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BPAT2014-1035I1. -495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 p lication Number: BPAT2014-1035 perty Address: 46645 WASHINGTON ST APN: 643182014 _ Application Description: 151SF PATIO COVER --FRONT Property Zoning: Application Valuation: $2,000.00 Applicant: GRACE NORIEGA 46645 WASHINGTON STREET. LA QUINTA, CA 92253. T4'�p 4 4v Qu�Kr(v: COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 1 1 DEC 0 9 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: License No.: 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 ) 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. lf; 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.). . (__j 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 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/8/2014 Owner: GRACE NORIEGA 46645 WASHINGTON STREET LA QUINTA, CA 92253 0 Contractor: Llc. No.: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: / 1 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: 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 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: f 2 `a 14 Applicant: K air k Q,3 r eta, 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: Z $ �� Signature (Applicant or Agent): 2::!::� FINANCIAL , 1 t z CCOUNT> 1 - AMOUNT PAID X.# PAIDDATE' `a sOESCRIPTION r .< aY3 ,QTY .._€-' F BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 12/8/14 PAIR BYt1r € > `�� 'METHOD x� � rr #� �� ° `CHECK # CLTD ,, � .:RECEIPT , MARTIN NORIEGA DEBIT R3133 KHE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 3 DESCRIPTIONS=y '� a �:� A000UNT QTY$ } f . p PAID PAID.�DATE . ; ,AMOUNT PATIO COVER, STD, ENCLOSED 101-0000-42404 0 $97.17 $97.17 12/8/14 '%..a PAID BY, F q� METHODtRECEIPTx#<, Cu CHECK BY ,, .# �CLTD MARTIN NORIEGA DEBIT R3133 KHE k° t DESCRIPTION i " ACCOUNTe QTY g r x AMOUNTw GPAI� � D - ' PAID DATE _� y� r ro PATIO COVER, STD, ENCLOSED PC 101-0000-42600 0 $131.98 $131.98 12/8/14 BY = LMETHOD�aRECEIPT<# �� . CHECK # CLTD BY ,PAID T MARTIN NORIEGA DEBIT R3133 KHE Total Paid forPATIO COVER / COVERED PORCH / LATTICE $229.15 $229.15 DESCRIPTION�7ACCO°� UNT QTY a AMOUNTS .. w PAID r', ,. PAID-DATEr ; , ; tx SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.50 12/8/14 3 4 uMETHOD # # . ;CLTD�BY' ._ Y t ,.RECEIPT E`afCHECK MARTIN NORIEGA� DEBIT R3133 KHE Total Paid forSTRONG MOTION INSTRUMENTATION. SMI: $0.50 $0.50 TOTALS:. r ' 1 , r Description: 151SF PATIO COVER - FRONT ENTRY Type: PATIO COVER Subtype: Status: APPROVED Applied: 10/27/2014 KHE Approved: 12/5/2014 JJO Parcel No: 643182014. Site Address: 46645 WASHINGTON ST LA QUINTA,CA 92253 ` . Subdivision: TR 2117 Block: Lot: 71 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: , Valuation: $2,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: U. No. Stories: 0 No. Unites: 0 Details: COVERED FRONT ENTRY PATIO 12x12.6 39 a. Approved Printed: Monday, December 08, 201:4 9:51:34 AM 1 of 3 . SYSTEAAS Ll CHRONOLOGY TYPE STAFF NAME -CHRONOLOGY _ ACTION DATE `. COMPLETION DATE p _ NOTES r , . PLAN CHECK SUBMITTAL KAY HENSEL 10/27/2014 10/27/2014 RECEIVED RESUBMITTAL PHILIP.JUAREZ 12/3/2014 12/5/2014 PLANS RESUBMITTED PUT ON ONE WEEK LIST PER JJ. TELEPHONE CALL JIM JOHNSON 10/29/2014 10/29/2014 CALLED APPLICANT CORRECTIONS REQUIRED PLANS NOT COMPLETE TELEPHONE CALL JIM JOHNSON 12/5/2014 12/5/2014 CALLED MARTIN NORIEGA TO INFORM HIM PLANS READY TO ISSUE CONDITIONS • TACTS NAME TYPE - '•NAME,' '- _ ADDRESSI CITY' " '* STATE H FAX`- ZIP P ONE; _ EMA R IL, ,. 