BPAT2016-0117Q�i aw
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPAT2016-0117 Owner:
Property Address: 81315 THUNDER GULCH WY NICULAE
APN: 767790064 81315 Tf
Application Description: NICULAE RESIDENCE / PATIO COVER LA QUIN:
Property Zoning:
Application Valuation: $8,000.00
Applicant: Contra(
VALLEY PATIOS INC DBA VALLEY CONCRETE & VALLEY
37897 CHESTERFIELD STREET 37897(
INDIO, CA 92203 INDIO,
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: C-8. C51 License No.: 937811
Z55-1iDat: 'L- 1 5 I /7 Contra cto�r.► ,% 7
'00K�
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 Na
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
51 "'
O
IDA INC. UBA
(760)534-4634
Llc. No.: 937811
Date: 12/14/2016
CONCRETE &
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.
x 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: GRANITE STATE INSURANCE COMPANY Policy Number: 002008185
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: jZ 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: ( Z1(Jrt& Signature (Applicant or Agen
Date: 12/14/2016
Application Number: BPAT2016-0117
Owner:
Property Address: 81315 THUNDER GULCH WY
NICULAE
APN: 767790064
81315 THUNDER GULCH
Application Description: NICULAE RESIDENCE/ PATIO COVER
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $8,000.00
Applicant:
Contractor:
VALLEY PATIOS INC DBA VALLEY CONCRETE &
VALLEY PATIOS INC DBA VALLEY CONCRETE &
37897 CHESTERFIELD STREET
37897 CHESTERFIELD STREET
INDIO, CA 92203
INDIO, CA 92203
(760)534-4634
'
-----------------------------------------------------------------------------------------------
Llc. No.: 937811
Detail: 320 SF PATIO COVER [ALUMAWOOD] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. PER 2013 CALIFORNIA BUILDING CODES.
1. Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.04
FINANCIAL
DESCRIPTION
INFORMATION
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, STD, OPEN
101-0000-42404
0
$101.84
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PATIO COVER, STD, OPEN FIC
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
$1.04
1. Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.04
... OFACV/C&Py
CITY OF LA'QUINTA
BUILDING & SAFETY DEPT
APPROVED
FOR CONST TION
DATE By
Solid cover
Construc, -ion is NOT PERM TTED
on the fo.lowing Code Holidlys:
New Year's Day
Dr. Martin Luther King A Day
Presi( ent's Day
Memcrial Day
Indep ndence Day
Labor Day
Vetere n's Day
Thanksgiving Day
Christ as Day
bfAftaw 6110)
A RE -INSPECTION FEE OF $
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARL ARE NOT ON
INSPECTION
NO EXCEPTIONS!
Niculae Residence
81315 Thunder Gulch
La Quinta, CA 92270
Proposed Alurnawood Patio
. Cover
"AIN ADEQUAU SIZED DEBRIS CONTAINER
IS REQUIR, -D ON THE JOB SITE DURING ALL
HASFR_oj- CONSTRUCTION AND MUST BE
I-
MIED AS NECSAR?. FAILURE URE TO DO So
C,f,..UJSE THE CR To HAVE THE CONTAINER
PED AT THE I XPENSE &F OWNER/
)NTRACTOR."
CONST RL
CTION HO
S
October fist April
30
Mon..4,ay - tri
Jay: 7:00 a.m. to p.m.
atl,�n
" n kq:
1 8:00 a.m. to 5:00 m.
P
Dere
Ode Holidays: None
�;oq.zmber
30th
;-'rj
(j.1y: 6-00 a.m.-to 7:00 p.m.
9:00 a.m. to 5:00 p.m.
One
bfAftaw 6110)
A RE -INSPECTION FEE OF $
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARL ARE NOT ON
INSPECTION
NO EXCEPTIONS!
Niculae Residence
81315 Thunder Gulch
La Quinta, CA 92270
Proposed Alurnawood Patio
. Cover
"AIN ADEQUAU SIZED DEBRIS CONTAINER
IS REQUIR, -D ON THE JOB SITE DURING ALL
HASFR_oj- CONSTRUCTION AND MUST BE
I-
MIED AS NECSAR?. FAILURE URE TO DO So
C,f,..UJSE THE CR To HAVE THE CONTAINER
PED AT THE I XPENSE &F OWNER/
)NTRACTOR."
Bin #
`
)0
PoPoern
ern
Project Address:Owner's
City of La Q uin td
Buifding 8F Safety Division
78
78 495 Cafle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Name:
A. P. Number:
Address: 1'P
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address: � ,/ �t
�/ � � 1
Project Description:
City, ST, Zip:
Telephone: .
State Lic. # :
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
h
Telephone:
0 ne:
:Con
structi aneY
on Type: Occupancy:
0 Pa �citcle one :#,.
Poect hAdd'n Alter r Re ai r Demo
State Lic.
Name of Contact Person:
Sq. Ft.:#Stories:
#Units:
Telephone # of Contact Person:
r
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan2n4
Review, ready for corrections/issue
Electrical ,
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
R.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date ol'permit issue
School Fees,
Total Permit Fees