BPAT2016-010478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT •
Application Number:
BPAT2016-0104.
Property Address:
78830 VILLETA
APN:
604152010
Application Description:
SIGNS / (2) PATIO COVERS AT BACKYARD
Property Zoning:
C3
Application Valuation:
$6,000.00
Applicant:- '
ANILOM INC DBA GOLD STAR CUSTOM PAINTING
77-682 COUNTRY CLUB DR STE H
SUITE F363
PALM DESERT, CA 92211
VOICE (760) 777-7125
FAX (760) 777 -7011 -
INSPECTIONS (760) 777-7153
Date`.- 11/8/2016
Owner:
RICHARD SIGNS
92253
Contractor.
ANILOM INC DBA GOLD STAR C TOIV�
77-682 COUNTRY CLUB DR ST.E
SUITE F363
PALM DESERT, CA 92211
(760)574-1043
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 informatioorrect.
I agree to comply with all city and county ordinances and state laws relay o building
construction, and hereby authorize representatives of.this cityto _ to on"the
above-mentioned property for inspection purposes.
Date: L Signature (Applicant or Agent):
t
LIC. No.: 855623
LICENSED CONTRACTOR'S DECLARATION
Q
N
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
w
QO
C3
License Class: C33. C51 License No.: 855623
L
_CD
o
V'>'
NEIN
Section 3700 of the Labor Code, for the performance of the work for which this permit
j
OWNER -BUILDER DECLARATION.
Carrier: ACE AMERICAN INSURANCE COMPANY 'Policy Number: RWCC48814682
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
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 informatioorrect.
I agree to comply with all city and county ordinances and state laws relay o building
construction, and hereby authorize representatives of.this cityto _ to on"the
above-mentioned property for inspection purposes.
Date: L Signature (Applicant or Agent):
t
LIC. No.: 855623
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DEO_ARATION
I hereby affirm under penalty of perjury that l am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
1 have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance.
License Class: C33. C51 License No.: 855623
of the wgrk for which this permit is issued.
�I
ave and will maintain workers' compensation insurance, as required by
Date �" Contractor:,/�
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.
Carrier: ACE AMERICAN INSURANCE COMPANY 'Policy Number: RWCC48814682
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
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.become'sub' to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation. provisions of Section 3700 of the Labor. de; I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those proisions. ��
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
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 doesthe work
INTEREST, AND ATTORNEYS 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 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 exclusively contracting 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.-
nd.-thereon,
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 informatioorrect.
I agree to comply with all city and county ordinances and state laws relay o building
construction, and hereby authorize representatives of.this cityto _ to on"the
above-mentioned property for inspection purposes.
Date: L Signature (Applicant or Agent):
t
Date: 11/8/2016
Application Number: BPAT2016-0104
Owner:
Property Address: 78830 VILLETA
RICHARD SIGNS
APN: 604152010
Application Description: SIGNS / (2) PATIO COVERS AT BACKYARD
92253
Property. Zoning:
Application Valuation: $6,000.00
Applicant:
Contractor:
ANILOM INC DBA GOLD STAR CUSTOM PAINTING
ANILOM INC DBA GOLD STAR CUSTOM PAINTING
77-682 COUNTRY CLUB DR STE H
77-682 COUNTRY CLUB DR STE H
-SUITE F363
SUITE F363
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)574-1043
Llc. No.: 855623
Detail: (2) 496SF TRELLIS PATIO COVERS AT REAR YARD [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2.013 CALIFORNIA
BUILDING CODES.
..
i
1 1 INFORMATION
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
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
`101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER EA ADDITIONAL
101-0000-42400
0
$50.67
DESCRIPTION
ACCOUNT
QTY_
AMOUNT
PATIO COVER EA ADDITIONAL PC
101-0000-42600
0
$38.00
DESCRIPTION
ACCOUNTQTY
AMOUNT
PATIO COVER, STD, OPEN'.
101-0000-42404
0
$101.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$100.32.
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $290.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
,101-0000-203080
$0.78
Permit iY
Project Address: / • .
3 O
-
-.0ty of La . uln to r
v
Building &r Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 -.(760) 777-701,2
Building Permit Application and Tracking Sheet
✓ ��� � {q` Owner's Name: Cit tq,R K .5
A. P. Number:
Address:
'
Legal Description:
City, ST, Zip:.
Telephone:
.Contractor: ' f,'� � �
1 C7
Address: .
%.7
C
Project Description:
City, ST, Zip:
Tlep h one-
. C1
/v L
State Lic. #
City Lie. #;
Arch.,'Engr., Designer:
Address:
City, ST Zip:.
Tel ePhone .
Con tructton Type. • _
_
-
e • ,.
Stat Lac. #
ProJecttYPa circle one • New Add'n Alter Repai Demo,
Name of ContactPerson:
Sq. Ft.: `7 ��
#Stories:
# Units: "
Telephone # of Contact Person:77 9a2 —Ol�(�
Estimated Value of Project: t'9r_?U
•
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 Cafes.
Plans picked up
Construction '
Flood plain plan
.Plans resubmitted
Mechanical
-
Grading plan
2"Revicw, ready for corrections/issue
Electrical ,
SubcontaMr. List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.A.
II.O.A.-Approval
Plans resubmitted
Grading'
IN HOUSE:-'I
'rd Review, ready for-corrections/issue
Developer Impact Pee
T
'
Plannng.Approval
Called Contact Person
A.I.P.P.
L"
Pub. \Vks. Appr
Date of permit issue
+
School Fees,
total Permit Fces