BPAT2016-011478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
VALLEY PATIOS, INC.
OUTSIDE CITY LIMITS
BPAT2016-0114
4
D F0DEV ENT PA T
B R�T
DEC 13 2016
49499 EISENHOWER DR
658190012 CITY OF LA QUINTA
LQ RESORT / PATIO COVER / DEMAND DEVELOPMENT DEPARTMENT
$7,500.00
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 cense No.: 937811
Date:' Contractor:
I hereby affirm under penalty of perjury that Ism kxempt from the Contractor's State
License Law for the following reason (Sec. 70311and 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/13/2016
Owner:
LA QUINTA RESORT
49499 EISENHOWER DR.
LA QUINTA, CA 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: GRANITE STATE INSURANCE COMPANY Policy Number: 002008185
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, shall forthwith
comply with t ose prTvisions.
/-.
11
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERgAL
TION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CALTIES 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 ofthis city to enter up he
above -me ioned ro�perrt�y for inspection purposes.
Date: 1X Signature (Applicant or Age
1
Date: 12/13/2016
Application Number:
BPAT2016-0114
Owner:
Property Address:
49499 EISENHOWER DR
LA QUINTA RESORT
APN:
658190012
49499 EISENHOWER DR.
Application Description:
LQ RESORT / PATIO COVER / POOL 505
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$7,500.00
Applicant:
Contractor:
VALLEY PATIOS, INC.
VALLEY PATIOS INC DBA VALLEY CONCRETE &
OUTSIDE CITY LIMITS
37897 CHESTERFIELD STREET
INDIO, CA 92203
(760)534-4634
---------------------------------------------------------------------------------------------
Llc. No.: 937811
Detail: 500 SF ALUMA WOOD
PATIO COVER AT POOL 505. PATIO SHALL BE BONDED WITHIN 5 FT FROM POOL. HORIZONTALLY OF THE INSIDE POOL WALL.
PERMIT FOR PATIO COVER ONLY, NO ELECTRICAL OR PLUMBING WORK INCLUDED IN SCOPE OF PERMIT. PER 2013 CALIFORNIA BUILDING CODE.
Y FINANCIAL INFORMATION .
DESCRIPTION ACCOUNT 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
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.98
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.98
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Permit #
LUAIOUu1
Project Address
City of La Quin to
Building 8£ Safety Division
. _ 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Owner's Namc:
A. P. Number:
Address: q
Legal Descri tion:
City, ST, Zip:
Contract r.
0
Telephone:
Address ii
Project Description:
City, ST, Zip:
-••
Tel 0 r1 A
eP h ne:
X51 S c
State Lic. # :
City Lie.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
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Co traction TYPe: Occupancy:
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State a
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0ProJectPe e •
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Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
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 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°d Review, ready for corrcctions/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.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. \Vks. Appr
Date of permit issue
School Fees,
.
I
Total 1'crmit Fees