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BPAT2015-0071-tu 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPAT2015-0071 Property Address: 47812 DANCING BUTTERI APN: 600410062 Application Description: CORDOVA RESIDENCE / P Property Zoning: Application Valuation: $4,800.00 Applicant: ANILOM INC DBA GOLD STAR CUSTOM PAINTING 42-335 WASHINGTON STREET SUITE F363 PALM DESERT, CA 92211 c&tr44QuiRr�, COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 15 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 II\\ Owner: L! LYDIA CORDOVA 47812 DANCING BUTTERFLY ROCT 2 7 ZW5 LA QUINTA, CA 92253 ;,m OF LA QWTTA 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 an rofessions Code, and my License is in full force and effect. License Class- 33 License No.: 855623 7__ 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).: (1 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 Address: Date: 10/27/2015 Contractor: ANILOM INC DBA GOLD STAR CUSTOM PAINTING 42-335 WASHINGTON STREET SUITE F363 PALM DESERT, CA 92211 (760)641-7544 Llc. No.: 855623 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 employany person in any manner so as to beco ubject to the workers' compensation laws of California, and agree that, if I sho d become sub' to the workers' compensation provisions of Section 370 of a La or o hall forthwith comply with hose y1ovisions. Date: �� Applicant: WARNING: FAIL RE 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 grope y for inspection purposes. Date: Z % .SSignatu re (Applicant or Agent): FINANCiAL INFORMATION A-.�•`l'Q'. .i"�.. .J•' E;.` S'T'S Yah' `^Z, ?''`' tY; -. `d F i+` - 4i ivC �'vr1`S `.`.'t`s � S�dl '%�J,F.F•' S'r5 - 'r -'i -k: `. DESCRIPTION �9 9�ACCOUNT� QTYAMOUNT z PAID�� PAIDDATE > _ BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 c xrk fPAID`BY ATI �a?t,.A RECEIPT # CWECK # CLTiD61f ��[ ^s�>Min.YSn.,,,i,.'.�'✓iJ'nx•°x`=d::$ .9i5 s. S.^"�,=5' c°a p- sh°^ Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 " DESCRIP,TION z ��£� ACCOUNT 'QTYAM�OU.NT��PAID PAID DATE' w _rh PATIO COVER, STD, OPEN 101-0000-42404 0 $97.17 .$0.00. � ��✓" lF �� PAID�BYx�r P� Q�'S'�� SF"w� '.� � "�Sy} CHECK #: BYE+ s _ n . x d�METO ��, .0 _: E"P �CLTO �' x.:. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID"DATE-y E , ..;�'.z, z..,. PATIO COVER, STD; OPEN PC 101-0000-42600 0: $95.72 .$0-.00 � R METHOD -MEIPT # " CHECK # CLTD BY W4 < Total Paid for PATIO COVER / COVERED PORCH/ LATTICE:. $192.89 •$0.00 ACOUNT . PAID �F'AIDDATE ry,DESCRIPTION�" �QTYAMOUNT` f`9C SMI - RESIDENTIAL 101-0000-20308 0 $0.62 $0.00. r �PAIDiBY E MET ODEm. CHECK #r CLTD BYy s 4: w wsRECENT x z me .Q _ . Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.62 $0.00 Description: CORDOVA RESIDENCE / PATIO COVER CONDITIONS Type: PATIO COVER Subtype: CITY STANDARD/PRE- Status: APPROVED Applied: 10/27/2015 MFA CONTACTS ENGINEERED - OPEN Approved: 10/27/2015 MFA Parcel No: 600410062 Site Address: 47812 DANCING BUTTERFLY LA QUINTA,CA 92253 Subdivision: TR 31311 Block: Lot: 132 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $4,800.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 APPLICANT Details: 350 SF ALUMAWOOD PATIO COVER THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2013 CALIFORNIA BUILDING CODES PALM DESERT CA • • • • CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT ANILOM INC DBA GOLD STAR 42-335 WASHINGTON PALM DESERT CA 92211 CUSTOM PAINTING STREET CONTRACTOR ANILOM INC DBA GOLD STAR 42-335 WASHINGTON PALM DESERT CA 92211 CUSTOM PAINTING STREET OWNER LYDIA CORDOVA 47812 DANCING LA QUINTA CA 92253 BUTTERFLY Printed: Tuesday, October 27, 2015 12:09:14 PM 1 of 2 CR srsrrMs `a Permit Details PERMIT NUMBER City of La Quints BPAT2015 X00.7.1 PARENT PROJECTS BOND INFORMATION Printed: Tuesday, October 27, 2015 12:09:14 PM 2 of 2 C SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: PATIO COVER, STD, 101-0000-42404 0 $97.17 $0.00 OPEN PATIO COVER, STD, 101-0000-42600 0 $95.72 $0.00 OPEN PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $0.00 SMI - RESIDENTIAL 1 101-0000-20308 1 0 $0.62 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.62 $0.00 TOTALS:0• PARENT PROJECTS BOND INFORMATION Printed: Tuesday, October 27, 2015 12:09:14 PM 2 of 2 C SYSTEMS Din # City of La Qulnta Building Si Safety Division P.O. Box 1504, 78-495 Calle Tampico !a Quanta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ProjectAddress: j % 9 Z�)417COfN ( Owner's Name: Z. o , otlt y - A. P. Number. Address: Legal Description: ' agvo Contractor• CIA City, ST, Zip: Te phone: ate. Address:- 73,35' W&gki•�0 51 cut- F Project Description: City, ST, Zip: C. Gin f'f AGK Telephone: O(.13 ' State Lia # City Lie. #; Arch., Engr., Designer. Address: City., ST, Zip: Telephone: Y Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. FL :# # Stories: # Uniis: State Lie. #:w%.:h.. Name of Contact Person: Telephone #,of Contact Person: Estimated Value of Project%Aejo APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACMG PERMIT FEES Pian 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 Calks. 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 Grant Deed Plans picked up S.M.L H.OA. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionsfkssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees LIDIA CORDOVA 47812 DANCING BUTTERFLY LAQUINTA, CA EXSISTING PATIO COVER FRONT HOUSE CITY OF LA QUINTA BU)LDING & SAFEW DEPT. APPROVE FOR CONSTMUCTION DATE 10 2 .. -I. I L1UlA I.,UKUUVH- 47812 DANCING BUT LAQUINTA, CA EXSISTING PATIO COVER r It NIS-' FRONT HOUSE 7y OF LA QUINTA SAFETY DEPT. .JA