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BPAT2017-0053�c 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPAT2017-0053 Property Address: S32SS AVENIDA HERRERA APN: 774083012 Application Description: UNDERWOOD RESIDENCE / Property Zoning: Application Valuation: $7,000.00 Applicant: JOHN JOSEPH EDWARDS 38765 DESERT GREENS DRIVE E PALM DESERT, CA 92260 Twr4lwCl� DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT IaUG 15 2017 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.: 931906 ate;�r-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, after, 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 7631.5 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.). (_) 1, 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 Nam Lender's Addr VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/15/2017 Owner: LINDA UNDERWOOD 53255 AVENIDA HERRERA LA QUINTA, CA 92253. Contractor: JOHN JOSEPH EDWARDS 38765 DESERT GREENS DRIVE E PALM DESERT, CA 92260 (760)641-5609 Uc. No.: 931906 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: Carrier: EXEMPT Policy Number: 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, shall forthwith comply with those provisions. Date: pplicant--`. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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: Applicatiori 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 upo the S above-mentioned property for inspection purposes. Date: �5 /;I—Signature-(Applicant or Agent): ,, Date: 8/15/2017 Application Number: BP.AT2017-0053 Owner: 'Property Address: 53255 AVENIDA HERRERA LINDA UNDERWOOD APN: 774083012. 53255 AVENIDA HERRERA . Application Description: UNDERWOOD RESIDENCE / PATIO COVER LA QUINTA, CA 52253 0 Property Zoning: Application Valuation: $7,000.00 Applicant: Contractor: JOHN JOSEPH EDWARDS JOHN JOSEPH ECWARDS 38765 DESERT GREENS DRIVE E 38765 DESERT GREENS DRIVE E PALM DESERT, CA 92260- PALM CA 92260 (760)641-5609 Llc. No.: 931906 Detail: 150 SF TREELIS PATIO COVER AT REAR YARD [AEUMAWOO4] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INST<:LLATIE)NS. PER 2016 CALIFORNIA BUILDING CODES. FINANCIAL •• • DESCRIPTION ACCOUNT QTY AMOUNT BSAS 581473 FEE 10170000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00• 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 QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $0.91 Total Paid for STRONG MOTION INSTRUMENTATIOfV•SMI: $0.91 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5:00. Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 • 0• .07 i i Bin# City of La Quinta Building & Safely Division 78-495 Calle Tampico 1 j La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking -Slieet Permit# Project Address:q �Svis�1 ✓� Owner's Name: t V v��Cti 9� A.P. Number Address:5 Legal Description: City, T, Zip: n d� Contractor�b�� ?r CO T on _ (� Addres".. P SQ 4- 4-,-V1.0 EAAs„` Project Description: /®1 � ;' PT 0. � City, ST, XV VA_-eS 'd-� �� ' h� ✓� �S t I(� / Teleph e: State Li . #: �f City Lic #: Arch, Engr., Designer: Address: City, ST, Zip: . Telephone: Construction Type: Occupancy: State Lic. #: roj. Type1NQv Add'n Alter Repair Demo Name of Contact: SgFt: #Stories # Units: Telephone of Contact:' to Estimated Value of Project: 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 Calcs 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 CITY OF LA QUINTA., 'BUILDING & SA FIFTY DEPT APPROVED 9:r1P r-r)KlQTPl lr%Tlr)KI