BPAT2017-0049K.
78-495 CALLE TAMPICO Ct 0 D "�i4N1�ICl/
O �i
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
• BUILDING PERMIT
Application Number: BPAT2017-0049
Property Address:
43485 CROISETTE CT
APN:
609052002
Application Description:
PERRY / 700SF SOLID AMERIMAX(PATIO COVER AT REAR YARD)
Property Zoning:
compensation laws of California, and agree that, if I should become subject to the
Application Valuation:
$11,000.00
Applicant:
ALL WEATHER SHEET METAL INC
26679 CORTRITE AVENUE
HEMET, CA 92545
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: C43 License No.: 930419
Date:
Contractor:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/13/2017
Owner:
WILLIAM E. PERRY
43485 CROISETTE CT z
LA QUINTA, CA 92253
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Contractor: r-4 o
ALL WEATHER SHEET METAL INC t_
26679 CORTRITE AVENUE 4
HEMET, CA 92545
(951)634-3697 4 Y
Llc. No.: 930419
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:
• OWNER -BUILDER DECLARATION
Carrier: EXEMPT Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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
Date: Applicant:
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale..
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_) 1, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or,pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. . B.&P.C. for this reason
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.
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:
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: Signature (Applicant or Agent):
I
Owner:
WILLIAM E. PERRY
43485 CROISETTE CT
LA QUINTA, CA 92253
Date: 7/13/2017
Applicant: Contractor:
ALL WEATHER SHEET METAL INC ALL WEATHER SHEET METAL INC
26679 CORTRITE AVENUE 26679 CORTRITE AVENUE
HEMET, CA 92545 HEMET, CA 92545
(951)634-3697
Llc. No.: 930419
---------------------------------------------------------------------------------------------
Detail: 700SF SOLID PATIO -COVER AT REAR YARD [AMERIMAX} WITH (1) FAN AND (6) LED LIGHTS.2016 CALIFORNIA BUILDING CODES-
Application Number:
BPAT2017.-0049
Property Address:
43485 CROISETTE CT
r APN:
609052002
Application Description:
PERRY / 700SF SOLID AMERIMAX(PATIO COVER AT REAR YARD)
v, Property Zoning:
Application Valuation:
$11,000.00
Owner:
WILLIAM E. PERRY
43485 CROISETTE CT
LA QUINTA, CA 92253
Date: 7/13/2017
Applicant: Contractor:
ALL WEATHER SHEET METAL INC ALL WEATHER SHEET METAL INC
26679 CORTRITE AVENUE 26679 CORTRITE AVENUE
HEMET, CA 92545 HEMET, CA 92545
(951)634-3697
Llc. No.: 930419
---------------------------------------------------------------------------------------------
Detail: 700SF SOLID PATIO -COVER AT REAR YARD [AMERIMAX} WITH (1) FAN AND (6) LED LIGHTS.2016 CALIFORNIA BUILDING CODES-
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY 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
CITY
AMOUNT
PATIO COVER, STD, OPEN
101-0000-42404
0
$101.84
DESCRIPTION
ACCOUNT
CITY
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
$1.43
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.43
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin #
City,,- of La, Quina
Building. 8l• Safety Division
78-495 Calle Tampico.
0 Quinta,. CA 92253.-.(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
eroje� ct Ad'd,ess: / fC C
wne�r s Name
A. P. Number:
Legal Description: 'CiST�Zi
Contractor:
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Arch., Engr., Designer
Address:
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Telephone:...........
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Construction Type: Occupancy:
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S ate Lic. #•
Project type (circle one): New Add'n Alter Repair Demo
Nameof Contact Person r
q ,FL c D
# Stories:
# Units:
rTedephoAe #.ef Cc3ntact-Person=stiatat,d
�Va'Iue-of-Projects:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections .
Plan Check Deposit
Truss talcs.
Called Contact Person _
Plan Check Balance
Title 24 Calcs.
Pians picked up.
Construction
Flood plain plan
'Plans resubmitted
Mechanical
Grading plan
2'A Review, ready for correctionsfissue
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.P.P.
.Pub. Wks. Appr
Date of permit issue -
School Fees
Total Permit Fees
I
M-6