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BPAT2017-001878-495 CALLE TAMPICO 4 LA .QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT. Application Number: BPAT2017-0018 Property Address: 79317 SIGN OF SPRING APN: 600420028 Application Description: WILLIAMSON RESIDENCE / PATIO COVER 108 SF Property Zoning: Application Valuation: $972.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: CAROL WILLIAMSON 79317 SIGN OF SPRING LA QUINTA, CA 92253 Date: Applicant: Contractor: ' LIFETIME PATIOS LIFETIME PATIOS P 0 BOX 5806 P 0 BOX 5.806 Lr�� LA QUINTA, CA 92248 LA QUINTA, CA 92248 (760)772-0013 Llc. No.: 770843 t-=—'----� 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: ZJ -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 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 Lender's Address: 3/22/2017 v S O 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9204676 _ 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 those provisions. 3 zi'✓ Date: / Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPE E 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 actor 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 -ment'oned-r7operty for inspection purposes. Date: / 7 Signature (Applicant or Agent)r Date: 3/22/23117 Application Number: BPAT2017-0018 Owner: Property Address: 79317.SIGN OF SPRING CAROL WILLIAMSON APIC: 600420028 79317 SIGN OF SPRING . Application Description: WILLIAMSON RESIDENCE/ PATIO COVER 108.:SF LA QUINTA, CA 92253 Property Zoning: . Application Valuation: $972.00 Applicant: Contractor: LIFETIME PATIOS " LIFETIME PATIOS P 0 BOX 5806 ) P O"BOX 5806 LA QUINTA, CA 92248 LA QUINTA, CA 92248 (760)772-0013 Llc. No.. 770843 Detail: 108 SF SOLID PATIO COVER AT REAR YARD [WEATHERWOOD) TFIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2016 CALIFORNIA BUILDING CODES. -n .::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 for TECHNOLOGY ENHANCEMENT FEE: $5.00 J Bin # Cit Of U. Quinta Building a Safety Division +`,� P.O. Box 1504,78-495 Calle Tampico La..Qulnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet : Permit # V Project Address: 79317 Sign of Spring,La Quinta, 92253 Owner's Nsme:.CarolWilliamson A- P.Number. Address: 79317 Sign of Spring Legal Description: Contractor Lifetime Patios Address: PO 60X•5806 City, ST, zip: La Quints,' CA, 92253 Telephone: 760 702 3370 Project Description: city, ST, zip: La Quinta, CA, 92253 Weatherwood Alumonum Telephone: r " p 760 777 2650 � • ��,;�'� Solid Shade Structure. 9' x.12' . , State Lic. #: B 770843 City Lic. #; 3258.. Arch., Engr., Designer. Address: City., ST, Zip: Telephone: State Lic. #: Name of Contact Person: Charles Tunstead Construction Type:. Occupancy: Project circle one New Add'n Alter Repair Demo Sq. FL: 108#Stories: # Units: Telephone # of Contact Person: 760 668 1700 Estimated Value of Project: $972.00 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PERMIT FEES Plea Sets Plan Check submitted Item Amount Structural Calls. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs• Called Contact Person Plan Check Balance Mile 24 Calcs. Plana picked up Construction Flood plain plan Plans resubmitted •' . Mecharilcal Grading plan 2id Review, ready for correctiousressue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S bLL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for correcdons/issae Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees A00-tik.) OuS DEPT— e = Total Permit Fees North . Property Line ---- -T.- .� Property. Line: : _ _ Catd Williamsdn, Residence 79321 Sign of Spring 79317 Sign of $Pring., La Quinta,: 92253 La Quinta• 92253 7.6 760 702 3370 - �: . - 3' . .. Exerting Permiled Aluminum Attached Sliaue Swnitre' SandaNrood Cour. •� .• ,• .... .. ..• .. - y a1C .. . ` Property Line .. .-. -9. oad Solid shade shutue ...•Sandalwood color. 1'�.. Prvpaaaeale.r. Q811 �. to mtch oxc5ng:dWen . ': -- '--- - -..' .. 51 ourya__all _. p. . 10' d ' L_lr..pe - BOLDING & SAFETY 1 'PropertyUne DEPT:: . A ap FOR CONST ION SATE B a3 7910' t. Watercolors at La Quinta Homeowner Association Architectural imarovement APPLICATION AND RB Lot Number -! Lam- Owner Name --"-z 79-13i 17 5, _./ EW FORM =-Date Property Address --- r11U1Ie number- Z-G---��-� - 3 3 7 C Email address (if you have one --------n ----- ---------------- NL t, 1 -I r —C Nature of improvement------- --------- - " � c j ''C4 1,oc (�A l c� rri E G 5 L�L �; e. e ;, Esti mate Start Date----- ---=--=------------ --- Color, If applicable, ------------- 9 t Dimensions, if.applicable— -----------------------------""""-- Construction materials, if applicable--.'a-Ln'L W ooc'k-------- ---------' Supplier/Vendor- 4(, wit- p`,4, I o lo ---�oI, c,- �_c•- APProx. Cost' --_- - —� Attach an additional page for description, if necessary. One set.of plans are required, if requested improvement requires a building permit or a picture of the improvement, if more appropriate. If construction is involved, the owner is responsible for obtaining City of La Quinta permit to do the work. There will be a $25 transaction fee payable to DRMt Only if a City of La Quinta permit is -required. Examples of no fee requests are but not limited to the following: painting, of garage doors, house doors house screen doors patio gates installation of satellite dish and other items Requested Application shall be deposited in the locked Black Box, in the Clubhouse office. Blank Application forms may also be obtained in the Clubhouse office. For internal use only. Date Received:v=Inspection dot Approval-- L Disapproval (circle one) ate — — Committee Signatures(reguires 2 or C` h i Nc u.� % -Conditions, If any,. r A) Kt�Y� ra 1tJ �a , -Rev(8-15)