BPAT2017-0038 Revision 178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
C & S PATIO COVERS
65269 ELAINE CIRCLE
MECCA, CA 92254
VisialiIIA 2.
C� 0' D VOICE (760) 777-7125
FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/24/2017
BPAT2017-0038
Owner:
44900 VIA ALONDRA
VICKI KOCEJA
z
604590009
44900 VIA ALONDRA
.
=5
KOCEJA / (2)131/120 SF TRELLIS DURALUM PATIO COVER AT FRONT
LA QUINTA, CA 92253
a
$900.00
�.�
w
o
z z
N
Contractor:
rx-
C & S PATIO COVERS
®
o
Lf w
65269 ELAINE CIRCLE
Q
w
MECCA, CA 92254
v o
(760)625-4225
Llc. No:: 1004320
V5
LU
a
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.: 1004320
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 Name:
Lender's Address:
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 k for which this permit is issued.
XI 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: NORGUARD INSURANCE COMPANY Policy Number: CSWC791810
1 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 all forthwith
comply with those provisions.
Date: ZY 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 property for inspection purposes.
Date: 7 Signature (Applicant or Agent):
Date: 5/24/2017
Application Number:
BPAT2017-0038
Owner:
Property Address:
44900 VIA ALONDRA
VICKI KOCEJA
APN:
604590009
44900 VIA ALONDRA
Application Description:.
KOCEJA / (2)131/120 SF TRELLIS DURALUM PATIO COVER AT FRONT- -
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$900.00
Applicant:
Contractor:
C & S PATIO COVERS
C & S PATIO COVERS
65269 ELAINE CIRCLE
65269 ELAINE CIRCLE
MECCA, CA 92254
MECCA, CA 92254
(760)625-4225
LIc. No.: 1004320
Detail: (2)131/120 SF TRELLIS DURALUM_ PATIO COVERS AT FRONT YARD [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
DESCRIPTION
BSAS SB1473 FEE
101-0000-20306 0 $1.00
AMOUNT
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
DESCRIPTION
ACCOUNT -
QTY
AMOUNT '
Credit Card Fee
101-0000-43505
0
$5.35
Total Paid for Credit Card Fee: $5:35
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER EA ADDITIONAL
101-0000-42400
0
$50.67
DESCRIPTION
ACCOUNTQTY
AMOUNT
PATIO COVER EA ADDITIONAL PC
101-0000-42600
0
$38.00
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: $290.83 .
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 ,
TOTALS:
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 ,
TOTALS:
Bin #
Qty Of ,a Quinia
Building 8i' Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # H•V416 I
{
�►�►rC'�,o�'� •!�'�$
Project Address:.'
ddress: •r'
iq 100 14a 6
loll
Owner's Name: I
iK cle__,
A. P. Number:
Address: Ly V ClG� �
Legal Description:
A
Contractor: S -fi a ova �
City, ST, Zip:
2'r
Tele h ne:
o 2
P i A Y' 3 �
7
Address: Z(Q9 ���`� C�t.•�
Project
Project Description:
-City, ST, Zip:: M-Q_CCIA A l 12-- l
L/r I 1
Telephone: 6 �4
Q9
wca .,,
State Lic. # : 100'132-0
. CityLic. #c
x �' �f
Arch., Engr., Designer:
R.-e-Au cQS t Z e-
Address:
C7 V e— t7S
City, ST, Zip:
Telephone:
S tate Lic. #:
Co
Construction TY e: an
Occupancy:
P cy:
Proje type (circle rcle one d
ct A : New d'n Alt at Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
'Title 24 Cates.
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 Deed
Plans picked up
S.M.1.
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
-CITY OF LA,QUINTA
BUILDING &.SAFETY DEPT.
I"okj V MLJ
FOR CONSTRUCTION
- � eegv8'g.DAtZOrjY
few
17'q B,
v fiv.zowqci
open t.,& i f i Off- 46M
17.a 17• 7
1
CITY OF LA QUINTA-
c
COMMUNITY DEVELOPMENT DEPARTMENT
t
(760) 777-7125
Fn o TN�o INSPECTION REQUEST LINE
(760) 777- 3 �.
