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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: n � 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� h Telephone: nc:G%u Address: (s 0 7 1414/1,ib Grotl� wq- Project Description: \ City, ST, Zip: iV f GZSa7 a' (� 11 X 1 S 1 % l a ne — Tele h o . P S � G � a 0V4 -r � � e StateLic.#: Lie.#.: [j SUI, (ov-w. I,,,) ( f,1•C(•(-v.[ ( ok1+It+. Arch., Engr., Designer: Address: City, ST, Zip: ne: Telephone: 0 ................................................ 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 2-I" L'MaL0000 - c -E cL i i(J P �-r; D- cc v e rZ C) L --ET �� �F FpR c "A A/�q z jvsrRV�T��J 52ULe1 p-VENioA BE�muAflS l_._R Q Lxe tn f, cA 9 22-S 3 (-1 coo) rl- i - egzq r 9. w PIL a � I 2-I" L'MaL0000 - c -E cL i i(J P �-r; D- cc v e rZ C) L --ET �� �F FpR c "A A/�q z jvsrRV�T��J 52ULe1 p-VENioA BE�muAflS l_._R Q Lxe tn f, cA 9 22-S 3 (-1 coo) rl- i - egzq r 9. w PIL a