BPAT2015-003678-495 CALLE TAMPICO C 0 D
LA QUINTA, CALIFORNIA 92253 COMMUNITY.DEV.ELOPMENT DEPARTN
G: PERS IT
Application Number: BPAT2015-0036 ` JUN 1 Ti 2015
Property Address: 52510 AVENIDA RUBIO
APN: 773283001 CRy IF LA QUINTA
Application Description: RAMIREZ RESIDENCE PATIO COVER23GOMMUNfTYDEVELOPMENT DEPARTMENT
Property Zoning:
Application Valuation: $1,500.00
Applicant:
PRECISION PATIOS
67210 KANN ROAD
DESERT HOT SPRINGS, CA 92241
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: C47, D03 License No.: 539152
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 apermit 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'.
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 fora
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 build's 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 perjurythatthere: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: 6/16/2015
Owner:
ROBERT RAMIREZ
52510,AVENIDA RAMIREZ
LA QUINTA, CA 92253
Contractor:
PRECISION PATIOS
67210 KANN ROAD
DESERT HOT SPRINGS, CA 92241
(760)413-2007
Llc. No.: 539152
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 polity number are:
Carrier: Policy Number:
,Pcertify 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.
natP':_4 /' A /.(- Annlirant•- R V 14 Al t CA, /1
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 fiereby made tothe Building Official for a permit subject to
the conditions'and restrictions set forth on this application.
1. Each -per son 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.resu.lt 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 forany_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 dateof issuance of such.permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that l have read this application and state that the above information is correct.
Lagree 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 propertyfor inspection purposes.
D"aate�:'-41'' • i. b I .J.-Sienature-t-Annlirant-nr A¢Pntl
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"DESCRIPTION `` ACCOUNT AMO.UNT�PA Dsi -`PA UDAT
.,`QTY:.'
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BSAS 561473 FEEF101 0000=20306 w
$1.00 , ,
6/16/15
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"METHOD
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511
PRECISION PATIOS a `= CHECK
R7083.. 1319
MFA
Total' Paid:forBUILDING:STANDARDS ADMINISTRATION
:
BSk $1`00 $1.00
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TPAID.DATEI
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PATIO COVER;.STD; OPEN
101 00002404
0 $97 17
$97.17
6/16/15
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PATIO COVER, STD; OPEN PC';' {
.y —101 0000=42600 '
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0
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..
$95.72
6/16/15
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PRECISION PATIOS :
CHECK:;''117083
''
1319
MFA
Total Raid;forPATlO COVER) COVERED�PORCH /LATTICE: $192' 89 ,. $192.89
t . �.,,
DESCRIPTION �>
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�AMOUNT?`�
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SMI —RESIDENTIAL
101 0000 20308'?
0
$0 50 ; .
$0.50
6/16/15
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s �PA�ID BYwY � 4
-
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:. CHECK #
BY
PRECISION PATIOS
:, CHE,CK `'
117083.
1319
MFA
TotalfPaid forSTRONG MOTION INSTRUMENTATION SMt F:. $0 50,$0.50
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]..
Description - RAM I kEZIESib EA CE1 PATIO!COVER 2325F
u ISSUED I
: iApplied;
Type: PATIO COVER Sql:tre: Stat s,A'pli
d:�6/16/i 1SIVIFA.
0
Approved: 6/16/2015 .., IVIFA-
Parcel No:773283001. Sife':A d dress: *. S I 2510AVENI . DA A UBIO LA: I QUINTAA 92253.
Su.bdivision: SANTA 'CARMELITA.VALE LA:QO'INTA-' Block: ,15.: Lot:.2.
Issued: 6/,16/201SUFA
UNIT.1
,Lot Sq Ft: 0., Building Sq Ft.- 0 zo.nin.9-..
finaled;
Valuation: -$1,506.0.0 Occupancy Type:. Construction Type:
Expired: ,12/13/2015 MFA
Np.' Building5 :0 o, 5tories:, 0 No"U*nites:
T COVER.242 S R.-'2
Fe*t'a�i'l's:*.*4'S*'T"tLENGINEERING�WEA HERWOOD-., i C" ol CALIFORNIA BUILDING CODE
3-CALI...
&. . . . . . . . . U6
PARENT PROJECTS
BOND INFORMATION
Printed: Tuesday, June 16, 2015 9:32:51 AM 2 of 2 EAMAF
SYSTEMS
QTY
PAID
VDATE
CLTD V
DESCRIPTION
ACCOUNT
AMOUNT.w
PAID
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
6/16/15
R7083
1319
CHECK
PRECISION PATIOS
MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
PATIO COVER, STD,
101-0000-42404
0
$97.17
$97.17
6/16/15
R7083
1319
CHECK
PRECISION PATIOS
MFA
OPEN
PATIO COVER, STD,
101-0000-42600
0
$95.72
$95.72
6/16/15
R7083
1319
CHECK
PRECISION PATIOS
MFA
OPEN PC
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $192.89 $192.89
SMI'- RESIDENTIAL
101-0000-20308
0
$0.50
$0.50
6/16/15
R7083
1319
CHECK
PRECISION PATIOS
MFA
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $0.50 $0.50 -
TOTALS: $194.39•, .39
PARENT PROJECTS
BOND INFORMATION
Printed: Tuesday, June 16, 2015 9:32:51 AM 2 of 2 EAMAF
SYSTEMS
L
c l`YOF LA QUINTB INGAUILD ' SAFETY DEP"
I ADO -'OVED
r 0 -,41,. 0 -,. ''
fo,. 0
Ramirez. Residence:
52510 Averi.idla Rubio,
Lattice t—i--e
yp _3
FW—eatherwGod shade'l
�StrucUjre.
L,.
LTJ
1,4V
Bin #
,
C ty of Lal Qu nta:
Building`& Safety Division
P.O..Box. 1504, 78-4.95 Calle Tampico ,
La Quinta,.CA M53- (760)777-7012:
Building Permit ApplicatlomandTracking Sheet
Permit #
�Pr_'ojenA�'ddre`ss; Z ► V U BI p
Owner's Name: Dl�fL K -i A M l i� 2
A. P. Number:
Address:. 52 S I o. 'p V,5 R L)6 / 0,
Legal Description:
City, ST,. ZiP: L_Q. �Z2 S3
I'Contmctok. lZ N C S E2
Tele ' hone:
P
�/�
Address: �j 8 J S D L o U f S' A q iq,►J
� l
Pro ect D o I '7 . X'% 7
�J �P 6 �� it %il C
City, ST, Zip: N$ . tr A612 2 q 0.
laE tW E A -rKLOA. 4iv t; oo MSI y(% ..
Telephone: 0 s:
A. 6 •8 3
.................................................:.
v
State Lic. # : Z l l
CityLic. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:.
Telephone: .
>: rs
Co n tru
s ction Type: Occupancy:
ane Y•
State Lic.
StatLc 0
P•. `Pe (circlele one): New Add'n Alter Repair Demo
N`arre of Conz`tacCRers y i¢IIJ
Sq. Ft.:
# Stories:
# Units:
Telephone;#.of:ContacrPerT o -7 6 o a $ �
Est�:\/alue g�f P o ect:� 1 rj DO
APPLICANT:.. DO -NPT WRITE -.BELOW THIS LINE
N
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.L
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 ,
School Fees
Total Permit Fees
, F�rp"�r
L
CITYf: LA QUINTA
BUILDING
, & SgEV DEPT
APpF(OVOTIV4
ED
FOR CONS FRU
wls
Ramirez residence:
52510 Avenida Rubto,
p L
L
760-,861..8951
?"A
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