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BPAT2016-0045y:,• 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPAT2016-0045 T,iht. 4 seP QuiKr(v COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 47895 DANCING BUTTERFLY APN: 600410039 Application Description: WIANECKI / PATIO COVER Property Zoning: Application Valuation: $1,410.00 Applicant: LIFETIME PATIOS P 0 BOX 5806 LA QUINTA, CA 92248 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: B License No.: 770843 Date: Co 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 foe 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 Owner: WAYNE WIANECKI 47895 DANCING BUTTERFLY LA QUINTA, CA 92253 Contractor: LIFETIME PATIOS P 0 BOX 5806 LA QUINTA, CA 92248 (760)772-0013 Llc. No.: 770843 Date: 6/2/2016 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 th work for which this permit is issued. ave and will maintain workers' compensation insurance, as required by Section 700 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 th se rovisions. /J i Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' COM PENS ION 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-mentio d p perty for inspection purposes.- Signature urposes.Signature (Applicant or Agent): l DESCRIPTION l .• 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 for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, STD, OPEN 101-0000-42404 0 $97.17 $0.00 PAID BY , METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID. PAID DATE PATIO COVER, STD, OPEN PC 101-0000-42600 0 $95.72 $0.00 PAID BY METHOD RECEIPT #.• CHECK # CLTD BY Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00 TOTALS:• 0- Description: WIANECKI / PATIO COVER Type: PATIO COVER Subtype: CITY STANDARD/PRE- Status: APPROVED Applied: 6/2/2016 SKH ENGINEERED - OPEN - Approved: 6/2/2016 SKH Parcel No: 600410039 Site Address: 47895 DANCING BUTTERFLY LA QUINTA,CA 92253 Subdivision: TR 31311 Block: Lot: 109 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,410.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 """'AUORE55'i Details: 157SF OPEN LATTICE PATIO COVER A T REAR YARD [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES CHRONOLOGY CONDITIONS CONTACTS ,-NAME—TYPE .. .. r NAME '"""' """'AUORE55'i CITY STATE ZIP PHONE FAX EMAIL APPLICANT LIFETIME PATIOS P O BOX 5806 LA QUINTA CA 92248 LIFETIMEPATIOS@AOL. COM CONTRACTOR LIFETIME PATIOS P 0 BOX 5806 LA QUINTA CA 92248 LIFETIMEPATIOS@AOL. Com OWNER WAYNE WIANECKI 47895 DANCING LA QUINTA CA 92253 BUTTERFLY Printed: Thursday, lune 02, 2016 3:48:11 PM 1 of 2 sysreMs of ui- 'C, o� 'yvFo �C6MOF'n9 , INSPECTIONS PARENT PROJECTS ATTACHMENTS Printed: Thursday, June 02, 2016 3:48:11 PM 2 of 2 CN?WsYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY . BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: PATIO COVER, STD, 101-0000-42404 01 $97.17 $0.00 OPEN PATIO COVER, STD, 101-0000-42600 0 $95:72 $0.00 OPEN PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE:' $192.89 $0.00 SMI = RESIDENTIAL 1 101-0000-20308 1 0 $0.50 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00 TOTALS:•4 00 INSPECTIONS PARENT PROJECTS ATTACHMENTS Printed: Thursday, June 02, 2016 3:48:11 PM 2 of 2 CN?WsYSTEMS Bin # City of La Quinta Biaitding BT Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 'Building Permit Application and Tracking Sheet Permit # Project Address:' •.�-� 8 - -D(jnciLet-fl Owner's Name:, A P. Number: Address: -1478'45 Da nett .. Legal Description: ° Contractor: /FET /y� 19 % / OS Address: r� .60X 5306 City, ST, Zip: L-6 .a 9a� 53 Telephone: � ,. Project Description:'ta 0 d City, ST, Zip: 1A Z901k7 614 (-dI �'h� ce i' D Telephone: /�O- %/�-Qd /3 er ri ^ �b �� State Lic. # : -7 %� $ T 3. City Lic. #:.�Sg Arch., Engr., Designer: Address: City, ST, Zip: ' Telephone: K '. State Lic. #: ': Name of Contact Person: ��'/�� A& Constrgction Type: Occupancy: Project type (circle one): New Add'n .Alter Repair Demo Sq. Ft: 1,57 # Stories: # Units: Telephone # of Contact Person: bbg V 700 Estimated Value of Project:E-416, 06 "APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING • PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Trans Cates. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for correctionsfissueElectrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks.'Appr Date of permit issue SchoolTees Total Permit Fees Watercolors at La Quinta Homeowner Association Architectural im rovement APPLICATION AND REVIEW FORM � 'VI-71-A&Lot Number - Owner Nam Dat Property Address Phone number r7� Email address (if you have one)-'-g-'c' `� a rr. -Nature of Im rovement--�`� '02 C,.'ucr'�,�Y•ic:� n l �S c -�► e, K 4'c Color, If applicable� &J'-) o' Estimate Start Date Dimensions, if applicable -- Construction materials, if applicable---�`�`L"�'P Supplier/Vendor L� t`' ��''--Lt°5----- ---- Approx. Cost 1720 Attach an additional page for description, if necessary. One set of plans are required, if requested improvement requires a building permit or a picture of the improvement, if more appropriate. If construction is involved, the owner is responsible for obtaining City of La Quinta permit to do the work. There will be a $25 transaction fee payable to DRM. Only if a Citv of La Quinta permit is required. Examples of no fee requests are. but not limited.to the followine: naintina. of aaraae doors, house doors, house screen Moors, patio nates, installation of satellite dish and other items Requested Application shall be deposited in the Locked Black Box, in the Clubhouse office. Blank Application forms may also be obtained in the Clubhouse office. ............................................................................... For intern se only. Date Received: Inspection date Approv Disapproval (circle one-), Date at r — Committee Signatures(requires 2 or signatures) -Conditions, If any, -Rev(8-15) ' OPEN LAME f S CTME - Rose"r° IQ DANG I NCS BUTTERFLY 51.25' PROPERTY LINE WAYNE HANEGKI , 47885 DANCING BUTTERFLY LA CQUINTA 82253 SITE PLAN SCALE, NT5 J J VI i i OF LA QUINTA BUILDING & SAFETY DEPT - APPROVED FOR CONSTRUCTION