BPAT2019-006978-495 CALLE TAMPICO c% D Q"
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: PATIO COVER/SPECIAL/ENGINEERED DESIGN - OPEN/ENCLOSED
Application Number: BPAT2019-0069
Property Address: 80880 VISTA BONITA TRAIL
APN: 777040001
Application Description: CAMMISA / 289SF PATIO COVER
Property Zoning:
Application Valuation: $20,000.00
Applicant: D D
EFRAIN MUNOZ-JIMENEZ
P 0 BOX 7031 NOV 2 0 2019
LA QUINTA, CA 92248
CITY OF LAQI3INTA 0
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: C53 License No.: 995993
Date: 1 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
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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/20/2019
Owner:
JASON CAMMISA
80880 VISTA BONITA TRAIL
LA QUINTA, CA 92253
Contractor:
EFRAIN MUNOZ-JIMENEZ
P 0 BOX 7031
LA QUINTA, CA 92248
(760)409-0915
LIc. No.: 995993
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 he work for which this permit is issued.
11_ave 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: 5WE-COMPENSATION INSURANCE FUND Policy Number: 9261488
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 those provisions.
Date: Applican
WARNING: FAILURE TO SECURE WORKERS' PENSATION 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 laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above -
mentioned property for inspection purposes.
Date: ^fi✓ ' Signature (Applicant or Agent):
Date: 11/20/2019
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
EFRAIN MUNOZ-JIMENEZ
P 0 BOX 7031
LA QUINTA, CA 92248
BPAT2019-0069
80880 VISTA BONITA TRAIL
777040001
CAMMISA / 289SF PATIO COVER
$20,000.00
Owner:
JASON CAMMISA
80880 VISTA BONITA TRAIL
LA QUINTA, CA 92253
Contractor:
EFRAIN MUNOZ-JIMENEZ
P 0 BOX 7031
LA QUINTA, CA 92248
(760)409-0915
tit.-No,-995993
Detail: 2895F TRELLIS PATIO COVER AT REAR YARD [ENGINEERING] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2016 CALIFORNIA
BUILDING CODES.
FINANCIAL
DESCRIPTION
INFORMATION
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, DESIGNED
101-0000-42404
0
$148.12
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PATIO COVER, DESIGNED PC
101-0000-42600
0
$186.76
Total Paid for PATIO COVER / COVERED PORCH / LATTICE 2019: $334.88
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
$2.60
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $2.60
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:4:
Project Address:
APN #: V
Applicant Name: f�o � X(�� Ak
Address: ], QD
City, ST, Zip:
Telephone:
Email:
M � 0\5 ID A ml\"�
Contractor Name:
Address: �A1`U Co6, �\w
City, St, Zip
Telephone; (1,0
Email: LM'5 FM
State Lic: L City Bus Lic:
Arch/Eng Name: S�W'
Address: 25. "7 VrLYT
City, st, zip _Pa1v,,zn
�
Telephone:
Email:
State Lic: City Bus Lic:
Property Owner's Name: ]'A. %A
Address: aiw. Y V YA F) , 11,E 5
City, ST, Zip. lam,
Telephone:
Email:
PERMIT #-B?M?-o J
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
7V '[ ' Ok,016 V? A ri _ 100,10 I
Valuation of Project .S o or
New SFD Construction:
Conditioned Space
Garage
Patio/Porch
IVUj Fire Sprinklers
Construction Type:
Grading:
Bedrooms: I Stories:
SF
SF
SF
SF
Occupancy:
# Units:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
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CITY Of LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
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POOL SPECS
POOL SIZE 65' x 37'
POOL SURFACE AREA 2284 SQ FT
POOL PERIMETER 251 LIN FT
SPA SPECS
SPA SIZE Y-6" x 9'-6"
SPA SURFACE AREA 90 SQ FT
SPA PERIMETER 38 LIN FT
PLUMBING
POOL PUMP
FILTER
HEATER
CONTROLSYSTEM
SKIMMER
LIGHTS
AQUA BLUE MINI PEBBLE POOL
& SPA INTERIOR FINISH
PACIFIC BLLE B7(9• WATER
2 LINE TILE
GRAY BROOM FINISH
CONCRETE
AL BEAM PERGOLA ( MATCH EXISTING
MET
a caws
OWNER RESPONSIBILITIES:
A- DETERMINETHEAPPROPRIATE POOL OR SPA ELEVATION AT
TIME OF LAYOUT.
IT
AGREE THAT IS NOT RESPONSIBLE FOR
UNOERGRW ND CONDRIONS W OBJECTS, ANY DAMAGE TO
CURBS, SIDEWALKS, DNI—PAYS, LAWNS OR OTHER ITEMS IN
THEAAEA
C: WET DOWN CONCRETE SHELL AT LEABT ONCE DAILY FOR
SEVEN DAYG AFTER IS INSTALLED
D: POOLEWIPMENT LOCATION SUBJECT TO ACCEPTANCE OF
LOCAL BUILDING DEPARTMENT.
E: FILL POOL IMMEDIATELY AFTER PEBBLE OR PLATER
I FOLLOW INSTRUCTIONS)
F: OWNERAPPROVES PLAN, POOLAND EQUIPMENT LOCATIONS
AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE
SIGNATURE: DATE
RESIDENCE INFO
CAMMISA RESIDENCE
80-880 VISTA BONITA TRAIL
LA QUINTA, CA
BUILDER:
E.M.J
POOL & SPA
EXCEPTIONAL OUTDOOR LIVING
LICM 995993 C-53
PRaEn sN.e
aE POOL PLAN
B-16-19
3/32" = 1 �.
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