BPAT2019-000578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
TWqrl at Ca Q94tt
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
PATIO COVER/CITY STANDARD/PRE-ENGINEERED - OPEN
BPAT2019-0005
53560 AVENIDA CARRANZA
774121004
DELGADILLO / 312SF PATIO COVER AT REAR YARD
$4,000.00
Applicant:
RYAN GABOR CSER
68150 LOUISAN RD
DESERT HOT SPRINGS, CA 92240
0 U:
4 7
FFB 6
C1�y r rn l�I�q� .�
1 'r0f.:ft�Ui111 If'-
itf\I,�j.�1l�,li�' _R w•T11':}wr' ^•-�rinA`TAAr'1�^
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: C29, 003. B License
Date: �� Contract
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Caw 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—) t, as owner of the property, or my employees with wages as their Sale
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 #or sale. If, however, the building or improvement is sold APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that he IMPORTANT: Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of safe.), the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors to 1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon, as a result of this application, the owner, and the applicant, each agrees to, and shall
and who contracts for the projects with a contractor(s) licensed pursuant to the defend, indemnifyand hold harmless the City of La Quinta, its officers, agents, and
Contractors' State License Law.). employees for any act or omission related to the work being performed under or
(_) I am exempt under Sec. B.&P.C. for this reason 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.
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/26/2019
Owner:
MONA & GREGORIO DELGADILLO
53560 AVENIDA CARRANZA
LA QUINTA, CA 92253
Contractor:
RYAN GABOR CSER
681SO LOUISAN RD
DESERT HOT SPRINGS, CA 92240
(760)861-8953
LIc. No.: 928413
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 Na me:
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'
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 37GD of the Labor Code, far the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: EXEMPT Policy Number:_
I certify that in the performance of the work for which this permit is issued, I
sh npt 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,?— IZ4 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.
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 property for inspection purposes.
Date. Z� Signature (Applicant orAg
Date:
2/26/2019
Application Number:
BPAT2019-0005
Property Address:
53560 AVENIDA CARRANZA
APN:
774121004
Application Description:
DELGADILLO / 312SF PATIO COVER AT REAR YARD
Property Zoning:
Application Valuation:
$4,000.00
Applicant:
RYAN GABOR CSER
68150 LOUISAN RD
DESERT HOT SPRINGS, CA 92240
Owner:
MONA & GREGORIO DELGADILLO
53560 AVENIDA CARRANZA
LA QUINTA, CA 92253
Contractor:
RYAN GABOR CSER
68150 LOUISAN RD
DESERT HOT SPRINGS, CA 92240
(760)861-8953
Llc. No.: 928413
Detail: 312SF ATTACHED SOLID PATIO COVER AT REAR YARD [ROSEPINK ENGINEERING] WITH 3 - OUTDOOR FANS AND INTERIOR SWITCH, 2016
CALIFORNIA BUILDING CODES.
DESCRIPTION ACCOUNT CITY I AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 L $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.68
Total Paid for ELECTRICAL: $53.36
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PATIO COVER, STD, OPEN
101-0000-42404
0
$107.27
DESCRIPTION
ACCOUNT
CITY
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
CITY
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
r
PERMIT #
Q. aa49
PLAN LOCATION:
Project Address: ,V Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN
Vag 1)
Applicant Name: I? y A AJ C S El�
Address: / S 9 I V U i s v
City, ST, Zip: P y j, yr 4 / Z
Telephone: 8 ?>
Email: P� G IS a�/�� r, 0 U o Aq Valuation of Project
Contractor Name: �2 `� 19 A J G C7
New SFD Construction:
Address: 51 M E-
Conditioned Space SF
City, St, Zip 5 ,4 M
Garage SF
Telephone: s lvi E
Patio/Porch 31 Z SF
Email: S A,-1
Fire Sprinklers SF
State Lic: Z S 4t / City Bus Lic:
Arch/Eng Name: LlSre
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms: Stories: # Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: rJ0,4dEL G if n/GG 0 New Commercial / Tenant Improvements:
Address:53 560 AVE- Total Building SF
City, ST, Zip _Q G 0 % Z Z S 3 Construction Type: Occupancy:
Telephone: ZGp�
/8495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
yI
e
,Stq"5pp- IS
_ - ---- -
ClGl�ui FMN T v
0 7 x 3 I' 5 C> L, !d
(". oo,o -5 5 i •7 v� T,.s�E
f9T-FACNE
DIDo JESrjt�v�r
5�'r7(al1 ogVcN%0✓1
Z � 2Z53
LA I Y OF to QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
)ATE )ATE 7'+ i � BY 1
E. X I ST !:-/N Q1t t vt
FEB 0 7 2019
l' C)/qr
Lo
1
C*
V►
-t-
rA
r4
0
9