BPAT2017-0054Zfw
78-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/17/2017
Application Number: BPAT2017-0054 n Owner:
Property Address: 54550 AVENIDA HERRERA D Q BONNIE WILSON
APN: 774283003 54550 AVENIDA HERRERA
Application Description: WILSON / 204SF COVERED PATIO, ELI OO,%6T9 ` R YARD I LA QUINTA, CA 92253
Property Zoning: 2017 , u
Application Valuation: $5,000.00 QTyOF(A
COMMUNITyDEVELOP OUjNTA
Applicant: MENTDEPARTMENT Contractor:
CALIFORNIA SHOWCASE CONSTRUCTION INC CALIFORNIA SHOWCASE CONSTRUCTION INC
1507 MARLBOROUGH AVENUE 1507 MARLBOROUGH AVENUE
RIVERSIDE, CA 92507 RIVERSIDE, CA 92507
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.: 91235
Date: Contractor:
n 9 L&Aat_�_
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).:
(_) 1, 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 Address:
(951)682-0208
Llc. No.: 912352
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
OW7o t e ork for which this permit is issued.
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 policy number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9029521
_ 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.
Date:
Applicant:
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: 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 authorise representatives oftWs<ity It enter up he above-
mentioned property for inspection purposes.
Date: Signature( Applicant or Age t):
Date: 8/17/2017
Application Number: BPAT2017-0054
Owner:
Property Address: 54550 AVENIDA HERRERA
BONNIE WILSON
APN: _ 774283003
54550 AVEN DA HERRERA
Application Description: WILSON / 204SF COVERED PATIO, ELITE WOOD AT REAR YARD
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $5,000.00
Applicant:
Contractor:
CALIFORNIA SHOWCASE CONSTRUCTION INC
CALIFORNIA SHOWCASE CONSTRUCTION INC
1507 MARLBOROUGH AVENUE
1507 MARLBOROUGH AVENUE
RIVERSIDE, CA 92507
RIVERSIDE, O? 92507
(951)682-0208
=--------------------------------------------------------
Llc. No.: 912:52
-----------------------------------
Detail: 204SF SOLID PATIO COVER AT REAR YARD [ELITEWOOD] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INS-ALLATIONS. 2016 CALIFORNIA
BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT. QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRA—ION BSA: $1.00
DESCRIPTION
ACCOUNT .
QTY
AMOUNT
PATIO COVER, STD, OPEN
101-000042404
0
$101.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, STD, OPEN PC
101-0000-426000
$100.32
Total.Paid for PATIO COVER / COVERED PORCH / LATTICE: $202.16
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI.- RESIDENTIAL
101-0000-20308
0
$0.65
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.65
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
-4
Bin.#
City �� I.ti Quina
Building 8i Safety Division
P.O. Box 1504,78-495 Calle Tampico
14.Quinta, CA 92253.:(760) 777-7012
Permit' Application and Tracking Sheet
Permit #
9E!LT,U"w1MBU11dfng
Project Address:54 :550 efj�j G(
Owner's Name:. n (
A. P. Number.
Address:�ra-
Legal Description: fTXZ � O4 2 j I i
Contractor.CQ'1 r (a sy►6 �_
City, ST, Zip: Lz u-,* n •2 3
Telephone:rIllt�"�;� °a
c
Address: 00„01 LY Av. •
Project Description: f (� c Qvt
City, ST, Zip: V e (S 1 .1 1 "l L�V�
CZ-�T &)ni�C �• 2
Telephone: ?'
=
0 Eltt� ri LCA
State Lic. #: ( 2-3 c� Z_ City Lic. #;
Archy Engr., Designer.
+ ,
Address:
City., ST, Zip:
Telephone:
State Lic. #: , ,
Name of Contact Person: Ick Goo co
Construction Type:. Occupancy:
Project type (circle one): ' New Add'n Alter Repair Demo
• Sq. Ft.: 20y # stories: # Units:
Telephone # of Contact Person: . c7 - S - . `7 -1 i
Estimated Value of Project: S 1
APPLICANT: DO NOT WRITE BELOW THIS UNE
9
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Cheek submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check L eposit. .
Truss Cates.
Called Contact Person
Plan Check Ealance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Pians resubmitted.'.
Mechanical
Grading plan
2r'Review, readyfor corrections/issue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE--
34 Review; ready for correcdo'nsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permil Fees
AUG 16 2016 .
_.............--...........
..................
CITY ®P L•QUINTA
COIVIIVIUNITY ®EVEL®PIVIEN
�A 4y
I SO.' Marlborough Ave.
R<verside• CA 92507
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PROPERTY PLOT PLAN Office (995 `) 682-008
Showcase Construction
(5) 686-2769
Customer: �wwl,/ 5
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