BPAT2014-100378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BPAT2014-1003.
Property Address:
78533 TORINO DR
APN:
609551005
Application Description:-,
Property Zoning:
Application Valuation:
$1,500.00
Applicant:
ALADDIN SUPPLY & CONSTRUCTION
27217 CORNELL
HEMET, CA 92544
.. r� r���•� Jr
VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
1
Date: ' 7/10/2014
Owner:
JERRY AVERETT
78533 TORINO DR
LA QUINTA, CA 92253
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 Cl a s: B License No.: 50157+exmpt
T
Date: Contractor:
OWNER-BUI
I hereby affirm under penalty of perjury 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 allege
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:
Contractor:
ALADDIN SUPPLY & CONSTRUCTION
p 27217 CORNELL
HEMET, CA 92544
(760)321-1277
Llc. No.: 501572
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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 Iwork 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:— 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 th t, if I should become subject to the
workers' compensation provisions of Section 0 of the Labor Code, I shall forthwith
comply with t ose provisions..
(Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPEA OVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P TIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000). IN ADD T N 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.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances-andan laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of thi ci to enter upon the above-
mentioned rop y f inspection purposes.
Lender's Name:
Date: Signature (Applicant or Agent):
Lender's Address: �
FINANCIAL INFORMATION i ;t' <•
,
ACCOUNT ` S ;`QTYy Y ' AMOUNT _`�_ . � PAID; PAID DATE'
r'
BSAS SB1473 FEE '
101-0000-20306 0 $1.00
$0A0
ECEIPT #
�:' r�CHECK #{, ICLTDrBY`
«'c..t.. .T .Z...:,.+i'. �_ .]�- .r
t^•. @< bdl�w � a�r ti ,�. :.�`
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00.
gu' DESCRIPTIONiw `�x�t
�' s�';ACCOUNT¢`
„tQTY.
t, AMOUNT�1
PAID 5f�
owl)DATE`
s-.
PATIO COVER, STD, OPEN'
101-0000-42404
0
$95.81
$0.00_
z pAID`BYMETHOD
*,+}`�
'RECEIPT#s{f!;CLTDBY,;x
�Y'riT!: �. tt* � . ...-SS:iYl9)eIS •. . ,�'+. �. '.1��!T . , a
-. _..: vY_ fY^: F�-� .i,....s ' -i•� a •19•M+!".'.
.�';Y�.�� .
^aF' ..Y - r.. 1. Y":
DESCRIPTION°
-rs3t'tiF"
ACCOUNTSQTY:AMOUNTiz
R«a ."'i
TAID DATE:
fir" «?
.�6
TPAIDr� k
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$94.38
$0.00
`..,
2-7
a rRECEIPT;#::a7 I
F;rCHECK #
"CLTD.BY.
�, tS'd'f;F.<.,, ,,� ,.,, •..r ;.., -.,. ;-x .:.2«riw.;,z �,.>:,.r .i+" ....
x',
,,' ..0 isE' .'�.y.r•; ... !._, .. y.E ,y:;; a'
k w«0,.1.-'�•vv...... .w?.,;wwh: •_;(..:
,Tsk aa
i ;. .....:sw -..apt .
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Total Paid forPATIO COVER / COVERED PORCH / LATTICE $190.19 $0.00
TOTALS:i0
Bin #
City of La Quinta
1 ii" l Building &r Safety Division
P.O. Box '1504, 78-495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012.
Building Permit_ Application and Tracking Sheet
Permit #
A �^ �1 ✓
1"d� 1 _ !
Project Address: �� >� �v
Owner's Name: 'T -f—'"14
A. P. Number:
Address: g -s'2 (v�DI
Legal Description:
City, ST, Zip: GA CDukY\)N,
Contractor: A 1XV
i '5(/ kk
Telephone:
-Y.",
Address: Cj Z -1l �/1/�
-
Project.Description:
/
City, ST, Zip: Cl R22�
Telephone: —
State Lic. # : (' l S
1e. #;
Arch., Engr., Designer:
Address: /1
City, ST, Zip: F
Telephone:
State Lic.'#•::
f•-f;i:G:
>.::>:;:;< <.:-;::.?•
`'' ?>--» == "<"
Construction Type: Occupancy
.Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units.
Telephone # of Contact Person: 13
Estimated Value of Project: 0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Recd
TRACMG
PERMIT FEES,
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 Cala.
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
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
�Al oul"
�t
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