BPAT2016-0074q..w
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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DESIGN & DEVEL=OP'MENT DEPARTMENT
Q BUILDING"PERMIT
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VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/11/2016
Owner:
ROBERT NOALL
'78675 VILLETA
LA QUINTA, CA 92253
Contractor:
ANILOM INC DBA GOLD STAR CUSTOM PAINTING
77-682 COUNTRY CLUB DR STE H
SUITE F363
PALM DESERT, CA 92211
(760)574-1043
Llc. No.: 855623
i
2016
Application Number:
BPAT2016=0074 AUG 11
Property Address:
78675 VILLETA DR
APN:
_
604144001 pF ;,QUINTA
Application Description:
���y
NOALL RESIDENCE / ALU. COAMWMO�ONP�ATIE) CLOVER
Property Zoning:
Section 3700 of the Labor Code, for the performance of the work for which this permit
Application Valuation:
$6,000.00
Applicant:
Carrier: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC48814682
_
ANILOM INC DBA GOLD STAR CUSTOM PAINTING
77-682 COUNTRY CLUB DR STE H
SUITE F363
shall not employ any person in any -manner so as to become subject to the workers'
PALM DESERT, CA 92211
compensation laws of California, and agree that, if I should bec subject to the
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/11/2016
Owner:
ROBERT NOALL
'78675 VILLETA
LA QUINTA, CA 92253
Contractor:
ANILOM INC DBA GOLD STAR CUSTOM PAINTING
77-682 COUNTRY CLUB DR STE H
SUITE F363
PALM DESERT, CA 92211
(760)574-1043
Llc. No.: 855623
i
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that Ilam licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Bu ss and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
License Class: C33 .C51 License No:: 855623
- /
compens tion, as provided for by Section 3700 of the Labor Code, for the performance
of t or for which this permit is issued:
have and will maintain workers' compensation insurance,,as required by
Date: , l [ 6, C_ontractorc
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:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
Carrier: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC48814682
_
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any.
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any -manner so as to become subject to the workers'
any structure, prior to its issuance; also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should bec subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the or Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Divisioncomply
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
with those rov'sions.
basis for.the alleged exemption. Any violation of Section 7031.5 by any applicant for a"
Date: ! l Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
_
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(� I, as -owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN'ADDITION TO THE COST OF.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S. FEES.
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 .
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to '
he or she did not build or improve for the purpose of.sale.).
the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusivelycontracting with licensed contractors
1.' Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' .
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(� I am exempt under Sec. B.&P.C. for this reason
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
Date: Owner:
work for 180 days will subject permit to cancellation.
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:
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 t • en upon the
above -mention ,r oerty for inspection purposes.
Datea "Signature (Applicant or Agent)
DESCRIPTION _ ACCOUNT CITYAMOUNT
HOURLY CHARGE - YES ADMINISTRATIVE STAFF
101-0000-42600 0.25
$10.00
DESCRIPTION
ACCOUNT QTY
AMOUNT
HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600 1'
$95.00
Total Paid for BLDG CITY STAFF -'PER HOUR: $105.001
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
PATIO COVER, DESIGNED
101-0000-42404
0
$133.43
DESCRIPTION.
ACCOUNT
QTY
AMOUNT'
PATIO COVER, DESIGNED PC ..
101-0000-42600
0
$168.24
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: " $301.67
DESCRIPTION
ACCOUNT,
QTY"
AMOUNT
SMI —RESIDENTIAL
101-0000-20308
0•
$0.78
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.78
.45
TOTALS:�:
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Bin" #
City of La Quipta
Building 8t Safety Division
�� I 78-495 Calle Tampico
La' Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
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Project Address: 7 ,o
Owner's Name: 4,4 o6%
A. P. Number:
Address:.
Legal Description:
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City, ST, Zip:
Contractor:
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Telephone:
Address:(11 'Z /�
Project Description:
City; ST, Zip:
Telephone: _ '
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State Lic. # : ) �o
City Lie. #;
Arch.,.Engr., Designer:
Address:
City., ST, Zip:
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XX
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Co s ucti n Type: e: aitc
Y P Occu P Y:
State L ic. #•
Project hPa (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Vesrki
Sq. Ft.: l gS
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction '
Floodplain plan
Plans resubmitted
Mechanical
Grading plan
2" Review,x6dy for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed '
Plans picked up
S.M.I.
