BPAT2017-006478495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
c&(t 4 4 Qu!Aro
DESIGN & DEVELOPMENT DEPARTMENT,
BUILDING PERMIT
PATIO COVER/CITY STANDARD/PRE-ENGINEERED - OPEN
BPAT2017-0064
81152 CASPIAN CT
764800026
ROSE / 13X17 ALUMAWOOD PATIO COVER AT SIDE YARD
$2,000.00
Applicant:
VALLEY PATIOS INC DBA VALLEY CONCRETE &
79900 TRINIDAD DR
BERMUDA DUNES, CA 92203
CITY OF LN, QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
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:aCr-8. C51 License No.: 937811
Date: ' "I Contractor: r ,
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.).
Lender's Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760).777-7011
INSPECTIONS (760) 777-7153
Date: 9/19/2017
Owner:
JOHN ROSE
7990QTRINIDAD DR
LA QUINTA, CA 92253
Contractor:
VALLEY PATIOS INC DBA VALLEY CONCRETE &
79900 TRINIDAD DR
BERMUDA DUNES, CA 92203
(760)534-4634
Uc. No.: 937811
. ' 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: FALLS LAKE FIRE AND CASUALTY COMPANY Policy Number: FLA004080
-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 1 should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with hose rovisions.
Date: '1 I9 I 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 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. /�
Date: Iq Signature (Applicant or Agent)' `
4
Date: 9/19/2017
Application Number: BPAT2017-0064
Owner:
Property Address' 81152 CASPIAN CT
JOHN ROSE
APN: 764800026
79900 TRINICAD DR
Application Description: ROSE / 13X17 ALUMAWOOD PATIO COVER AT SIDE YARD
LA" QUI NTA, CA 92253
Property Zoning:
Application Valuation: $2,000.00
Applicant:
Contractor:
VALLEY PATIOS INC DBA VALLEY CONCRETE &
VALLEY PATIOS INC DBA VALLEY CONCRETE &
79900 TRINIDAD DR
79900 TRINICAD DR
BERMUDA DUNES, CA 92203
BERMUDA DUNES, CA 92203
(760)534-4634
-------------------------------------------------------------------------------------
Llc. No.: 937811
Detail: 221SF TRELLIS PATIO COVER AT SIDEYARD [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2016 CALIFORNIA BUILDING
CODES.
4
P-1
FINANCIAL 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
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 / ILATTICE: $202.16
DESCRIPTION
ACCOUNT
QTY
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
TOTALS:0:
y
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: CcsptAn
Owner's Name:
`ok ✓\ ' 20 S o
A.P. Number
Address: ` S Z Ca SdO C'
Legal Description:
City, ST, Zip: LA v + ^ Gr -Z -2_S-3
Contractor:
Telephone:� 103 _, 3 I J
Address: ?1G1�0 (r\tdaJ
Project Description:
I VN`4t.-looC/A
City, ST, Zip: 6C Jd ,-__ r\
GO vc ( I'?;, x t
Telephone: fo 0 Z03 j (?j
State Lie. #: Cl 51 12) ` City Lic #:
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type:
Occupancy:
State Lic. #:
Proj. Type
New
Add'n
Alter
Repair
Demo
Name of Contact: /� ^ d
SgFt: -ZZ !
#Stories
#Units:
Telephone of Contact: '-7Estimated
l
Value of Project:
{ Z aU 0
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 Calcs
Plans Picked Up
Construction:
Flood Plain Plan
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
1-10A Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections/
Developer Impact Fee
Planning Approval
Called Contact Person '
A.1.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
mi
Caspian Ct. .