BPAT2017-00591
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VOICE (760) 777-7125
Z8-495 CALLE TAMPICO �T
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FAX (760) 777-7011
LA QUINTA, CALIFORNIA
92253
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: .8/17/2017
Application Number:
BPAT2617-0059
Owner:
Property Address:
43690 TAURUS CT CT
BRUCE JESSEL
APN:
609560036
43690 TAURUS CT
Application Description:
JESSEL / 671 SF ALUMAWOOD PATIO COVER
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$12,200.00
Applicant: U Contractor:
TRADER DAN'S INC DBA ROOMS N COVERS ETC TRADER DAN'S INC DBA ROOMS N COVERS ETC
840 S ROCHESTER AVE STE C AUG 17:2017. 840 S ROCHESTER AVE STE C
ONTARIO, CA 91761 ONTARIO, CA 91761 '
CITY OF LA QUINTA
COMMUNITYOEVELOPMtMDEPARTMENT (909)390-0555
Llc. No.: 517575
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: C47, B. C39 License No.: 517575
Date`: % / 7 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 l
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 Addre
. I WORKER'S COMPENSATION DECLARATION
a
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 ork is 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: INSURANCE COMPANY OF THE WEST Policy Number: WSA5000386
_ 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 compensation
provisions.
Date: A plicant:
WARNING: FAILURE TO SECURE WORKERS' COM GE IS UNLA
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 enterupon the above-
menticined,p9operty for inspection purposes. _
Date: / / / Signature (Applicant or Agent):~
C_
i
Date: 8/17/2017
Application Number: BPAT2017-0059
Owner:
Property Address: 43690 TAURUS CT CT
BRUCE JESSEL
APN: 609560036
43690 TAURUS CT-
TApplication
ApplicationDescription: JESSEL / 671 SF ALUMAWOOD PATIO COVER
LA, QUI NTA, CA 92253
Property Zoning:
Application Valuation: $12,200.00
Applicant:
Contractor:
TRADER DAN'S INC DBA ROOMS N COVERS ETC
TRADER DAN'S INC DBA ROOMS N COVERS ETC
840 S ROCHESTER AVE STE C
840 S ROCHESTER AVE STE C
ONTARIO, CA 91761
s,
ONTARIO, CA 91761.
(909)390-0555. •-
Llc. No.: 517575
Detail: (2) SOLID PATIO COVER AT REAR YARD (1) 418SF (2) 2535E [ALUMAWOOD] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2016
CALIFORNIA BUILDING CODES.
v
1
BSAS SB1473 FEE. .101-0000-20306. 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
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 EA. ADDITIONAL
101-0000-42400
0
$50.67
DESCRIPTION
ACCOUNT
QTY•
"AMOUNT
PATIO COVER EA ADDITIONAL PC
101-0000-42600
0
$38.00
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: $290.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$1.59 , /
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.59
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE*
502-0000-43611
0
$5.00
Bin#
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
-sq Building Permit Application and Tracking Sheet
Permit#
6 P T �1-0 17
Project Address:crO � 'A fUl c
U, t/l
Owner's Name: rmC.� f-5 , I
A.P. Number
Address: a O lott4 r&tS C- -
Legal Description:
City, ST, Zip: ��1� 2 z ?
/(
Contractor: I '
Telephone: q0,1 - 7C L _ 67 4 r
Address: $ q,D eSyf�;,ip !
Project Description.: 1 i , ��; i.. a,$ 3 -S f,
tbl,"OW
City, ST, Zip:` 04 C(d C✓7I OU -161
5Q Ld A 00 u +,"C Govur.
Telephone:
State Lic. #:SJ 7 �� City Lie #:
Arch, Engr., Designer:
B�
Address:
City, ST, Zip:
Telephone:
Construction Type:D� (may
17
Proj. Type New 7 Addd'n
Occupancy:
Alter Repair Demo
State Lie. #:
Name of Contact:rhAq +p )�
/cs
SgFt: 6 71
#Stories
#Units:
-cam—
Telephone of Contact: 3� _
Estimated Value of Project:—
Z-Q 0
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:
Truss Cales
Called Contact Person
Plan Check Balance:
Title 24 Cales
Plans Picked Up
Construction:
Flood Plain Plan
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections'/
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
OWNER
ADDRESS
CITY
LOT NO.
ZIPPHONE a
TRACT APN
CONTRACTOR
ROOMS N' COVERS PROPOSED ADDITION(S)
840 S ROCHESTER AVE #C
ONTARIO, CA 91761 X •2.3
LIC. B-517575 .
909-390-0555 GQ,(,(,l. VAUJ 6 ,
WORK COMP
ICW GROUP
W SA5000386-07 .
EXP6/14/2017
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STREET
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