BPAT2017-002678-495CALLETAMPICO-• C` 0 D (P VOICE (760) 7,77-7125.
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number: BPAT2017-0026 Owner:
Property Address: 78780 SANITA DR GERARDO GARCIA
APN: 604163003law 78780 SANITA DR
Application Description: GARCIA/495 SF DURALU PAI AT -A LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $1,600.00
APR � 4 2011
Applicant: Contractor:
C & S PATIO COVERS CITY OFLA UD C & S PATIO COVERS
65269 ELAINE CIRCLE DESIGN AND QUINTA 65269 ELAINE CIRCLE
MECCA, CA 92254 EVELOPMENTDEFARTM�NT MECCA, CA 92254
(760)625-4225
LIc. No.: 1004320
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: D03 License No.: 1004320 ,[
Date: fCo�tract`or � J'
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 contractors) 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 N
Lender's
Date: 4/14/2017
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: 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 Lab r Code, I s II forthwith
comply with those p visions.
Date -Applicant:— s
WARNING: FAILURE TO SECURE WORKERS' COMPENSA ON 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-menti(onned operty for inspection purposes.
Da et :_ /"►` ' Signature_(Applicant or_Agent): ---T
Application Number: .
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
C & S PATIO COVERS
65269 ELAINE CIRCLE
MECCA, CA 92254
BPAT2017-0026
78780 SANITA DR
604163003
GARCIA/495 SF DURALUM. PATIO AT SIDE YARD
$1,600.00
Owner:
GERARDO GARCIA
78780 SANITA DR
LA QUINTA, CA 92253
Contractor:
C & S PATIO`COVERS
65269 ELAINE CIRCLE
MECCA, CA 92254
(760)625-4225
Llc. No.: 1004320
Date: 4/14/2017
Detail: 495SF COMBO TRELLIS AND COVERED PATIO COVER AT SIDE YARD [DURALUM] THIS PERMIT HAS ELECTRICAL AND (2) FANS. NOTE: ANY EXTERIOR
LIGHTING SHALL BE HIGH EFFICACY WITH CALIFORNIA ENERGY CODE 150.0(K)(3) COMPLIANT CONTROLS. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTIONACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$4.67
Total Paid for Credit Card Fee: $4.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
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
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ci, y of L Quinta
Buildin; Si- Safety Division
Permit ;! 7,8-495 Calle Tampico
LR iQuiiata CA 92253--(7,60) 777-701,2
wo 41',., �
BL1liding�P,errrlr� Ap��Ilca n and Tracking:Sheet.
9 AA - a 4 *'!
Project Address: G XICTa
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A. P. Number:
Address:_79-7gi .�
Legal Description:
City, ST; Zip: vh R. Z2S 3
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TelePh o e• .
Address:o6 2� �1/�C�
Project Description:
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City_ ST, Zip: k t� I•Z
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Telephone -
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Qcory\blnodiwi
State Lic. # : 10-13.ZU
City Lie.
Arch., Engr., Designer:
Address:
t <
City, ST, Zip:
Telephone:
an
Occupancy:
1eti n Type: cy:
e -COR iIP
State is
Ptype circle one);' Add'n Alter Repairair D mo
Name of Contact Person&i S+iAv' AACIU10
Sq. Ft_:#
Stories:
# Units:
Telephone # of Contact Person 7&0 6? -45 225
Estimated Value of ProjectAl
Y
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Rcc'd
'T'RAC'KING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
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
21' Review, ready for correclionslssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A..Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person s
A.I.P.P.
I'ub. Wks. Appr
Date of permit issue
School Fees,
I
.
Total Permit Fees
I
C&S Patio Covers
• 65269 Elaine Cir.,
Mecca, CA 922.54
Chris Angulo 760.625.4225
Sergio R Mata 760.905.2733
FREE ESTIMATES
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BUILDING & SAFETY DEPT. 1'
APPROVED
FOR CONSTRUCTION
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BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
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