BPAT2017-006578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
PATIO COVER/CITY STANDARD/PRE-ENGINEERED - OPEN
BPAT2017-0065
81394 GOLDEN POPPY WAY
764790015
.. 3,X17 ALUMA OO)D PATIO COVER AT SIDE YARD
((jj / f A�/ ,7
S1_700_00
Applicant:
VALLEY PATIOS INC DBA VALLEY CONCRETE &
79900 TRINIDAD DR
BERMUDA DUNES, CA 92203
CITY OF LA 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 Clas : C-8 C/51 License No.: 937811
Date: / I Contractor:/
OWNER -BUILDER DECLARATION
1 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.).
( 11, 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 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/19/2017
Owner:
k'
MIKE NICHOLE
81394 GOLDEN POPPY WAY
LA QUINTA, CA 92253
Contractor:
VALLEY PATIOS INC DBA VALLEY CONCRETE &
79900 TRINIDAD DR
BERMUDA DUNES, CA 92203
(760)534-46.34
Llc. 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 th)erk 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
_ 1 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 wit/h�th • se provisions.
Date: `� ' Applica vQ
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 roperty for inspection purposes. Cj
Date: �� Signature (Applicant or Ager ta
Date: 9/19/2017
Application Number: BPAT2017-0065
Owner:
Property Address:- 81394 GOLDEN POPPY WAY.
MIKE NICHOLE
APN: 764790015
81394 GOLDEN POPPY WAY
Application Description: ROSE / 13X17 ALUMAWOOD PATIO COVER AT SIDE YARD
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $1,700.00
Applicant:
Contractor.
VALLEY PATIOS INC DBA VALLEY CONCRETE &
VALLEY PATIO.i INC DBA VALLEY CONCRETE &
79900 TRI N I DAD DR
79900 TRI N I DAD DR
BERMUDA DUNES, CA 92203
BERMUDA DUNES, CA 92203
(760)534-4634
Llc. No.: 937811,
Detail: 188SF TRELLIS PATIO COVER AT SIDEYARD [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2016 CALIFORNIA BUILDING
CODES.
V r_
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
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
$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 ENHANCEMENT FEE: $5.00
TOTALS:0:
B m#
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: 3 / 6v fde ^ o
I
Owner's Name: M k� NI C�n p e
A.P. Number
Address:
Legal Description:
City, ST, Zip:
Contractor: \)C'11�e P'ki 0.5
Telephone: ZC) 3 _ 3
Address: ^7� Gt D _jai n tJ a r� ' C.
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Project Description: k\/M0, J t I .�ov
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City, ST, zip: rl A vor^ All( es ( -z
OL, 1 Z
Telephone- -2--3 t
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State Lie. #: City Lie #:
Arch,.Engr., Designer:
Address:
City, ST, Zip:
Telephone:
+
Construction Type:
Occupancy:
State Lie. #:
Proj. Type
New
dd'n
Alter
Repair
Demo
Name of Contact:
SgFt: (p t�
#Stories
# Units:
Telephone of Contact: O �3 (�
Estimated Value of Project:
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APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Check Deposit:
Truss Cales
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.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
1
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CL
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Typ. PL
Nichole Residence
81394 Golden Poppy Way
La Quinta, CA 92253
Proposed Alumawood
Patio Cover
i s'
CITY of
BUILGING
Driveway
11 A CDP.
Foji CO
Golden Poppy
QUINTA
SAFETY DEPT.
I VED
T UCTION