BPAT2015-007678-495 CALLE•TAMPICO
LA QUINTA, CALIFORNIA 92253
Tiht 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPAT2015-0076
Property Address:
48507 VIA AMISTAD
APN:
646122031
Application Description:
TERRY / (2) ALUMAWOOD PATIO COVERS
Property Zoning:
Application Valuation:
$7,434.00
Applicant:
ATLAS AWNING AND SCREEN
INC
754 SOUTH WILLIAMS ROAD
PALM SPRINGS, CA 92264
73
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
�DAVID AND -KATHY TERRY
48507 VIA AMISTAD
LA QUINTA, CA 92253
NOV 0 5 2015
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: D03 License No.: 835140
110. //is7/w . q. TrA
Date: 11/5/2015
CIlYOFLAQUINTA� Contractor:
TY DEVELON.IENTOEPARWENT
ATLAS AWNING AND SCREEN INC
754 SOUTH WILLIAMS ROAD
PALM SPRINGS, CA 92264
OWNER-BUILDEK 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
(760)327-8466
Llc. No.: 835140
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
Jon
rk cthispermit is issued.
ave and will maintain workers' compensation insurance, as required by
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 h Labor Code, I shall forthwith
comply with those provisions.
Date: / /��/I� 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 o n the
above-mentioned property for inspection ye oses.
Date: OC Signature (Applica or
FINANCIAL
a
DESCRIPTION
ACCOUNT,
QTY:
AMOUNT PAID PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00 $1.00 11/5/15
PAID BY
METHOD
RECEIPT # . CHECK # CLTD BY
ATLAS AWNING AND SCREEN INC
CHECK
R10623 8003 SGU
'Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PATIO COVER, STD, OPEN
101-0000-42404
0
$194.34
$194.34
11/5/15
PAID BY
METHOD
RECEIPT .#
CHECK #
CLTD BY
ATLAS AWNING AND SCREEN INC
CHECK
R10623
8003
SGU
DESCRIPTION
ACCOUNT:
QTY-
AMOUNT
PAID
PAID DATE
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$191.44
$191.44
11/5/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ATLAS AWNING AND SCREEN INC
CHECK
R10623
8003
SGU
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $385.78 $385.78
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$0.97
$0.97
11/5/15
PAID BY
METHOD
°RECEIPT #
CHECK #
CLTD BY
ATLAS AWNING AND SCREEN INC
CHECK
R10623
8003
SGU
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.97 $0.97
TOTALS:
Description: TERRY / (2) ALUMAWOOD PATIO COVERS
Type: PATIO COVER Subtype: CITY STANDARD/PRE- Status: APPROVED
Applied: 11/5/2015 SGU
ENGINEERED - OPEN
Approved: 11/5/2015 SGU
Parcel No: 646122031 Site Address: 48507 VIA AMISTAD LA QUINTA,CA 92253
Subdivision: TR 20052-3 Block: Lot: 31
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $7,434.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: (2) ALUMAWOOD PATIO COVERS 168SQFT AND 294SQFT AT REAR YARD [AMERIMAX] THIS PERMIT DOES NOT INCLUDE ELECTRICAL
INSTALLATIONS. 2013 CALIFORNIA BUILDING CODES
CONDITIONS
FINANCIAL INFORMATION
Printed: Thursday, November 05, 2015 11:35:50 AM 1 of 2
CUff RMJF
PARENT PROJECTS
Printed: Thursday, November 05, 2015 11:35:50 AM 2 of 2 r, ,
srsrenis
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE,
101-0000-20306
0
$1.00
$1.00
11/5/15
R10623
8003
CHECK
ATLAS AWNING AND
SGU
SCREEN INC
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
PATIO COVER, STD,
101-0000-42404
0
$194.34
$194.34
11/5/15
R10623
8003
CHECK
ATLAS AWNING AND
SGU
OPEN
SCREENINC
PATIO COVER, STD,
101-0000-42600
0
$191.44
$191.44
11/5/15
R10623
8003
CHECK
ATLAS AWNING AND
SGU
OPEN PC
SCREEN INC
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $385.78 $385.78
SMI - RESIDENTIAL
F 101-0000-203080
$0.97
$0.97
11/5/15
R10623
8003
CHECK
ATLAS AWNING AND
I SGU
SCREEN INC
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.97 $0.97
TOTALS:
PARENT PROJECTS
Printed: Thursday, November 05, 2015 11:35:50 AM 2 of 2 r, ,
srsrenis
Bin #City
of La Quin to .
Building 81: Safety Division
Box 1504, 78-495 Calle Tampico .
u� La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Shee g
Permit #P.O.
Projcet Address:
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address:
Project Description: ,
City, ST, Zip: 6
Telephone:
State Lie. # :
City Lic. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
CoTelephone: nstruction Type: Occupancy:
L c
New w Add'n Alter R air Dcm
oJect type Pcircle one):
oPr
# St ries: # Units:
Name of Contact Person: Sq. Ft.:iw�
Telephone #,of Contact Person: a„ Estimated Value of Projec"-7
APPLICANT: DO NOT WRITE BELOW THIS LINE
11
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cala.
Rtvie-%ved, ready for corrections
Plan Cheek Deposit
Truss C21a.
Called Contact Person
Plan Cheek Balance •
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mcclmnical
Grading plan
2" Review, ready for. corrections/issue
Electrical
Subeontactor List
Called Contact'Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'`" Review, ready for eorrections/issac
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Ie
LAGUNA
DE LA PAZ
September 24, 2015
David & Kathy Terry
48507 Via Amistad
La Quanta, CA 92253
RE: 48507 Via AmIstad- Install Awning & Pergolas
Dear Mr. & Mrs. Terry:
Your architectural request Install Bahama shutters and Pergolas at the residence listed above
has been approved -by the Architectural Committee as submitted.
Please note that this approval is valid for ninety (90) days from the date of this letter. If the
modification will. not be completed within that timeframe, you will need to re -apply for
architectural approval.
We trust that only licensed, insured contractors will be performing the work. Please be
reminded that any damage to the common area due to construction should be repaired in a
timely manner.
Thank you for your cooperation in filing for architectural approval. If you have any questions or
need further assistance, please feel free to contact me at 760.564.8864.
Sin ly,
Ellen Kahhan, AMS, CMCA, CCAM
Community Association Manager
On Behalf of the Architectural Committee
Laguna de la Paz Homeowners Association
CC: Homeowner File
Enclosure: Signed Architectural Committee Certificate
Laguna de la Paz Homeowners AsWdatlon 1 48300 Vista de Nopal, La QuWnta, Callfbrnla 92253 t Telephone; 760.568.8644 Fax: 760.564.8887
ttt
CITY OF LA QUANTA
BUILDING &SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE !.t ?Zola: BY