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BPAT2017-0015
78-495 CALLE TAMPICO D �NNlf�il/ VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT C&e: Application Number: BPAT2017-0015 Owner: —QE?) Property Address: 79917 HANCOCK CT MATTHEW KOTZ Z APN: 604492010 z Application Description: KOTZ / PATIO COVER WITH (4) LIGHTS 92253 0 n Property Zoning: D Application Valuation: $1,500.00 M CD D f-+ Applicant: Contractor: Q � ry C& S PATIO COVERS C& S PATIO COVERS A Z o 65269 ELAINE CIRCLE 65269 ELAINE CIR2LE m D ti MECCA, CA 92254 MECCA, CA 92254 (760)625-4225 z LIC. No..: 1004320 —1 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. Liense Class: D03 License No.: 1004320 Of : l (I� Contr or. / OWNER -BUILDER DECLARA N 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).: (_J 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 Name: Lender's WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificateof consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of`thew rk for which this permit is issued. I6 1 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 polity number are: Carrier: NORGUARD INSURANCE COMPANY Policy Number: CSWC791810 I certify that in the performance of tae 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 thatl if I should become subject to the workers' compensation provisions of Section 3F00 of the Labor shall forthwith comply with those provisions. Ovate: 6 Applicant :1011,101, WARNING:. FAILURE TO SECURE WORKERS' COM PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00D. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR N 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 :.pplication. 1. Each person upon whose behalf this applicction 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 Cty 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 applicafon becomes null and void if work is not commenced within 180 days from date of is! uance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and stag 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 uponthe above-mentioned property for inspection purpo--es: Date: , y Signature (Applicant on Agent): Date: 3/15/2017 Application Number: BPAT2017-0015 Owner: Property Address: 79917 HANCOCK CT MATTHEW KOTZ APN: 604492010 Application Description: KOTZ / PATIO COVER WITH (4) LIGHTS 92253 Property Zoning: (760)625-4225. Application Valuation: $1,500.00 Applicant: Contractor: C & S PATIO COVERS C & S PATIO COVERS 65269 ELAINE CIRCLE 65269 ELAINE CIFCLE MECCA, CA 92254 MECCA, CA 92254 (760)625-4225. ---------------------------------------------- Llc. No.: 1004320 --------------------------—-------------------- Detail: 335 SF SOLID ATTACHED PATIO COVER AT REAR YARD, (4) EXTERIOR LED LIGHTS WITH PHOTO CELL AND MOTION SENSOR AND ONE FAN. [DURALUM] . 2016 CALIFORNIA BUILDING CODES. a 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 ELECT31CAL: $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 1QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $0.50 Total Paid for STRONG MOTION INSTRUMENTATION] SMI: $0.50 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611:::] 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 R . CIES Patio Covers 65269 Elaine Cir, Mecca, CA 92254 Chris Angulo 760.625.4225 Sergio R Mata 760.9052733 FREE ESTIMATES Lid 1004320 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE %.S , Y 799i� ya�cak �T Ca QU�,� CQ �zZS3 CIS Qaa� l0'fG-T6 Cuc�—Icl-� C40r L. � j5P&Cfcly� .,AWP -60 • Fan ,� � ©o CAnA4-1.1- td a ll4gc - /SiNi� i Sfi nG� GirwiF Pool. Egyap. toritoP 16V' X IS" Sofia Mmwlawoc d Cov e r -- Bond "fool egviprrun fi„ Oio- � 4d -v s f vcco w' art ' 7W6 = /o ' Mauposf--rfw 9 6 9 �Pos� spec► ng -��� ls� p0$+- onckord 4-c 1;1 A`. I Mg Patio Covers 65269 Elaine Cir. Mema, CA 92254 Chris Angulo 760.625.4225 Sergio R Mata 760.905.2733 FREE ESTIMATES Lick 1004320 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY 4-- Ufa V cc) ck- C r �vsE "7 9 R 1-7 f j a n C_oc�' CT tza Qw i n +-O�, q 2-2 53 e y- 4.4,, UA -Q - Oy i \1 -p— vQcXy T FAN � x j - o 0 Mal r-yv,jAne„•1 11 / X WA / $' So lett' Palo Cover 8`."Fla- PGru-I's Trlb= ll° maX po,s' ygcf 4q- A", 3 Po�j-5 4 LEE) LigAfS w% D►MOV .d phoi-o ce I I . *Conned -ib twi5lirl * /S ah p Circ ui t �S S -fcj anCkwr419 eco' 54Ino), concy-e-f dob Bin ## City of LCI Q uin td Building &r Safety Division Permit #; 78-495 Calle Tampico �ml� � � La Quinta, CA 92253 - (760) 777-701,2 M' �J"' building Permit Application and Tracking Sheet Project Address: 71 1, I - . HC1Vt 0 C C C Owner's Name: A. P. Number: Address: I 1 Legal Description: y City, ST, Zip; U1� ontract Cor: S V n• Address: ( 5-2 r;0�1 6_ q%na Cr r C C e Project ! / City- ST, Zip: qz 7 p ✓�% Tel h ne- e o • 7 P 2� 2 S v v v D I State Lic. #: C-) City Lie. v✓ k (,e,rl Arch.,'Engr., Designer: ,S' S H 1 �Zx/ Address: �4d1 Cf� City, ST, Zip: Telephone: PatcY Constructionfractlon Type: e: Occupancy: : State to Lic. #.. �cit le ne • eAdd'n �Iter Repair -air Demo Name of Contact Person: l r�JG 6 Sq. Ft.: �yZ # Stories: # Units: # of Contact Person: %/ '041Telephone Estimated Value of Projec :I APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs.. Called Contact Person Plan Check Balance, Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsrisstie Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- Reyiew, ready for corrections/issue Developer Imp2ct Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Dale of permit issue. SChool Fees, 1 Total Permit Fces