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BPAT2014-104278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application, Number: BPAT2014-1042 Property Address: 78725 VIA CORRIDO APN: 646050039 Application Description: ALU MAWOOD PATIO Property Zoning: Application Valuation: $3,000.00 Applicant-. ANILOM INC DBA GOLD STAR CUSTO 42-335 WASHINGTON STREET SUITE F363 PALM DESERT, CA 92211 D VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT �_. Date: 11/18/2014 Owner: ALBERTO AMEZCUITA ----------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter `P ,9 (commencing with Section 7000) of Division 3 oVBtsusiln sand Professions Code, antmy License is in full force and effect. License Class: C33, C51 License No.: 85562 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, 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 orher 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 Lender's Address: , 92253 Contractor: ANILOM INC DBAGOLD STAR CUSTO 42-335 WASHINGTON STREET SUITE F363 PALM DESERT, CA92211 (760)641-7544 Llc. No.: 855623 ----------------------- WORKER'S COMPENSATION DECLARATION I I herebHirm under penalty of perjury one of -:he following declarations: I have and will maintain a certificate :)f consent to self -insure for workers' compensation, as provided for by -Section 3700 .if the Labor Code, for the performance of thv6rk 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 --arrier 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 shout /become subject to the workers' compensation provisions of Section 3700 oft Labor Code, I shall forthwith comply with those provisions. Date: 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 IK SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Boailding 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 ender or pursuant to any permit issued as a result of this application , the owner, a id 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 v,ork 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 fiat 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 representative^ of this city to enter upon the above- mentioned property for inspection purposes. Date: Signature (Applicant or Agent): lip FORMATION DESCRIPTIONS a�A000UNT`i BQTY AMOUNT PAID PAID"DATE;: ,�,:? ,°' s , BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 11/18/14 PA10'�BY " � 'k METHOD V,�, RECEIPT,# �' CHECK # ' "�i CLTD s " a 4� `+f . ANILOM INC DBA GOLD STAR CUSTO. DEBIT R2909 MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 '1..� ACCOUNT t' µ` t '4 ;QTY .` ;: AMOUNT • P AIDS.v r a�. , E _..,. ,-.: �•m ., =F..-_ :z ._ , { . , 4 'i>`= ;, ;PAID;DATE; -PATIO COVER, STD; OPEN 101-0000-42404 0 $97.17 $97.17 11/18/14 BY =z ° , ' ��; METHOD `, 5r {? -RECEIPT # r, t . �..k .. . :. E < >: CHECKCLTD #b BY ANILOM INC DBA GOLD STAR CUSTO t DEBIT R2909 MFA Fes. nil ACCOUNT+ 'AMOUNT«` �jPAID �� DATE; ,DESCRIPTION r. yQTY � d xPAID PATIO COVER, STD, OPEN PC 101-0000-42600 0 $95.72 $95.72 11/18/14 cPAIDµBY HOD RECEIPT # w CHECK #CLTD BY kir �.. ANILOM INC DBA GOLD:STAR CUSTO DEBIT.. R2909 MFA Total Paid forPATIO COVER / COVERED PORCH / LATTICE $192.89 $192.89 hjrt s DESCRIPTION '" H f r* r't-,t.s ACCOUNT Q TY� AMOUNTnr� a < A p AtD i P AI p +_ . <. . , DATE, SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.50 11/18/14 Y �' y yy >ka PAID BYf<t� {: METHOD*,�� .. L dts. e{3 uRECEIPT # - W' .FM}.@ CHECK #t{`,CLTD K? f' BY 9.'� ANILOM INC DBA GOLD STAR CUSTO DEBIT R2909 MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50 TOTALS: 3 1 � t Description- ALUMAWOOD PATIO 270SF Type: PATIO COVER. Subtype: Status: SUBMITTED Applied: 11/18/2014 MFA Approved:. Parcel No: 646050039 Site Address: 78725 VIA CORRIDO LA QUINTA,CA 92253 Subdivision: TR 21555-2 Block: Lot: 3 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,000.00 Occupancy Type: Construction Type:' Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 270 SF ALUMAWOOD PATIO COVER AT REAR YARD [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL CHRONOLOGY • • • CONTACTS ::::: ..-:;:— .._ :...• m .iii .�. ��. ...� .:..0 iik.. .....`.„.. dsy -” T," s1VV1HNA .. �.. '.1ii1 ff4NVfl NAME,TYP@ 111 N1}(,.,,,(k.nNAME-,. w ''i ��i f ..ti-:-. _tV11VlNV: A'M '�V' V.is'�,'. f. �..yk. ..y.. ,.1(titt , ...�:.- M2 .r^•. 5A a '.vu -s .. `., ADDi�ES$1.., CITY �::,. g STATE s ZIPS^ ' xr-..i �. -.T P,HONE — ---• —_ '. a£.�` FAX .EMAIL` 6. � .. _ i.» e ..: +d,.c • x"'..:,` a - F �_..... , x Y P. .F. _,. r APPLICANT ANILOM INC DBA GOLD STAR CUSTO 42-335 WASHINGTON PALM DESERT CA' 92211 ' STREET CONTRACTOR ANILOM INC DBA GOLD STAR CUSTO 42-335 WASHINGTON PALM DESERT CA 92211 STREET OWNER ALBERTO AMEZQUITA -' - 92253 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" `CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY , BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 11/18/14 R2909 DEBIT ANILOM INC DBA MFA GOLD STAR CUSTO Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PATIO COVER, STD, 101-0000-42404 0 $97.17 $97.17 11/18/14 R2909 DEBIT ANILOM INC DBA MFA OPEN GOLD. STAR CUSTO PATIO COVER, STD, 101-0000-42600 0 $95.72 $95.72 11/18/14 R2909 DEBIT ANILOM INC DBA MFA OPEN PC GOLD STAR CUSTO Total Paid for PATIO COVER / COVERED PORCH / LATTICE $192.89 $192.89 SMI - RESIDENTIAL 101-0000-203080 $0.50 $0.50 11/18/14 R2909 DEBIT ANILOM INC DBA MFA GOLD STAR CUSTO Total Paid forSTRONG MOTION INSTRUMENTATION SM! $0.50 $0.50 $194.39 $194.39 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" ATTACHMENTS Printed: Tuesday, November 18, 2014 10:36:48 AM 2 of 2 C SYSTEIv1S # City Of ted Qi1ltltd "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 Permit # fn Project Address: S ul �-tc Owner's Name:. P ✓fo 14 t A. P. Number. Address: 719 j/) CoFr-,Wo Legal Description: (J City, ST, Zip: 2i5- 2S... Contractor. 4A�O•�A // Telephone: Project Description: Address: (p Z City, ST, Zips 'Y� 'State Telephone:"4City Lic. # : S�a c. #, Arch, Engr., Designer, Address: City., ST, Zip: V Telephone: " 1 State Lic. #: Construction Type- . Occxpancy: Project •JYa (circle one): New Add'n Alter Repair Demo l Sq. Ft.: 7o # Stories: #Units: Name of Contact Person: Telephone # of Contact Person: Estimated Value of Project q "t7 - APPLICANT: DO NOT WRITE BELOW THIS UNE 9 Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted' Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check De"it. . Truss Calcs, Called Contact Person Plan Check Babnce Title 24 Cales. Plato picked up Construction Flood plata plan Plans resubmitted, . Mechanical Grading plan 2" Review, ready for correctionstiissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S NLL H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 3" Review; ready for corrections!tssue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fe -s