BPAT2017-002778-495 CALLE TAMPICO Twit D] wit Q.�.i Qu&rcu VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT `
Date: 4/11/2017
Application Number: BPAT2017-0027 Owner:
Property Address: 45680 COLDBROOK LN LN - ANT-4QN W1ANT
APN: 604424011D 0
Application Description: WIANT / PATIO COVER AT FRONT YARD -�1-9.2253
Property Zoning: o
Application Valuation: $4,000.00 �i 2017
-CFTY(OF LAOL11 T�,
Applicant: COMMUNITYOEyL.:ont-LriI ARTMr T
ANTHONY WIANT 'm""'OWNER-84J6L-D
45680 COLDBROOK LN
LA QUINTA, CA 92253
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: License No.:
,Date: L IO -) Contractor:
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 perrpit 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
s jests the applicant to a civil penalty of not more than five hundred dollars ($500).:
Tas 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 he did not build or improve for the purpose of sale.).
�(-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
- r ctors' State License Law.).
V• -Y' am exempt under Sec. . B.&P.C. for this reason
maie �Own�� s
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:
LIc. No.:
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:
Carr. r Policy Number:_
;U65? 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 3700pf the Labor Code, I shall forthwith
comply with yhosp provisions.
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 <--tate 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 gnter upon the above-
mentioned property fpr inspection purposes.
Application Number:
BPAT2017-0027
Property Address:
45680 COLDBROOK LN LN
APN:
604424011
Application Description:
WIANT / PATIO COVER AT FRONT YARD
Property Zoning:
Application Valuation:
$4,000.00
Applicant:
ANTHONY WIANT
45680 COLDBROOK LN
LA QUINTA, CA 92253
Owner:
ANTHONY WIANT
, 92253
Contractor:
OWNER BUILDER
Date: 4/11/2017
Llc. No.:
---------------------------------------------------------------------------------------------
Detail: 357SF SOLID PATIO COVER AT FRONT YARD [DURALUM] WITH 2 FANS, FOUR EXTERIOR LED LIGHTS. 2016 CALIFORNIA BUILDING CODES.
FINANCIAL ,1•
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
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
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.52
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.52
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE; $5.00
C
Bin #
Permit iff
_
` =Project Address: -/ �t�l��
--7
City of La Quinta'
t Building EI Safety Division
78-495 Calle Tampico
La Quinta, CA 92253.- (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name: i
A. P. Number:
Address: LIJ�96 LiAj,
Legal Description:
City, ST, Zip: L� Gl�ivTA C��
Contractor-. oct .
Tele h o nc:
P
Address:
Project Description:.1 Q17
City, ST, Zip:
Telephone:
P
S
D v
Gb
State Lie. # -
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
.....
ane
Occupancy:
Con s trueo O Y:
Construction -type:
State Lie. #'
Demo Add n Alter Repair
tYPe �cit !e ne
Name of Contact Person:
jWS
i
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
7lj
—�(��
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 Check Deposit.
Truss C2105.
Called Contact person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Gran( Deed
Plans picked up
S.M.I.
M.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
I'ub. Wks. Appr
Date or permit issue
drool Fccs,./
1
CITY:OP LA ®UINTA
Total Pernu elf
n,
may 4 4, 1 auGAa
P.O. Box 1504
LA.QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT. -
PROPERTY OWNER'S PACKAGE
(760)777 -7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a .building peftnithas been submitted in yqur name listing yourself as the builder of the property
improvements specified at YS;2` '``/j
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to hake you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understane.ing of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner carmot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to sign fy you understand or verify this information.
L I understand a frequent practice of unlicensed persons is to have the property owner obtaLi an "Owner -Builder"
building permit that erroneously implies that the property owner. is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not prov-.de coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage: for injuries to workers
on my property.
,4A,) 2. I understand building permits are not required to be signed by property owners unless they ere responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or ber name instead of my
own.
AY—_11
4. I understand Contractors are required by law to be licensed and bonded in California and to list tli:ir license numbers on
prmits and contracts.
_5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be.conEidered an "employer"
under state and federal law.
A�?6. I understand if'I am considered an "employer" understate and federal law, I must .register wit): the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contrib ite to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject rre to.serious financial
risk.
ho7. I understand under California Contractors' State License Law, an Owner -Builder who builds si lefamil residential' �-y e denhal
structures cannot legally build them with the intent to offer them for sale, unless all work is
performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
A&�8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries 'sustained by any subsequent owner(s) that result from any latent construction defects ' in the
workmanship or materials.
/46J9. I understand I may obtain more information regarding my obligations as an."employer" from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-32 1 -CSLB (2752) or www.cslb.ca.gov.for more information about licensed contractors.
A10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally, nd financially responsiple for proposed construction _activity at the following address:
- - / A g
)_11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as.well as employers.
w 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with.
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the, status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the .agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the ency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner i Date:
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION. OF AGENT TO ACT ON PROPERTY'OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s)*to apply for, sign; and file, the documents necessary to obtain an Owner -Builder
Permif for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the.owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owners signature.
Property Owner's Signature: Date:
1
RECEIVED
APR 0 7 2017
CITY OF LA QUINTA
COMM NITY DEVELOPMENT
t
CITY F L C�UINTA
BUILDI G &SAFETY DEPT.
A PROVED
FO CoN TRUCTION -Tv-j= to
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1) Outdoor lighting permanently_ mounted to the building must be controlled by one of the
following combinations and a manual ON/OFF switch that does not override the chosen
combination:.(Refer to California Energy Code Section §150.0(k)(3)
a) Photocell and motion sensor
b) Photo control and automatic time switch
c) Astronomical time clock
d) EMCS with features of an astronomical time clock that does not allow the luminaire to be
always ON, and is programmed to automatically turn lighting OFF during daylight hours.
2) Any electrical installations require a rough electrical inspection to confirm wire
sizing and connections. .
M