BPAT2018-004878-495 CALLE TAMPICO TwitD Q � VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
11
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/8/2018
Permit Type/Subtype: PATIO COVER/PRE-ENGINEERED - ENCLOSED Owner:
Application Number:' BPAT2018-0048 HACIENDA GROUP INC
Property Address: 52273 AVENIDA MADERO 77935 CALLE TAMPICO 201
APN: 773241019 _ LA QUINTA, CA 92253
Application Description: HACIENDA / PATIO COVER / FIRE PIT
Property Zoning:
Application Valuation: $800.00
iD
Applicant: Contractor:
CORONEL ENTERPRISES AUG O g .2�18 CORONEL ENTERPRISES
42760 MADIO STREET 42760 MADIO STREET
INDIO, CA 92201 Y i i INDIO, CA 92201
t,�PnCffY0FLAQt R'JTA �( (760)775-1234
�- ��PI���19►I 1 Q���(��i�Fl (� a���� Llc. No.: AEC182
LICENSED CONTRACTOR'S DECLARATION
1 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: License No.: AEC182dim I
Dated ') Contra`- etoo
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 fo'r 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. C.).
Lender's Name:
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'
compeokof.rawhPich'this
tn, sroided for by Section 3700 of the Labor Code, for the performance
of(lpe permit is issued.
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: _ Policy Number: .
('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 Secti 700 of the Labor Code, I all rthwith
comply with those provisions.
a_17 — S'- I g App,can :
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 and state la relating to buildinp
construction, and hereby authorize representatives of t is ity to ter up he '
2above-mentioned property for inspection purposes.
u�
Dated - 8 SYgrMtw (Applicant or Agent .
l\
Date: 8/8/2018.
ApplicationlUumber:
BP4T2018-0048
Owner:
Property Address:
52273 AVENIDA MADERO
HACIENDA GROUP INC
APN:
773241019
77935 CALLE TAMPICO 201
Application Description:
HACIENDA / PATIO COVER / FIRE PIT
LA QUINTA; CA 92253
Property Zoning:.
Application Valuation:
$800.00
Applicant:.
Contractor:
CORONEL ENTERPRISES
CORONEL ENTERPRISES
42760 MADIO STREET
42760 MADIO STREET
INDIO, CA 92201
INDIO, CA 92201
(760)775-1234
Llc. No.: AEC182
Detail: 136SF LATTIIZE PATIO COVER AT REAR YARD [DLTRALUM] AND SSLF OF 3/4" GAS LINt FOR FIRE PIT. THIS PERMIT DOES NOT INCLUDE ELECTRICAL
INSTALLATIONS. 2016 CALIFORNIA BUILDING CODES.
i
I
INFORMATIONFINANCIAL
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
PATIO COVER, STD, ENCLOSED
101-0000-42404
0
$104.55
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PATIO COVER, STD, ENCLOSED PC
101-0000-42600
0
$142.00
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $246.55
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.01
Total Paid for PLUMBING FEES: $39.01
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-boob-20308.
0
$O.SO
Total Paid for STRONG MOTION INSTRUMENTATION SMI• $0.50
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:•.
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City of,L n
Buildin. 8z Safecy Division
P.O. Box 1504
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78-495.CallI- Tampico
La Quinia, CA 9225,3
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Buildir rackinc Sheet.
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Project Address:
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Leal Description:
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Project Descripd6a:
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Address:
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Teleoh8ne:
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Occunancy:
Scare Lic.
Project r�-pe_(circle one): New 4dd7n +4,lvzr R2pair -D--mo
Name of Contact Person:
Sq. Fr-: es:
Units:
Telephone =ofContact Person: I
Estimated Value of Project: Ri-)
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