BPAT2015-008778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BPAT2015-0087
Tiht 4 4v Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address: 52661 AVENIDA BERMUDAS
APN: 773305019
Application Description: ZAMORA / ALUMAWOOD SOLID PATIO COVER
Property Zoning:
Application Valuation: $4,914.00 n�
LJ
Applicant:
CALIFORNIA SHOWCASE CONSTRUCTION DEC 99' 2015
1507 MARLBOROUGH AVE
RIVERSIDE, CA 92507 )�pr t�irr
GC�rpRU;VIP OF�'SLt?P!uE"'TOEPAR?.'EU
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.: 912352
Date: t ;L'. Z 0- '3- 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.).
(1 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
11111111111111111111
39
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: . 12/29/2015
Owner:
CAROLYN ZAMORA
52661 AVENIDA BERMUDAS
LA QUINTA, CA 92253
Contractor:
CALIFORNIA SHOWCASE CONSTRUCTION
1507 MARLBOROUGH AVE
RIVERSIDE, CA 92507
(951)682-0208
Llc. No.: 912352
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.
G �• 1 have and will maintain workers' compensation insurance, as required by
SerSion 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 bor Code, I shall forthwith
comply with those provisions.
Date: �Z Z�l'r� Applican
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 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. —
Date: n -I' Signature (Applicant or Agent
FINANCIAL ' +
DESCRIPTION
ACCOUNT QTY AMOUNT, PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0 $1.00 $1.00
12/29/15
PAID BY
METHOD- RECEIPT # ... . CHECK #
CLTD BY.
CALIFORNIA SHOWCASE CONSTRUCTI
CHECK R11836 31198
LUR
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00. $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
12/29/15
PAID BY
METHOD
RECEIPT# p
CHECK #
CLTD BY
CALIFORNIA SHOWCASE CONSTRUCTI
CHECK
R11836
31198
LUR
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101=0000-42600
0
$24.17
$24.17
12/29/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CALIFORNIA SHOWCASE CONSTRUCTI
CHECK
R11836
31198
LUR
Total Paid for ELECTRICAL: $48.34 $48.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID-
PAID GATE
PATIO COVER, STD, OPEN
101-0000-42404
0
$97.17
'$97.17
12/29/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY,
CALIFORNIA SHOWCASE CONSTRUCTI
CHECK
R11836
31198
LUR
DESCRIPTION
ACCOUNT
QTY'
AMOUNT
PAID
PAID DATE
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$95.72
$95.72
12/29/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD. BY
CALIFORNIA SHOWCASE CONSTRUCTI
CHECK
R11836
31198
LUR
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $192.89
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$0.64
$0.64
12/29/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CALIFORNIA SHOWCASE CONSTRUCTI
CHECK
R11836
31198 '
LUR
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.64 $0.64
Description: ZAMORA / ALUMAWOOD SOLID PATIO COVER
CHRONOLOGY
r
Type: PATIO COVER Subtype: CITY STANDARD/PRE-
Status: APPROVED
Applied: 12/23/2015 SGU
ENGINEERED - OPEN
Approved: 12/29/2015 LUR
Parcel No: 773305019 Site Address: 52661 AVENIDA BERMUDAS LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block:.140
Lot: 6
Issued:
UNIT 15
STATE
ZIP
Lot Scl Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $4,914.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
CONTRACTOR
Details: 11'X 15'(171 SQ FT) ALUMAWOOD STYLE SOLID PATIO COVER WITH (1) ELECTRICAL OUTLET. 2013 CALIFORNIA BUILDING CODE.
ADDITIONAL
CHRONOLOGY
r
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE, FAX EMAIL
APPLICANT
CALIFORNIA SHOWCASE
CONSTRUCTION
1507 MARLBOROUGH
AVE
RIVERSIDE
CA
92507
CONTRACTOR
CALIFORNIA SHOWCASE
CONSTRUCTION
1507 MARLBOROUGH
AVE
RIVERSIDE
CA
92507
OWNER
CAROLYN ZAMORA
52661 AVENIDA
BERMUDAS
LA QUINTA
CA
92253
Printed: Tuesday, December 29, 2015 2:05:09 PM 1 of 3 c
SYSTEMS
�Permit Details PERMIT NUMBER
City of La Quinta BPAT2015-0087 �.
INSPECTIONS
Printed: Tuesday, December 29, 2015 2:05:09 PM 2 of 3
SYSTEMS.
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
CALIFORNIA
BSAS.S61473 FEE
101-0000-20306
0
$1.00
$1.00
12/29/15
R11836
31198
CHECK
SHOWCASE
LUR
CONSTRUCT[
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
CALIFORNIA
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
12/29/15
R11836
31198
CHECK
SHOWCASE
LUR
CONSTRUCTI
CALIFORNIA
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
12/29/15
R11836
31198
CHECK
SHOWCASE
LUR
CONSTRUCTI
Total Paid for ELECTRICAL: $48.34 $48.34
CALIFORNIA
PATIO COVER, STD,
101-0000-42404
0
$97.17
$97.17
12/29/15
R11836
31198
CHECK
SHOWCASE
LUR
OPEN
CONSTRUCTI
CALIFORNIA
PATIO COVER, STD,
101-0000-42600
0
$95.72
$95.72
12/29/15
R11836
31198
CHECK
SHOWCASE
LUR
OPEN PC
CONSTRUCTI
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $192.89
CALIFORNIA
SMI - RESIDENTIAL
101-0000-20308
0
$0.64
$0.64
12/29/15
1111836
31198.
CHECK
SHOWCASE
LUR
CONSTRUCTI
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.64 $0.64
TOTALS:
INSPECTIONS
Printed: Tuesday, December 29, 2015 2:05:09 PM 2 of 3
SYSTEMS.
IST BLDG NS (1 WK)
LUIS URIBE
12/23/2015
1/5/2016
12/23/2015
REVISIONS REQUIRED
NEED TO REFRENCE 2013. CBC AND NOT 2012 IBC
ON ENGINEERING PACKET.
1ST BLDG NS (1 WK)
BUILDING
12/29/2015
12/29/2015
12/29/2015
APPROVED
BUCKET
Printed: Tuesday, December 29, 2015 2:05:09 PM 3 of 3
SYSTEMS
Bin #
Qty of La Quin to
Building &r Safety Division
. 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: e �, dCX �rM UGS
Owner's Name: p f Zt1 y., p
A. P. Number:
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Address: 6 -L 6 G 1 A0e l�l A cA S,e /M iAdd A`, -
Legal Description:
City, ST, Zip: A �ti; h. G Z ZS
Contractor: r. / n-5rJw�
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Telephone:
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Address: (s 0 7 1414/1,ib Grotl� wq-
Project Description: \
City, ST, Zip: iV f GZSa7
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StateLic.#:
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Arch., Engr., Designer:
Address:
City, ST, Zip:
ne:
Telephone: 0
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n tructi n Type: Occupancy:
Cos o Y P
Lic.#.
Demo N Repair
Project (circle nAdd'n A]ter
Name of Contact Person:1 1 4—A IM
Sq. Ft.: -7 (
# Stories:
# Units:
Telephone # of Contact Person: �� 1- (o�L- U2 o
Estimated Value of Project: f 4
APPLICANT: DO NOT WRITE BELOW THIS LINE
f✓
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes,
Reviewed, ready for corrections
Plan Check Deposit
Truss.Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked.up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN IIOUSE:-
'"'. Review, ready for corrcctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
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