BPAT2014-102278-495 CALLE TAM PICO C& 0 D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
l�=� � Date: 9/16/2014
Application Number: BPAT2014-1022 D Owner:
Property Address: 48495 CAPISTRANO WAY EEP 20s4MASTER ASSN FOR RANCHO LA QU
APN: 646390046 79725 RANCHO LA QUINTA DR
Application Description: 480 SQ FT PATIO •--- LA QUINTA, CA 92253
CITY OF LA (AIINTp,
Property Zoning: 'JEFA.gTMENT
Application Valuation: $18,000.00 COMMUNITYOEVELOPMEN
Applicant: Contractor:
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 Cla s: License No.::LIC-010605
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 ) 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
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 with hos_ 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 incorrect.
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 upthe above-
mentioned propertyforinspection purposes. J1( \
Date: l� / Signature (Applicant or Agent):
TINANCIAL INFORMATI N
DESCRIPTI ON VACCOUNT—
o
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $0.00
`6� iy 42� �
OAMETHODS
w= #a? CK-I.W
CLTD
g
-RECEIPT t
Total Paid forBUILDING STANDARDS ADMINISTRATION.BSA. $1.00, -$0.00,
mg,
ACCOUNT
-M�
EMS
PIE -41, N-1w4qKteRWW
r,
AIQQATE�.,,
RN1.1110
all
QTYAMOUNT
PATIO COVER, DESIGNED
101-0000-42404,
0.
$131.56
$0.00 ,
�3
"01-.11%1I
1p 410
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d
IOUNT-;-
......... ..
'I"! PAIDw�
PAID DATE;
4,
-01��;
PATIO COVER, DESIGNED PC
.1 101-0000-42600
0
$165.88
$0.06
n�J
ID!B
E C
0
,R P.
Total Paid forPATIO COVER COVERED PORCH LATTICE $297.44 $0.00
SCRIF.TIONJ
`II14�7�
ACCOUNiAMOUNT
"'lZME.,
PAID
PAID DATE
s.
M, v
Q--'�PYZ,
£ r
r , r { F
SMI - RESIDENTIAL
101-0000-20308
0,
$2.34
$0.00
=CHECK
V,
A!,
4f
IT
Total, Paid fo.rSTRONG MOTION INSTRUMENTATION SMk $2.34. $0.00;
O8
'TTALSi,:':-'�;:*-,�:.$300.7 �$0.00,
Description: 480 SQ FT PATIO
CHRONOLOGY
ACTION DATE
COMPLETION DATE
NOTES
Type: PATIO COVER
Subtype:
Status: APPROVED
Applied: 8/29/2014 MFA
Approved: 9/9/2014 KHE
Parcel No: 646390046 Site Address: 48495 CAPISTRANO WAY LA QUINTA,CA 92253
Subdivision: TR 27840
Block:
Lot: 131
Issued:
Lot Scl Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $18,000.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
NAME TYPE NAME
Details: PERMIT IS FOR TRELLIS ONLY. SOLAR HEATING SYSTEM IS UNDER SEPERATE PERMIT.
CITY STATE ZIP
Applied to Approved
CHRONOLOGY TYPE STAFF NAME
CHRONOLOGY
ACTION DATE
COMPLETION DATE
NOTES
SENT TO PLAN CHECK KAY HENSEL
CONSULTANT
8/29/2014
9/9/2014
APPROVABLE - YOUNG.
TELEPHONE CALL JIM JOHNSON
9/12/2014
9/12/2014
CALLED 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
79725 RANCHO LA
QUINTA DR
LA QUINTA CA 92253
(760)578-7760
Printed: Tuesday, September 16, 2014 10:31:05 AM 1 of 2
SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID.BY
CLTD
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
DESIGNED
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
$2.34
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SM! $2.34 $0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL**
Printed: Tuesday, September 16, 2014 10:31:05 AM 2 of 2 orpulf
SYSTEMS
V
City of La Quanta
Btdlding St: Safety Division
P.O.. Box 1504, 78-495 Calle Tampico .
La Qtdnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Projed Address: S' 1 o Ifi AqOwner's
Name. 1 ri(A
A. P. Numbs:- 3�Q D
Address: 'i�— �$S C}l� l4 LQdIal?t DR -
Legal Descriptio
City. ST, Zip: 1 C•� 122s3
+n:
Contractor. c� � � I QUI
Telephone. 1%0 • "f -17 • Q
Address: DFAJFTLTfT tL ST.
Nect.Desmiption: Z.
City. ST, zip: % -M Pngff CA- 41246.
1qJES T1.0 .
--- - --0_17 ..
Submittal
Pian Sets
teiepnone: O, a VD. 11-3 •(
State Lic. # : SZQ Dom'' City Lie. #:
Ate, Engr, Dem aI- .
1
Address: — 11 a"� �� • E
..
city, ST, zip:
Telephone: ,2q2.— Construction Type:occupancy: V
State Lia #: ` ` Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: J( V4ZC(ph
Sq. FL:
it Stories:
# Unites
Tcicphone cof contact Person: 66 — �-�2-. ?i2?i
F.sfima2ed Value of Project I O
APPLICANT. DO NOT WRITE BELOW THIS UNE
#
Submittal
Pian Sets
Req -d
Recd
TRACENG
Plan Check submitted
PERKMrr S.
Item Ammmt
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Coles.
Called Contaet Person
Plan Cheek Balance •
We 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'' Review, ready for co as/usae
edrical
Subcontaetor Last
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correedonemue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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