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BPAT2015-001578-495 CALLE TAMPICO LA T C IF RNIA 92253 T4t(t 4 4 Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Numb r: BPAT2015-0015 Property Address: 80498 SIGNATURE WY APN: 775220021 Application Description: SIGNATURE AT PGA/36537-1/(1) PATIO COVER ENGINEERED Property Zoning: ate: 4/28/2015 Application Valuation: $35,000.00 Applicant: CALIFORNIA WEST CONSTRUCTION 1 5927 PRIESTLY DRIVE STE 110 CARLSBAD, CA 92008 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 P ofessions Code, and my License is in full force and effect. License e-Clla : B License No.: 927267 Dater%`s Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt frUProfe ctor's State License Law for the following reason (Sec. 7031.5, Business s Code: Anycity or county that requires a permit to construct, alter, imph, 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.). (_J 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 Addref Owner: RREF II VQi E (760) 777-7125 4 kX (760) 777-7011 IIMPECTIO S (760) 777-7153 as o z o � N =Z ap o ate: 4/28/2015 G� LLr LU C) LLCM LU N 00 5927 PRIE TLY D� ST�10 U Q ~ CARLSBAD CA 9008 � C:) Z O ►.� ., man N 00 LU cylt 5LL Contractor: aq CL__ t� O CALIFORNIA WESTCONSTRUCTIO0 z 5927 PRIESTLY DRIVE STE 110�r ¢ CARLSBAD, CA 92008 u C (760)918-6768 LIc. No.: 927267 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 viark 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: _ Policy Number: 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 a workers' compensation laws of California, and agree that, if I should become su ject to the workers' com Onsation provisions of Section 37 0 of the La o e I shall forthwith comply wi ose provisions. Dater Applicant) WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO OVERAG S UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT S AND Cl FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN AD 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 tobuilding construction, and hereby authorize representatives of this city to enter upon a above- mentionedProperty for inspection purposes. G��r �ZyCU Date:;/9 Signature (Applicant or Agent)�l__ FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, DESIGNED 101-0000-42404 0 $133.43 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, DESIGNED PC 101-0000-42600 0 $168.24 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PATIO COVER / COVERED PORCH / LATTICE $301.67 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $4.55 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $4.55 $0.00 TOTALS:• • 0• a Tw•� u — S OF'C'kt�' Permit Details City of La Quints Description: SIGNATURE AT PGA/36537-1/(1) PATIO COVER ENGINEERED Type: PATIO COVER Subtype: Status: APPROVED NUMBER Parcel No: 775220021 Site Address: 80498 SIGNATURE WY LA QUINTA,CA 92253 Subdivision: PM 20426 Block: Lot: 7 PERMIT Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $35,000.00 Occupancy Type: Construction Type: Expired: B P�4T2015-00:15 Details: BASED ON ADDRESS, THIS SHADE TRELLIS SHOULD BE LOCATED AS SHOWN IN COMMON AREA - SEE SHEETS L -S AND 2-3 THIS PERMIT IS FOR A SPECIAL DESIGN SHADE TRELLIS ONLY. 2015 CALIFORNIA BUILDING CODES. NOTES Description: SIGNATURE AT PGA/36537-1/(1) PATIO COVER ENGINEERED Type: PATIO COVER Subtype: Status: APPROVED Applied: 3/5/2015 SKH Approved: 4/22/2015 JJO Parcel No: 775220021 Site Address: 80498 SIGNATURE WY LA QUINTA,CA 92253 Subdivision: PM 20426 Block: Lot: 7 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $35,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CHRONOLOGY TYPE STAFF NAME Details: BASED ON ADDRESS, THIS SHADE TRELLIS SHOULD BE LOCATED AS SHOWN IN COMMON AREA - SEE SHEETS L -S AND 2-3 THIS PERMIT IS FOR A SPECIAL DESIGN SHADE TRELLIS ONLY. 2015 CALIFORNIA BUILDING CODES. 48 1 I Applied to Approved Printed: Tuesday, April 28, 2015 3:24:27 PM 1 of 3 (CRLJ LJ SYSTEMS } t MAN 1" CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK RECEIVED 03/05/2015. DUE TO COMPLICATED NOTE STEPHANIE KHATAMI 3/12/2015 3/12/2015 SUBMITTAL, PLAN CHECK STARTED ON 3/12/15. PLAN CHECK PICKED UP JIM JOHNSON 3/25/2015 3/25/2015 PLANS PICKED UP BY ULRICH 9K maii� ;.,.�.` ` :��fi+. ..�. �,� � -4 - 3 • . '"�-'' � ��•4� � �:q `". � x3.o ty. ;'�*7ya: y� �.�,. -� u �`�' std, -r NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT CALIFORNIA WEST CONSTRUCTION 1 5927 PRIESTLY DRIVE CARLSBAD CA 92008 LBELLOSO@CALWESTC STE 110 OMMUNITIES.COM CONTRACTOR CALIFORNIA WEST CONSTRUCTION 1 5927 PRIESTLY DRIVE CARLSBAD CA 92008 LBELLOSO@CALWESTC STE 110 OMMUNITIES.COM OWNER RREF II CWC LAQ LLC 5927 PRIESTLY DR STE CARLSBAD CA 92008 110 Printed: Tuesday, April 28, 2015 3:24:27 PM 1 of 3 (CRLJ LJ SYSTEMS } Pel'1111t �et�allS PERMIT NUMBER �-�� City of La Quinta BPATr201�5-00.15 • ;.;,, .. < �jti ,s•. "� ', y , .^. �5,:� t y�,tc,+. � .:u�Vs'•^•:a�%ti.� ir`!P�%.Z - y.-...,. �.. y-.� „. ,_ ..,,,.., � yiy�2 .. ..�i -.., :, � � -,, .� s.....�. •�.;.. - - �'�....e. � - ,. ,�" �'-�, %'.-..., �i�� '" +r... _ ;ten ..Y�rr,�' <y• �# K ,t,; Printed: Tuesday, April 28, 2015 3:24:27 PM 2 of 3 (fl Li LJ L! "YSTEMs ! - CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $2.00 $0.00 BSA: PATIO COVER, 101-0000-42404 0 $133.43 $0.00 DESIGNED PATIO COVER, 101-0000-42600 0 $16824 $0.00 DESIGNED PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE $301.67 $0.00 SMI - RESIDENTIAL 101-0000-20308 1 0 $4.55 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $4.55 $0.00 COME • ;.;,, .. < �jti ,s•. "� ', y , .^. �5,:� t y�,tc,+. � .:u�Vs'•^•:a�%ti.� ir`!P�%.Z - y.-...,. �.. y-.� „. ,_ ..,,,.., � yiy�2 .. ..�i -.., :, � � -,, .� s.....�. •�.;.. - - �'�....e. � - ,. ,�" �'-�, %'.-..., �i�� '" +r... _ ;ten ..Y�rr,�' <y• �# K ,t,; Printed: Tuesday, April 28, 2015 3:24:27 PM 2 of 3 (fl Li LJ L! "YSTEMs 0nvGm STRUCTURAL KATHRYN 3/12/2015 1 3/19/2015 3/23/2015 REVISIONS REQUIRED SAMUELS PLANNING I WALLY NESBI7 3/17/2015 1 3/20/2015 I 3/30/2015 I READY FOR APPROVAL I TRELLIS AT SHEET 5-3 �e im _k% 4.'c •fit*".ate r ` r;,g,,. ..� i 0 Printed: Tuesday, April 28, 2015 3:24:27 PM 3 of 3 OFWrsreMs