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BPAT2016-000778-495 CALLE TAMPICO 4 aw LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSP BUILDING PERMIT Application Number: BPAT2016-0007 Owner: Property Address: 49415 AVENIDA MONTERRO JOSEPH & DEANA PERRI6f APN: 646182040 49415 AVENIDA MONTER Application Description: PERRICONE RESIDENCE / WEATHERWOOD PATIO COVER LA QUINTA, CA 92253 Property Zoning: Application Valuation: $2,106.00 Applicant: LIFETIME PATIOS P O BOX 5806 LA QUINTA, CA 92248 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.: 770843 Date: Contractor: OWNER -BUILDER DECLARATIO I hereby affirm under penalty of perjury that 1 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 Divisio 3 of the Business and Professions Code) or that he or she is exempt therefrom and t 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.). (� 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 riot 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 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: Contractor: LIFETIME PATIOS P 0 BOX 5806 ILA QUINTA, CA 92248 (760)772-0013 Llc. No.: 770843 37 VOICE (760) 777-7125 FAX (760) 777-7011 TIONS (7601777-7153 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 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 pplicant: 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 authorize representatives of this city to enter upon the above-mentioned property for inspection purposes.- SigA%1 ` (Applican g DESCRIPTION FINANCIAL INFORMATION, ACCOUNT CITYAMOUNT' PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 2/16/16 PAID BY METHOD ' .RECEIPT #•. .. CHECK # CLTD BY LIFETIME PATIOS DEBIT R12918 BPAT2016-0007 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:. $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT: PAID PAID DATE' PATIO COVER, DESIGNED 101-0000-42404 0• $133.43 $133.43 2/16/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY LIFETIME PATIOS DEBIT R12918 BPAT2016-0007 MFA DESCRIPTION ACCOUNT QTY AMOUNT .. PAID PAID DATE PATIO COVER, DESIGNED PC 101-0000-42600 0 $168.24 $168.24 2/16/16 PAID BY METHOD.' RECEIPT # • CHECK # CLTD BY LIFETIME PATIOS DEBIT R12918 13PAT2016-0007 MFA Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $301.67 $301.67 DESCRIPTION ACCOUNT- QTY AMOUNT: PAID" PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.50 2/16/16 PAID BY METHOD. RECEIPT # CHECK # CLTD BY LIFETIME PATIOS DEBIT R12918 BPAT2016-0007 MFA Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50 Description: PERRICONE RESIDENCE / WEATHERWOOD PATIO COVER CONDITIONS Type: PATIO COVER Subtype: SPECIAL/ENGINEERED Status: ISSUED Applied: 2/16/2016 MFA DESIGN - OPEN/ENCLOSED Approved: 2/16/2016 MFA Parcel No: 646182040 Site Address: 49415 AVENIDA MONTERRO LA QUINTA,CA 92253 Subdivision: TR 3448 Block: Lot: 22 Issued: 2/16/2016 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,106.00 Occupancy Type: Construction Type: Expired: 8/14/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 . CITY Details: 234 SF WEATHERWOOD ATTACHED OPEN LATTICE SHADE STRUCTURE PER 2013 CALIFORNIA BUILDING CODE mvjjll v w MNNi vvc 't Approved to Issued CHRONOLOGY CONDITIONS CONTACTS .NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT LIFETIME PATIOS P O BOX 5806 LA QUINTA CA 92248 (760)449-6695 LIFETIMEPATIOS@AOL. COM CONTRACTOR LIFETIME PATIOS ' P 0 BOX 5806 LA QUINTA CA 92248 (760)449-6695 LIFETIMEPATIOS@AOL. COM OWNER JOSEPH & DEANA PERRICONE 49415 AVENIDA MONTERO LA QUINTA CA 92253 (760)449-6695 FINANCIAL INFORMATION Printed: Tuesday, February 16, 2016 1:01:37 PM 1 of 2 CRWIYSTEMS ME, Permit Details PERMIT NUMBER City of La Quinta BPAT2016-.0007 INSPECTIONS Printed:. Tuesday, February 16, 2016 1:01:37 PM 2 of 2 CR? . SYSTEti15 CLTD DESCRIPTION - ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS S81473 FEE 101-0000-20306 0 $1.00 $1.00 2/16/16 R12918 BPAT2016- DEBIT LIFETIME PATIOS MFA 0007 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PATIO COVER, 101-0000-42404 0 $133.43 $133.43 2/16/16 R12918 BPAT2016- DEBIT LIFETIME PATIOS MFA - DESIGNED 0007 PATIO COVER, 101-0000-42600 0 $168.24 $168.24 2/16/16 R12918 BPAT2016- DEBIT LIFETIME PATIOS MFA DESIGNED PC 0007 Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $301.67 $301.67 SMI - RESIDENTIAL 101-0000-20308 7 0 $0.50 $0.50 2/16/16 R12918 BPAT2016- DEBIT LIFETIME PATIOS MFA 0007 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50 TOTALS: INSPECTIONS Printed:. Tuesday, February 16, 2016 1:01:37 PM 2 of 2 CR? . SYSTEti15 Bin # Permit.# W RM City of La Quinta Building BT Safety Division P.O. Box _1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: _ - _ Q Owner'sName:- 'a .' A. P. Number: Address: - Legal Description:-STCity , Zip: Contractor: X /FE%//1!J,67 199 77 05 Telephone: AnG —6699-1 Address:. A AQX 5,06 Project Description: City, ST, dip: Iii 4901NT� eA Telephone: 7lOO - 77? - 0043'MM . <� State lemic. # : %� ' % 7D $ City Lic. #: aS$ 43 ji Arch., Engr., Designer: Address: - City, ST, Zip: Telephone: 3 y' ' ` Construction Type. Occupancy: State Lic. #: Project type (circle one): New Add'n . Alter Repair Demo Name of Contact Person: a�'/� �- Sq. Ft �� #Stories: F#V ts : Telephone # of Contact Person: 74)0 106$ -/70 1) Estimated Value of Project: Q F!p APPLICANT: DO NOT WRITE BELOW THIS LINE # I Submittal Req'd Recd TRACIMG .'. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Coles. Called Contact Person l Plan Check Balance Energy Calcs. Plans.picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 20° Review, ready for correctionslissue 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 correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees C°wcueLc - �J�,� n !S, - akA6Ie 5'MwX44j" % OF LA QUINTA `;UILDING & SAFETY DEPT. FOR CONSTRUCTION DATE BY y,� y � 5�' Aw. Iflrla��ieaco• 7(,C) 4Qck Co[�iS rG.