valleypatios.co m OWNER KSL DESERT RESORT 1 POST OFFICE SQ STE 3100 BOSTON MA 92253 7- FINANCIAL INFORMATION Printed: Thursday, June 09, 2016 4:10:14 PM 1 of 2 Or SY57EM5 INSPECTIONS PARENT PROJECTS Printed: Thursday, lune 09, 2016 4:10:14 PM 2 of 2 SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY -BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: 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 $0.50 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00 TOTALS:. $194.39 $0.00 INSPECTIONS PARENT PROJECTS Printed: Thursday, lune 09, 2016 4:10:14 PM 2 of 2 SYSTEMS Bin # City of La Quinta Building,& Safety Division DO 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking.Sheet Permit # Q' Project Address: `� —y 'e7 ,Ce^ Owner's Name: tl A. P. Number: Address: l l ^y R 9 Legal Description: City, ST, Zip: Ct Ing rr -- ractor. a�a L 3ContS O 2 Telephone: D 3 3 76 " Address: 79q OO I rt t t dot a' D/ Project Description: At t/~' Woo o( p C4 1/e'/ City, ST, Zip: l.� V l �?+� CJ f �� Z �3: OO 0 Z >- 4 Z Te ne- le h Po . State Lic. # : City Lic" #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone. » ? ........................... nstruction Type: Occupancy: : State Lic. # • Project type (circle rcle ne New d 'n Iter Repair ) Demo Name of Contact Person: And Sq. Ft.: 5-Q t -A # Stories: # Units: Telephone # of Contact Person: 76 b 'S 1 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd 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 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, 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:- '"! Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Scliool Fees, Total Permit Fees 0 Pool 525 Tily NOl1 N - ®3A®�� 1330 Ai33VS'Q Maine ViNino vi �0. 110— Hotel Suites j Nam F-MEM, Ll I t ww,• I •a,� ..AA r a i 1 ;.0,�eear�th