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BPAT2017-0030+ - r 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: JASON ALLAN RUDDOCK 37814 MEDWAY STREET INDIO, CA 92203 i DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BPAT2017-0030 45135 SUMMERBROOK CT 604413007 JONES/ 138SF SOLID (DURALUM) PATIO COVER AT REAR YARD $3,000.00 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: 003 License No.: 1019837 ( Date: f Contractor: OWN ER -BU I LDER490EVCLARATION 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.). (J 1, 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-:125 FAX (760) 777-:011 INSPECTIONS (760) 777-:153 Date: 4/19/2017 Owner: CHADJONES , 92253 .z LU a a LU t— __:1 U C3 S 1 O w LU `— o U � z CC z GD LJ Ca . 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 worker.:' 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: Carr i : EXEMPT Policy Number: _ ' I certify that in the performance of the work for which this permit is issued, I s 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 those provisions. Date: �7 Applicant: WARNING: FAILURE TO SECURE WORKER ' PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO IMINAL 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 CCDE, INTEREST, AND ATTORNEY'S FEES. r 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 i';sued as a result of this application, the owner, and the applicant, each agrees to, and shell 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 6 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 cor-ect. I agree to comply with all city and county ordinances and state laws relating to building construction, and herebyauthorize representatives of this city to enter upon the above- mentioned property for inspection purposes. l Date: '�)' Signature (Applicant or Agent): C N Contractor: LM JASON ALLAN RUDDOCK 37814 MEDWAY STREET CL_ INDIO, CA 92203 Q (760)880-6710 Llc. No.: 1019837 .z LU a a LU t— __:1 U C3 S 1 O w LU `— o U � z CC z GD LJ Ca . 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 worker.:' 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: Carr i : EXEMPT Policy Number: _ ' I certify that in the performance of the work for which this permit is issued, I s 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 those provisions. Date: �7 Applicant: WARNING: FAILURE TO SECURE WORKER ' PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO IMINAL 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 CCDE, INTEREST, AND ATTORNEY'S FEES. r 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 i';sued as a result of this application, the owner, and the applicant, each agrees to, and shell 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 6 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 cor-ect. I agree to comply with all city and county ordinances and state laws relating to building construction, and herebyauthorize representatives of this city to enter upon the above- mentioned property for inspection purposes. l Date: '�)' Signature (Applicant or Agent): r Date: 4/19/2017. Application Number: BPAT2017-0030 Owner: Property Address: 45135 SUMMERBROOK CT CHAD JONES APN: 604413007 Application Description: JONES / 138SF SOLID (DURALUM) PATIO COVER AT REAR YARD 92253 Property Zoning: Application Valuation: $3,000.00 Applicant: Contractor: JASON ALLAN RUDDOCK JASON ALLAN RUDDOCK 37814 MEDWAY STREET 37814 MEDWAY STREET INDIO, CA 92203 INDIO, CA 92203 '(760)880-6710 Llc. No.: 1019837 Detail: 472SF SOLID PATIO COVER AT REAR YARD [DURALUM) THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2016 CALIFORNIA BUILDING CODES. p i o • i � t. ATI DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 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: $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 1 Bin # Permit 7; Project Address: s t Qty Cif La Quffi to Building Sr Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701.2 Building Permit Application and Tracking Sheet kFOOL Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: yl p Contractor. 14 LIM) Telephone: IBM - Address: Z21S t 5 J! A �v Project Description: �u/,4a vb City, ST, Zip: e Telephone: t` 7 3 7© y� n State Lic. # : v City Lie. #:_76 Z Arch., Engr., Designer: Address: City, ST, Zip: Telephone: le h P 0 f%i: ti n Type: Occupancy: ConsfracoYP State Lic r e (circle one Add'n Alter Repair.ai DemoProject bP Name of Contact Person: aSOP Sq. Ft.: 7 Z # Stories: # Units: Telephone # of Contact Person: D -21'7V LIPV 3 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE tl Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit ' Truss Cales. Called Contact Pcrson Plan Check Balance. Title 24 Calcs. Plans picked up Construction ' Flood plain plan : Plans resubmitted Mechanical' Grading plan 2°" Review, ready for corrections/issue Electrical SubcontactorList Called Contact Person' Plumbing Grant Deed Pians picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN If OUSE:- Jrd. Reyiew, ready for correctionsfissuc Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. \Vks. Appr Date of permit issue School Fees, - Total Permit Pees 20•_2 6.. 81-3311 J CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION