BPAT2018-0064125
agmt
VOICE (760) 777-7FAX (760) 777-7011011
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
CS PATIO COVERS
82857 WHEATLEY COURT
INDIO, CA 92201
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/11/2018
Owner:
PATIO COVER/CITY STANDARD/PRE-ENGINEERED - OPEN Owner:CICHOKI LEONARD D
BPAT2018-0064 79944 CASTILLE DR
79944 CASTILLE DR LA QUINTA, CA 92253
609630019
CICHOCKI/ 252SF TRELLIS DURALUM PATIO COVER AT REAR YARD
$1,100.00
PD
e%r r%F (AQUINTA
----------------------------------- DESIGN& DEVELOPMENT DEPARTMENT ------------- ___-_--___-------
Contractor:
CS PATIO COVERS
82857 WHEATLEY COURT
INDIO, CA 92201
SEP 11 20180(760)625-4225
Llc. No.: 1004320
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, c
and my License is in full force and effect.
License Class: D03 License No.: 1004320
3 1 Cott
i
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.).
(_) 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:
WORKER'S COMPENSATION DECLARATION
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'
ompensation, as provided for by Section 3700 of the Labor Code, for the performance
of th� rk for which this permit is issued.
[x 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
s issued. My workers' compensation insurance carrier and policy number are:
Carrier: NORGUARD INSURANCE COMPANY Policy Number: C5WC81 72 —
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.
Daft ' I App119MV.
WARNING: FAILURE TO SECURE WORKERS' COMPEN TION 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,
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:
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 -mentioned operty for inspection purposes.
.SI$48ke (ApplicantcfiAgent):
Lender's Address:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
CS PATIO COVERS
82857 WHEATLEY COURT
INDIO, CA 92201
BPAT2018-0064
79944 CASTILLE DR
609630019
CICHOCKI/ 252SF TRELLIS DURALUM PATIO COVER AT REAR YARD
$1,100.00
Owner:
CICHOCKI LEONARD D
79944 CASTILLE DR
LA QUINTA, CA 92253
Contractor:
CS PATIO COVERS
82857 WHEATLEY COURT
INDIO, CA 92201
(760)625-4225
Llc. No.: 1004320
Date: 9/11/2018
Detail: 252SF TRELLIS PATIO COVER AT REAR YARD [DURALUM]'THIS PERM
CODES. IT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2016 CALIFORNIA BUILDING
� I
i
i
' • QTY
AMOUNT
ACCOUNT
$1.00
DESCRIPTION
0
101-0000-20306
$1.00
BSAS SB1473 FEE
Paid for BUILDING STANDARDS ADMINISTRATION gTY
AMOUNT
Total
ACCOUNT
$104.55
DESCRIPTION
0
101-0000-42404
AMOUNT
PATIO COVER, STD, OPEN
ACCOUNT QTY
$102.99
DESCRIPTION
0
101-0000-42600
$207,54
PATIO COVER, STD, OPEN PC
E'
Paid for PATIO COVER / COVERED PORCH / LATTICE
AMOUNT
Total
ACCOUNT
$10.00
DESCRIPTION
0
101-0000-42416
$10.00
RECORDS MANAGEMENT FEE
Total Paid for RECORDS MANAGEMENT FEE,
AMOUNT
ACCOUNT QTY
$0.50
DESCRIPTION
0
101-0000-20308
$0,50
SMI - RESIDENTIAL
Paid for STRONG MOTION INSTRUMENTATION SM :
AMOUNT
Total Q
ACCOUNT
$5.00
DESCRIPTION
0
502-0000-43611
$5,00
TECHNOLOGY ENHANCEMENT FEE
Total Paid for TECHNOLOGY ENHANCEMENT FE
_
,
Contractor Name: f ,
Address:
City, St, Zip r e
Telephone: a
Email:
State LicI�,1% n f U City Bus Lic:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic: City Bus Lic:
_S e New SFD Construction:
Conditioned Space
Garage
Patio/Porch
Fire Sprinklers
Construction Type:
Grading:
Bedrooms: J Stories:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
SF
SF
SF
SF
Occupancy:
# Units:
OFFICE USE ONLY
#
Submittal
Req'd
Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
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Esplanade
c/o Desert Resort Management, Inc.
42635 Melanie Place
Palm Desert, CA 92211
Customer Care: 760-346-1161 Fax: 760-346-9918
Website: w_ww drmintemet.com
Date: 6/27/2018 1:32:25 PM
Project Ref: [82183014] 79944 Castille Dr
Leonard Cichocki TTE
79944 Castille Dr
La Quinta CA 92253
Dear Leonard Cichocki TTE,
For the listed project item(s):
Aluminum Patio Cover
I am pleased to inform you that the Esplanade Architectural Committee has approved your
application with the following stipulations:
Approved as long as it is not higher than the attached portion of the house.
The approval is contingent upon compliance with the specifications set forth in the approved
application. If your change or addition requires a county, city or state permit, it is the responsibility of the
homeowner to obtain this before starting construction.
Please retain this letter in your files. If you have any questions regarding this matter, please
contact Desert Resort Management at 760-346-1161 or e-mail us at rviceOrders rxrainternet.com
Sincerely,
Jennifer Zeivel
Community Association Manager
-jzcivel@drmiTiternet.com
Esplanade
***ESTE DOCUMENTO ES MUY IMPORTANTE. SI USTED NO PUEDE LEER INGLES, POR
FAVOR CONSIGA A ALGUIEN PARA QUE LE TRADUZCA ESTE DOCUMENTO***