BPAT2015-007578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:'
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
JOREGE A. CONTRERAS
74818 VELIE WAY #3
PALM DESERT, CA 92260
Tiu4t 4A Qdeaj
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPAT2015-0075 I IIIIII Illll llll I'll
79900 HORSESHOE RD RD 78
600060022
REESE / DETACHED TRELLIS PATIO COVER AT SIDE YARD
$5,000.00
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 CI ss::Tl'��_
B License No.: 446098Date:/� a' Contract • r:
y)Q,
OWNER -BUILDER DEC N
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.).
(_) 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
Owner:
VOICE (760) 777-7125
FAX (760) 777-7011
IN5PEC-TI0NS4-760) 7:7.7-7153
D D.a e;__ 1124 2015
;ETSKARIPOV 2 4 2015
79900 ORSES'H0E.RD-
LA QUI TA, CA 922L53Y OF LA QUINTA
Contractor:
1515 INC DBA BLS CONSTRUCTION
75-121 MEDITERRANEAN WAY
PALM DESERT, CA 92211
(760)766-2408
Llc. No.: 446098
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 themork 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 36thr Code, I shall forthwith
comply �;7;;/ovisions.Date: 5 Applica t:
WARNING: FAILURE TO SECURE WORKERS' COOVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this enter n
above -men ooned roperty for inspection purposes.
ne
Date: " 'v' X�_ Signature (Applicant or Age t):
FINANCIAL,41NFORMAT.,,ION,"',,,,,�,,,,-.'-�].,,��,,,,,
'�:i �:. ;.4. 'iy' `�'y . ✓�.. �". �x$��� �� yk � i'FS'4 X �x'�iYr=`.JY•
QESCRIPT a
ACCOUNTQ AMOUNT PAID " ''P�AID,DATE
�,.. 1 e z `
ON�
~BSAS'581473 FEE 101-0000720306
0
$1.00 $1.00 11/24/15
pA1D �� METHOD
REIM
IN
RECEIPT# CHECKS#, CLTD B
"r�Y. Kw,,,. ,.Y,�%
.X.vi:?:n, � : xffi
1515 INC DBA BLS CONSTRUCTION CHECK
MR144 1178 MFA.
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
DESCRIPT
ted} ACCOUNTx
4'
AMOUNT.
:PAID
=6000,x
,may
yy
PATIO COVER, DESIGNED
101-0000-42404
0
$133.43
$133.43
11/24/15
METHOD
RECEIPT #CHECK
12 # "
LTD�BY.
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1515 INC DBA BLS CONSTRUCTION
CHECK
MR244
3178
MFA
H�?4DESCRIPTIONe; .,
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ACCOUNT
QTY.:
AMOUNT
PAIDs
PAID DATE
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AY'C'Y 't.�A4'.r"s^:
PATIO COVER, DESIGNED PC
101-000042600
0
$168.24 -
$168.24
11/24/15,
;; k `PAID BY
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"+iu"C4'1 ++
k`3aw`•nb..aL'�isti2F3'i`w
1515 INC DBA BLS CONSTRUCTION
CHECK
MR244
1178
MFA
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $301.67 $301.67
n x`DESCRIPTtOfd ,
s , ACCOUNT .
I'
QTrY'
kAMO N
PAID~
PAIDDATE
,k` R acw`'`�
SMI —RESIDENTIAL
101-0000-20308
0
$0.65
$0.65
11/24/15
5?h"^"Fis•Y f%V:?'. � i
# ?yam pAiD BY
�Xt �
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t+iu'Qz"1'Sc'a` Ya
RECEIPTi#
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CHECK #
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'Y�`+$Gi 3'^
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_ .: -
�.;..
.'CLTD=61fi
"P.—
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1515 INC DBA BLS CONSTRUCTION
CHECK
MR244
1178
MFA
Total Paid for STRONG MOTION INSTRUMENTATION'SMI: .:$0.6S $0.65
e
Description: REESE / DETACHED TRELLIS PATIO'COVER AT SIDE YARD
Type: PATIO COVER Subtype: SPECIAL/ENGINEERED Status: ISSUED
Applied: 11/3/2015 SKH
DESIGN - OPEN/ENCLOSED
Approved: 11/24/2015 MFA
Parcel No: 600060022 Site Address: 79900 HORSESHOE RD RD LA QUINTA,CA 92253
Subdivision: TR 2180 Block: Lot: 24
Issued: 11/24/2015 MFA
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,000.00 Occupancy Type: Construction Type:
Expired: 5/22/2016 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CHRONOLOGYTYPE
Details: 318 SF TRELLIS PATIO COVER AT SIDE YARD [SITE-SPECIFIC ENGINEERED/SPECIAL DESIGN] THIS PERMIT DOES NOT INCLUDE
ELECTRICAL INSTALLATIONS. 2013 CALIFORNIA BUILDING CODES.
