BPAT2019-0010T4tiv, 4 1wQ"
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description-
Property Zoning:
Application Valuation:
Applicant:
SHANE SIMMONS
53145 AVE VALLEJO
LA QUINTA, CA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
PATIO COVER/CITY STANDARD/PRE-ENGINEERED - OPEN
BPAT2019-0010
53145 AVENIDA VALLEJO
774052030
SIMMONS / 400 SF PATIO COVER
$5,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/22/2019
Owner:
SHANE SIMMONS
53145 AVE VALLEJO
LA QUINTA, CA 92253
D f Contractor:
SHANE SIMMONS
53145 AVE VALLEJO
� ) 2019 D
LA QUINTA, CA 92253
CITY OF LA QUINTA 0 (760)578-5996
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.::CONV:140528101254140012
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 fcommencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: License No.:: NV:1405 1254140012
Date: Z 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
I
imself or herself through his or her own employees, provided that the improvements APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose
() I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec, 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors' State License Law.). following issuance of this permit.
(_) I am exempt under Sec. B.&P,C. for this reason. 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.
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
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 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:
Carrler; Policy Number: _
I certify that in the performance of the work for which this permit is issued, I
s [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 rovislons.
Date: Applican � Z
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-menjlone;l property for inspection purposes.
Date: Signature (Applicant or Agentjr
Date: 3/22/2019
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
SHANE SIMMONS
53145 AVE VALLEJO
LA QUINTA, CA 92253
BPAT2019-0010
53145 AVENIDA VALLEJO
774052030
SIMMONS / 400 SF PATIO COVER
$5,000.00
Owner:
SHANE SIMMONS
53145 AVE VALLEJO
LA QUINTA, CA 92253
Contractor:
SHANE SIMMONS
53145 AVE VALLEJO
LA QUINTA, CA 92253
(760)578-5996
Llc. No.::CONV:140528101254140012
Detail: 400SF TRELLIS PATIO COVER AT REAR YARD [ENGINEER] THIS PERMIT DOES INCLUDE ANY PLUMBING INSTALLATIONS. 2016 CALIFORNIA BUILDING
CODES.
DESCRIPTION ACCOUNT CITY AMOUNT
HOURLY CHARGE - ESGIL CASP / LEED PLANS EXAMINER 101-0000-42600 2 $240.00
Total Paid for BLDG CITY STAFF - PER HOUR: $240.00
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
$26.68
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
$0.65
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
eca Qua
i
7Project Address:. 5 y g
APN #:
Applicant Name.,,
Address: S. 7 Y
City, ST, Zip: , . .
Telephone: 74
Email:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lie:
J#
City Bus Lie:
It
PERNUT #
-00/G
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
33 9SV /9,z-v.a C,
Valuation of Project $
P C40'1N-,
Construction Type:
Grading:
Bedrooms: I Stories
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
Occupancy:
# Units:
Esuil
DATE: March 18, 2019 ❑ POPLICANT
JURISDICTION: La Quinta ZVJURIS,
PLAN CHECK #.: BPAT2019-0010 SET: I
PROJECT ADDRESS: 53145 Ave. Vallejo
PROJECT NAME: Smmons Residence Patio
❑ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
® The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
❑ The check list transmitted herewith is for your information. The plans are being held at EsGil
until corrected plans are submitted for recheck.
❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
❑ The applicant's copy of the check list has been sent to:
® EsGil staff did not advise the applicant that the plan check has been completed.
❑ EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: ) Email:
Mail Telephone Fax In erson
❑ REMARKS: The "Reference Codes" listed on sheet CS are incorrect.
(Structural Review only)
By: Kurt Culver
EsGil
3/12/19
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576