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BRES2016-005178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4a COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE'(760) 777-7125 FAX (760) 777-7011. INSPECTIONS (760) 777-7153 Application Number: BRES2016-0051 Owner: Property Address:' 53364 VIA PALACIO JACOB TAUBER APN: 777220023 12007 CREST CT Application Description: JACK TAUBER / PATIO REMODEL BEVERLY HILLS, CA 92253 Property Zoning: is issued. My workers' compensation insurance carrier and policy number_are:. Carrier:- Policy Number: _ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State Application Valuation: $20,000.00 shall not employ any person in any manner sous to become subject to the workers' Applicant: compensation laws of California, and agree that, if I should become subject to the Contractor: BRADLEY CONSTRUCTION signed statement that he or she is licensed pursuant to the provisions of the BRADLEY CONSTRUCTION 43803 ANATRA PLACE .� 43803 ANATRA PLACE INDIO, CA 92203 .... basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a INDIO, CA 92203 (760)899-0122. Llc.. No.: 1005249 Date: 6/15/2016 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: _ - 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. oe compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: B License'No.: 1005249 of th or which this permit is issued. �✓ have and will maintain. workers' compensation insurance, as required by nate: I// -/t(� ' Contractor. S n 3700 of the Labor Code, for performance of the work for which this permit ' OWNER -B DER DECLARATION is issued. My workers' compensation insurance carrier and policy number_are:. Carrier:- Policy Number: _ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (See. 7031.5, Business and Professions Code: Any shall not employ any person in any manner sous to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labo Code hall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 Date' Applic 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (� I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale: COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended.or offered for sale: If; however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a. permit subject to within one year of completion,- the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve.for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose. (� I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044; Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves . shall defend, indemnify and hold harmless the City of La Quinta,.its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (� I am exempt under Sec. B.&P.C. for this reason 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. 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 Address: 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 . above-mentioned property for inspection purposes. Date`: V ��/.Signature (Applicant or Ag FINANCIAL •• • "I `DESCRIPTION r N� ACCOUNT `QTY < "AMOUNTS PAID 'r PAID`DATE' > § , _ { �. 