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BPAT2016-007778-495 CALLE TAMPICO Ct 0 V LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPAT2016-0077 Property Address: 49100 QUIMERA CT CT APN: 646300034 Application Description: LAURA FISHER / PATIO Property Zoning: Application Valuation: $3,000.00 Applicant: VALLEY PATIOS OUTSIDE CITY LIMITS LA QUINTA, CA 92253 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 -0107362 Date: -:7? 1 �� Contractor :;,:F!//CZ 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..lf, 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 Lender's Owner: SCOTT FISHER , 92253 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 7/27/2016 - JUL 272016 CCn1MUNIT I) QP1qFQUINT--, LOPMENTDEPARTMENT Contractor: VALLEY PATIOS OUTSIDE CITY LIMITS LA QUINTA; CA-92?$3.-,.,�,,,.1 :•: (760)534-4630 Llc. No.: :LIC -0107-662 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of tie 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:._ _ 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 a: 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 37 )0 of the Labor Code, I shall forthwith comply with th a provisions. Date Applicant: WARNING: FAILURE TO SECURE WORKERS' COWENSATION 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 RV SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES: APPLICANT ACKNOVAEDGEMENT . 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 cancella¢ion. 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- menti o ed property for inspection purposes. Dat �.� ` Signatvurre (Applicant or A I Date: 7%27/2016 Application Number: BPAT2016-0077 Owner: Property Address: 49100 QUIMERA CT CT SCOTT FISHER APN:, 646300034 Application Description: LAURA FISHER/ PATIO _ 92253 Property Zoning: App liication Valuation: $3,000.00 Applicant:. Contractor: VALLEY PATIOS VALLEY PATIOS OUTSIDE CITY LIMITS OUTSIDE CITY LIMITS LA QUINTA, CA 92253 LA QUINTA, CA 922253 (760)534-4630 -------------------------------------------------------------------------------------=------- Llc. No.: :LIC -010.7-:362 Detail` 485 SF TRELLIS PATIO COVER AT REAR YARD [DURALUM] DUSTIN K. ROSEPINK ENGINEERING. THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2013 -CALIFORNIA BUILDING CODES. R l l INFORMATION ' •. DESCRIPTION ACCOUNT .1).TY AMOUNT BSAS S!31473.FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT PATIO COVER, STD, OPEN 101-0000-42404 0 $97.17 DESCRIPTION ACCOUNT CITY AMOUNT PATIO COVER, STD, OPEN PC 101-0000-42600 0 $95.72 Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $0.50 Description: LAURA FISHER / PATIO Type: PATIO COVER Subtype: CITY STANDARD/PRE- Status: ISSUED Applied: 7/20/2016 RSE ENGINEERED - OPEN Approved: 7/21/2016 DCL Parcel No: 646300034 Site Address:•49100 QUIMERA CT CT LA QUINTA,CA 92253 Subdivision: TR 21555-1 Block: Lot: 34 Issued: 7/27/2016 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,000.00 Occupancy Type: Construction Type: Expired: 1/23/2017 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 485 SF TRELLIS PATIO COVER AT REAR YARD [DURALUM) DUSTIN K. ROSEPINK ENGINEERING. THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES 6 Applied to. Approved r } Approyed.to Issued ' FINANCIAL INFORMATION Printed: Wednesday, July 27, 2016 3:38:40 PM 1 of 2 CRWSYSTEMS INSPECTIONS PARENT PROJECTS BOND INFORMATION Printed: Wednesday, July 27, 2016 3:38:40 PM 2 of 2 CR?W,. YSTIMS . . . . . . ............... ..... . .......... ............ ..... ......... .... .............. ....... . ......... . ... "HECK :-METHOD+; TD- DESCRIPTION, ACCOUNT QTY. AMOUNT PAID PAID DATE RECEIPT4,; ��PAID -BY BSAS SB147-3 FEE 101-0000-20306 0 $1.00 $1.00 7/27/16 R17437 1288 CHECK VALLEY PATIOS MFA Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PATIO COVER, STD, 101-0000-42404 0. $97.17 $97.17 .7/27/16 R17437 1288 CHECK . VALLEY PATIOS MFA OPEN PATIO COVER, STD, 101-0000-42600 0 $95.72 $95.72 7/27/16 R17437 1288 CHECK VALLEY PATIOS MFA OPEN PC Total Paid for PATIO COVER COVERED PORCH LATTICE:, $192.89 $192.89 SMI - RESIDENTIAL 101-0000-2030W--] 0 $O.SO $O.SO 7/27/16 R17437 128 8 CHECK VALLEY PATIOS MFA Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $030 TOTALS: $194.39 $194.39 INSPECTIONS PARENT PROJECTS BOND INFORMATION Printed: Wednesday, July 27, 2016 3:38:40 PM 2 of 2 CR?W,. YSTIMS Bin # City of La Quin to Building 8t Safety Division Permit#! 78-495 Calle Tampico' P,� La Quinta,.CA 92253 : (760) 777-70.12 IS za«j' 00 Building Permit Application and Tracking SheeF Project Address: qgtoo _ V t �� C Owner's-Name- wner's Name:A. A.P. Number: Address: Q l0 O QU t 1VN.Q_.! G Legal Description: City, ST, Zip: l .tom (v I a ZZS3 Contractor: V&_` WA OS Telephone: 203�.� 3•� Address: C(O O 'r{ I & i de-4 0Y - Project Description: City; ST, Zip: 17LOAw,�' ttJVv-�e- sr. Cpl 1'T-Z03 GtJd'�C Telephone: 2D3 -43,13 State Lie. #.: �3?8(� City Lie. #::::::. Arch., Engr., Designer: . Address: City., ST, Zip: Telephone:' Construction Type: Occu ascy: e Lie. # Add'n AProJectnP crcle oneNew 'ter" Repairair Demo oSta Name of Contact Person: tk^ '� Sq. Ft.:.yq0 # Stories: # Units: Telephone #'of Contact Person: 4 3 Estimated Value of Project: 15 poo .APPLICANT: DO NOT WRITE BELOW THIS LINE #.. Submittal Req'd Rec'd TRACKING. PZZMIT FEES. Plan Sets Plan Check submitted Item Amount ' Structural Calcs. Reviewed, ready for corrections Plan Check Depobit Truss C21eS. Called Contact Person Plan Check Balance • Title 24 Calcs.. Plans picked up Construction " Floodplain plan Plans resubmitted Mechanical Grading plan 2'" Review, ready for eorrectionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up H.O.A. Approval. Plans resubmitted Grading INIIOUSE:- '"' Review, 'ready for correctionsAssue Developer Impa_t Fee " Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Ices CITY i OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE 4d BY 31 `- 11't 11. 11. 1.' Fisher Residence 49100 Quimera Ct. La Quinta, 'CA 92253 Proposed Alumawood patio cover • rIy , - Driveway