BPAT2018-007278-495 CALLE TAMPICO D� VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/12/2018
Permit Type/Subtype: PATIO COVER/CITY STANDARD/PRE-ENGINEERED - OPEN Owner:
Application Number: BPAT2018-0072 105E AND MARISSA CARMONA
Property Address: 44665 CALLE PLACIDO 44665 CALLE PLACIDO
APN: 604381024 LA QUINTA, CA 92253
Application Description: CARMONA / 440SF TRELLIS DURALUM (PATIO COVER AT REAR YARD)
Property Zoning:
Application Valuation: $5,800.00
�t
Applicant: f jl
Contractor:
A BERUMEN CONSTRUCTION s A BERUMEN CONSTRUCTION
68120 MARINA ROAD OCT 12 0$ 68120 MARINA ROAD
CATHEDRAL CITY, CA 92234 1 CATHEDRAL CITY, CA 92234
(951)545-7352
Llc. No.: 920968
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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 License No.: 920pk _
Date: �v ., �°� 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).:
(_) 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:
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'
comWe tfon, as provided for by Section 3700 of the Labor Code, for the performance
oftfor which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Sec00 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: &TATFCOMPENSATION INSURANCE FUND Policy Number: 9115052
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 agr that, if I ecome subject to the
workers' compensation provisions of Sect n 3700 a abor Code, I shall forthwith
comply with those provisions.
Date: 1- � Applica
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
,equest and for whose benefit work is performed under or pursuant to any permit
ssued 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
'ollowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
iot commenced within 180 days from date of issuance of such permit, or cessation of
Nork for 180 days will subject permit to cancellation.
certify that I have read this application and state that the above fnformat correct.
I agree to comply with all city and county ordinances and staI aws rel i building
:onstruction, and hereby authorize representatives of this It ent p he
above-mentionedprope. y for Inspection purposes.
)ate: V Signature (Applicant or Agent):
Date: 10/12/2018
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BPAT2018-0072 Owner:
44665 CALLE PLACIDO JOSE AND MARISSA CARMONA
604381024 44665 CALLE PLACIDO
CARMONA / 440SF TRELLIS DURALUM (PATIO COVER AT REAR YARD) LA QUINTA, CA 92253
$5,800.00
Applicant:
A BERUMEN CONSTRUCTION
68120 MARINA ROAD
CATHEDRAL CITY, CA 92234
Contractor:
A BERUMEN CONSTRUCTION
68120 MARINA ROAD
CATHEDRAL CITY, CA 92234
(951)545-7352
Llc. No.: 920968
Detail: 440SF TRELLIS PATIO COVER AND [3] ELECTRICAL FIXTURES AT REAR YARD [DURALUM] 2016 CALIFORNIA BUILDING CODES.
r 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
CITY
AMOUNT
Credit Card Fee 101-0000-43505
0
$4.97
Total Paid for Credit Card Fee: $4.97
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
CITY
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
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.75
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.75
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
�! �+
PERMIT # ~
PLAN LOCATION:
Project Address: q�66 CyVcf = P �tt h ()
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
A LV M. (,k l Ce rT ,1 1 O
APN #:
Applicant Name. 155 Co A4 tj
4
Address: 066 1G' C+Ulc p +L, b C)
City, ST, Zip: L4—
Telephone:'7(o 0— 3 9 3 -• G
Email:
Valuation of Project$
Contractor Name: jTKVGTION'
New SFD Construction:
Address: O K
Conditioned Space SF
City, St, Zip e_,I- %z Zw
Garage SF
Telephone: Lc-1 -7 3 5 Z
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lie:''ZO 6 City Bus Lie:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address YWKIS 5 W _1 Total Building SF
City, ST, Zi11 � i d I� Construction Type: Occupancy:
Telephone: 760 -- 333 - 5'q%1,,
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
y
OFFICE USE ONLY
#
Submittal
Req'd
Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (P-M10)
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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OUTDOOR LIGHTING
Outdoor lighting permanently mounted to the building must
be controlled by one of the following combinations and a
manual ONTO FF switch that does not override the chosen
combination: (CEC §150.0(k)3)
a) Photocell and motion sensor
b) Photo control and automatic time switch
c) Astronomical time clock
d) EMCS with features of an astronomical time clock
that does not allow the luminaire to be always ON
and is programmed to automaticolly turn lighting
OFF during daylight hours.
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