'y HOURLY PLAN CHECK -YES ` 101-0000-42600 1 $70.00 n . $0.,00 pp�v^METHuOD CHECK "# `{ §CLTD BY 'd. 2W' x*YZ'J'A. •v i+'#. t. F; 1L'i'`_ 6 f. '§° •t �'c._: 't.. �' •=� I i„:S' .'F Total Paid for BLDG. CITY STAFF - PER HOUR: $70.00. $0.00 et P �; 1,1 ; "ACCOUNT p QTY �AMOUNT3 r PAID } P AID:DATEy. ,DESCRIPTION r. r . �• ,a ; y . s y BSAS SB1473$$FEE 101-0000-20306 0 $1.00 $0.00 �! .E 'S?Hr : A '�,' i.� P'T`4 W.Y• fX ` .T &+E8 '�'--- PAID BY rn f:. S ......1...*:' ., �t'i! k.n(•. ;} �' �� Y «.,.-.J..,.. i. .-- 4 �` °�,.^.sY f.,Y..FF'.iY- ,.'i.:. ECK ; :. 4 § '. <..rtY�XtMETHOD 4, Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 �Fa DESCRIPTION MR ;_ ACCOUNT �?r ' /l�(TY I'AIVIOUNT, r"PAI'D" r` PAIDFDATE f,kK v '�,.��.E%`' aC�: x PATIO^y PATIO COVER, STD, OPEN 101-0000-42404 0 $133.43 $0.00 DcBY;. x METHOD �� r , [ RECEIPT # r + 'g CHECK # ; t CLTD BY ;PAI Y { €R_ € a �q DESCRIPTION' „a' � ACCOUNT z ` QTY f AMOUNT PAID PAID � '* i c a a s _... ;u a _.DATE PATIO COVER, STD, OPEN PC 101-0000-42600 0 $168.24 $0.00 METHOD ;+.,? '. #°CHECK , :,.+RECEIPT Total Paid for PATIO COVER / COVERED PORCH /'LATTICE: $301.67 $0.00 DESCRIPTION 13H:�A000UNT fE�; a TY ik.{T ... .3evs�a'ff 3.:• "t .'r� -a� akAMOUNT:<*YPAIU ^<. i.. .x : r r qp ,'S._.,b sPA1D;DATE; SMI —RESIDENTIAL 101-0000-20308 0 $2.60 $0.00 °k � PAID:BY b` RECEIPT #,., ' CHECK* BYry -ffi <`: z's,�METFOD f"� .� x �xCLTD Total Paid for STRONG MOTION INSTRUMENTATION SMI: $2.60 $0.00' TOTALS:• 00 Description: JACK TAUBER / PATIO REMODEL Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 3/1/2016 RSE" ' Approved: 6/15/2016 SKH Parcel No: 777220023 Site Address: 53364 VIA PALACIO. LA QUINTA,CA 92.,253 Subdivision: TR 29894-2 Block: Lot: 237 Issued: . Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $20,000.00 Occupancy.Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 KAY HENSEL Details: 10'9" X.24'3 ' (260 SF) X 10'-5" +- HGT CUSTOM ENGINEERED TRELLIS STRUCTURE (ATTACHED TO EXISTING DWELLING) LOCATED RIGHT REAR YARD. 2013 CODES. STRUC RFC 3/14/2016 RECEIVED Printed: Wednesday, lune 15, 2016 11:51:59 AM _ 1 of 3 SYSTEMS • • • • _q A:. 4aF dk._",.,z, •�.^�M�"_..: i '.,.a CHRONOLOGY TYPE ,:® z •::^ ...a:z' �* :.4:1 - :STAFF NAME.- -... � �. n � s... . m. . ..^iR -n�� ._ a.1J..-' �Q • n 'n f� g.. x: ase&' ..w.-.::. •mow<.F'yk-.:i .dt TF}. -- ACTION DATE:: CQMPLETION AT NOTES, : - PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 3/14/2016 3/14/2016 STRUC RFC 3/14/2016 RECEIVED PLAN CHECK PICKED UP STEPHANIE KHATAMI 3/16/2016 3/16/2016 BRAD SCHWICLK .. PLAN CHECK SENT TO. RAMSES SEVILLA 3/1/2016 3/1/2016 ' OUTSIDE PC PLAN CHECK SUBMITTAL RAMSES SEVILLA 3/1/2016 RECEIVED .3/1/2016 TELEPHONE CALL BURT HANADA 3/16/2016 •3/16/2016 NOTIFIED BRADLEY CONSTRUCTION THAT CORRECTION LIST AND PLANS ARE READY -FOR PICKUP. • • Printed: Wednesday, lune 15, 2016 11:51:59 AM _ 1 of 3 SYSTEMS UL Printed: Wednesday, June 15, 2016 11:51:59 AM 2 of 3 )' - - SYSTEMS . CONTACTS NAME TYPE t NAME �.. 'ADDRE551• - - T APPLICANT. BRADLEY CONSTRUCTION 43803 ANATRA PLACE • INDIO CA 92203 (805)564-3354 (805)962- 805)962- .3904, •3904. ARCHITECT - THOMAS OCHSNER 829 DE LA VINA STREET SANTA CA 93101 (805)564-3354 (805)962 - BARBARA. 