BPAT2016-008978-495 CALLE TAMPICO D �iIMACl/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPAT2016-0089
Property Address: 54890 CAVALCADE CT
APN: 767790037
Application Description: ZAOMORA / 2565F TRELLIS DURALUM PATIO COVER AT REAR YARD
Property Zoning:
Application Valuation: $2,600.00 �f�1
Applicant:
VALLEY PATIOS INC DBA VALLEY CONCRETE& u ,`
37897 CHESTERFIELD STREET
INDIO, CA 92203
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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. I
License Class: C-8. C51 License No.: 937811
Date:—MOA Contractor: �—
OWNER-BUILDER DECLARAT
I hereby affirm under penalty of perjury that I am exemp 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 Name
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: . 8/30/2016
Owner:
IOTA GRIFFIN
Contractor:
VALLEY PATIOS INC DBA VALLEY CONCRETE &
37897 CHESTERFIELD STREET
INDIO, CA 92203
(760)534-4634
LIc. No.: 937811
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 w*11or 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: GRANITE STATE INSURANCE COMPANY Policy Number: 002008185
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,J shall forthwith
comply with nose pr visions.
Date: / Applicant: t'ilrt LCj
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 nter upon the
above -menti, ned p operty for inspection purposes.
Date: Signature (Applicant or Age
a 1)
Date: 8/30/2016
Application Number: BPAT2016-0089 Owner:
Property Address: 54890 CAVALCADE CT IOTA GRIFFIN
APN: 767790037
Property Zoning:
Application Valuation: $2,600.00
Applicant: Contractor:
VALLEY PATIOS INC DBA VALLEY CONCRETE & VALLEY PATIOS INC DBA VALLEY CONCRETE &
37897 CHESTERFIELD STREET 37897 CHESTERFIELD STREET
INDIO, CA 92203 INDIO, CA 92203
(760)534-4634
LIC. No.: 937811
---------------------------------------------------------------------------------------------
Detail: 256SF TRELLIS PATIO COVER AT REAR YARD [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2013 CALIFORNIA BUILDING
CODES.
f
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
$97.17
DESCRIPTION
ACCOUNT
QTY
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
j Total Paid for STRONG MOTION INSTRUMENTATION SMI:. '$0.50
i
r�
DESCRIPTION•
PermitTRAK
QTY
PAID
$194.39
BPAT2016-0089 Address: 54890 CAVALCADE CT
Apn: 767790037
$194.39:
BUILDING STANDARDS ADMINISTRATION BSA
$1.00
BSAS SB1473 FEE
101-0000-20306 0
$1.00
PATIO COVER / COVERED PORCH / LATTICE
$192.89
PATIO COVER, STD, OPEN
101-0000-42404 0
$97.17
PATIO COVER, STD, OPEN PC
101-0000-42600 0
$95.72
STRONG MOTION INSTRUMENTATION SMI.
$0.50
SMI - RESIDENTIAL
101-0000-20308 0
TOTAL1L
.4 .39
Date Paid: Tuesday, August 30, 2016
Paid By: VALLEY PATIOS INC DBA VALLEY C
Cashier: AOR
Pay Method: CHECK 1381
A
Printed: Tuesday, August 30, 2016 4:13 PM 1 of 1 CWZTr�
Bin #Qty
Permit #f
Project Address:
of La Quilita
Building 8f Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
"Building Permit Application and Tracking Sheet
Owner's Name:
A. P. Number:
Address- �� t e,
r
Legal Description:
City, ST, Zip:
-
2Z 3
Contractor: ' l
Telephone:
Address: etOtt /
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Project Description:
City, ST, Zip:
.��
Telephone:
hone:
State Lic. # :
City Lie. #c
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:.
Construction O ane Y:
TYP Occupancy:
P
.StateLi.#
c. Lac •
Project type (circle one): New Alter
Repairair Demo
Name of Contact Person:-
Sq. Ft.6
# Stories:
#Units:
Telephone # of Contact Person:
O �o
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing i
Gran( Deed
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date orpermit issue
School Fees,
Total Permit Fees
} Zamora Residence
54890 Cavalcade Ct
La Quinta, ,CA 92270
Proposed Alumawood Patio
Cover
CITY CSF LA QUINTA
BUILDING & SAFETY DEPT.
.APPROVED
FOR CONSTRUCTION
DATE 7A l6 By :J r
8PM'zotb . oo$�
Driveway