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BPAT2016-001178-495 CALLE TAMPICO " 0 V VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT FAX (760) 777-7011 INSPECTIONS (760) 777-7153 . BUILDING PERMIT Date: 7/20/2016 Application Number: BPAT2016-0011 Owner: Property Address: 80370 CAMARILLO WAY MICHAEL HANSEN APN: 777330043 f ! — V Property Zoning: � -- Application Valuation: $15,000.00 Applicant: — C ntractor: ERNIE SANCHEZ CONSTRUCTION-ICi�NIE SANCHEZ CONSTRUCTION 68-075 VIA DOMINGO STREET --- 68-075 VIA DOMINGO STREET DESERT HOT SPRINGS, CA 92240 DESERT HOT SPRINGS, CA 92240 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: B License No.: 842333 Date: I 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 N Lender's Address: (760)660-3512 Llc. No.: 842333 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 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: 7 - 2 Applicant - WARN I N G: 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. C� Date: 7- L 4,1- /6 Signature (Appficant•orAgent): 't�l' X �L i I':J-I r' i;il' �� `:'i ,_ ,�_ �_.• ? - - - lug - - Xf. ii� AMOUNT - . PAID i- � y _-. DESCRIPTION ACCOUNT CITY PAID DATE HOURLY CHARGE - YES PRINCIPAL/STRUCTURAL ENGINEER 101-0000-42600 1 $150.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1.25 $87.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1.25 $87.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1.25 $87.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1.25 $87.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1 $105.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BLDG CITY STAFF - PER HOUR: $605.00 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT' QTY AMOUNT PAID -PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT# CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, STD, OPEN 101-0000-42404 0 $97.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, STD, OPEN PC 101-0000-42600 0 $95.72 $0.00 PAID BY METHOD RECEIPT# CHECK# CLTD BY Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $1.95 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.95 $0.00 TOTALS::4• 00 LL LL § to N Ch � \ � \ ) \ $ / \ ƒ < < Lu N In cn § cc / z < K § � k § IA ■ LL g \ m z & o v j z L o § (A)0 L (A L > co u R § S k� 2 @ �� D z a E�UjE u z LLI MA m C) � 2 4 d o \ I u p E o E g a / E \ 7 \ / - \ 2 e 2_ ¥ \ 2 § 0 E \ � _ ® / N k d § � 9 o § LL / \ \ co 4 z / I a 2\ _ z z / z j § § M § LLI o § \ k k \ \ } � co Ln o z u u � � §§ u u � § § w � w w > L§/ u LLI u u 2 2 z Z o cc w m E( z at Lu u 2 ««§ u En � LLJ� a IA LU } LO z WLLJ ) coIL co 2 0 F- w § § \ § / z § k § § le § F LLI I ® e a a 7 z LU � N W N LO W to ta § § § § § 0 U» k 7 § ^ n Ln _ Q u _ k § § 2 § j j / n / §_ 0 rq rq b ^en LOP� r� « § LAJ z z z 2 2§ z z z z z z < < § z � I 2 = @ = ° » > � z I q $ 2 In § a Lu z � « w k § § § § § LU § Ln � LZ z z z z zLLJ LLJ u LU 2 § uk� � u ZLL � \ e � < _ Z W O a W W J LU a W d Q ~ ~LU W F- = W m N Z = J_ N NW) z I. -I= O W Q OC LU D Z Q H N g g =~$ems W LA z W 11 W e-I a a W Y (AN F- O C=� c W OC � N D. z m d = W W = U OLL O CC = LLI N N U el 0 Q H 0. 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P. Number: Address: S03-7o C-,-\M AFQZL-L-0 WAY Legal Description: City, ST, Zip: LA 4)0-r J-TA (,A q I-L 53 Contractor: - E2 A w�= k z s' Address: (9g V—� 5 4.tA �p�,s� ProjectDeseription: City, .ST,Zip:-be:5aa: • i4o 5P(LSn1 5 CA•g22-g0 ?AT-xD •DDI O Telephone:. e. 1 Z (o V � %�o 35 l State Lie. # : Z 3 3 3 City Lie. #I- ;Arch., Arch.,Engr., Designer: WE01:�-CLL f JC-: T . Address: $v _3p0 V�LL-'s A-rcrL OPS✓C City., ST, Zip: b—o CA • �L Z 0 3 Telephone: one -7 GJ q53 rS to e• Occupancy: Construction n TYP ane Y: State to Lic. #: G Z. Project type tcitcle one • New Add'n Alter Repair Demo Name•of Contact Person: S t Ed C I_ WA&M PA Sq. Ft.: V 't„ 5 #Stories: # Units: Telephone # of Contact Person: 760 9 06q -(P9 2 b Estimated Value of Project: 157 a 00 T APPLICANT: DO NOT WRITE BELOW THIS LINE M Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales, Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan tad Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted' Grading IN IIOUSE:- 1r0 Review, ready for correction0issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit,issuc School Fees, Total Permit Fees t Mountain View Country Club Homeowners' Association c/o Albert Management, Inc. PO Box 12920, Palm Desert, CA 92255-2920 E F s 760.346,9000_ -16FA i -zol6, l 1 760.346.9997 Fax t February 23, 2016 r Michael B. Hansen RE: Property located at: 80370 Camarillo Way, La Quinta, CA 92253 Account #-101400060: ----. .._ __....:_.:.. . Architectural Approval for: General Construction —Expansion of Patio Cover and patio Dear Homeowner(s): Please consider this written confirmation that the Architectural committee has approved your application for General Construction - the expansion of the patio cover and patio. The CC&Rs provide the Architectural Committee with the duty and responsibility to review all applications requesting additions, alterations, improvements, or modifications to the exterior of his/her residence, residential lot, and/or the common area and to ensure that the architectural applications comply with the Architectural Application Guidelines and Procedures and comply with the Association's Governing Documents and, are consistent with the overall conformity and harmony of the original design and the aesthetic beauty our community. We thank you for your cooperation in following the Architectural procedures. Please contact our office upon completion of this project so that the final completion may be signed off by the Architectural Committee ,and if applicable, any refundable deposit returned. Should you have any questions please reach out to your point of contact, Cardinal Ambrose, CCAM, CMCA, AMS at 760.346.9000 or by email at cardinal.ambrose@albertmgt.com.. - Sincerely, On behalf of the Architectural Committee Mountain View Country Club Homeowners' Association VEDa Association Manager n Cardinal Ambrose, CCAM, CMCA,f AMS '`� 0 2016 c®lw� TV ®t LA QUINT-4 Architectural Committee ��/��