BPAT2017-007578-495 CALLE TAMPICO V
LA QUINTA;'CALIFORNI'A 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: PATIO COVER/CITY STANDARD/PRE-ENGINEERED - OPEN
Application Number: BPAT2017-0075
Property Address: 46224 POINT HAPPY WAY
APN: 643240012
Application Description: KENNEDY RESIDENCE / PATIO COVER
Property Zoning:
Application Valuation: $2,400.00
Applicant:
JASON ALLAN RUDDOCK
37814 MEDWAY STREET
INDIO, CA 92203
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
f 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.: 1019837
a e: (/' Contractor:
OWNER -131 ER 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 in 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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/18/2017
Owner:
CHARLES KENNEDY/ DEBORAH L KENNEDY
46224 POINT HAPPY WY
LA QUINTA, CA 92253
Contractor:
JASON ALLAN 3UDDOCK
37814 MEDWAY STREET
INDIO, CA 92203
(760)574-1043
Llc. No.: 1019E-37
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following' declarations:
I have and will maintain a certificzte of consent to self -insure for workers'
compensation, as provided for by Section 3770 of the Labor Code, for the performance
of the work for which this permit is issued.
.�I have and will maintain. workers' --ompensation 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 insuran¢ 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 Sectior 3700 of the Labo� Code, I shall forthwith
comply with those provisions: ,//),
Da e: `/� I Applicant: _e,T"
WARNING: FAILURE TO SECURERS' OOMPENSATION COVERAGE,IS UNLAWFUL,
AND SHALL SUBJECT AN fMPLO RTO 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 :he Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this apoication 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 Cit-, of La Quinta, its officers, agents, and
employees for any act or omission related'tathe work being performed under or '
following issuance of this permit.
2. Any permit issued as a result of this appncation 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 cancellati )n.
I certify that I have read this application and ;tate that the above information is correct.
I agree to comply with all city and county orbinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes.
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WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following' declarations:
I have and will maintain a certificzte of consent to self -insure for workers'
compensation, as provided for by Section 3770 of the Labor Code, for the performance
of the work for which this permit is issued.
.�I have and will maintain. workers' --ompensation 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 insuran¢ 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 Sectior 3700 of the Labo� Code, I shall forthwith
comply with those provisions: ,//),
Da e: `/� I Applicant: _e,T"
WARNING: FAILURE TO SECURERS' OOMPENSATION COVERAGE,IS UNLAWFUL,
AND SHALL SUBJECT AN fMPLO RTO 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 :he Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this apoication 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 Cit-, of La Quinta, its officers, agents, and
employees for any act or omission related'tathe work being performed under or '
following issuance of this permit.
2. Any permit issued as a result of this appncation 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 cancellati )n.
I certify that I have read this application and ;tate that the above information is correct.
I agree to comply with all city and county orbinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes.
rate. J` / /"17 Sigma ' uie.(Applican•_ or -Agent): w
Date: 10/18/2017
Application Number: BPAT2017-0075
Owner.
PropertyAddKess: "462124 POINT HAPPY WAY.
CHARLES KENNEDY / DEBORAH L KENNEDY
APN: 643240012
46224 POINT HAPPY WY
Application Description: KENNEDY RESIDENCE / PATIO COVER
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $2,400.00
Applicant:
Contractor:
JASON ALLAN RUDDOCK
JASON ALLAN 3UDDOCK
37814 MEDWAY STREET
37814 MEDWAY STREET
INDIO, CA 92203
INDIO, CA 922.3
(760)574-1043
a
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LIc. No.: 1019837
'Detail: 240 SF TRELLIS PATIO COVER AT REAR YARD [ALUMAWOOD]'THIS PERMIT
DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. PER'2016
CALIFORNIA BUILDING CODES.
I
DESCRIPTION
BSAS SB1473 FEE
DESCRIPTION
PATIO COVER, STD, OPEN
DESCRIPTION
PATIO COVER, STD, OPEN PC
DESCRIPTION
RECORDS MANAGEMENT FEE
DESCRIPTION
SMI - RESIDENTIAL
ACCOUNT QTY AMOUNT
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA- $1.00
AMOUNT
ACCOUNT
QTY
AMOUNT
$5.00
101-0000-42404
0
$104.55
ACCOUNT
QTY
AMOUNT
101-0000-42600
0
$102.99
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $207.54
ACCOUNT
QTY
AMOUNT
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
ACCOUNT
QTY
AMOUNT
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: $5.00