BPAT2015-004278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
LIFETIME PATIOS
P 0 BOX 5806
LA QUINTA, CA 92248
BPAT2015-0042
78707 TORINO DR
609522001
tllitrfw' F\.
4a
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
ALUMAWOOD PATRIO COVER 108 SQ FT
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: r6 Contractor: -fir
r
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 -4
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for
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 owri 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
Date: 7/21/2015
Owner:
BLAIR GEHRT
78707 TORINO
LA QUINTA, CA 92253
Contractor:
LIFETIME PATIOS
P 0 BOX 5806
LA QUINTA, CA 92248
(760)772-0013
Llc. No.: 770843
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: _ 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 thos pro v..sio
cons.
4ate: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES. .
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a. result of this application, the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned pro erty for inspection purposes.
Date: Signature (Applicant or
:.FINANCIAL INFORMATION
DE$CRIPTIONW,1_-a�ACCOUNT s`.,�.iQTYAMOUNTa:�+,� PAID'-�w*PAIDADATE
BSAS SB1473 FEE
101-0000-20306 0 $1.00 $0.00
b z u PAID BYE " ��"� fr
§METHOD a* fit t:: R iso " a _ €
s., # ' CHECK # CLTI).
z ,,
r a .RECEIP_T � q, � g Y
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00•
R i aDESCRIFTION h
DE vf
Y $' ACCOUNT
QTY
�i4MOUNT
a " ' PAID3
PAID DATE
Y• .. r.. -kA-tCid
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Y aR' i i.°a
PATIO COVER, STD, OPEN
_ 101-0000-42404
0
$97.17
$0.00'.
6 P'. _ .S, apa .''.'K�
tibV'V€ 'PAIf)BY�a��°`
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EDESCRIPTION 4
`"''"�frACGOUNT *sum:
;QTYg
xAMOUNT�
sPAIf)w
PAID DATE.
*
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$95.72
$0.00
METHOD�"`�_
'€k RECEIPT#4
�F ``'CHECK#
'CLTD
4K«Frs�,:y ,PAIDBYa ry _..
a xr
�c ,
..* �t
.
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $192.89, $0.00
.� 9 1 .4„CW _ ���,. _ � i d d+# T M:.,. �'
DESCRIPTION A+ ""YYs
�•? yta £�.!: 1 - 4 � A Q{d
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AMOUNT
} "Mq>?EY-04!,::
PAIDs
E f
PAID':DATE
Irt ��ACCOUNT re
z
s
F«
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
$0.00
BYi'
"fr g•,"� METHOD
rCHECK#�
CLTDBYf
t'¢r;\*PAID
;RECEIP.T# ;Y
p
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0:50 $0.00
AY .
TOTALS
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a
1
4
Description: ALUMAWOOD PATRIO COVER 108 S -Q FT
m
•,.,, 7l. I •,vel„
{
Type: PATIO COVER .
Subtype: Status: UNDER REVIEW
Applied: 7/21/2015 PJU
Approved:
Parcel No: 609522001 Site Address: 78707 TORINO DR LA QUINTA,CA 92253
Subdivision: TR 28457-2
Block: Lot: 16
Issued:
Y
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $864.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: ALUMAWOOD PATIO COVER 9 X 12 TOTAL OF 108 SQUARE FEET PER APPROVED PLANS & 2013 CBC 201216C •
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Printed:. Tuesday, July 21, 2015 1:36:28 PM 1 of 2 sysieMs
y•
ACCOUNT
`.QTY'
G
AMOUNT
#r
PAIDY
PAID DATE'
#
#
METHOD
PAID BY
YDESCRIPTION t
€�„ is
-, ...
lRECEIP,T
*CHECK *:.
PATIO COVER, STD,
101-0000-42404
0
$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-
0.00
SMI - RESIDENTIAL
SMI
101-0000-20308
0
$0.50
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $0.50 $0.00
•,
S Printed: Tuesday, July 21, 2015 1:36:28 PM 2 of 2 CRWYSUMS
Bin #c
'City. of la QWn"ta'..
r
Building u`safet r D_ ivision ..
f P.O. Box -1504, 78-495 Calle Tampico .
Permit #
.
�. La Quinta, CA 92253 - (760) 777-7012 ,•
Plan Sets
Building Permit Application and Tracking Sheet
ProjectAddress:-Gg
Owner's Name
A P. Number. -
Address:
l'
Legal Description:
City, ST, Zip: �P+tAIA
Contractor.,C iFETibf,67 /9 7-1 DS
Telephone: d
4
-
Address: P� ��X,��
Project Description: s
City, ST, Zip: /A Q( 1k7AL ,.6,
Telephone: - 77,? - Qd 13
' sd
fIDD
Called Contact Person
l ' •
State Lic.#: 77D97�. City Lic.#:3aS8
Arch., Engr., Designer: , v
Energy Calcs.
Address:
{
City, ST, Zip:
Telephone:
;,
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New A_dd'n : Alter Repair Demo
Name of Contact Person:04 �r/eS
Sq- FL: I G�
# Stories:
#Units:
Telephone # of Contact Person:7�D �06$ '/ 7(�� :
Estimated Value of Project:
APPLICANT- Dn NOT WRITF RFI nw +UIQ 1 imr-
#
Submittal
Req'd
Recd
TRACK NG
PERMIT FEES '
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plau Check Deposit
Truss Cafes:
}
Called Contact Person
l ' •
Plan Check Balance
Energy Calcs.
.'i
Plans picked up
Construction
Flood plain plan,
Plans resubmitted
'Mechanical,
Grading plan' °
V Review, ready for correctioni/issue
Electrical
Subcontactor List '
r
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
a.
H.O-A. Approval
Plans resubmitted
Grading
v
INHOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
'
Planning Approval
.►
Called Contact Person .
A.LP.P.
h
Pub. Wks. Appr '
Date of permit issue "
SchoolFees
, ~
'
Total Permit Fees
-