BPAT2016-002278-495 (ALLE TAMPICO t Twit p D �" �cu VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760).777-7153
BUILDING PERMIT
Date: 4/19/2016
Application Number: BPAT2016-0022 Owner:
Property Address: 44380 VIA CORONADO FREEMAN SWAN
APN: 604211037 44380 VIA CORO _ 0'
Application Description: SWANK / PATIO COVER, GAS LINE FOR BBQ, OUTLETS FOR ISLAND LA QUINTA, CA 93
Property Zoning: '
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Application Valuation: $10,000.00 _ v
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Applicant: Contractor: o �
VALLEY PATIOS INC DBA VALLEY CONCRETE & 'VALLEY PATIOS 1 MV LLERONGRETE &
37897 CHESTERFIELD STREET 37897 CHESTERFI jEQ
INDIO, CA 92203 INDIO, CA 92203 C2
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(760)534-4634 m
Llc. No.: 937811
---------------------------------------------------------------------------------------------
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
Date:' 1 " � (� 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.).
( ) 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 Name:
Lender's Address:
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 rk for which this permit is issued.
C.'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 thosq provisions.
Dat 111/16 'Applicant` 1
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 t
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 -men 'oned roperty for inspection purposes.
Date �� Signature (Applicant or AgEw
.51
FINANCIAL •' •
DESCRIPTIONS n ;krACCOUNT�AMOUNT ztiy 'PAID PAIDDATE'
B&.SAS SB1473 FEE 101-0000-20306 0 $1.00
$0.00 .•
t°fin ' N s�"
AID BYri r,a -,,'_'METHOD, „y RECEtP,T # ,• zCHECK
rra 'S�
#k CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
,DESCRIPTION a" e 3
? k'
ACCOUNT
:Q TY
$ AMOUNT
PAID
�PAIDDATE;'.
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
rPA10 BYE
METHOD',
RECEIPT # >.;+
; CHECK #
CLTD BY
,
f AMOUNT;
I
Wb,
P PA
ti —'e;
PIPTIONAIDOA
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
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'METHODRECEIPTS#,,5CHECK
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f Total Paid for ELECTRICAL: $48.34 $0.00
zw c bESCRIPTIONkA�5a;
ACCOUNT,,z
'*QTY`AMOUNT
Ss%
Ny PAID„J
PAID*DATE'
PATIO COVER, STD, OPEN
101-0000-42404
.0
$97.17
$0.00.
x PAID BY w § '
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�� RECEIPT #
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w� .: m ..:QTY
x
a F
;2 xAMOUNT
rPA D.<r.�
,
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t?AIDD TES
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$95.72
$0.00 •
fk tx APAIO,'BY���
METk10D "� a ;
s RECEIPT # �
itCHECK # � y
CL D BYE
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $0.00
t€aDESCRIPTION x� 40,
�.
.ACCOUNT,; t
QTY
AMOUNT*
u kPAID�
'PAIDDATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
`e RECEIPTK#k
CHECK #pts
x CLTD BYE
��DESCRIPTION{ f�`,.#��� x•,
, :. ACCOUNT>'
QTYi4MOUNT
Y PAID
xPAID`aDATEs.
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
Kv ,' yPAIOYBYx ��
* 'gMETHOD ;`
huh `' RECEIPT #
; CHECK #
CLTD BY r
Total Paid for PLUMBING FEES: $36.26 $0.00
' DESCRIPTION _ xa�g
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kt* , Y ACCOUNT ,<'SQTY
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ANIOUNTAF�
PAID tin
�.
`PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$1.30
$0.00
�.
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��svr CHE� sC�K#.,,'
CLTECEIPT €Dfa,yB, Y
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.30 $0:00
TOTALS:• •0
Description: SWANK / PATIO COVER, GAS LINE FOR BBQ OUTLETS FOR ISLAND
Type: PATIO COVER Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW
Applied: 4/19/2016 SKH
- • ENGINEERED - OPEN
Approved:
Parcel No: 604211037 Site Address: 44380 VIA CORONADO LA QUINTA,CA 92253
Subdivision: TR 23971-1 Block: Lot: 44
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $10,000.00 Occupancy Type: Construction Type: •
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
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Details: 476SF TRELLIS PATIO COVER AT REAR YARD [DURALUM] AND ELECTRICAL AND GAS FOR BBQ. THIS PERMIT DOES NOT INCLUDE
ELECTRICAL INSTALLATIONS. 2013 CALIFORNIA BUILDING CODES.
77
CONDITIONS
•' •
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``- >PHONE'_'FAX EMAILx.
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APPLICANT VALLEY PATIOS INC DBA VALLEY
37897 CHESTERFIELD
INDIO
CA
92203
(760)203-4313
CONCRETE &
STREET
CONTRACTOR VALLEY PATIOS INC DBA VALLEY -
37897 CHESTERFIELD
INDIO
CA
92203
(760)203-4313
_ CONCRETE &
STREET
44380 VIA CORONADO
LA QUINTA
CA
92253
(760)203-4313
OWNER FREEMAN SWANK
•' •
` Printed: Tuesday, April 19, 2016 9:58:39 AM . 1 of 3 SYSTEMS w
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'DCI
NT;PAID
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Z71
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(AMOUNTCEIPT
V
BSAS SB1473 FEE
101-0000-20306
0
-$1.00
$0.00
c
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.60
BSA:
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00,
Total Paid for ELECTRICAL: $48.34 $0.00
PATIO COVER, STD,
101-0000-42404
'0
$97.17
$0.00
OPEN
PATIO COVER, STD,
101-0000-42600
0
$95.72
0.00
OPEN PC
Total Paid for PATIO COVER / COVERED PORCH LATTICE: $192.89 $0.00
GAS SYSTEM, 1-4
101-0000-42401
01
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101,0000-42600
0
$24.17
$0.00
OUTLETS OC...
Total Paid for PLUMBING FEES: • .-$36.26 -$0.60
SMI - RESIDENTIAL
101-0000-20308
0
$1.30 T-
$0.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.30 $0.00
TOTALS:,
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....... . .. 13OND INFORMATION
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Bin #
City of La Q uin to -
Building" a Safety Division
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Permit #
. 78-495 Calle Tanipico
La Quinta, CA 92253 - (760) 777-7012
PAT D(to-CO;
Building.Permit- Application and Tracking 3"lieet ,
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Name of Contact Perso�
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Telephone # of Contact Person:, .7 -4634
Estimated Value of Project. 0 0 0 )
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Structural Calcs.
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Plan Check Balance
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Title 24 Calcs.
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Plans resubmitted
Grading
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Developer Ir_ipact Fee
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Planning Approval
Called Contact Person
A.LP.P
Pub. Wks. A r /
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Date of permit. issue
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