BPAT2018-0006i
78-495 CALLE TAMPICO
LA QUINTA:tACIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT .
PATIO COVER/CITY STANDARD/PRE-ENGINEERED - OPEN
BPAT2018-0006
52090 AVENIDA OBREGON
773215005
ADAMS / 12'X 18' ALUMAWOOD PATIO COVER
$4,000.00
Applicant:
ATLAS AWNING AND SCREEN INC
754 SOUTH WILLIAMS ROAD
PALM SPRINGS, CA 92264
FEB 01 2013
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEP
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
OtZt' Cctor:
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.).
(� 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 thi's 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:
VOICE (760) 777-7125
FAX (760)777-7011
INSPECTIONS (760) 777-7153
Date: 2/1/2018
Owner:
VICENTA ADAMS
LA QUINTA, 92253
Contractor:
ATLAS AWNING AND SCREEN INC
754 SOUTH WILLIAMS ROAD
PALM SPRINGS, CA 92264
(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'
compensate n, as provided for by Section 3700 of the Labor Code, for the performance
of the w for which this permit is issued.
- _ 91 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: SECURITY NATIONAL INSURANCE COMPANY 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 Section370 of the Labor Code, I shall forthwith
comply with those provisions.
Dal: Apple
WARNING: FAILURE TO SECURE WORKERS' OMPENSATION 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 o� omission relatedto 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 citi6 to upon the above-
mentioned. property for inspection purposes. /
Dates z ?, _ Signat ce Applicant or Agent)
Date:. 2/1/2018
Application"Number: BPAT2018-0006
Owner:
1Property Address:'?'4', "�2a90=AVt�IIDA OBREGON
VICENTA ADAMS
APN: 773215005
Application Description: ADAMS / 12'X 18' ALUMAWOOD PATIO COVER
LA QUINTA, 92253
Property Zoning:
Application Valuation: $4,000.00
Applicant:
Contractor:
ATLAS AWNING AND SCREEN INC
ATLAS AWNING AND SCREEN INC
754 SOUTH WILLIAMS ROAD
754 SOUTH WILLIAMS ROAD
PALM SPRINGS, CA 92264
PALM SPRINGS, CA 92264
(760)327-8466
Llc. No.: 835140
Detail: 2165F LATTICE PATIO COVER AT REAR YARD [ALUMAWOOD] THIS PERMIT DOES
NOT INCLUDE ELECTRICAL INSTALLATIONS. 2016 CALIFORNIA
BUILDING CODES.
FINANCIAL INFORMATION li
DESCRIPTION ACCOUNTQTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00,
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$4.03
Total Paid for Credit Card Fee:. $4.03
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, STD, OPEN
10170000-42404
0
$104.55
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, STD; OPEN PC
101-00001-42600
0.
$102.99
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $207.54
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE'
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.52
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.52
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total.Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00