Applied to Approved
IM Approved to Issued
Printed: Tuesday, November 24, 2015 2:52:25 PM 1 of 3 Iriaw
ADDITIONAL
CHRONOLOGY
CHRONOLOGYTYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
NOTE
MARY FASANO
11/24/2015
11/24/2015
JAKE APPROVED THIS PATIO COVER AT THE COUNTER
PLAN CHECK PICKED UP
STEPHANIE KHATAMI
11/17/2015
11/17/2015
JORGE CONTRERAS
PLAN CHECK SUBMITTAL
RECEIVED
STEPHANIE KHATAMI
11/3/2015
11/3/2015
NAME TYPE NAME
ADDRESSI
CONDITIONS
CQNTACTS
CITY STATE
ZIP
PHONE. FAX EMAIL
APPLICANT
JOREGE A. CONTRERAS
74818 VELIE WAY #3
PALM DESERT
CA
92260
CONTRACTOR
1515 INC DBA BLS CONSTRUCTION
75-121
MEDITERRANEAN WAY
PALM DESERT
CA
92211
OWNER
MARGARET SKARIN
79900 HORSESHOE RD
LA QUINTA
CA
92253
Printed: Tuesday, November 24, 2015 2:52:25 PM 1 of 3 Iriaw
PARFNT PRn]FCTS
FINANCIAL
INFORMATION
RETURNED
STATUS
REMARKS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
CLTD
DESCRIPTION ACCOUNT QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
JAKE FUSON
11/3/2015
11/18/2015
11/17/2015
REVISIONS REQUIRED
SEE 1ST REVIEW CORRECTION LIST.
1ST BLDG STR (2
KATHRYN
BY
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$1.00
11/24/15
MR244
1178
CHECK
1515 INC DBA BLS
MFA
-'CONDITION
CALCULATIONS AND STRUCTURAL PLANS
CONSTRUCTION
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
$1.00
BSA:
PATIO COVER,
101-0000-42404
0
$133.43
$133.43
11/24/15
MR244
1178
CHECK
1515 INC DBA BLS
MFA
DESIGNED
CONSTRUCTION
PATIO COVER,
101-0000-42600
0
$168.24
$168.24
11/24/15
MR244
1178
CHECK
1515 INC DBA BLS
MFA
DESIGNED PC
I
I
CONSTRUCTION
Total Paid for PATIO COVER / COVERED PORCH / LATTICE:
$301.67
$301.67
SMI - RESIDENTIAL
101-0000-203080
$0.65
$0.65
11/24/15
MR244
1178
CHECK
1515 INC DBA BLS
MFA
CONSTRUCTION
Total Paid for STRONG MOTION INSTRUMENTATION SMI:
$0.65
$0.65
TOTALSt
$303.32
$303.32
PARFNT PRn]FCTS
Printed: Tuesday, November 24, 2015 2:52:25 PM 2 of 3
REVIEWS
RETURNED
STATUS
REMARKS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
NOTES
DATE
.
1ST BLDG NS (2 WK)
JAKE FUSON
11/3/2015
11/18/2015
11/17/2015
REVISIONS REQUIRED
SEE 1ST REVIEW CORRECTION LIST.
1ST BLDG STR (2
KATHRYN
11/3/2015
11/18/2015
11/16/2015
READY FOR APPROVAL
ARCHITECT OF RECORD TO SIGN STRUCTURAL
WK)
SAMUELS
-'CONDITION
CALCULATIONS AND STRUCTURAL PLANS
Printed: Tuesday, November 24, 2015 2:52:25 PM 2 of 3
Attachment Type
CREATED
OWNER
ATTACHMENTS
DESCRIPTION,
PATHNAME
;, SUBDIR
ETRAKIT ENABLED,.
