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BPAT2015-006913 . D �� VOICE (760) 777-7125 78-495 CAILE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/21/2015 Application Number: BPAT201S-0069 Owner: Property Address: 80115 VIA TESORO HEINLY t APN: 777310027 80115 VIA TESORO +' Application Description: HEINLY / 600 SQ FT LATTICE PATIO COVER LA QUINTA, CA 92253 I , t Property Zoning: Application Valuation; $6,000.00 t Applicant: Contractor: VALLEY PATIOS INC DBA VALLEY CONCRETE & VALLEY PATIOS INC 08A VALLEY CONCRETE & 37897 CHESTERFIELD STREET 37897 CHESTERFIELD STREET INDIO, CA 92203 INDIO, CA 92203 (760)534-4634 Lic. No.: 937811 I- - - - - - - - - - - - - - - - - • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7006) of Division 3 of the Business and Professions Code, and my License Is In full force and effect. License B., Class: C- 351 License No.: 937811 011� Date: r ( `' f S Contractor' 7 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,.Buslness and Professions Code: Any city or county that requires a permit to construct, alter, Improve, demoilsh, 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 70001 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).: 1 (_-_-) I, as owner of the property, of 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 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: 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 ffor which this permit Is Issued. 22-1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the LaborCode, 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 thls 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' compensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. A Date: r r 5 S Applicant l 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 Qulnta, 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: r r signature (Applicant or Agent --7 ' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&44t 4 4 Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPAT2015-0069 Property Address: 80115 VIA TESORO APN: 777310027 Application Description: HEINLY / 600 SQ FT LATTICE PATIO COVER Property Zoning: Application Valuation: $6,000.00 Applicant: VALLEY PATIOS INC DBA VALLEY CONCRETE & 37897 CHESTERFIELD STREET INDIO, CA 92203 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: 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.). (_) 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 INDIO, CA 92203 (760)534-4634 Llc. No.: 937811 WORKER'S COMPENSATION DECLARATION 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 Df 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 comply with 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. 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): Date: 10/21/2015 Owner: HEINLY 80115 VIA TESORO LA QUINTA, CA 92253 CD pt, Contractor: VALLEY PATIOS INC DBA VALLEY CONCRETE & 37897 CHESTERFIELD STREET __ s v INDIO, CA 92203 (760)534-4634 Llc. No.: 937811 WORKER'S COMPENSATION DECLARATION 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 Df 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 comply with 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. 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): FINANCIAL ,• 1• DESCRIPTION ACCOUNT CITY 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 CITY 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 CITY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.78 $0.00 PAID BY METHOD RECEIPT #. CHECK # CLTD BY Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.78 $0.00 TOTALS:•0 Description: HEINLY / 600 SQ FT LATTICE PATIO COVER Type: PATIO COVER Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW Applied: 10/21/2015 SKH ENGINEERED - OPEN Approved: Parcel No: 777310027 Site Address: 80115 VIA TESORO LA QUINTA,CA 92253 Subdivision: TR 31349 Block: Lot: 27 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $6,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRESSI Details: 600SQ RT LATTICE TRELLIS PATIO COVER AT REAR YARD [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT VALLEY PATIOS INC DBA VALLEY CONCRETE & 37897 CHESTERFIELD STREET INDIO CA 92203 CONTRACTOR VALLEY PATIOS INC DBA VALLEY CONCRETE & 37897 CHESTERFIELD STREET INDIO CA 92203 OWNER HEINLY 80115 VIA TESORO I LA QUINTA I CA 1 92253 Printed: Wednesday, October 21, 2015 11:10:58 AM 1 of 2 CR� SYSTEMS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES . DATE BOND INFORMATION Printed: Wednesday, October 21, 2015 11:10:58 AM 2 of 2 CR?WSYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS S81473 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 $0.78 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.78 $0.00 TOTALS:•4 00 REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES . DATE BOND INFORMATION Printed: Wednesday, October 21, 2015 11:10:58 AM 2 of 2 CR?WSYSTEMS Bin .'ity of La Q uin to Building 8L Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 c' Building Permit Application and Tracking Sheet Permit # Y3�15� Project Address: O ` Owner's Name: N a° A. P. Number: Address: �� ' o Legal Description: City, ST, Zip: I0— q ZZS3 C ontract or: Ute• a TelePhone• . Address: Project Description: L� City, ST, Zip: Telephone: �2-32 d 76 State Lie. # City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: h one: aneY Cn tractton e• Occupancy: Y P • Lie. Demo Project type (circle one): Add'n Alter Repair Name of Contact Person: t ( Sq. Ft.: Coo #Stories: # Units: Telephone # of Contact Person: R-, _ 13 -LOS Estimated Value of Project: &C306t APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. i 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 IIOUSE:- 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 a V Pool/Spa Heinly Residence 80115 Via Tesoro La Quinta, CA 92253 Proposed Alumawood Patio Cover Driveway SMA( 13� l�n��,✓� � I' w tTN is 4- or POOL CITY DF LA QUINTA BUILDING & SAFETY DEPT. A PROVED FORON.RT q W-Tinwi L3A