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BPAT2019-001778-495 CALLE TAMPICO wit. t U "(f Dina LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: PATIO COVER/PRE-ENGINEERED - ENCLOSED Application Number: BPAT2019-0017 Property Address: 79330 SIERRA VISTA APN: 604440033 Application Description: MERAZ / SOLID PATIO COVER Property Zoning: Application Valuation: $4,000.00 Applicant: SHADE BUILDERS P 0 BOX 66 �iai i ��!(1 THOUSAND PALMS, CA 92276 I iJ D1 U CITY Of }.JU01A 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 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B, D03 License No.: 6 Date. Con actor: 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 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 N Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/11/2019 Owner: WILLIAM MERAZ 79330 SIERRA VISTA LA QUINTA, CA 92253 Contractor: SHADE BUILDERS P 0 BOX 66 THOUSAND PALMS, CA 92276 (760)578-2930 Llc. No.: 870046 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: Carr' r: EXE IMPT Policy Number: I certify that in the performance of the work for which this permit is issued, I shaa not employ any person.ln 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 Sectio e Labor Code, I shall forthwith comply with those provisions. Date/,I r 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. 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. 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 a ws relating to building construction, and hereby authorize represe c of this city to en r the above•lentionedpro r[yforinspe purposes. Date: Signa re (Applicant or Date: 4/11/2019 Application Number: BPAT2019-0017 Property Address: 79330 SIERRA VISTA APN: 604440033 Application Description: MERAZ / SOLID PATIO COVER Property Zoning: Application Valuation: $4,000.00 Applicant: SHADE BUILDERS P 0 BOX 66 THOUSAND PALMS, CA 92276 Owner: WILLIAM MERAZ 79330 SIERRA VISTA LA QUINTA, CA 92253 Contractor: SHADE BUILDERS P 0 BOX 66 THOUSAND PALMS, CA 92276 (760)578-2930 Llc. No.: 870046 Detail: 444 SF SOLID PATIO COVER AT REAR YARD [DURALUM] WITH [2] CEILING FANS. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.68 Total Paid for ELECTRICAL: $53.36 DESCRIPTION ACCOUNT QTY AMOUNT PATIO COVER, STD, ENCLOSED 101-0000-42404 0 $107.27 DESCRIPTION ACCOUNT QTY AMOUNT PATIO COVER, STD, ENCLOSED PC 101-0000-42600 0 $145.69 Total Paid for PATIO COVER/ COVERED PORCH / LATTICE: $252.96 DESCRIPTION ACCOUNT QTY 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 QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 - -i I _F014 T to E -� _- - - .. .-• ---[�. ;. �� tt ''^_ #iii CITY OF A QUINT BUILDING & SAFETY DEPT.APPROVED l I 1 f ! 3 I FOR CC]NSTRUC-CION - DATE �� f4ly_I { _ r 1 �s - Amp 049 o � PERMIT # t(V QU I �jKH a PLAN LOCATION: Project Address: S renll JL5} } Project Description: APN #: Applicant Name: 1 Y),,,—Y�- A- -Z- Address: ��= 1llS'tYl City, ST, Zip: LA ao1 dV7y-) C,�) Telephoner L] Email: tYyv3--",.J 10 �. C> llC, f Lfzl, Valuation of Project 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Plan Sets Required Received Structural Calcs Truss Calcs Title 24 Calcs I Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan _1 Planning approval Public Works approval Fire approval ..... . City Business License .... .