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BPAT2015-008478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Td,v,44QuW(v COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPAT2015-0084 Property Address: 81200 KINGSTON HEATH APN: 767490026 Application Description: SWEENEY / 768 SQ FT PATIO COVER AT REAR YARD Property Zoning: c Z O o3� C D Application Valuation: $13,000.00 Applicant: T © ( ATLAS AWNING AND SCREEN INC 754 SOUTH WILLIAMS ROAD PALM SPRINGS, CA 92264 ATLAS AWNING AND SCREEN INC 754 SOUTH WILLIAMS ROAD 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: D03 License No.: 835140 Date: 11 f Contractor: AITI_ J &NW 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'I 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 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 36 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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 wor or 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: _ 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, I shall forthwith comply with those provisions. Date: Applicant: gad --p 4W Aj %/Vt 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 ws relating to building construction, and hereby authorize representatives of this city o nt r upon the above-mentioned property for inspection purposes. Date: 2 (9 %/f Signature (Applicant or Agent): Date: 12/9/2015 Owner: RICHARD SWEENEY C U 81200 KINGSTON HEATH77�;-] LA QUINTA, CA 92253 c Z O o3� C D T © ( T c.. Contractor: z o ATLAS AWNING AND SCREEN INC 754 SOUTH WILLIAMS ROAD PALM SPRINGS, CA 92264 r�------1 (760)327-8466 Llc. No.: 835140 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 wor or 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: _ 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, I shall forthwith comply with those provisions. Date: Applicant: gad --p 4W Aj %/Vt 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 ws relating to building construction, and hereby authorize representatives of this city o nt r upon the above-mentioned property for inspection purposes. Date: 2 (9 %/f Signature (Applicant or Agent): .. . ....... ... j"' NAAL' .0RMATl0'N`—% .'JINIC, INF RK ;i ZEE "P BSAS SB1473 FEE 101-0000-20306 0 $1.00 $6.00 &'RJi IR'u n PAIMBY4-',,t WE i il W'W'R ',,#'C- T "BY'�6 'K CHECK E'l,'v`� L 0 7V;1 4 . , AMIL Total PaidforBUILDING STANDARDS ADMINISTRATION BSA:, $1.00 $0..00 DESCRIPTION p, 's, R& a !�AACCOUP i'6UNTy0Smz E qAip'�! iij -7 -i PATIO COVER, STD, OPEN 101-0000-42404 0 A, uhd A, 'o W gn fi�$0.00 4 3 Y �';tf 4 k T!# 'RECEIP -MEATHOD':ffir 111, 1—M 'M:".�.�'� WIRMN ?"n -x�;n cOuMT�k- g g"R AMOUNT PAIDQ " ;PAIDDATE 'P'N A 4V,4" 11041 i - PATIO COVER, STD, OPEN PC 101-0000-42600 0 $95.72 $6.00 �r�'P A I W; 0 Ykg'" W -METH y iRECEIR141Nr -HECK,#""'---p.'-, B 2 -MA"I Fi�-'Wq�w�v --X Mm K: V 'W yg� v is Total Paid for PATIO'COVER COVERED PORCH LATTICE: $192.89 $0.00 d It - 'j N al'Acc UlsimsVi U-N'Ilt­�%�,WA,, 't -, � , E NM,` - i,!PA D" :ti:. 'PAIE T. A"h SMI RESIDENTIAL 101-0000620308 0 $1.69 $0.00 soir r M ET m giq, CLQ T- a g-AWHECK-4 - Total Paid for.STRONG MOTION INSTRUMENTATION SMI: $1.69 $0.00 TOTALS:'-'�'�� 19 5 W:�'�, so.W Description: SWEENEY / 768 SQ FT PATIO COVER AT REAR YARD Type: PATIO COVER Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW Applied: 12/9/2015 SKH ENGINEERED - OPEN Approved: Parcel No: 767490026 Site Address: 81200 KINGSTON HEATH LA QUINTA,CA 92253 Subdivision: TR 29349-1 Block: Lot: 26 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $13,000.00 Occupancy Type:. Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRE5S1' Details: 768S4 FT LATTICE PATIO COVER AT REAR YARD [AMERIMAX] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRE5S1' CITY STATE ZIP PHONE FAX EMAIL APPLICANT ATLAS AWNING AND SCREEN INC 754 SOUTH WILLIAMS ROAD PALM SPRINGS CA 92264 (714)624-9289 MARK@ATLAS- AWNING.COM CONTRACTOR ATLAS AWNING AND SCREEN INC 754 SOUTH WILLIAMS ROAD PALM SPRINGS CA 92264 (714)624-9289 MARK@ATLAS- AWNING.COM OWNER RICHARD SWEENEY 81200 KINGSTON HEATH LA QUINTA CA 92253 (714)624-9289 FINANCIAL INFORMATION Printed: Wednesday, December 09, 2015 9:01:59 AM 1 of 2 LJ LJ wSYS7Ei41S DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #T HECK # METHOD PAID BY C .C BY BSAS 581473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: PATIO COVER, STD, 101-0000-42404 0 $97.17 $0.00 OPEN PATIO COVER, STD, 101-0000-42600 0 $95.72 $0.00 OPEN PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $0.00 SMI'- RESIDENTIAL 101-0000-20308 0 $1.69 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.69 $0.00 TOTALS:00 IATTACHMENTS Printed: Wednesday, December 09, 2015 9:01:59 AM 2 of 2 rp SYS TENTS Bin City of La Quinta Building Safety Division 78-495 Calle Tampico La QUintp, CA 92253 P_ Bull ng Pei Mi nd Trad Ing Sheet Project Address: 61a00 L_ 0,Amer's Name: A. P. Number: AddTess: Project Description: Telephone h�6_:j Ai -ch.. Enpr.. Designer: Construction Type: Occupancy: Name of Contact Person: F,,: siones: W 'Units: Telephone ' 'of Contact Person: E lue of PT ICA T" ELOW X1. RA ilt rV CU Di MOWN gd MW us ... ..... . . . . ......... , 1 PGAIVESTo FAIRWAYS ASSOCIAT ION Notice of Architectural Review December 8, 2015 Richard Sweeney 81200 Kingston Heath La Quinta, CA 92253 Re: Architectural Application — 81200 Kingston Heath (Toll Brothers SBA) Dear Mr. Sweeney: The Architectural Review Committee has reviewed your application for the installation of a rear patio awning with a lattice roof. I am pleased to inform you that the Committee has approved your application submitted. Enclosed is an Exhibit C — the Compliance Review Request form. Please complete this form after the work is completed and return it by mail or fax to the address below so the completed project can be inspected and your deposit can be refunded. If you have any questions, please contact me at 760-895-6345 or by email at Tiffany.Goft2Managementtrust.com. Sincerely, For the Architectural Committee PGA WEST Fairways Association Tiffany Goff, CCAM I Operations Manager The Management Trust — Desert Division Enclosure: Exhibit C — Compliance Review Request cc: Lot File Architectural Committee The Management Trust — Desert Division 39755 Berkey Drive, Suite A, Palm Desert, CA 92211 Phone: (760) 776-5100 Fax: (760) 7:76-5111 www.12gawestfairways.com