Owner VICKI KOCEJA
t c
Contractor C & S PATIO COVERS
Permit Number BPAT2017-0038
E
POST ON JOB IN A CONSPICU
INSPECTOR MUST SIGN ALL APPLI '
JOB ADDRESS 44900 VIA ALONDRA
NOTES (2)131/120 SF TRELLIS DURALUM PATIO COVERS AT
FRONT YARD f DURALUMI THIS PERMIT DOES NOT INCLUDE
ELECTRICAL INSTALLATIONS. 2016 CALIFORNIA BUILDING
I2011Iela
ABOVE APPROVALS DO NOT INCLUDE THE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Tssu9 D s t« t u l�
V-# 1 sdoo st an(sor
78-495 CALLE TAMPICO U D e(P VOICE (760) 777-7125
LA QUINTA, FAX (760) 777-7011 CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS ()60) 777-7153
- BUILDING PERMIT
Date: 5/11/2017
Application Number: BPAT2017-0038 Owner:
Property Address:44900 VI -A -A ONDRA VICKI KOCEJA S
APN: 04 9600 44900 VIA ALONDRA C
Application Description: KOCEJA / (2)131/120 SF TRELLIS DURALUM PATIO COVER AT FRONT LA QUINTA, CA 92253 f n
Property Zoning: �)h
m O .
Application Valuation: $900.00 o S� A -.d
Applicant: Contractor: rr,
C& S PATIO COVERS C& S PATIO COVERS a n v
65269 ELAINE CIRCLE 65269 ELAINE CIRCLE m
MECCA, CA 92254 MECCA, CA 92254
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.: 1004320
Date: 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 Name:
Lender's Address:
(760)625-4225
Llc. No.: 1004320
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: NORGUARD INSURANCE COMPANY Policy Number: CSWC791810
_ 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.
Date: 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 property for inspection purposes.
Date: Signature (Applicant or Agent):
Date: 5/11/2017
Application. Number:
BPAT2017-0038
Owner:.
Property Address:
44900 VIA ALONDRA
VICKI KOCEJA
APN:
604590009.
4490Q VIA'ALONDRA
Application Description:
KOCEJA,/ (2)131/120 SF TRELLIS DURALUM PATIO COVER AT FRONT
LA QUINTA, CA 92253
Property Zoning:
Application_Valuation:
$900.00
Applicant:
Contractor:
C & S PATIO COVERS
C &'S PATIO COVERS
65269 ELAINE CIRCLE
65269 ELAINE CIRCLE
MECCA, CA 92254
MECCA, CA 92254
(760)625-4225
Llc. No.: 1004320
Detail: (2)131/120 SF TRELLIS DURALUM PATIO COVERS AT FRONT YARD [DURALUM] THIS PERMIT
DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION
'ACCOUNT CITY
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 EA ADDITIONAL
101-0000-42400
.0
$50.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PATIO COVER EA ADDITIONAL PC
101-0000-42600
0
$38.00
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
$10032
Total Paid for PATIO COVER /.COVERED PORCH / LATTICE: $290.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
SMI - RESIDENTIAL
101-000020308
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
TOTALS:
00 DETAIL
. SCJIP NTH
Q
W
U.
Z
uJ
0 Z U
UI Q F
C, _Z
85
v
v.
CITYOF LAQUINTA
IMY PQ 7°[
Lm _
1 OFt
BUILDING & SAFETY DEPT.
FOR CONSTRUCTION
CONSTRUCTION -
DATE S tt . u By. .
AK G*C44
ro ciao
SITE PLAN
'
_ a
' � sue: !; • ra
LEGEND
[a[..l
Z�UrFj
u ., YilEhi
IMAM
-' ='-
; -•-
�hllz .i
r_.. I
VINE CF.Ttfi(
.�••,.[i5 '•f[f ne[ e/ .r.< Mn Yh�S
MATERIAL SELECTIONS:
0®DR_.._1 — .�..---_..—.—.
_
°n01.ON.•Y
`•� ry
ci
O ...N....
06
•
1 ER
p ..a-,..�
�. w..r•:�t a
,r...
L. —
_ l-
• _ .�_.__ - '•
S9HIi--�_ — .—
,..
;�
--
IMY PQ 7°[
Lm _
1 OFt
NMI IMINlO(1
�If ,
Few��6ir rttt�<ttat:�t
o�rny CITY ®F LA C INTA
BUILDING & SAFETY DEPT.
APPROVED-\
FOR CONSTRUCTION.
DATE BY