BPAT2017-003678-495yCALLE TAMPICO 4
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPAT2017-0036
Property Address: 81275 THUNDER GULCH WY
APN: 767790071
Application Description: DEHAAN / 400SF TRELLIS DURALUM (PATIO AT REAR YARD
Property Zoning:
Application Valuation: $5,000.00
Applicant:
RYAN GABOR CSER
68150 LOUISAN RD MAY 0 2 2017
DESERT HOT SPRINGS, CA 92240
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
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: C29, D03, B License No.: 928413
-�— 1
Date: n ^ t Contractor:
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 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.).
(_) 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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/21017
Owner: 141130 30
LA HACIENDA DEHAAN
81275 THUNDER GULCH WY
LA QUINTA, CA 92253
Contractor:
RYAN GABOR CSER
68150 LOUISAN RD
DESERT HOT SPRINGS, CA 92240
(760)861-8953
Llc. No.: 928413
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 work for 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: 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 Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: App ical r t' n lA � 4
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 laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mention%roperty for inspection purposes. `
r UL / ^�
Date � .r I� Signature (Applicant or Agent): J KJ
Date: 5/2/2017
Application Number: BPAT2017-0036
Owner:
Property Address 81275 THUNDER GULCH WY
LA HACIENDA DEHAAN
APN: 767790071
81275 THUNDER GULCH WY
Application Description: DEHAAN / 400SF TRELLIS DURALUM (PATIO AT REAR YARD
LA QUINTA, CA 92253
Property Zoning: ,
Application Valuation: $5,000.00
Applicant:
Contractor:
RYAN GABOR CSER
RYAN GABOR CSER
68150 LOUISAN RD
68150 LOUISAN RD
DESERT HOT SPRINGS, CA 92240
DESERT HOT SPRINGS, CA 92240
(760)861-8953
--------------------------------------------------------------------------------------------
Llc. No.: 928413
Detail: 400 S.F. PATIO COVER AT REAR YARD [DURALUM -ENGINEER: DUSTIN K. ROSEPINK LIC.
NO. 55885] (6) LIGHTS MOUNTED WITHIN ROOF OF PATIO
COVER PER MANUFACTURER'S INSTRUCTIONS. GAS LINE AND STUB FOR FUTURE FIRE PIT INSTALLATION. 2016 CALIFORNIA BUILDING CODES.
° 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: $50.66
DESCRIPTION
ACCOUNT a
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
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$25.33
Total Paid for PLUMBING FEES: $38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-203080
$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
Bin
Permit
City of La Quinta
B uifding &T Safety. Division
78-495 Calte Tampico
La Quinta, CA 92253 - (760) 771--701,2
Building -Permit Application and Tracking Sheet
Legal Description:
Cofitracto
City, ST, Zip: LA QQ J-NT��
Arch.,-Engr., Designer:
Telephone:
Construction Type: Occupancy:
S'tate Lic. 4:
Prpje6t type (circle one): New Add'n Alter RepairDemo.
Naile 6f Contact Person: LIE S C�E'
Sq. Ft.:
Stori�s:
Units:
Telephone # of Contact Person: 6b q )3
Estimated Value of Project 06
APPLICANiT: DO NOT WRITE BELOW THIS LINE
H
Submittal.
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount J
Structural Calcs. -
Revic"Yed, 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
2-4 Rcvic%v, ready for corrections/issue
Electri.cal
Subcontactor List
Called Contact Person
Plumbing
Gran( Deed
Plans picked up
S.M.I.
I-I.O.A. Approval
Plans resubmitted
Grading
IN IIOUSE:-
Re.viciv, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. lVks. Appr
Date �17 permit issue
SC11061 Fees,
Total Permit fees
.
4 .
78-495 CALLE TAMPICO C� 0 D. �K•�MCl/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPAT2017-0036
Property Address: 81275 THUNDER GULCH WY
APN: 767790071
Application Description: DEHAAN / 400SF TRELLIS DURALUM (PATIO AT REAR YARD
Property Zoning:
Application Valuation: $5,000.00
Applicant:
RYAN GABOR (SER
68150 LOUISAN RD
DESERT HOT SPRINGS, CA 92240
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 Cla 2 License No.: 826943
Date:, � Contractor
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 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.).
