BPAT2018-006578-495 CALLE TAMPICO Tiht D a(PQ ilJ
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: PATIO COVER/CITY STANDARD/PRE-ENGINEERED - OPEN
Application Number: BPAT2018-0065
Property Address: 45665 CAMINO VISTA
APN: 604440026
Application Description: BLOOMQUIST / 780SF TRELLIS LATTICE AND SOLID PATIO COVER
Property Zoning:
Application Valuation: $15,000.00 w�
Applicant: D:�
SHADE BUILDERS °
P 0 BOX 66
Dt
THOUSAND PALMS, CA 92276 OCT 01 201$
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: B. D03 Licens oX14
Mat -10 Contract
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).:
(J 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 N
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/1/2018
Owner:
CHRISTIAN BLOOMQUIST
92253
Contractor:
SHADE BUILDERS
P0BOX 66
THOUSAND PALMS, CA 92276
(760)578-2930
Llc. No.: 870046
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:
fier:. Policy Number:
I N 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 Applicant:
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 cl o enter upon the above -
mentioned proper&y for inspection purposes,
o (�[�
oat Signature (Applicant or Agent):
Date: 10/1/2018
Application Number:
BPAT2018-0065
Owner:
Property Address:
45665 CAMINO VISTA
CHRISTIAN BLOOMQUIST
APN:
604440026
Application Description:
BLOOMQUIST / 780SF TRELLIS LATTICE AND SOLID PATIO COVER
92253
Property Zoning:
Application Valuation:
$15,000.00
Applicant:
Contractor:
SHADE BUILDERS
SHADE BUILDERS
P0BOX 66
P0BOX 66
THOUSAND PALMS, CA 92276
THOUSAND PALMS, CA 92276
(760)578-2930
LIc. No..870046
Detail: BLOOMQUIST / 780SF LATTICE AND SOLID ROOF WITH 1 FAN (DURALUM PATIO COVER) AT REAR YARD. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.01
Total Paid for ELECTRICAL: $52.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PATIO COVER, STD, OPEN
101-0000-42404
0
$104.55
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$102.99
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $207.54
DESCRIPTION
ACCOUNT
CITY
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
$1.95
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.95
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
PERMIT # /3MATZO I J -O'
Project Address: 4 r ��
APN #: Cam►' 1�"`'` r`l `� L�l�'}l�
Applicant Name: C- 1'I Ty( S-n
Address:
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
vpjn;;�s
City, ST, Zip:510�
Telephone: �, ® - 4
Email: Valuation of Project $ C":3
Contractor Name: ), 3-C L �
l 1
New SFD Construction:
Address: ` (_0 kC:3
Conditioned Space SF
City, St, Zip--R.A��.:_> 6-)NO 5
Garage SF
Telephone`'l��_—�
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic:.07 00'fye City Bus Lic: 1, ,
Z j
Arch/Eng Name: Construction Type: Occupancy:
Address: Grading:
City, St, Zip
Telephone: Bedrooms: Stories: # Units:
Email:
State Lic: City Bus Lic:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
-Reed
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
AUSO LA QUINTA HOMEOWNERS ASSOCIATION
APPUCATION FOR ARCHITECTURAL IMPROVEMENTS
RETURN FORM TO: AIJSO LA QUINTA HOA Architetiural Review Committee
C/O Speer Business Services
73610 Buckboard Trail
PQIm Desert, CA 92260
(760) 773-6610 Phone (760) 773-9724 Fax
NAME (please print dearly) DATE
W&06- •sue
MAIUNG ADDRESS
CITY, STATE, ZIP -
TELEPHON NUMBER
ASSOCIATION ADDRESS
I~ F c 64 23
CRY, STATE, ZIP
TELEPHONE NUMBER
Description of Proposed Imprg"ments (Attach plans, sumpi ,, etc,)
I A -Lk .
�GrL:
3�1 T".11.- i/.
I understand that my proposed Improvements may require a permit from the City of La Quints and/or other government
agencies and t e 'Obtain all required permits before cammencing any work. I agree I will do no work that will change the
existing drainage Isatterr�s. I am aware that any changes may result in substantMI domage to adjacent properties.
I wilt assume the responsibility for any work under the above -proposed improvement that contractors or I comp
which may, in the future, adversely affect adjacent properties. I wilt assume resp
addition or improvement risibility for future maintenance of
If at any 144a portion of the plans or related documents submitted to the Architectural Review Committee is later
determined to require significant modifications, I will submit additional plans for review and accept responsibility for any
casts associated with the modiflcations. I understand that in such an event; the Association may withhold approval for that,
portion of the modifications until they have been determined to conform to the Association's requirements.
FOR ARCH[TECTURAL COMMITTEE USE ONEy Owner's Signa
[o
—LL— �i►� zl y
HATE RECEIVED DATE REVIEWED A P OVED
DISAPPROVED
COMMENTS:
Nov 2005
CEP 1 1 2018
CITE' -r, tj.� QUINTA
C0 MON' DEVELOPMENT
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