BPAT2015-007978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&�p 4 4v Q"�
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPAT2015-0079
Property Address: 78170 CALLE FORTUNA —_
APN: 770154003 �,�
Application Description: TAYLOR RESIDENCE / PATIO COVER 144ySF
Property Zoning:
Application Valuation: $2,800.00
Applicant: -
L D R CONSTRUCTION SERVICES
P 0 BOX 242
LA QUINTA, CA 92247
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.: 988835
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).:
(_J 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.).
( ) 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 Name:
Lender's Address:
75
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/16/2015
Owner:
TONY TAYLOR
P 0 BOX 73
LA QUINTA, CA 92253
Contractor:
L D R CONSTRUCTION SERVICES
P O BOX 242
LA QUINTA; CA 92247
(760)413-4078
Llc. No.: 988835
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 polity 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 of the Labor Code, I shall forthwith
comply with those provisions. n
Date: t 0 k� 20 5Appli6�nt
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 authorise representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Date:11^1140 —?—Ok Sgignature (Applicant or Agent): W"_)_
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R10862
BPAT2015-0079
MFA
Total Paid for PATIO.COVER./ COVERED PORCH / LATTICE: $192.89 $192.89
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R10862
BPAT2015-0079
MFA
Total Paid for STRONG MOTION:INSTRUMENTATIONSMI• $0.50 $0.50
Description: TAYLOR RESIDENCE / PATIO COVER 144 SF
Type: PATIO COVER Subtype:. CITY STANDARD/PRE- Status: ISSUED
Applied: 11/16/2015 MFA
ENGINEERED - OPEN
Approved: 11/16/2015 MFA'
Parcel No: 770154003 Site Address: 78170 CALLE FORTUNA LA QUINTA,CA 92253
Subdivision: DESERT CLUB TR UNIT 1 Block: 8 Lot: 3
Issued: 11/16/2015 MFA
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,800.00 Occupancy Type: Construction Type:
Expired: 5/14/2016 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: INSTALL INSULATED ROOF PANEL GABLED SHADE STRUCTURE WITH (1) FAN 144 SF PER 2015 CALIFORNIA BUILDING CODE
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
Printed: Monday, November 16, 2015 12:33:19 PM 1 of 2
SYSTEMS
DESCRIPTION
ACCOUNT •
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
11/16/15
R10862
BPAT2015-
DEBIT
L D R CONSTRUCTION
MFA
0079
SERVICES
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
11/16/15
R10862
BPAT2015-
DEBIT
L D R CONSTRUCTION
MFA
0079
SERVICES
Total Paid for ELECTRICAL: $48.34 $48.34
PATIO COVER, STD,
101-0000-42404
0
$97.17
$97.17
11/16/15
R10862
BPAT2015-
DEBIT
L D R CONSTRUCTION
MFA
OPEN
0079
SERVICES
PATIO COVER, STD,
101-0000-42600
0
$95.72
$95.72
11/16/15
R10862
BPAT2015-
DEBIT
L D R CONSTRUCTION
MFA
OPEN PC
0079
SERVICES
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $192.89
--F-0079.
SMI -RESIDENTIAL
101-0000-20308
0 1
$0.50
$0.50
11/16/15
R10862
BPAT2015-
DEBIT
L D R CONSTRUCTION
MFA
SERVICES
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50
TOTALS: $242.73 $242.73
INSF'EL I WIN i
PARENT PROJECTS
Printed: Monday, November 16, 2015 12:33:19 PM 2 of 2. cp
SYSTEMS
Bin #
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:781 ()
Owner's Name: '�C? k4
A. P. Number: — k EA -0 -0 --,)Address:
I 70 LL•",A.
Legal Description:LOT ) .13LK2) bc-StRz--T t tea'[
City, ST, Zip:CAZ2�
Contractor: ��
Telhone _ <.�.;Kr s.,::• .>:i; cs"
Address: 'P2
Project Description:
City, ST, Zip: L . CA 9 ZL�
LT9–V1CT01QF
Tele hone:
p 7�O ��� �
State Lic. # :
City Lie. #- E
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:
State Lic. #:
dr.µ..A ::. "
>;:.>: _
ConstructionType: Occupancy:
Project type (circle one)(New Add'n Alter Repair Demo
Name of Contact Person:
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project 0a) —
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21" Review, ready for corrections/issue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
14.0A. Approval
Plans resubmitted
Grading
IN-HOUSE:-
Reyiew, ready for correctionsfissue
Developer Impact Fee
Planning Approval
s
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees