BPAT2017-0004F I
4
78-495 CALLE TAMPICO
auuttw
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPAT2017-0004
Property, Address: 79280 DESERT WIND CT CT
APN: 604332015
Application Description:` XUE RESIDENCE / PATIO COVER
Property Zoning:
Application Valuation: $4,500.00
Applicant:
LIFETIME PATIOS
P 0 BOX 5806
LA QUINTA, CA 92248
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 License No.: 770843
Date: , & / 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 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 Na
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
DANNA XUE
79280 DESERT WIND CT
LA QUINTA, CA 52253
Contractor:
LIFETIME PATIOS
P 0 BOX 5806
LA QUINTA, CA 52248
(760)772-0013
Lic. No.: 770843
21
M
N
G1
Z
Z
vC-)
v�
Mo
O -n
't7
M p
Z C
vD
M
v
M
�0
WORKER'S COMPENSA—ION DECLARATION
I hereby affirm under penalty of perjury one df 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 for which this permit is issued.
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: MID-CENTURY INSURANCE COMPANY Policy Number: A09461819
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 _700 of the Labor Code, I shall forthwith
comply with those provisions.
Date Applicant: r�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIIMAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FO! 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 appli:ation 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 appliotion becomes null and void if work is
not commenced within 180 days from date of ssuance 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 represental_ives of this city to enter upon the
above-mentioned property for inspection purposes.
Date: o94W/7 Signature (Applicant or Agent}!
Application Number: BPAT2017-0004
Property Address: 79280 DESERT WIND CT CT
APN: 604332015
Application Description: XUE RESIDENCE / PATIO COVER
Property Zoning:
Application Valuation: $4,500:00
Owner:
DANNA XUE
79280 DESERT WIND CT
LA QUINTA, CA 92253
Date: 1/24/2017
Applicant:
Contractor:
LIFETIME PATIOS
LIFETIME PATIOS
P 0 BOX 5806
P 0 BOX 5806
LA QUINTA, CA 92248
LA QUINTA, CA 92248
(760)772-0013
---------------------------------------------------------------------------------------------
Llc. No.: 770843•
Detail: 500 SF PATIO COVER ALUMINUM ATTACHED [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. PER 2016 CALIFORNIA
BUILDING CODES
DESCRIPTION
FINANCIALINFORMATION •.'
ACCOUNT CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATICN BSA:
$1.00
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
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.59
Total Paid for STRONG MOTION INSTRUMENTATION SMI:
$0.59
... _ ,.....
.r.
_. �
.� _
Bfn.#
Clity Outnta
Building 8t Safety Division
P.O. Box 1504,78-495 Calle Tampico
L4.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
a gun
i'roectAddress: 79280 Desert Wind Court
Owner's Name:. Danna Xue
A. P. Number.
Address: 7.9280 Desert Wind Court
Legal Description:
Contmetor. Lifetime Patios.
City, ST, Zip: La QUinta, CA, 92253
Telephone: 760 855 7350 :z> i
Address: PO BOX' 5806
Project Description:
City, ST, Zip: La Quinta, CA, 92253
Weatherwood Aluminum
Telephone: 760 777 2650
�.. Solid Shade Structure. 10' x .50'
. 2 .: tel%, r ..
city Lic M. 3258.
State Lie. 4: B 770843
Arch., P.ttgr., Designer.
Address:
City., ST, Zip:
Telephone:
,,::rz -.
. , t, ' •. � . ' �°<�
Construction Type: _ Occlpancy:
State Lic. #:c
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Charles Tunstead
Sq. Ft.: 500
#stories:
#units:
Telephone # of Contact Person: . 760 668 1700
Estimated Value of Project: 4500.00'
APPLICANT: DO NOT WRITE BELOW THIS UNE
p
Submittal
Req'd
Recd
TRACKING
PERMPPFEFS-
Plan Sets
Pian Check submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check E eposit. .
Truss Cales.
. Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted'
Mechanical
Giading plan
2id Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^` Review', ready for correctionsfissue
Developer Eupact Fee
Planning Approval
Called Contact Person
M.P.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Perndt Fees