BPAT2015-0075 - 1ST
DOC
11/17/2015
JAKE FUSON
1ST REVIEW
REVIEW CORRECTION
0
CORRECTION LIST
LIST.pdf
1ST REVIEW -
NEW CITY
DOC
11/13/2015
KATHRYN SAMUELS
STRUCTURAL
TRANSMITTAL BPAT
0
TRANSMITTAL
2015-0075 (lst).pdf
Printed: Tuesday, November 24, 2015 2:52:25 PM 3 of 3
Bin
City of La Quin to
Building 8Z' Safety Division
. . 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Owner's Name: 1p .
A. P. Number:
Address:
Legal Description: I ' 1 //�C�
City, ST, Zip: LA I O ( Ch . 5'3
Contractor:
Telephone:
"49Address: •
u
Project Description:
City, ST, Zip: 1
h n
Tele P o e.
State Lic. # : City Lic. #:
A&1'., Designer:
Address:" -gig e
City, ST, Zip: qZ„1
Telephone-VAPe-
5
State Lic. #. ...................................................
.
tru ttn TY .� Occupancy: �.
Con
Project type (circle one): New Add'n AlterRepair Demoo
Name of Contact Person:.Sq.
Ft.:
# Stories:
# Units:
Telephone # of Contact Person: - 2 •
Estimated Value of Project.
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 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Revicw, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.I'.P.
Pub. Wks. Appr
Date or permit issue
School Fees,
Total Permit Fees
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
TRANSMITTAL
BUILDING & SAFETY DEPARTMENT
(760) 777-7125
FAX (760) 777-7011
TO: *YOUNG ❑ESGIL FJVCA ❑COMPLETE PLAN CHECK/N/S-STRUCTURAL
ATTN:
TODAY'S DATE: t 3'r DUE DATE:
PERMIT NUMBER:�!�%T%�"`���
PROJECT ADDRESS: -79700 doritrhoe
APPLICANT NAME: 13L S Cons t wdo W
SUBMITTAL ROUND:' �',Sf BIN NUMBER:
INCLUDED HEREWITH:
LANS ❑REDLINED PLANS
RUCT ❑REDLINED STRUCT
❑TRUSS ❑REDLINED TRUSS
❑SOILS nREDLINED SOILS
ENERGY ❑REVISED ENERGY
❑CORRECTION LIST
❑OTHER
EIREVISED PLANS
❑REVISED STRUCT
❑REVISED TRUSS
❑REVISED SOILS
❑APPROVED PLANS
QAPPROVED STRUCT
[]APPROVED TRUSS
❑APPROVED SOILS
❑CUSTOMER RESPONSES
-BUILDING DEPARTMENT USE ONLY -
GREEN SHEET TO: ❑CDD ❑(w/Plans) [-]PUBLIC WORKS ❑COVE CHECK (w/Application)
ASSIGN NON-STRUCTURAL TO:
COMMENTS:
Letter of Transmittal
To: City of La Quinta Today's Date: 11-13-15
78-495 Calle Tampico City Due Date: 11-18-15
La Quinta, CA 92253 Project Address: "79900 Horseshoe Road
Attn: Kay Plan Check #: BPAT 2015-0075
Submittal:, ® 1st 4th
❑ 2nd ❑ 5'h
❑ 3rd ❑ Other:
we are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ 'Your Pickup
Includes:
# Of Descriptions:
Includes: # Of
Descriptions:
Copies:
Copies:
®
1 Structural Plans
❑
Revised Structural Plans
®
1 Structural Calculations
❑
Revised Struct. Calcs
El
Calculations Floor
1-1
❑
Revised Truss
and Roof
❑
-Soils Report
❑
Revised Soils Report
❑
Structural Comment List
❑
Approved Structural Plans
❑
Redlined Structural Plans
❑,
Approved Structural Calcs
❑
Redlined Structural Calcs
❑
Approved Truss Calcs
❑
Redlined Truss Calcs
El
Approved Soils Report
❑
Redlined Soils Reports
❑
Other:
Comments:
Structural content is approvable, pending the following: the Architect of Record shall stamp
and sign both the structural plans and.calculations.
If you have any questions, please call.
Time =1.25 HR
This Material Sent for:
❑ Your Files
❑ Your Review .
❑ Checking
Other: ❑
By: Kathryn Samuels
Palm Desert Office: ® (760) 772-5107
Other: ❑
Per Your Request .
Approval
At the request of: _