3904 • CONTRACTOR BRADLEY CONSTRUCTION 43803 ANATRA PLACE INDIO CA 92203 (805)564-3354 (805)962- 3904 ENGINEER MITCHELL J PERKINS 226 E CANON PERDIDO SANTA CA 93101 (805)564-3354 (805)962- A• BARBARA 3904 OWNER, JACOB TAUBER 12007 CREST CT BEVERLY HILLS CA 92253 (805)564-3354 (805)962- 3904 INFORMATION- ..... �. - z CLTDs. DESCRIPTION +.,� r AC000.NT� =crQTY. •. AMOUNT t x PAID. •.PAID;DATE RECEIPT # GHECK # : r METHOD iBY HOURLY PLAN CHECK; 101-0000-42600 1 •$70.00 $0.00 .YES Total Paid for BLDG CITY STAFF - PER HOUR: $70.00 $0.00 BSAS SB1473 FEE 101-0000-20306- • 0 $1.00 .$0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION. ,' . $1.00 $0.00 .•. BSA: PATIO COVER, STD, 101-0000-42404 0 $133.43 $0.00 OPEN PATIO COVER, STD, 101-0000-42600 0 `$168.24 $0.00 OPEN PC •' . Total Paid_for PATIO COVER / COVERED PORCH / LATTICE: $301.67 $0.00 SMI - RESIDENTIAL . 101-0000-20308 0 $2.60 $0.00 . Total Paid for STRONG MOTION INSTRUMENTATION SMI: • $2.60'.. $0.00 . TOTALS:00 Printed: Wednesday, June 15, 2016 11:51:59 AM 2 of 3 )' - - SYSTEMS . :,. ... + INSPECTIONS • i° PARENT PROJECTS T^ ATTACHMENTS «..;a::..�.....a-• '::. y� •-�z-�-s+�-x�;-s.-..,,,�».,-a.: �n,....a ...-.gx ".-----Fr ._ :�:.�•-�y-;»..s .., -.-,.,.:d.x.. .. .r. -`j -_ . Rc.� ..;^a„a.-ate_. ...: _.-....�...._.�..:.�.-�, ;'Attachment T: a CREATED OWNER DESCRIPTION - PATHNAME SUBDIR yP .. REVIEWS RETURNED :° STATUS MARS w _ REVIEW TYPE; — REVIEWERS SENT DATE"DUE DATE - a z m NOTES -, CORRECTION LIST PALACIO.docx -. DATE _ ,,.. ': 1ST CHECK = BURT 3/1/2016 3/15/2016 3/16/2016 REVISIONS REQUIRED STRUCTURAL STRUCTURAL 1ST BLDG NS (2 WK) COMMENTS.doc COMMENTS.doc HANADA 1ST CHECK- 1ST CHECK - DOC 3/13/2016 JOHN THOMPSON - 1ST BLDG STR (2 JOHN 3/1/2016 3/15/2016 3/14/2016 REVISIONS REQUIRED _ TRANSMITTAL.pdf WK) THOMPSON 2ND CHECK - 2ND CHECK - DOC 2ND BLDG NS (2 BURT 4/21/2016 5/5/2016 4/29/2016 APPROVED WK) HANADA 2ND SUBMITTAL PLAN PLAN CHECK . 2ND BLDG STR (2 JOHN' 4/21/2016, 5/5/2016 4/27/2616 READY FOR APPROVAL 0 - WK) THOMPSON LIST AND COMMENTS 4- COMMENTS 4=21-16 • ATTACHMENTS «..;a::..�.....a-• '::. y� •-�z-�-s+�-x�;-s.-..,,,�».,-a.: �n,....a ...-.gx ".-----Fr ._ :�:.�•-�y-;»..s .., -.-,.,.:d.x.. .. .r. -`j -_ . Rc.� ..;^a„a.-ate_. ...: _.-....�...._.�..:.�.-�, ;'Attachment T: a CREATED OWNER DESCRIPTION - PATHNAME SUBDIR yP ...-.i.;«- .-.. �....-_ s.: "tea.:: ETRAKIT ENABLED ._ : `.... h. + ; M. DOC 3/16/2016 BURT HANADA 1ST REVIEW NS 53-3644 VIA 1 CORRECTION LIST PALACIO.docx r 1ST CHECK = 1ST CHECK = DOC 3/13/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 COMMENTS.doc COMMENTS.doc 1ST CHECK- 1ST CHECK - DOC 3/13/2016 JOHN THOMPSON - STRUCTURAL STRUCTURAL 0. TRANSMITTAL.pdf TRANSMITTAL.pdf 2ND CHECK - 2ND CHECK - DOC 4/27/2016 JOHN THOMPSON STRUCTURAL STRUCTURAL 0 TRANSMITTAL.pdf TRANSMITTAL.pdf 2ND SUBMITTAL PLAN PLAN CHECK . DOC 4/21/2016 ` STEPHANIE KHATAMI CHECK CORRECTION CORRECTION LIST AND 0 - � LIST AND COMMENTS 4- COMMENTS 4=21-16 • 21-16 BRE52016-0051.pdf . ,. Printed: Wednesday, June 15, 2016 11:51:59 AM 3 of 3 - sysrcees