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BPAT2017-0068,. G4, VOICE (760) 777-7125 78-495 CALLE TAMPICO U . • FAX FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT (760)777-7153 BUILDING PERMIT `ate <9 28/2 Permit Type/Subtype: PATIO COVER/CITY STANDARD/PRE-ENGINEERED - OPEN Owner: LLJ7 2 Application Number. BPAT2017-0068 MARK MCCOMAS Property Address: 43641 MESSINA CT 43641 MESSINA CT Q o APN: 609552018 LA QUINTA, CA 9.?253 1-- t— Application Description: MCCOMAS RESIDENCE / PATIO COVER 550 SF N � w Property Zoning: � O Application Valuation: $2,000.00 G_ w O ® Applicant: Contractor: Cn c, C & S PATIO COVERS C & S PATIO COVERS 65269 ELAINE CIRCLE 65269 ELAINE CIRCLE Z MECCA, CA 92254 MECCA, CA 9225 c3 LU C] (760)625-42.25 Llc. No.: 1004320 LICENSED CONTRACTOR'S DECLARATION. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: D03 License No.: 1004320 Date: O 1- Z b— )1 Contractor: C I�) VU T Ir ) 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 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.). (_J 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.). (_J 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: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one ofthe following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 370Dof the Labor Code, for the performance of the work for which this permit is issued. 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: NORGUARD INSURANCE COMPANY Policy Number: CSWC791810 I certify that in the performance of tie work for which this permit is issued, I shall not employ any person in any manner so zs 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 3XO of the Labor Code, I shall forthwith comply with those provisions. �tL! /�� 1� Date: Q q— 1 Applicant: � r w 1 `Cn " 1/ l 7 CI �, � 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 :,pplication. 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 C.ty 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 applicafion 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 stat? 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 property for inspection purposes. Date:1 Signature (Applicant or Agent): Date: 9/28/2017 Application Number: BPAT2017-0068 Owner: Property Address: 43641 MESSINA CT' MARK MCCOMAS APN: 609552018 43641 MESSINA CT Application Description: MCCOMAS RESIDENCE / PATIO COVER S50 SF LA QUINTA, CA 92253 Property Zoning: Application Valuation: $2,000.00 r Applicant: Contractor: C & S PATIO COVERS C & S PATIO COVERS 65269 ELAINE CIRCLE 65269 ELAINE CIRCLE MECCA, CA 92254 MECCA, CA 92254 (760)625-4225 Llc. No.: 1004320 Detail: OPEN.LATTICEALUMAWOOD PATIO -COVER 550 SF WITH (12) LED LIGHTS. (4) POSTS. PER 2016 CALIFORNIA BUILDING CODE. PATIO TO BE BONGED TO POOL,•AND LIGHTS SHALL MEET ALL REQUIREMENTS OF EXT. LIGHTING UNDER TITLE -24 1 FINANCIAL INFORMATION 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 ELECTRICAL: 1$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 QTY 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: $S.00 Bin# 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: [� 2 / . �� 7 Vt Owner's Name: CCo /n S A.P. Number Address: Y j7 /'w„ Y/ /1/►Q ��.�a /��-� 7 Legal Description: City, ST, Zip: / Contractor:� (' S ��o by e � Telephone: a ?(P '3-6 I 5-6 � Address:' Project Description: 0/7 L47 City, ST, Zip/v�: cLCci C / / �2-� `� t/1/L�(N00 L d Telephone 76b / Z 111Z� ` . . -_ _ �fr%��r State Lic. #:: /00 t 7 / 7 2 ZO City Lic #: � /cN7 L b �t� / �Ls eon Arch, Engr., Designer. ` 4-il �rr ! Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State,Lic. #: Proj. Type New Add'n Alter Repair Demo Name of Contact: /1 Y7�� 2 �� SgFt:. �� #Stories # Units: Telephone of Contact: 7&0 62 ,•- i `7/ 2 ? C— 7 Estimated Value of Project: J C� 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 a 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 i UCS 9 _ m A Q-3 rr �r j Nb ' • 4 c c- .. t, I •I. ^) I I I I- I 'I I I _ - ° � ;' ,f I �i J/�\ I , ' Rso f I L U�id e Con' StrvG-�io-�j .I /. tl.. 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