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BPAT2015-008178=495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: COMMUNITY DEVELOPMENT DEPARTMENT BPAT2015-0081 52970 AVENIDA ALVARADO 773314012 KOTHLOW / COVERED PATIO COVER $6,000.00 Applicant: RICHARD KOTHLOW 52970 AVENIDA ALVARADO LA QUINTA, CA 92253 [31111 Is] IZ101a4a T1II� It,, �V 2015 CI N)FLA QUINTA CCfivl,VIAITY OE6'ELOKIEi iT DEPARTk4ENT 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: License No.: 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 fog 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 4AI , 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 ne year of completion, the owner -builder will have the burden of proving that I he 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 t{pntractors' State License Law.). ,v1rl/r//� 1 am exempt under Sec. B.&P.C. for this reason Date: i 2_0 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: 77 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/20/2015 Owner: RICHARD KOTHLOW 52970 AVE NIDA ALVARADO LA QUINTA, CA 92253 Contractor: OWNER - Ltc. No.: 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: 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 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 18Q 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 tq�nter upon the above-mentioned property for inspection purposes. �� /- . �r Date: /2� 7� Signature (Applicant or Agent) ERR -Al IT 4w, P DATEq' SAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 11/20/15 grenqg RICHARD KOTHLOW CHECK R11044 1483 SGU Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $i.00 Rt DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 11/20/15 Am wl� 11-11 RICHARD KOTHLOW 'CHECK R11044 1483 SGU AN IOUNT gbip DEVICES, FIRST 20 PC 101-0000-42600 0'' $24.17 $24.17' 11/20/15 RICHARD KOTHLOW CHECK, R11044 1483 SGU Total Paid -for ELECTRICAL: $48.34 $48.34 PATIO COVER, s!rD. OPEN 101-0000:42404 0 $0.17 $97:17 11/20/15 ;SGU MM im RICHARD KOTHLOW CHECK .1111044 '1483 PATIO COVER, STD, OPEN PC 101-00,00-42600 $9S.72 $95.72 11/20/15 RICHARD KPTHLOW' CHECK R111044 .1483 SGU. Total Paid:for PATIO COVER] COVERED PORCH LATTICE. $192.89 $192.89 011 14 WR PIF iRKNIVIETHC 51 1. RECEIPT 44N RICHARD KOTHLOW CHECK -1111044 1483 SGU Total Paid for STRONG� MOTION, I NSTRU M ENTATION SMI: $0.78 $0.78' .01 Description: KOTHLOW / COVERED PATIO COVER CONDITIONS NAME TYPE Type: PATIO COVER Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW Applied: 11/20/2015 SGU ENGINEERED - OPEN ZIP Approved: Parcel No: 773314012 Site Address: 52970 AVENIDA ALVARADO LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 172 Lot: 15 Issued: UNIT 17 LA QUINTA CA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $6,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 180SF COVERED PATIO COVER AT REAR YARD [WOOD]. (2) JUNCTION BOXES FOR FUTURE LIGHT AND CEILING FAN. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRES51 . CONTACTS CITY .. STATE ZIP PHONE` .. FAX :' EMAIL APPLICANT RICHARD KOTHLOW .52970 AVENIDA ALVARADO LA QUINTA CA 92253 (760)972-7039 CONTRACTOR OWNER (760)97,2-7039 OWNER RICHARD KOTHLOW 52970 AVENIDA ALVARADO LA QUINTA . CA 92253 (760)972-7039 FINANCIAL INFORMATION Printed: Friday, November 20, 2015 9:05:56 AM 1 of 2 SYSTEMS PARENT PROJECTS „ ,, 64Na INFORMATION „, Printed: Friday, November 20, 2015 9:05:56 AM 2 of 2 Cg?WYSTEMS 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 11/20/15 R11044 1483 CHECK RICHARD KOTHLOW SGU Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 11/20/15 R11044 1483 CHECK RICHARD KOTHLOW SGU DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 11/20/15 R11044. 1483 CHECK RICHARD KOTHLOW SGU Total Paid for ELECTRICAL: $48.34 $48.34 PATIO COVER, STD, 101-0000-42404 0 $97.17 $97.17 11/20/15 R11044 1483 CHECK RICHARD KOTHLOW SGU OPEN PATIO COVER, STD, 101-0000-42600 0 $95.72 $95.72 11/20/15 R11044 1483 CHECK RICHARD KOTHLOW SGU OPEN PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $192.89 SMI - RESIDENTIAL 101-0000-20308 0 $0.78 $0.78 11/20/15 R11044 1483 CHECK RICHARD KOTHLOW SGU Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.78 $0.78 TOTALS:• • PARENT PROJECTS „ ,, 64Na INFORMATION „, Printed: Friday, November 20, 2015 9:05:56 AM 2 of 2 Cg?WYSTEMS I C7 Ztj - - - - - - - - - - - - - - - - - I CITY OF LA QUINT BUILDING & SAFETY DEPT. A PPPI FOR CO -N_ aF66Ti6N DATE tjti4LS ---------- T 0 2014 RA44t*-, I �n �a e 8 Pin # City of L3 . Q uin to Building & Safety Division Calle Tampico 0013 La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #{78-495 pl— Zo 17 >� Project Address: S ZG17D�i/ V�ovir)�y ffCvr�i�/+�JO Owner's Name: 10-6 J&Mcg O),Ht,:) A. P. Number: Address: Legal Description: City, ST, Zip: LR qK 1lv r,+ ZZ�3 'Contractor:0 r 2- c7 Tele hon lr 7 Telephone: a 'I 7 P % Address: - Project Description: City, ST, Zip:fil L — y Y / oT� �✓vs . hone• Telephone: P N f C 01 L State Lia. # : City Lic. Arch., Engr., Designer: Address: City, ST, Zip: Pne: h Tele o s n Type: Occupancy: Con tructioYP #• DemoStateLic. N d'n Alter Repairair Project ect tYPecir le ne • ew Ad Name of Contact Person: Ric t+ -P `i b L "� 0 q. Ft.!'