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BPAT2016-010878-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application N.u'mber: Property Address: APN: Application Description: Property Zoning: Application Valuation: � i• DESIGN & DEVELOPMENT DEPARTMENT BPAT2016-0108 POV 78770 SUNBROOK LN LN 604293007 :MCLANE RESIDENCE/ PATI $3,000.00 Applicant: ATLAS AWNING AND SCREEN INC 754 SOUTH'WILLIAMS ROAD PALM SPRINGS, CA 92264 BUILDING PERMIT DEC 06.2016 nD DESIGNANp DEC'TYVELOPMENT QUINTA ELOPMENTDEPARTMENT 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: D03 License No.: 835140 . Date? (Z lb N, EC�ra'ctor: 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 1000) 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 ad 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 ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contracto'rs'. 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 Na Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/6/2016 Owner: RONALD MCLANE 78770 SUNBROOK LN LA QUINTA, CA 92253 Contractor: ATLAS AWNING AND SCREEN INC 754 SOUTH WILLIAMS ROAD PALM SPRINGS, CA 92264 (760)327-8466 Llc. No.: 835140 WORKER'S COMPENSATION DECLARATION I hereby affirmunder 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 ction 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:. SECURITY NATIONAL INSURANCE COMPANY Policy Number: SWC1096937 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 the Labor Code, I shall forthwith comply with those provisions. :Dated I Z1b h6 #—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 PROVIDEDTOR 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 la��111ws relating to building construction, and hereby authorize representatives of this city tgRnter upon the . above-mentioned property for inspection purposes. ✓// or Agent): Date: 12/6/2016 Application. Number: BPAT2016-0108 Owner: Property Address: 78770 SUNBROOK LN LN RONALD MCLANE APN: 604293007 78770 SUNBROOK LN Application Description: MCLANE RESIDENCE / PATIO COVER LA CIUINTA, CA 92253 Property Zoning: Application Valuation: $3,000.00 Applicant: Contractor,. ATLAS AWNING AND SCREEN INC ATLAS AWNING AND SCREEN INC 754 SOUTH WILLIAMS ROAD 754 SOUTH WILLIAMS ROAD 'PALM SPRINGS, CA 92264 PALM .SPRINGS, CA 92264 (760)327-8466 ------------------------------------------------------------------------ Llc. No.: 835140 Detail: 240 SF ALUMAWOOD SOLID PATIO COVER PER 2013 CALIFORNIA BUILDING CODE --------------------- FINANCIAL INFORMATION '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 foi TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS:0: 'Y i Bin #Qty Permit # Project Address: of La Quinto. 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 Owner's Name: C/' A. P. Number: Address: ) _ Legal Description: City, ST, Zip: Contractor: 4A Telephone: 0A _ / ::>._: ">•" Address: A) i -2C f / Project Description: City, ST, Zip . /J ,. 20 . . Telephonc'740- ,- State Lie. # : City Lie. #; Arch., Engr., Designer: Address: City., ST, Zip: '' CTe]ePhone: onstruction Type: Occupancy: State Lic. #• oJ cct tY r - (circle one): New A dd'n Alter Repair Dcm o Pr Name of Contact Person: _ Sq. Ft.: #Stories: #! Units: Telephone #,of Contact Person:.. c> Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cala. Revicived, ready for corrections Plan Clieek Deposit Truss Cala. Called Contact Person Plan Cheek Balance. Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan2"e Review, ready for.corrcetions/issue Electrical Subeontaetor List Called ContactPcrson Plumbing Grant Dccd Plans picked up S.M.I. Ii.O.A. Approval Plans resubmitted Grading IN I10USE:- 'rd Review, ready for corrcctionsfissuc Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fces Total Permit Fees