H.O.A. Approval PP
Plans resubmitted
Grading
IN IiOUSE:-
'"! 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
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YOUNG.
ENGINEERING
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` Letter of.TranSmittal
' •:To:. City of La Quinta . Today's Date..
8-9-16
78-495 Calle Tampico* City,Due Date:
8-11=16
La Quinta, CA 92253 Project Address:-' .78675 VILLETA DR
Attn:' Ramses Sevilla Plan'Check #:'
' `BPAT-2016-0074
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Other:
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We are forwarding; ® By Messenger ❑ _ ^ By Mail (Fed Ex or UPS)
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Includes: Descriptions: Includes:
#+Of
Descriptions:'
Copies:
®_ 1 Structural Plans
❑,
>
Revised'Struct. Plans '
1 , ' Structural Calculations ' '
❑
-
Revised Structs Calcs
❑ Truss Calcs
❑
Revised Truss Calcs
Soils Report.- Update
❑
Revised Soils Report ,
. ❑ Structural P/Cr Responses .' -
❑
' '
Approved Structural Plans
/ Comments
"'
El Redlined Structural Plans -
❑
Approved Structural Calcs' '
'.
❑ Redlined Structural Calcs
❑
-Approved Truss Calcs
❑ Redlined Truss Calcs _' - .
❑.:
,
Approved Soils Report
❑ Redlined -Sob Reports
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Other: s
Comments: Structural content is approvable.' ,
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Transit Per Diem=
"Admin Time ,= :25 HR
4 ,
Structural Engineer/Principal Review Time = 0 HR ..
Plan Review Engineer Time = 1.00 HR
This Material Sent for.
' ❑ Your Files
®•
Per Your Request
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❑ Your Review, r
❑
Approval
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Checking _ t
❑ `
At the request
of
Other: ❑
'.By: Bronz Young
Office: ®, (760)772-5107
AUG ®`
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9 2016
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CpMMU1VI 'y QU"'TA.. ,
pe LOPMENT
School Fees, ,
TotalI'crniit Fees
City of La QWnta;
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Building St Safety Division
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Permit ;;
78-495 Calle Tanipico
La Quinta, CA 92253 - (7,60) 777-701,2
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Building Permit Application and Tracking Sheet
ProjccCAddress:
V;) I Owner's Name:'
A. P. Number:
'Address: r
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Legal Description: '00-54b
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City, ST, Zip: '
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Address: -
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Project Description:
City- ST; Zip:
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T le }i ne _ O
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State Lic. #
City Lie. #.:
Arch., Engr., Designer:
Address:
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City, ST, Zip:
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Telephone:
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Cons traction Type: Occupancy:
cY
State Lic. #
n Alter New Add A e Repair Pr 'ect e circle one): 'Ne Dem -
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Name of Contact Person:
Sq. Ft.:
#Stories: _
#Units: '
Telephone # of Contact Person:
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Estimated Value of Project: M
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APPLICANT: DO NOT WRITE BELOW. THIS' LINE
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#
Submittal
Rcq'd
' Rec'd
TRACKING
PERMIT FEES '
Plan Sets .
Plan Check submitted
Item '
*Amount
Structural Calcs. •
'Reviewed, ready for corrections
Plan Check Deposit
'
Truss Cates.
Called Contact Person
Plan Check Balance.
'
'Title 24 Cates.
'
Plans picked up
Construction .
Flood plain plan
Plans resubmitted
Mechanical'
t
Gradin plan
g P
•2"" Review, ready for corrections/issue
Electrical
t.
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•
Subcontactor List
Called Contact Pcrson
Plumbing
Grant Dec&
Plans picked up
II.O.A. Approval
-
Plans resubmitted
Grading t '
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IN HOUSE :-
Jrd Review, ready for. corrections/issue
Developer Impact Fee
.'
Planning Approval
Called Contact Person
♦�
A.I.P.P.
~
Pub. Wks. A r
PP
Date of permit issue
School Fees, ,
TotalI'crniit Fees