* -e # Stories: # Units: Telephone# of Contact Person: 76v ci?2 ?03 Estimated Value of Project: G o APPLICANT: DO NOT WRITE BELOW THIS LINE # 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 Calcs. 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 Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- Reyiew, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees Y P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760) 777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building }p;ermit has beef submitted in your name listing yourself as the builder of the property improvements specified at SM 47 f1 �� V r4 , � LVA, '�. p t fra l;� We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address "indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION REC770NS: Read and initial each statement below to signify you understand or verify this information. al. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of.my insurance coverage for injuries to workers onyly property. I understand building permits are not required to be signed by property owners unless they are responsible for the co ction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on yinets and contracts. . I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer'.' un er state and federal law. /±6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance,. and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. g7. 1 -understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is, performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. $. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. b. I understand I, may obtain more information regarding my, obligations as an. "employer" from the Internal Revenue eice,,the United States Small.Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at I- 1:21 - 80:21-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 1 o. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally, and financially responsible for proposed construction activity at the following address: 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all cable laws and requirements that govern Owner -Builders as.well as employers. 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a. result of a complaint. Your only, remedy against unlicensed Contractors may, be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of property owner G Date: Z1 Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file, the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's drivers license, form notarization, or -other verification acceptable to the agency is required to be presented when the permit is issued to verb the property owners signature. Property Owner's Signature: Date: 2 (Z Q. RAFTER SPAN TABLE GRADING .RULES S PS 20-70 (FEET do INCHES) O� Obi o� VP Q' 2x4 16' O.C. 24' 1 — 9'-6` 7'— i A'—a` 2x6 16' O.C. 24' 32' 1 —W6 HA 2x6 16' O.C. 24` 11'-0 i — 32" ` 11'— tl A NOTES; 1.. 32" RAFTER SPACING IS ALLOWABLE FOR OPEN LATTICE PATIO COVERS ONLY. 2. FOR SOLID. PATIO COVERS (NOT LATTICE) RAFTER SPAN IS LIMITED TO 10'-0' USING THIS STANDARD. LATTICE ROOF BUILT—UP ROOF ALL CONSTRUCTION SHALL CONFOR TO THE .PROVISIONS OF THE HEADERS HEADERS DOUGLAS FIR NO. 1 DOUGLAS FIR NO. 1 SIZE SPAN SIZE SPAN _ROOFING NOTES* 4r.4 O` 4x4 4•_0~ A_ BUILT—UP. ROLLED ROOF: SLOPE TO DRAIN. 4x6 8'—C" 4z6 6•_0 4x8 4x8 _ B. ROCK ROOF: 3 12 MAXIMUM PITON. 400 14'-0 10 1 ' 402 17'-0 '4x 12 - 6x8 6x8 6x10 17'—O 6x10 14'-0 RA! -TER SIZE AM SPACRIG -------------- ROOF PRCN CONTMUOVS LEOCER (SAME SIZE AS RAFTERS] . HEADER SIZE ---------- W RATTER SPIN. lip O.H. r Rhld. LEIICTN REAR SETBACK SOC - SETBACK 2000 PS.1 00"WrE ----./ 1 FM161/ :IIRSt/ L. _.J I NlffE: OPM NATTKE 01AM0 CODERS Wy BE AnACHED TO EXISTING FASCIA wl ONE 1/C = S LAG SCREW TW40UGH fASC1A MO EACH RAFTER TNL. LAG SCREW$ MO STUDS AT 16- O.C.7 r— CONTINUOUS LEOCER / SPECIFY ROOFMC A140 S11EATNINC OR OPEN DTII, (SEE- -ROOnNCNOTE ON REVERSE)) _/ 'T' Am -L' STRAPS — cacti -%1/6- WITH (4) 164 NAILS OR DOLT POST SwAc»w ___g (Cue w".) -^-- i Ll__ J WL 1Y'=1T MOTtt1G L_J tr ear CRADE PROIAOE I' CLEARANCE SCMEEN POST AND CONCRETE ---- U-STRAP OR AN NON --CORROSIVE (4)-. 