BPAT2017-000378-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPAT2017-0003
Property Address: 57850 RESIDENZA CT CT
APN: 764460033
Application Description: LACERRA /,PATIO COVER AT SIDE YARD
Property Zoning:
Application Valuation: $800.00
Applicant:
C & S PATIO COVERS
65269 ELAINE CIRCLE
MECCA, CA 92254
LICENSED CONTRACTOR'S DECLARATION .
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: D03 License No.: 1004320
4
C a e: - / 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 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: 1/20/2017
Owner:
FONDA LACERRA
1217 SEDONA
ORANGE, CA 92253
Contractor:
C & S PATIO COVERS
65269 ELAINE CIRCLE
MECCA, CA 92254
(760)625-4225
Llc. No.: 1004320
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 rk 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: NORGUARD INSURANCE COMPANY Policy Number: CSWC791810
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 those provisions.
Date: D 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 upon the
above-mentioned property for inspection purposes.
Date: ;E Signature (Applicant or Agent)'
Date: 1/20/2017
Application Number:
BPAT2017-0003
Owner:
Property Address:
57850 RESIDENZA CT CT
FONDA LACERRA
APN:
764460033
1217 SEDONA
Application Description:
LACERRA / PATIO COVER AT SIDE YARD
ORANGE, CA 92253
Property Zoning:
Application Valuation:
$800.00
Applicant:
Contractor:
C & S PATIO COVERS
C & 5 PATIO COVERS
65269 ELAINE CIRCLE
65269 ELAINE CIRCLE
MECCA, CA 92254
MECCA, CA -922S4
(760)625-4225
Llc. No.:. 1004320
Detail: 256SF TRELLIS PATIO COVER AT SIDE YARD [DURALUM) THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2016 CALIFORNIA BUILDING
CODES..
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT . QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306
0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, STD, OPEN
101-0000-42404
0
$101.84
DESCRIPTION
ACCOUNT
QTY.
AMOUNT
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$100.32
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $202.16
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50
•
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Permit #{
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Project Address. 5
t y of 1 d Q uili t-
Building 8t: Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Owner's Name:
A. P. Number:
Address:57$50 �'; C
Legal Description:
City, ST, Zip:
ContractorJc : 1
S
Telephone:
P
Add resslsY�;G-�/ %/Ze
Project Description:
City- ST, Zip
—elP
'O
T e hone: D•
oas
State Lic. # : Z�)
City Lie. #.:
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Arch., Engr., Designer:
Of
Address:
City, ST, Zip:
_
..........ProJect
aneY
Co Occupancy:
e:Telephone: nsfraction :
Type: P
t to Lic. #:
Sa
ir le ne • ,�
Add'n Alter Repair-ai " Demo
type c0
Name of Contact Person:G' �%� 2
1p
Sq. Ft.: 51p kff'�
# Stories:.
# Units:
Telephone # of Contact Person: 760 6-I�Ztj
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal. Req'd . Rcc'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit '
Truss Cates.
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.I.
M.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub: NVks. Appr
Dale of permit issue
School Fccs,-
.
I
Total Permit Fees
PIAZZA SERENA HOMEOWNERS ASSOCIATION
{ Professionally managed by
Personalized 68-950 Adelina Road
�Cathedral. City, CA 92234
Property Phone: (760) 325-9500
Fax: (760) 325-9300
Management
February 19, 2016
Fonda Lacerra
57850 Residenza Court
La Quinta, CA 92253
Re:57850 Residenza Court
Dear Sir or Madam,
The Architectural Committee of the Piazza Serena Homeowners Association has
reviewed your architectural application for the installation of a pool, patio cover and
spa in your back yard, and the installation of French doors to your home.
After review, the architectural committee has approved your request as submitted.
You may begin your project at any time. Good Luck on your renovation. If you have
any questions, please contact our property manager, Patricia Moeller at the number
above.
Sincerely,
(Patricia Moeller
Patricia Moeller, CCAM
For the Board of Directors
Piazza Serena Homeowners Association
RECEIVE®
JAN 2.0 2017
CITY OPLA OUINTA
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