BPAT2014-100178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BPAT2014-1001
Property Address: 52635 VIA DONA
APN: 777410024
c&t�p 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Description: 120 SQ. FT. TRELLIS ADDITION
Property Zoning:
Application Valuation: $1,500.00
Applicant:
MONARCH HOMES
49950 JEFFERSON STREET
LA QUINTA, CA 92264
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
BRIAN SONNENBEFG
23432 STAFFORD HILL CT
WEST LINN, OR 9253
Contractor:
MONARCH HOMES
49950JEFFER
LA QUINTA, C�
Llc. No.:
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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 Divisio a Bu ness and Professions Code,
and my License is in full force and effect.
License Cl a s: _ License No.: C28860
Date: Contractor: 40 �AL17
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:
Date: 7/7/2014
...� U
JUL 0�2
WORKER'S COMPE
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate cf consent to self -insure for workers'
compensation, as provided for by Section 3700 tithe Labor Code, for the performance
oft f
k for which this permit is issued.
I have and will maintain workers' corrpensation insurance, as required by
Section 3700 of the Labor Code, for the perform: nce of the work for which this permit
is issued. My workers' compensation insurance Barrier and policy number are:
Carrier: _ Policy Number: _
_ I certify that in the performance of th - work for which this permit is issued, I
shall not employ any person in any manner so asrto become subject to the workers'
compensation laws of California, and ag �that, I should become subject to the
workers' compensation provisions of Sectiof the Labor Code, I shall forthwith
comply wit tthose provisions. 1�
Date:7/0/1 Applic nt: 1 A)W J7��/O
WARNING: FAILURE TO SECURE WORK PENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
PENSATION, DAMAGES AS PROVIDED FOR 119 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 a 3plication.
1. Each person upon whose behalf this.applicafion is made, each person at whose
request and for whose benefit work is performer under or pursuant to any permit
issued as a result of this application , the owner,.ind the applicant, each agrees to, and
shall defend, indemnify and hold harmless the Ciry 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 iss jance of such permit, or cessation of
work for 180 days will subject permit to cancellaton.
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 ordinao.ces and laws elating to building
construction, and hereby authorize representativ--s of this cit upon the above-
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent): Jb
fill
i
.t I ,
DESCRIPTIONPI
PermitTRAK
$272.38
BPAT2014-1001 Address: 52635 VIA DONA
Apn: 777410024
$272.38
BUILDING STANDARDS ADMINISTRATION BSA
$1.00
BSAS SB1473 FEE
101-0000-20306 0
$1.00
CITY STAFF - PER HOUR
$105.00
HOURLY PLAN CHECK - YES
101-0000-42600 2
$105.00
PATIO COVER / COVERED PORCH / LATTICE
$165.88
PATIO COVER, DESIGNED PC
101-0000-42600 0
$165.88
STRONG MOTION INSTRUMENTATION SMI
$0.50
SMI - RESIDENTIAL
TOTAL FEES PAID BY ..
101-0000-20308 0
$0.50
D-
I JUL 08 20u4
q"
LA QUINTA
Date Paid: Wednesday, July 09, 2014
Paid By: MONARCH HOMES
Cashier: SKH
Pay Method: CHECK 1621
Printed: Tuesday, July 08, 2014 3:37 PM 1 of 1JCYCTCi.At
77-682 Country Club Dr. Ste. B, Palm Desert, CA 92211 ph. (760) 772-5107 `ax (760)
Letter of Transmittal
To: City of La Quinta Today's Date: 6-24-14
78-495 Calle Tampico City Due Date: 7-1-14
La Quinta, CA 92253 Project Address: 52-635 Via Dona
Attn: Angelica Plan Check #: 14-635
Submittal: ❑ 15t ❑ 4th
® 2nd ❑ 5th
❑ 3rd ❑ Other:
We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS)
❑ Your Pickup
Includes: # Of Descriptions: Includes: # Of
Descriptions:
Copies: Copies:
❑ Structural Plans ® 1
Revisad Structural Plans
® 1 Structural Calculations ❑
Revised Struct. Calcs
❑ Truss Calculations Floor ❑
Revisad Truss
and Roof
❑ Soils Report ❑
Revis=d Soils Report
® 1 Structural Comment List/ ❑
Apprcved Structural Plans
Responses
® 1 Redlined Structural Plans ❑
Apprcved Structural Calcs
❑ Redlined Structural Calcs ❑
Apprcved Truss Calcs
❑ Redlined Truss Calcs ❑
Apprcved Soils Report
❑ Redlined Soils Reports ❑
Other
Comments: Structural content is approvable.
If you have any questions, please call.
Time =.75 HR
This Material Sent for:
❑ Your Files ® Per Your Request
❑ Your Review ❑ Approval
❑ Checking ❑ At the request of:
Other: ❑ r IN
By: Kathryn Samuels
Palm Desert Office: ® (760) 772-5107 i� 7(114
Other: ❑
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
, _ ft..
iin # 1
, 0City of La Quinta ,
n f Building si Safety Division
P.O. Box 1504, 78-495 Calle Tampico
r/ La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit i
ab
Project Address:SZ-(G�S //�- �tjnl
Owner's Name:l3�r 411JSOnJ�EhlF
A. P. Number: }'7 _ q10- 19 ?_ 4
Address:G D ,�v►r�S
Legal Description:
City, ST, Zip:
Contractor: n/ y MOSS
Telephone: 9fSi)U1,4
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Address: q9% RSO -Jq'jz�F�-gv ^/ s7- -#7 30
Project Description:
City, ST, Zip: ,�1CDZ2D
Telephone:gSl (p? 4 - V 3
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State Lie. # :
City Lie. #;
Arch., Engr., Designer:
2-014
Address:
COMM _ OFA U
zjwr
City, ST, Zip:
14
LOpMF�
Telephone:
s;<.iz< A::;<::;:<:.; <:'
Construction Type: Occupancy:
P P� Y:
Project type (circle one): New Add, n Alter Repair Demo
State Lie. #:
Name of Contact Person: 6 J S' 7-
Sq. Ft.: Z Q
# Stories:
# Units:
o
Telephone #:of Contact Person:. S1) (0 3 7 - 3
Estimated Value of Project: / U
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
I
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Stats
Plan Check submitted
m
Amount
Structural Calcs.
Reviewed, ready for corrections
a
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance •
Title 24 Cates.
Plans picked up
Y
Construction
Flood plain plan
Plans resubmitted
'Pq
Mechanical
Grading plan
2od Review, ready for correctio /issue7/7
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'r' Review, ready for corrections/issue
Developer Impart Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fe -.s