BPAT2017-005078-495 CALLE TAMPICO D� VOICE (760) 777-7125
FAX (760) 777-7011
._LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT .
Date: 8/1/2017
Application Number:
BPAT2017-0050
Owner:
Property Address:
81165 DESERT SAGE CT
ALAN STRAUSS
APN:
764430026
12218 MONTANA AVE
Application Description:
STRAUSS / PATIO COVER WITH FAN
LOS ANGELES, CA 92253
Property Zoning:
Application Valuation:
$2,000.00Applicant:
FICEIS
Contractor:L
D R CONSTRUCTION SERVICES
O BOX 242
L D R CONSTRUCTION SERMaP
P O BOX 242
Ian _o
LA QUINTA, CA 92247
LA QUINTA, CA 92247
� V
(760)413-4708
C
Llc. No.: 988835
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LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 1 hereby affirm under penalty of perjury one of the following declarations
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and _ I have and will maintain a certificate of consent to self -insure for workers'
my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: B License No.: 988835 of th w k f which this permit is issued.
j � have and will maintain workers' compensation insurance, as required by
�te: 6 Contractor:�� 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
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 ) 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
Lender's Address:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9075546
_ 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.
Dale.
e J i Applicant:!
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOI
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. i
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 1
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 wdrk
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.
ra��_ l 17 Signature (Applicant or Agentj.
S
Application Number: BPAT2017-0050 .
Property Address: 81165 DESERT SAGE CT
APN: 764430026
Application Description: STRAUSS / PATIO COVER WITH FAN
Property Zoning:
Application Valuation: $2,000.00
Applicant:
L D R CONSTRUCTION SERVICES
P 0 BOX 242
LA QUINTA, CA 92247
Ower:
ALAN STRAUSS
12218 MONTANA AVE
LOS ANGELES, CA 92253
Contractor:
L D R CONSTRUCTION SERVICES
P O;.BOX 242
LA Q2UINTA, CA 92247
Date: 8/1/2017
(760)413-4708
Llc. No.: 988835
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Detail: 130SF TRELLIS PATIO COVER AT REAR YARD [DURALUM] WITH FAN INSTALLATIONS. 2016 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADM NISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403.
0
$25.33
DESCRIPTION
ACCOUNT
CITY
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 °ORCH / LATTICE: $202.16
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI —RESIDENTIAL
101-0000-20308
0
$0.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY EN=4ANCEMENT FEE: •$5.00
Bin•# City of La Quintci
BAUng a Safety Division
Pen nk P.O. Box 1504, 78-495 Caffe Tampico
. r La Qufnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: Owner's Name:
A. P. Number. Address:
tion: 'n City, ST, Zip:
Contractor. f�// �An ,�10�/ n,.' ; _,__t _ _ i� 1 --I^
�"J'�/. U
L,
Project Description:
,yC.
City, ST, Zip: '
Telephone:
State Lic.#:1104(02-55
City Lic. #;
Q�
r
Arch., Engr., Designer -
Address:
City., ST, Zip:
Telephone:
State Lic.''-
, .. >
Construction Type: Occupancy:
Project type (circle one): New Add'n
Name of Contact Person:
.
Alter Repair Demo
Sq. Ft: #'Stories: # Units:
Estimated Value of Project (,
Telephone # of Contact Person:
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACIMG
Plan Check submitted
PERMIT FEES
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Pian Check Balance
Title 24 Cafes.
Plans picked up
Construction
Flood plain Plan
Plans resubmitted
Mechanical
Grading plan
20! Review, ready for correctionstissae
Electrical
Subcontactor last
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I. .
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3rd Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.U.P.
Pub. Wks. Appr
Date of permit issue
School Fees
— --. -.: 1 1 Total Permit Fees