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BPAT2017-001778-495 CALLE TAMPICO 4 e6P Qu&z LA QUINTA, CALIFORNIA 92253 DESIGN &DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPAT2017-0017 Property Address: 43434 E PARKWAY ESPLANADE APN: 609640039 Application Description: MARTINEZ RESIDENCE / PATIO COVER 429 SF Property Zoning: Application Valuation: $4,000.00 Applicant: .LIFETIME PATIOS P O BOX 5806 LA QUINTA, CA 92248 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: 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.). (_) 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 y 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.).' t, Lender's Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: EDUARDO MARTI JEZ 43434 E PARKWAY ES LA QUINTA, CA 92253 Contractor: LIFETIME PATIOS P O BOX 5806 LA QUINTA, CA 92248 (760)772-0013 Llc. No.: 770843 Date: 3/22/2017 Q I� Lam' o fV S a N < L.L S C � U 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 perfornance of the work for which this.permit is issued. My workers' compensation insurances carrier and policy number are: Carrier: STATE COMPENSATION INSURANCE FUND Polity Number: 9204676 I certify that in the performance of fie 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 3.700 of the Labor Code, I shall forthwith complywith thos provisions. Date: / Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATI 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 applic: tion 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 cancellbtion. I certify that I have read this application and st.-te 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 representafives of this city to enter upon the above -menti ned property for inspection purposes. Date: .3 �7 Signature (Applicant Nr Agent . Date: 3/22/2017 Application Number: BPAT2017-0017 Owner: Property Address: 43434 E PARKWAY ESPLANADE EDUARDO MARTINEZ APN: 609640039 43434 E PARKWA" ESPLANADE Application Description: MARTINEZ RESIDENCE / PATIO COVER 429 SF LA QUINTA, CA 92253 Property Zoning: Application Valuation: . $4,000.00 Applicant: Contractor: LIFETIME PATIOS LIFETIME PATIOS P 0 BOX 5806 P 0 BOX 5806 LA QUINTA, CA 92248 LA QUINTA, CA 92248 (760)772-0013 ---------------------------------------------------------------------------------------------- Lic. No.: 770843 Detail: 429 SF OPEN LATTICE PATIO COVER AT REAR YARD [WEATHERWOOD] THIS PERMIT DOES NOT'INCLUDE ELECTRICAL INSTALLATIONS. 2016 CALIFORNIA BUILDING CODES. Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: 0: DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1411 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATIOM 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 1QTY AMOUNT. SMI - RESIDENTIAL : 101-0000-20308 0 $0.52 Total Paid for STRONG MOTION INSTRUMENTATIOM SMI: $0.52 'DESCRIPTION ACCOUNT IQTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: 0: P.O. Box 1504,78-495 Calle Tampico 14.Quinta, CA 92253 -:(760) 777-7012 Pennit # ProjectAddress- 43434 Parkway Esplanade East Owner's Name:. Eduardo Martinez A. P. Number Address: 43434 Parkway Esplanade East Legal Description: city, sT, zip-. La Quinta, CA, 9225� Contractor. Lifetime Patios. Telephone: 213 505 9881 IN -11 111 ME Address: PO Box -5806 Pmje*4 Description: Telephone: 760 777 2650' Combination Solid and Open Laftice. B 770843 City Lic- 3258.. Arch., Eng., Designer Telephone: State Lie. #: ............ ........ Construction Type: Occupancy: Project ry?e (circle one): New Add'n Alter Repair Demo Sq.'Ft-: 429 ds: 9 Units: Name of Contact Person: tharle's Tunstead Telephone# of Contact Person: .760668 1700 Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS LINE Plan Sets Plan Check submitted. Rem Amount Structural CaIcs. Reviewed, ready for corrections Phu Check Deposit. Truss C21cs. Called Contact Person Plan Check Balance - Tide 24 Calci. Plans pickiA up Construction Flood plain pLau Plans resubmitted Mechafilcal Orading plan 2" Review, ready for correctionsrmue Electrical Subcontattor List Called Contact Person Plu . mbing Grant Deed Plans Olcked up S.NLL H.O.A. Approval Plans resubmitted Grading U4 110USE-- Review, ready for correctio'nsrissue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fe es