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BPAT2018-007378-495 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: BPAT2018-0073 WENDY HARN Property Address: 53100 AVENIDA MADERO 3214 E 2ND ST APN: 774032022 LONG BEACH, CA 92253 Application Description: HARN / (2)PATIO COVERS AT BACKYARD Property Zoning: Application Valuation: $5,000.00 I , Applicant: �r�.,e.. Contractor: ddd��..��..�� A BERUMEN CONSTRUCTION .p A BERUMEN CONSTRUCTION 68120 MARINA ROAD l y f 68120 MARINA ROAD CATHEDRAL CITY, CA 92234 f O C T 1 2 2018 i CATHEDRAL CITY, CA 92234 (951)545-7352 Llc. No.: 920968 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.: 920968 Date: V "1 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: 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' co a on, as provided for by Section 3700 of the Labor Code, for the performance of t r which this permit Is issued, "" and will maintain workers' compensatlon insurance, as required by Se ion 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: STAIE COMPENSATIGN INSURANCE FUND Policy Number: 9115052 I certify that in the performance of the work for which this permit is issued, 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 ofSecti 3700 of th ab e, I shall forthwith. comply withthose rovisions. Dat. _` z _�� Annllran 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. CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct. I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this ci y to en r up above -mentioned p(a rty for inspection purposes. Lender's Address; fA Lender's Name: yIZ—`�( — Signature (Applicant or Agent) Date: { u Date: 10/12/2018 Application Number: BPAT2018-0073 Property Address: 53100 AVENIDA MADERO APN: 774032022 Application Description: HARN / (2)PATIO COVERS AT BACKYARD Property Zoning: Application Valuation: $5,000.00 Applicant: A BERUMEN CONSTRUCTION 68120 MARINA ROAD CATHEDRAL CITY, CA 92234 Owner: WENDY HARN 3214E2NDST LONG BEACH, CA 92253 Contractor: A BERUMEN CONSTRUCTION 68120 MARINA ROAD CATHEDRAL CITY, CA 92234 (951)545-7352 Llc. No.: 920968 Detail: 95SF AND 182SF TRELLIS PATIO COVER AT REAR YARD [DURALUM] 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 Credit Card Fee 101-0000-43505 0 $5.67 Total Paid for Credit Card Fee: $5.67 DESCRIPTION ACCOUNT QTY AMOUNT PATIO COVER EA ADDITIONAL 101-0000-42400 0 $52.01 DESCRIPTION ACCOUNT QTY AMOUNT PATIO COVER EA ADDITIONAL PC 101-0000-42600 0 $39.01 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: $298.56 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 $0.65 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.65 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 "�+W �PERMIT# za •il S~ PLAN LOCATION: rc; Project Address: l0 b U ,�jtl ��-� p Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN Applicant Name: e46 t k)6-WA -Fr l 17- S T Address:6':jl0o City, ST, Zip: (A e-A- T% ZZ�;- 3 ! 6 r�L Z-7 r Telephone: 5G2 ,.. V, 0 — 6 7 Email: a.p Valuation of Project $ 57000 Contractor Name: Reev New SFD Construction: �� Address• 0 D Conditioned Space SF City, St, ZipFAA /l In (:f Gf Z Z�� Garage SF Telephone: 76,1 -Sq S -7 3S 2 Patio/Porch SF Email: Fire Sprinklers SF State Lie: �/ / �j� 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: �.� � ' (2NW Commercial / Tenant Improvements: Address: S 3 106 A u �5AI Total Building SF City, ST, Zip LA- QU It 4 7—/1- Construction Type: Occupancy: 562 ,.. 26 O — �'p 7� FTelehone: 78495 CALLE TAMPICO LA QU I NTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Req'd Rec'd Plan Sets Structural Calcs Truss ; ales Title 24 Calcs Soils Report Grading Plan (PM10) Landscape Plan i Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License S3 -1 oo In,Ae o A v e i�-4T Ziv l — 1 fl �--- CITY O LA QUINT _ G DIVISION ODE FOR v'` CO OPLIANCE VDATE-so � $ BY E '15 SF W_ y f6 so d15 1 15'�,7 S Q1 k�C-9W,kC-4 kd t6, c-ri ,�Zzg6z 3-1--Z Ts(-,5q S-- 73 S r 4 an