BPAT2019-000478-495 CALLE TAMPICO UIJN�ME+V VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/5/2019
Permit Type/Subtype: PATIO COVER/CITY STANDARD/PRE-ENGINEERED - OPEN Owner:
Application Number: BPAT2019-0004 0 REILLY LISA
Property Address: 52375 AVENIDA BERMUDAS 52375 AVENIDA BERMUDAS
APN: 773275015 LA QUINTA, CA 92253
Application Description: 0 REILLY / 392SF TRELLIS DURALUM (PATIO COVER AT REAR YARD)
Property Zoning:
Application Valuation: $4,000.00
Applicant: Contractor:
SHADE BUILDERS SHADE BUILDERS
P O BOX 66 D P O BOX 66
THOUSAND PALMS, CA 92276 — FEB 0 5 2019 THOUSAND PALMS, CA 92276
CITY OF LAQUINTA (760)578-2930
Llc. No.: 870046
DESIGN & 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: B, D03 Llren0�
Date: V '7 _ r 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. Q.
Lender's Name:
Lender's Ad
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 a wo for which this permit is issued.
W�!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 EXAWT Policy Number:
j 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 Se he Labor Code, I shall forthwith
comply with those provisions.
Date nt:
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 or 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 ofthJLcLtLW enter upon the
above mentioned propertgfbr Inspection Wr ses.
Date- f
Date: 2/5/2019
Application Number:
BPAT2019-0004
Property Address:
52375 AVENIDA BERMUDAS
APN:
773275015
Application Description:
0 REILLY / 3925F TRELLIS DURALUM (PATIO COVER AT REAR YARD)
Property Zoning:
Application Valuation:
$4,000.00
Applicant:
SHADE BUILDERS
P 0 BOX 66
THOUSAND PALMS, CA 92276
Owner:
0 REILLY LISA
52375 AVENIDA BERMUDAS
LA QUINTA, CA 92253
Contractor:
SHADE BUILDERS
P 0 BOX 66
THOUSAND PALMS, CA 92276
(760)578-2930
Llc. No.: 870046
Detail: 392SF TRELLIS PATIO COVER AT REAR YARD [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2016 CALIFORNIA BUILDING
CODES.
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
PATIO COVER, STD, OPEN
101-0000-42404
0
$107.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$105.66
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $212.93
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
$0.52
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.52
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
�j:► �� � .�'�jr
PER�3I'C 4I �
PLAN LOCATION:
Project Address: —�—�� [�
Project Description: Pool,` Remodel, Add't, Elect, Plumb, Mech
APN
V c-Y�
Applicant Name:
Address6-L-- -b-1 <�: -
City, ST, Zip: L—Q-z�
Telephone:
Email:
Valuation of Project $ �-- Nzs�
Contractor
New SFD Construction:
Conditioned Space SF
Address: -D�
City, St, Zi
t
Garage SF
Telephone:—] ��� S� •—�� r
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lie: City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Email:
Bedrooms: Stories: F#Units.,
State Lie: City Bus Lie:
r"\ Y` 1
Property Owner's Name: WL-7->-r) f,;Y1L
Address: "D'L —'D-1 5 f y�ry
City, ST, Zip VLD
Telephone:
Email:
New Commercial / Tenant Improvements:
Total Building
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
SF
LJ
F-t 0 1
p
1--DING D IV 10
14VIEV,,Eb- a.. I - L
L
COMPOA.
11 sill\ Etv
RE
t 'EJ
eK— Tw
4.rl�L (Z' 1.4 . I F CrTy OF U; QUINTAI
I _ f _ — 1 ` ,#�
L_ TT—k "' "' DEVELOPMENT DEPART
�m
!N7
_ ._ _ C � -1_ I � I