1 ., ,,. APPLICANT GRACE NORIEGA 46645 WASHINGTON LA QUINTA I CA f 92253 (949)291-7464 STREET Printed: Monday, December 08, 201:4 9:51:34 AM 1 of 3 . SYSTEAAS Ll rONTArTS NAME TYPE NAME, ADDRE551 _ CITY. STATE ZIP ; "PHONE FAX EMAIL OWNER GRACE NORIEGA 46645 WASHINGTON LA QUINTA CA 92253 (949)291-7464 STREET INSPECTIONS SEQID . " INSPECTION TYPE; INSPECTOR ,SCHEDULED I COMPLETED I RESULT REMARKS NOTES - DATE DATE FINAL" PARENT PROJECTS Printed: Monday, December 08, 2014 9:51:34 AM 2 of 3 f!;;ff SYSTEMS FINANCIAL •• • ;CLT DESCRIPTION." ACCOUNT_ QTY. , ; AMOUNT PAID PAID DATE RECEIPT # CHECK #,. METHOD PAID BY By_.. BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 12/8/14 R3133 DEBIT MARTIN NORIEGA KHE Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PATIO COVER, STD, `101-0000-42404 .0 $97.17 $97.17 12/8/14 R3133 DEBIT MARTIN NORIEGA KHE ENCLOSED PATIO COVER, STD, 101-0000-42600 0 $131.98 $131.98 12/8/14 R3133 DEBIT MARTIN NORIEGA KHE ENCLOSED PC Total Paid forPATIO COVER / COVERED PORCH / LATTICE $229.15 $229.15 SMI - RESIDENTIAL 1 101-0000-20308 .0 $0.50 $0.50 12/8/14 R3133 DEBIT MARTIN NORIEGA KHE Total Paid forSTRONG MOTION INSTRUMENTATION SMI $0.50 $0.50 ` TOTALS:•. INSPECTIONS SEQID . " INSPECTION TYPE; INSPECTOR ,SCHEDULED I COMPLETED I RESULT REMARKS NOTES - DATE DATE FINAL" PARENT PROJECTS Printed: Monday, December 08, 2014 9:51:34 AM 2 of 3 f!;;ff SYSTEMS NON-STRUCTURAL I JIM JOHNSON 112/5/2014 112/19/2014 I 12/5/2014 I APPROVED I APPROVED I PATIO APPROVED Printed: Monday, December 08, 2014 9:51:34 AM 3 of 3 SYSTEiNS Bin.# i v cit/ Of 1Ld Quo: rnta Building 8L Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Pemlit Project Address: X16 6 4- S W 4S k i r\ �n S�, m► 225 S Owner's Name:. M 0.t N or'; 2 0. A. P. Number. Address: .4 (o (0 4 S Vo n S{ Legal Description: City, ST, Zip: L 4 Q .j : �%-F a {A 12253 Contractor. . 1B , ep 9 `49 29 1 -1 A l04 Tel hone: ,. ,� 4�b Address: Project Description: N Q W p v- o v\+ Q r% �t City, ST, Zip: t: 0,4 a A p p c a.x _ l 2 X 12 Telephone: s '_' l State Lic. 4: City Lic. Arch, Engr., Designer Address: City., ST, Zip: Telephone: State Lic. #: Name of Contact Person: tAqr- Y. , a �. N o r i, e 0. Construction Type• . Occupancy: Project type circle one). New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of ContactPerson: q �4 °► . ''LQI l -� G Estimated Value of Project: 2 000 APPLICANT: DO NOT WRITE BELOW THIS LINE !F Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets 3 Plan Check submitted ^ �D O I Item Amount Structural Calcs. Reviewed, ready r corrections 1012-'Y Plan Check Deposit. . Truss Cales. Called Contact Person i0 Pian Check Balance Tide 24 Cales. Plans picked up (b I. Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2`4 Review, ready for correction issue 1 Electrical Subcontactor I ist Called Contact Person ��, 5 Plumbing Grant Deed Pians picked up SALL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review; ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P'. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 230, C 5J T-11af 4 4 a" P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 7.8-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (7 60) 777-7012 FAX•(760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at 4(6 (a 4 S W o� S In 1 n q} o n Si . L a Qv : n+;_ C_.)