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BPAT2017-0021• •'78-495 CALLE TAMPICO . D VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT FAX (760) 777-7153 BUILDING PERMIT Date: 3/29/2017 Application Number: BPAT2017-0021 Owner: Property Address: 78685 ALDEN CIR GEORGE INIGUEZ APN: 604225030 78685 ALDEN CIRApplication Description: INIGUEZ / FRONT YARD PATIO COVER LA QUINTA, CA 92:53Property Zoning: Application Valuation: $2,000.00 E Applicant: Contractor: SHADE BUILDERS SHADE BUILDERS82500 HWY 111 82500 HWY 111INDIO, CA 92201 INDIO, CA 92201 (760)578-2930 Llc. No.: 870046 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. D03 License No.: Date: Contra or: 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).: (_) 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.). 4 Lender's Lender's Ad WORKER'S COMPENSATIC1 DECLARATION 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' com�oensation 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: EXEMPT Polity Number: _ shapertify that in the performance of the work for which this permit is issued, I loy any person in any manner so as to become subject to the workers' compensation laws of California, and agree tha uld be m subject to the workers' compensation provisions of Se 3700 of t e La r Co e, I shall forthwith comply with those provisions. Date: Applicant; 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 B:jilding 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 mply'with'all city and county ordinances and state laws relating to building struction and hereby autho ' r presentatives of this cit to ent upon the above -me io o r fe(inspe ion purpos Date: Signature.(Appli nt or Agent): Date: 3/29/2017 Application, Number: BPAT2017-0021 Owner: Property Address: 78685 ALDEN CIR GEORGE INIGUEZ APN: 604225030 78685 ALDEN CIR Application Description: INIGUEZ / FRONT YARD PATIO COVER LA QUINTA, CA 92253 Property Zoning: Application Valuation: $2,000.00 Applicant: Contractor: SHADE BUILDERS SHADE BUILDERS 82500 HWY 111 82500 HWY 111 INDIO; CA 92201 INDIO, CA 92201 (760)578-2930 Llc. No.: 870046 Detail: 240SF SOLID PATIO.COVER AT FRONT YARD [DURALUM] THIS PERMIT INCLUDES ELECTRICAL INSTALLATIONS. 2016 CALIFORNIA BUILDING CODES. C FINANCIAL INFORMATION DESCRIPTION ACCOUNT ItTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT MATY 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, 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: $202.16 DESCRIPTION ACCOUNT eTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $0.50 Total Paid for STRONG MOTION INSTRUMENTATION. SMI: $0.50 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Bin # City of Lo Quinta Building a Safety Division Permit ;; 78-495 Calle Tampico �� 2` ,..,•. • La Quinta, CA 92253 -_(760) 777-701,2 - �Building Permit Application and Tracking Sheet Project Address Owner's Name: V A. P. Number: Address: r�j �p�� (j e5" _kAJ Legal Description: x City, ST, Zip: r o r` Cont act . Tele A hon c ................. Address: �� Project Description: City, ST, Zip - l 1�� , — 1 �L-wN d —U TeleP h : — o — alb 5 Z t`� Z L' State Lic. # City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: T O ccu ar Cons traction e: P cY� y P State Lic { ,. • Add'n ALer Repair. D em 0 .ProJeet e (circle one) -e Name of Contact Person: Sq. Ft.:� �' # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Cl,eck Deposia f Truss Cafes. Called Contact Person Plan Check Balanc_. Tit!c 24 Calcs. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionslssue Electrical Subcontactor List Called Contact Person Plumbing Grant Dccd Plans picked up S.M.I. H.O.A. Approval 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 l School Fees, [Total Permit Fces - • t r a • Y ! CITY ()P LA-QL11NTA--BUILDIN' G &SAFETY DE OVED I I � FOR CONs"rRoc i M o 1 IO I , ! 1 1 i I I ! f I 4 , t I�- i I�j! ! i I _! ! i ° f _• I _I 1 f 1 I 1 � , Ole- ruji�A