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BPAT2019-005078-495 CALLE TAMPICO `�� VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: PATIO COVER/CITY STANDARD/PRE-ENGINEERED - OPEN Owner: BPAT2019-0050 PETER TOM BAKIAN 78350 VIA SEVILLA 2322 NELLA VISTA AVE 604201017 LOS ANGELES, CA 92253 TOMBAKIAN / 183SF SOLID TRLLIS AMERIMAX(PATIO COVER AT REAR) $5,999.00 Applicant: SANDS TO GREENS LANDSCAPE INC P 0 BOX 2913 INDIO, CA 92202 AUG 3 0 2019 il CITY OF LA QUINTA 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. LicenseC D/1�2 r 6 3 LicenseNo.: 3i7.5? _ Date: _ - ?` f 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: Date: 8/30/2019 Contractor: KEITH GOODYEAR / SANDS TO GREENS LANDSCAPE INC P 0 BOX 2913 INDIO, CA 92202 (760)567-7377 Llc. No.: 891251 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 ofthp. wajiLfcr which this permit is issued. Lzfllhave 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: BERKSHIRE HATHAWAY HOMESTATE INSURANCE_CCMPANY Policy Number: SAWC033013 I 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 Section 3700 of the Labor Code, I shall forthwith comply with the pravl ' ns. Date: J 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. CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct. I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter a.n the f above -me pray rty for inspection purposes. Lender's Name: � j Date: Signature (Applicant or Agent): Lender's Address: Date: 8/30/2019 Application Number: BPAT2019-0050 Owner: Property Address: 78350 VIA SEVILLA PETER TOMBAKIAN APN: 604201017 2322 NELLA VISTA AVE Application Description: TOMBAKIAN / 183SF SOLID TRLLIS AMERIMAX(PATIO COVER AT REAR) LOS ANGELES, CA 92253 Property Zoning: Application Valuation: $5,999.00 Applicant: Contractor: SANDS TO GREENS LANDSCAPE INC KEITH GOODYEAR / SANDS TO GREENS LANDSCAPE P 0 BOX 2913 INC INDIO, CA 92202 P O BOX 2913 INDIO, CA 92202 (760)567-7377 Llc. No.: 891251 Detail: 183SF SOLID TRELLIS PATIO COVER AT REAR YARD [AMERIMAX) THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION 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, 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 $0.78 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.78 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 �.: ---- GEM f r!, DESERT - PERMIT PLAN LOCATION: Project Address: 78350 Via Sevilla Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: 604201017 Outdoor patio cover Applicant Name: Peter Tombakian Address: 78350 Via Sevilla City, ST, Zip: La Quinta CA 92253 Telephone: 760-567-7377 Email: keith.kancunpools@gmail.com Valuation of Project $ 5,999 A'r ��,, , -rL 17I rrC> c4r '�C`%' Contractor Name: Sands to Greens Lanscape & Pools New SFI) Construction: Address: P O BOX 2913 Conditioned Space SF City, St, Zip Indio CA 92202 Garage SF Telephone: 760-567-7377 Patio/Porch SF Email: keith.kancunpools@gmail.com Fire Sprinklers SF State Lic: 891251 City Bus Lic: Arch/Eng Name: Carl Putnam Construction Type: Occupancy: Address:3441 Ivylink Place Grading: City, St, Zip Lynchburg, VA 24503 Telephone: 434-384-2514 Bedrooms::7 Stories: �Units.... Email: State Lic: C68139 City Bus Lic: Property Owner's Name: SAME AS APPLICANT New Commercial / Tenant Improvements: Address: Total Building __ SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 ZX49 BBQ P/L -moe� - 0050 CINY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE D -BY Up"Im RECEIVED AUB 19 2019 CM OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT 3t4r201Cl - 00sT, 783510 VA 5EUIL L-A /L SWIMMING POOL Im SPA 5T A501 A -MOUNTS ALUMAWOOD PATIO COVER EX I ST I NCB RES I DENGr- 78550 VIA 5EV 1 LLA, LA OU I NTA CA Gi ky /L