�. ) q. 2 S 3 We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not.issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. ." ,)1 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building perinit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers . on my property. "112. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. m-71 11 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or, her name instead of my own. ryh n 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. ,y" 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is 'at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. -",16. I understand if I am considered an "employer" under state and federal.law, I must register with the state and federal• government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. "7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to. offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or 'all of the work is performed under contract with a. licensed general building Contractor. .1i *1-- 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. —M 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. -w— 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: LAtoto4S %-.3 Uor Sk, i_o, Q„;<2A `122S3 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, forst notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of property owner `yt�7 -;l Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: _LQiJATELY SIZED DEBRIS CONTAINER ,r CITY OF LA QUINTA �C0'3ED ON THE JOB SITE DURING'ALI::�*e.;-ton is NOT PERI'1ITTED BUILDING &SAFETY DEPT. �� CONSTRUCTION AND M ST�B�e o+ins"�ina Code Holidays: _ _._..._o,-�►_ - A PROVED r ��w `'ear's Da FOR CONST"UCTION' I He CITY TO HAVE THE CON AINEIt' y '! MPED AT THE EXPENSE OF THE 0 NEgr• Martin Luther King) .Day CTOR." President's Day DATE 1 5 s N Memorial Day 20-v 33 _o -� Independence Day =o Labor Day - Veteran's Day Thanksgiving Day oFF�(9- COV 2� GaQ E Christmas Day LA QU1147A.,Cts. °12253 Z)ralvaWoY (FL -&T FI-x>F) (IJEW FLAT PZF ( CAUFaR+J1n MR. MSS. M • NOR`EC-A. ` s u} Z B fY, NoF-ISC�� m«nN lJ 12 -.74 4x ; w€V 4x4 PCST 5FLOW xIST LICE iUCTI I HOURS ___.. R'�O�TY LINE °..fY ,y - Friday: 7 00 a.m. to 5:30 p.m. y: 8:00 a.m. to 5:00 p.m. Noqe :-�ent Code Holidays: lone 10/27/2014 '`� l rida- . l:00 a.m. to 7:00 p.m. :,o a;rn. to 5:00 p.m. 1 of 4 _-T lidays: None oFF�(9- COV CITY OF LA QUINT.A BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE - BY sq 14 th LT- _ � � { 20L1. RooGFNG 2 1 s� :�. r V f F N p�\x6 _ 2x� cE�L.O 2aF iERSFL 3 X31 iT I " 2.x4 f(., . .. .. 2%4.$LK: i ZX.4RlK . -%zs4-2 iro' F — 2x4:�+T` 2x4 Slk. FLYW D 5/g, 2 x'4 I 2x.4 A.�rs F2i�4 To EN1«I rt v i R BEAn'` �/g'ftr„D i CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY V _ (ANDSC/� TIE L,�t.tDs��it�E �Ov N 1�Tp b lel -f=LAN. NOTES . .. • du NS TF2UGT�OnI 5H*Z u._ COMP LY W/ 2--,, 15 C4Lif<4zt4 bx Res\DE�Tta-t.,N�E'CJ•�,a.tiltcAt_ ,�t�t1a-til.. ice!-UMLi►rtCa .�3�16RC�Y (G.EEN BUILDIW CODES k LAC;*JINT.A MUNICIRL- CA CE . GOOF 4SSEM61-Y SI IaLL 44AVC A G LA SCj #Ai r Re )Z&-rl HG : CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY 5/5" RYw D 1 U2W FbCF 5/t)"63-Yw V' �DcIST�GFMF 2r6 $LAG 2,a to JOtS-ry 30K7 aloe 2x6 2r4T 2Ki►Te µEW Ix StDIN6 101sT f— 2x4 Mock �7C1STG �O � E7c 15'l�G � rc4 wG.IL 2rt<A s��YwD �1s'c'� ��-vice.b � tST1� t 121-�I 11 4,c4 Fbsz- 68.44 j 29 24ux� lb" CITY T �F #Q LA QUiNTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE ------ BY � fou tom► Cjn.Ti o til ��