BPAT2016-0096l
78-495 CALLE TAMPICO • D n Q r`U1gCE (760) 777-7125
LJ - -•� I�
LA QUINTA, CALIFORNIA 92253 AX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPE bNIS (760) 777-7153
BUILDING PERMIT SEP 30 2pgy
CITYOF[AOU PITA .� Date: 9/30/2016
Application Number: BPAT2016-0096 l eri-i.lTY 0E'JaOPMENTOEPARTfTENT
Property Address: 51885 VIA BENDITA STEPHANIE WILLIAMS
APN: 777430069 51885 VIA BENDITA
Application Description: WILLIAMS RESIDENCE / PATIO COVER LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
Applicant: Contractor:
RYAN GABOR CSER RYAN GABOR CSER
681150 LOUISAN RD 681150 LOUISAN RD
DESERT HOT SPRINGS, CA 92240 DESERT HOT SPRINGS, CA 92240
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7600) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C29. D03 License No.: 928413
Date: y 3 0 16 Contracto
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).:
(1 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.).
(1 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 N
Lender's Add
(760)861-8953
Llc. No.: 928413
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: EX MPT Policy Number:
certify that in the performance of the work for which this permit is issued, I
sh 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: C1 - 70. I % - 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: 1,3o.! b Signature (Applicant or Agent),
Application Number: BPAT2016-0096
Property Address: 51885 VIA BENDITA
APN: 777430069
Application Description: WILLIAMS RESIDENCE / PATIO COVER
Property Zoning:
Application Valuation:
Owner:
STEPHANIE WILLIAMS
51885 VIA BENDITA
LA QUINTA, CA 92253
Date: 9/30/2016
Applicant:
Contractor:
RYAN GABOR CSER
RYAN GABOR CSER
681150 LOUISAN RD
681150 LOUISAN RD
DESERT HOT SPRINGS, CA 92240
DESERT HOT SPRINGS, CA 92240 ,
(760)861-8953
Llc. No.: 928413
Detail: 340 SF ALUMAWOOD PATIO COVER. THIS PERMIT DOES NOT INCLUDE ANY ELECTRICAL. PER 2013 CALIFORNIA BUILDING CODE
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
Credit Card Fee
101-0000-43505 0
$3.48
Total Paid for Credit Card Fee:
$3.48
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, STD, OPEN
101-0000-42404
0
$97.17
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$95.72
Total Paid for PATIO COVER / COVERED PORCH / LATTICE:
$192.89
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI:
TOTALS:
$0.50
$196.87
P&mit #
Project Address: 5 L'I"I
v J
Qty of La Quinta
6uiiding 87- Safety Division
.78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
� � tin I -T A Owner's Name: SJ-, j-HjjA&C (,/ i L
A. P. Number:
Address: S)I FYI
Legal Description:
City, ST, Zip:
Contractor: v C /0
-
Telephone:
Address: G� / S D L C9 tl t S N
.............
Project Description:
City_ ST, Zip: ��.( Cj t✓g`( 2 -Z---f(%
Telephone: 60 Jf?S 3
� •S
G S
State Lic. # : l Z 13 If
City Lie. #;
Arch.,-Engr., Designer:
to
Address:
City, ST, Zip:
Telephone:
one:
-Con
iructi on Type: Occupancy:aneY
:
,. .
State#
Lic.
Project type (circle cle one : New Add'ri Alter Repair- Demo'
0
Name of Contact Person: `J' 19' A/
Sq. Ft.: 0
# Stories:
# Units:
Telephone # of Contact Person: -7&(9 $ % 53
oa
Estimated Value of Project: 2-S'00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
4 4Plan
Check submitted-
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
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 .
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
II.O.A. Approval.
Plans resubmitted
Grading .
IN HOUSE:-
'rd Reyiew, 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
Rear P
L
P 26'
0a o c
�-- 17' 6' ----4
'A A -
Ca Llc#. 928493
760.861.8953