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BPAT2020-000378-495 CALLE TAMPICO C& 0 D 4�t1 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: PATIO COVER/CITY STANDARD/PRE-ENGINEERED - OPEN Application Number: BPAT2020-0003 Property Address: 54030 AVENIDA MARTINEZ APN: 774222002 Application Description: KOLEK / 168 SF DURALUM LATTICE PATIO COVER Property Zoning: Application Valuation: $1,764.00 Applicant: VALLEY PATIOS INC DBA VALLEY CONCRETE & 77971 WILDCAT DR SUITE B PALM DESERT, CA 92211 JAN 3 0 2020 CITY OF LA QUINTA 0 DESIGN & DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECL '"TIO I hereby affirm under penalty of perjury that'j am licensed under rovi ions of Chapter 9 (commencing with Section 70001 of Divis' yT1 of the Business a roi signs Code, and my License is, in Full force and eFFecl. License Class: C-8. CS License N .: Date: I ! Contracto —,3C t, I 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: 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 Na Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/30/2020 Owner: NOREEN & RONALD KOLEK 54030 AVENIDA MARTINEZ LA QUINTA, CA 92253 Contractor: VALLEY PATIOS INC DBA VALLEY CONCRETE & 77971 WILDCAT DR SUITE B PALM DESERT, CA 92211 (760)203-4313 LIc. No.: 937811 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' co pensatlon, as provided for by Section 3700 of the Labor Code, for the performance k for which this permit is issued, have and will maintain workers' compensation insurance, as required by Secti 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: FALLS LAKE FIRE AND_C,}�5VZLTY COMPANY Policy Number: _ I certify that in the performance of the work for wh" h th permit is issued, I shall not employ any person in any m so as to becomes ject the workers' compensation laws of California, and g that, if I should b a s ject to the workers' co pensatlon provisions of ec i 3700 of e o Cad hall forthwith complywit those provisions. ti iDate: Applica WARNING: AILURE TO SECURE WORKERS' COMPENSATION COVERA EIS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Of 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 em�gtoyees for any act or omission related to the work being performed under or Fyf)owing issuance of this permit. 77� 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 cessatio of work for 180 days will subject permit to cancellation. I certify that I have read this application and stateqna ove Informa io is c rreet. I agree to comply with all city and county ordinane laws r ng o b ' ing tonstructi n, and hereby authorize representativetoe er u a he ve- mentivne property for inspection purposes. Ak Date: Signature (Applicant or Agent): Date':' 1/30/2020 Application Number: BPAT2020-0003 Property Address: 54030 AVENIDA MARTINEZ APN: 774222002 Application Description. KOLEK / 168 SF DURALUM LATTICE PATIO COVER Property Zoning: Application Valuation: $1,764.00 Applicant: VALLEY PATIOS INC DBA VALLEY CONCRETE & 77971 WILDCAT DR SUITE B PALM DESERT, CA 92211 Owner: NOREEN & RONALD KOLEK 54030 AVENIDA MARTINEZ LA QUINTA, CA 92253 Contractor: VALLEY PATIOS INC DBA VALLEY CONCRETE & 77971 WILDCAT DR SUITE B PALM DESERT, CA 92211 (760)203-4313 Llc. No.: 937811 Detail: 168SF TRELLIS PATIO COVER AT FRONT YARD [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2019 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY 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 $107.87 DESCRIPTION ACCOUNT QTY AMOUNT PATIO COVER, STD, OPEN PC 101-0000-42600 0 $106.26 Total Paid for PATIO COVER / COVERED PORCH / LATTICE 2019: $214.13 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 $0.50 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: rchlEng 1smc: Construction Type: Oempancy: Address: Grading: city, St. zip 1-elephone: Bedrooms: Stories: 9 Units: Email: State Ur. City BUS Uc; Property Owner's Natne: New Commercial [Tenant Improvements: Address: U7 L4z Total Building SF City, ST, Zip A �t 2,.2�� ConstructionType: ype: Occupancy. - Telephone: Email: co CALLS TAMPICO LA QUINTA, CA 92253 760-777-7000 Typ. PL Al r � o fJ o 0 < v CD � 0 cn D a co rn N COD C. N Typ. PL BPATIA&0-0003 SqoaO AvElijoh MARTINE7 TY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE a D CL CDD. N