(_) 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
LA HACIENDA DEHAAN
81275 THUNDER GULCH
LA QUINTA, CA 92253
Contractor:
LA HACIENDA NURSERY
80-900 MILES AVENUE
INDIO, CA 92201
(760)342-3427
Llc. No.: 826943
Date: 5/8/2017
LU
W
4
�~ w
C�
C --)
C
C3z
os
00 agLa
C)
& L NDSCAPE N:ISLE
A z
�r -ems o
U
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'
comPave
'as provided for by Section 3700 of the Labor Code, for the performance
of twhich this permit is issued.
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: FALLS LAKE FIRE AND CASUALTY COMPANY Policy Number: FLA002S9100
_ 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
W!ff
ons of Section 3700 of the Labor Code, I s all forthwith
pplicant:
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 laws relating to building
construction reby authorize representatives of this ter upon the above-
menti
roper f inspection purposes.
Date: Signature (Applicant or Agent):'
S
Date: 5/8/2017
Application Number:. BPAT2017-0036
Owner:
!� Property Address: 81275 THUNDER.GULCH WY
LA HACIENDA DEHAAN
APN: 767790071
81275 THUNDER GULCH WY
Application Description: DEHAAN / 400SF TRELLIS DURALUM (PATIO AT REAR YARD
LA QUINTA, CA 92253•
Property Zoning:
Application Valuation: $5,000.00
Applicant:
Contractor:
RYAN GABOR CSER c
LA HACIENDA NURSERY & LANDSCAPE INC
68150 LOUISAN RD
80-900 MILES AVENUE
DESERT HOT SPRINGS, CA 92240
INDIO, CA 92201
(760)342-3427
-----------------
LIc. No.: 826943
.---------------------------------------------------------------------------
Detail: 400 S.F. PATIO COVER AT REAR YARD [DURALUM - ENGINEER: DUSTIN K. ROSEPINK LIC.
NO. 55885] (6) LIGHTS MOUNTED WITHIN ROOF OF PATIO
COVER PER MANUFACTURER'S INSTRUCTIONS. GAS LINE AND STUB FOR FUTURE FIRE PIT INSTALLATION. 2016 CALIFORNIA BUILDING CODES.
s
S
;DESCRIPTION
ACCOUNT
QTY
AMOUNT
CHANGE OF CONTR/ARCH/OWNER PROCESSING
�� -' - 101-0000-42600
1
$101.84
Total Paid for ADMINISTRATIVE: $101.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT I
J 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: $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 t
ACCOUNT
QTY
AMOUNT `
-GAS SYSTEM, 1-4 OUTLETS
101=0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$25.33
Total Paid for PLUMBING FEES: $38.00
DESCRIPTION
r ACCOUNT t
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
r 502-0000-43611 -
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
s
tt
a bacienda
Lic.#826943 COD nursery & landscape, inch
May 5, 2017
To The City of La Quinta,
La Hacienda Nursery & Landscape Inc., Lic. #826943, is giving a written notice that we
will be taking over as the contractor for building permits for structural, gas, and electrical
pulled by Precision Patios Lic.# 539152, owner Les Cser, at the property of 81275 Thunder
Gulch, La Quinta Ca. 92253.
Precision Patios will no longer be a participant in the future project located at 81275
Thunder Gulch, La Quinta, Ca. 92253.
Please transfer this permit to La Hacienda Nursery & Landscape, Inc.
Any questions or concerns please call or email.
Linda Harrison @ 760-342-3427
lahaciendalinda@gmail.com
Thank you,
Linda Harrison, C.F.O.
RECEIVED
MAY 0 5 2017
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
80-900 MILES AVENUE INDIO, CALIFORNIA 92201
TEL: 760.342.3427 FAX: 760.342-9559
lahaciendalinda@gmail.com