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BPAT2016-007578495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPAT2016-0075 Property Address: 51595 AVENIDA VELASCO APN: 773133016 Application Description: AYALA CARLOS / PATIO Property Zoning: . Application Valuation: $6,875.00 {C= c&,t,vl 4 4 0": COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Owner: CARLOS AYALA , 92253 VOICE (760) 777-7125 FAX (760)777-7011 INSPECTIONS (760) 777-7153 Date: 7/19/2016 Applicant: --� Contractor: CALIFORNIA SHOWCASE CONSTRUCTION 'INC JUL 9 2016 CALIFORNIA SHOWCASE CONSTRUCTION INC 1507 MARLBOROUGH AVENUE 1507 MARLBOROUGH AVENUE RIVERSIDE, CA 92507 CITYOFLAQUIIVTf :RIVERSIDE, CA 92507., COMMUNITY OEVELOFMFN? ^E EPARAiENT (951)682-0208 . Llc. No.: 912352 ------------------------------------------------------------------------------------ ------ 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.: 912352 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 Name: Lender's Address: 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 w9rk for which, this permit is issued. I have and will maintain workers' compensation insurance, as required by ection 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: _ 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 subjectto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Acle �� Applicant: 2 WARNING: FAILURE TO SECURE WORKE OMPENSATION 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. ��� i ' Date: T •A; k �9 Signature (Applicant or Agent): l ••. FINANCIAL a --SCDERIPTION.�,t.A000UNTV� .QTY AINIOUNT %' 2? ` PAID'DATE: � PAID�T BSAS SB1473 FEE 101-0000-20306 0 $1.00 .$1.00 7/19/16 t PAID"BY;;7. y `� '"''METHOD '' , RECEIPT # $ CHECK # E(t °CLTD BYt . CALIFORNIA SHOWCASE CONSTRUCTI CHECK R17214 42936 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00. 401K,4 s 'AC �V PAID PAIOYDATEDCTION PATIO COVER, STD, OPEN 101-0000-42404 0 $97.17 $97.17 7/19/16 r PAID BY z{ METHOD i'RECEIPT # CHECK #} CLTD CALIFORNIA SHOWCASE CONSTRUCTI CHECK R17214 42936 RSE r ;; DESCRIPTION ."r1 w ''x i, -ACCOUNT r " .QTY,' AMOUNT x PAID s _' PAID DATE PA CIO COVER, STD, OPEN PC 101-0000-42600 . ' 0 $95.72 " ' $95.72', 7/19/16 A r PAID BY RECEIPT # ,CHECK # E ` ' CLTD BY CALIFORNIA SHOWCASE CONSTRUCTI CHECK 1117214 42936 RSE Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $192.89 —'DESCRIPTION,—., i. bz t 3 . ACCOUNT �' , F QTY $ `"1* AMOUNT; ,NPAIO PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.89 $0.89 7/19/16 .PAID BY r METHODRECEIR#5T ' " CHECK # CLTD BYE CALIFORNIA SHOWCASE CONSTRUCTI- CHECK R17214 42936 RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.89 $0.89 TOTALS:•4 •4 Description: AYALA CARLOS / PATIO Type: PATIO COVER Subtype: CITY STANDARD/PRE- Status: APPROVED Applied: 7/19/2016 RS£ ENGINEERED - OPEN Approved: 7/19/2016.RSE Parcel No: 773133016. Site Address: 51595 AVENIDA VELASCO LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 52 Lot: 4 issued: UNIT S Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $6,875.00. Occupancy Type: Construction Type: r Expired: No. Buildings: 0 No. Stories: 0 .No. Unites: 0 Details: 350SF TRELLIS PATIO COVER AT REAR YARD [DURALUM) THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2013 CALIFORNIA BUILDING CODES. . FINANCIAL INFORMATION - Printed: Tuesday, July 19, 2016 12:42:51 PM 1 of 2 C SYSTEHIS DESCRIPTION ' - ACCOUNT .QTY ' :'.. 'AMOUNT .PAID PAID DATE ' RECEIPT.# CHECn # METHOD `' PAID BY CLTD . u• e r.. . - .,r ter. BY CALIFORNIA BSAS SB1473 FEE 101-0006-20306 0. $1.00 $1.00 7/19/16 R17214 429-%6 CHECK SHOWCASE . RSE CONSTRUCTI Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: CALIFORNIA PATIO COVER, STD, 101-0000-42404 0 $97.17 $97.17 7/19/16 R17214 42936 CHECK SHOWCASE RSE OPEN CONSTRUCTI CALIFORNIA PATIO COVER, STD, 101-0000-42600 0 $95.72 $95.72 7/19/16 R17214 42936 CHECK SHOWCASE RSE OPEN PC CONSTRUCTI Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $192.89 CALIFORNIA SMI - RESIDENTIAL 101-0000-20308 0 $0.89 $0.89 7/19/16 R17214 4293.6 CHECK SHOWCASE RSE CONSTRUCTI Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.89 $0.89 $194.78 $194.78 PARENT PROJECTS RETURNED] REVIEWS STATUS; REMARKS REVIEW TYPE' REVIEWER SENT DATE" DUE DATE �. DATE NOTES BUILDING 7/19/2016 7/20/2016 7/19/2016 APPROVED IST BLDG NS (1 WK) BUCKET BOND INFORMATION Printed: Tuesday, July 19, 201612:42:51 PM 2 of 2 SYSTEMS �* " 1507 Marlborough Ave. Riverside, CA 92507 wee68fice-PROPERTY . PLOT PLAN OfFax `951) 686=0769 t 2-208 Showcase Construction • Customer: 04gw5 A9 LA measure date: :Z- Ad _ LASC(i f lot size: q, 792— L. Arf `12253 house size:_/;'39! garage size: 'AZO P/C size` 350 • lot coverage: 4/5-09 0 A6AP_ � 5 le '" t . a,io k , 4e RI x. G� 3 �` �1 �, T_ ,