160 NAILS OR BOLT U -STRAP OR ANGLE -= (4) - 16d NAILS J0fST Iw4GER OR SOLID DLOCK*C OR BOLT NAIL RAF7ER TO BLOCKM PROMS V CLEARANCE _BETON POST ANO CONCRETE BUILDING DEPARTMENT APPROVAL BELOW ANCHOR BOLT (EMBED — T u1N INTO C(NNCRFTFI TYPICAL PATIO COVER DATE OF APPLICATOON Ow►tER'S NAME STREET ADDRESS qm. ST 21P TELEPHONE 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 �EV�sronl DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPAT2015-0081 Property Address: 52970 AVENIDA ALVARADO APN: 773314012 Application Description: KOTHLOW / COVERED PATIO COVE R/kN Z Property Zoning: Application Valuation: $6,000.00 Sgvcue Foohi�.c —Applicant: or. Lacc 41'0_ RICHARD KOTHLOW Of Pc`+r° " 52970 AVENIDA ALVARADO LA QUINTA, CA 92253 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.: 972105 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 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 Na Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/17/2017 Owner: RICHARD KOTFLOW 52970 AVENIDA ALVARADO LA QUINTA, CA 92253 C:) N CD ti Contractor: B R C CONSTURCTION n P 0 BOX 491 Q U PALM DESERT, CA 92261 (760)277-8925 Llc. No.: 972105 WORKER'S COMPENSATION DECLARATION j 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 3:00 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers%ompensation 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 insurarn:e carrier and policy number are: Carrier: GRANITE STATE INSURANCE COMPANY Policy Number: 019397620 _ 1 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 agreethat, if I should become subject to the workers' compensation provisions of Secti®n 3700 of the 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 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 onthis 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, aid 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 :o 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 aryl 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 repres mtatives of this city to enter upon the above- mentioned property for inspection purpos ?s. Date: Signature (Applic ent or Agent): b l Date: 4/17/2017 Application Number: BPAT2015-0081 Owner: Property Address: 52970 AVENIDA ALVARADO RICHARD KOTHLOW APN: 773314012 52970 AVENIDA ALVARADO Application Description: KOTHLOW / COVERED PATIO COVER LA QUINTA, CA 92253 Property Zoning: Application Valuation: $6,000.00 Applicant:. Contractor: RICHARD KOTHLOW B R C CONSTURCTION 52970 AVENIDA ALVARADO P 0 BOX 491 LA QUINTA, CA 92253 PALM DESERT, CA 92261 (760)277-8925 ------------------------------------------------------------------ Llc. No.: 972105 Detail: 180SF COVERED PATIO COVER AT REAR YARD [WOOD]. (2) JUNCTION BOXES FOR FUTURE LIGHT AND CEILING FAN. 2013 CALIFORNIA BUILDING CODES. i b FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK/PERMIT EXTENSION PROCESSING 101-0000-42600 1 $101.84 Total Paid for ADMINISTRATIVE: $101.84 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 Total Paid for ELECTRICAL: $48.34 DESCRIPTION ACCOUNT QTY AMOUNT PATIO COVER, STD, OPEN 101-0000-42404 0 $97.17 DESCRIPTION ACCOUNT QTY AMOUNT PATIO COVER, STD, OPEN PC 101-0000-42600 0 $95.72 Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $0.78 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.78 4 Bin tt J 1 Permit /v i Project Address: City of La Quinta' Building a Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701.2 Building Permit Application and Tracking Sheet Owe neer N-,,ce: A. P. Number: Address: Legal Description: City, ST, Zip: ,rC onlr ct — a r• o. 2 G Co GG Telephone: Address: ��J p OC Y9 l —project -Description: City, ST, Zip:,oO -/,'? O�S�- �� q 2 Z c r f PsEn,R� ri 00 _ -'a$� . e Teleh . Pon o. 2 7l S h t 'n State Lic. # : 1% /a!; City Lie. a DO L lig? Arch.,'Engr., Designer: Address: City, ST, Zip: Telephone: PaneY frac ton TY e: Occupancy: Construction P Slate Lic- Repair.air• Demo ect type (circle one), New Add'n Alter ProJ Name ofContactPew rson Sq. Ft.: # Stories: #Units: Telephone # of Contact'Person.:�=-%(�O 'L 7 7 - $� 2 5 �Estiniafed Value=of Project: - APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss CAM Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical 'Subcontactor List Called Contact Person Plumbing Gran(Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees (�A�zo�S� a�81 RECEIVED To whom it may concern, APR 14 2017 C ""Y ()F LA QUINTA COMMUNITY DEVELOPMENT Around two years ago I submitted for a permit fora patio cover and cement foundati-)n. I was able to proceed with the concert foundation but due to a financial hard ship was unable to continue with the patio cover itself. I do at this time wish to renew my existing permit (BPAT2015-0081 at your earliest convenience. Thank you, f1 G a Richard Kothlow 52970 Avenida Alvarado La Quinta Ga, 92253