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BPAT2014-102378-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPAT2014-1023 Property Address: 78665 CABRILLO WAY APN: 646420027 Application Description: 1,092 SQ FT PATIO COVER Property Zoning: Application Valuation: $25,000.00 Applicant: `&t!t 4 4 0w COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT S E p 6_2014 CITY OF LA QUINTA COMMUNITY 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: License No.::LIC-010 051 (� Contractor: J--- 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.). (_J 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 Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/16/2014 Owner: MASTER ASSN FOR RANCHO LA QU 79325 RANCHO LA QUINTA DR LA QUINTA, CA 92253 Contractor: SANTUCCI BUILDERS INC 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 (760)578-7760 Llc. No.: :LIC -0106051 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 comply wit hoseprovisions. Date/ �6 / / 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 Zs he above- mentioned pr pe for inspection purposes. _ l lily► Date: / � Signature (Applicant or Agent): DESCRIPTION FINANCIAL • 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 forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, DESIGNED 101-0000-42404 0 $131.56 $0.00 PAID BY METHOD RECEIPT #': CHECK # CLTD BY, DESCRIPTION .: ACCOUNT QTY. AMOUNT PAID PAID DATE PATIO COVER, DESIGNED PC 101-0000-42600 0 $165.88 $0.00 PAID BY METHOD : RECEIPT # CHECK # CLTD BY Total Paid for PATIO COVER / COVERED PORCH / LATTICE $297.44 $0.00 DESCRIPTION ACCOUNT ` QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $3.25 $0.00 PAID, BY METHOD . RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $3.25 $0.00 •TALS: $301.69 $0.00 Description: 1,092 SQ FT PATIO COVER CHRONOLOGY Type: PATIO COVER Subtype: Status: APPROVED Applied: 8/29/2014 SKH Approved: 9/12/2014 JJO Parcel No: 646420027 Site Address: 78665 CABRILLO WAYLA QUINTA,CA 92253 Subdivision: TR 28343 Block: Lot: 32 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $25,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: TRELLIS ONLY SOLAR WATER HEATING SYSTEM SHALL BE UNDER SEPERATE PERMITS. __j Applied to Approved Printed: Tuesday, September 16, 2014 10:12:07 AM 1 of 2 srsTcnns CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES SENT TO PLAN CHECK KAY HENSEL 9/9/2014 9/9/2014 CONSULTANT TELEPHONE CALL JIM JOHNSON 9/12/2014 9/12/2014 INFORMED APPLICANT PLANS READY TO ISSUE CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR SANTUCCI BUILDERS INC 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)578-7760 OWNER MASTER ASSN FOR RANCHO LA QU 79325 RANCHO LA LA QUINTA CA 92253 (760)578-7760 QUINTA DR Printed: Tuesday, September 16, 2014 10:12:07 AM 1 of 2 srsTcnns Permit Details PERMIT NUMBER City of La Quintal BPATR20141023 INSPECTIONS REVIEW TYPE SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" REVIEWS RETURNED STATUS REMARKS NOTES CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY PER JAY WU, NO PLANNING REVIEW REQUIRED NON-STRUCTURAL JIM JOHNSON 8/29/2014 9/12/2014 9/12/2014 APPROVED APPROVED 8/29/14. KH BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: PATIO COVER, 101-0000-42404 0 $131.56 $0.00 APPROVED APPROVABLE 9/9 STRUCTURAL JIM JOHNSON DESIGNED 9/8/2014 9/12/2014 APPROVED APPROVED/ CONDITIONS PATIO COVER, 101-0000-42600 0 $165.88 $0.00 DESIGNED PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE $297.44 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $3.25 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI $3.25 $0.00 TOTALS:00 INSPECTIONS REVIEW TYPE SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" REVIEWS RETURNED STATUS PARENTPROJECTS REVIEW TYPE REVIEWER SENT DATE DUE DATE REVIEWS RETURNED STATUS REMARKS NOTES DATE PER JAY WU, NO PLANNING REVIEW REQUIRED NON-STRUCTURAL JIM JOHNSON 8/29/2014 9/12/2014 9/12/2014 APPROVED APPROVED 8/29/14. KH W/CONDITIONS APPROVED BY YOUNG / CONDITIONS APPROVED APPROVABLE 9/9 STRUCTURAL JIM JOHNSON 8/29/2014 9/8/2014 9/12/2014 APPROVED APPROVED/ CONDITIONS W/CONDITIONS Printed: Tuesday, September 16, 2014 10:12:07 AM 2 of 2 Cff? SYSTEMS Bin # Oty of La Quin Building 8[ Safety Division P.O.. Box 1504, 78-495 Calle Tampico . La Qulnta, CA 92253 - (760) 777-7012 I Building Permit Application and Tracking Sheet Permit 6V f 2 014- -1 DLA Project Address: I Qj - (A*S CA'A' t� K A -Owner's Name: A P. Number X ' O'L'j Address: - Legal Description: Contractor: sAKjCCI City. ST, Zip: t iSIA Q� X2253 Telephone: 1%0. 111 • f3 8Q-7 Address: • 2— 52- 5LAgE:P-TML- ST. Project.Deseription: L City, ST, zip: -M-M ME+LT GPr C1246. S T1.0 . Telephone: Statc Lic. # : City Lic. #: s, • Arch, EM, Dela` p�cs a I a1 - Address: - t1$ �f'd�' 'DR • E City. sr, zip: QtLjVI '12-000 Telephone: �� , �'� — ��,�WV4Zq4��r nstruction Type: Occupancy: State Lic #: ject type (circle one): New Add'n Alter Repair Demo k-Sq-FL: Name of Contact Person: J 1)012— # Stories•. # Units: Telephone #,of Contact Person: Esfmated Value of Project: �t APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRACKING PERI=FES. Pian Sets Pian Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calm Called Contact Person Plan Check Balance. Tide 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading pian 2'' Review, ready for correctio Mae Electrical Subeoutactor list Called Contact Person I Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resabmitted Grading IN HOUSE:- '"` Review, ready for corre:tioas/issue Developer Impact Fee Planning Approval Called Coatact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Schodl Fees Total Permit Fees i