BPAT2015-0020 Revision 178-495 CALLE TAMPICO D 44"'
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPAT2015-0020 Owner:
Property Address: 51490 AVENIDA CARRANZA KIM HALSEY
APN: 773082012 51490 AVENIDA
Application Description: HALSEY/240 SQUARE FOOT PATIO COVER WITH PARTIAL SCREENING LA QUINTA, CA!
Property Zoning:
Application Valuation: $8,000.00
Applicant:
SUN BOSS CORPORATION
3010 VINE ST .
RIVERSIDE, CA 92507
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.
License Class: D 3 B Lic se No.: 310674
Date: Contractor:
17
OWNER -BUILDER DECLARATION V
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 appl'cant 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.).
(1 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 I 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
SUN BOSS CORPORATION
3010 VINE ST
RIVERSIDE, CA 92507
(951)782-2360
Llc. No.: 310674
<
15
. 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 w k for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Secti n 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compens n ins rance carrier and policy number are:
Carrier: _ Policy Number:/7t//
I certify that in the performance o�e /fiwork 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 shou ec me subject to the
workers' compensation provisions of Section 3700 of t L bor e, I s II forthwith
comp"AILURE
Date:Applicant:WARNE 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 M 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 law elating to building
construction, and hereby authorize representatives of this city to er on the above-
mentioned4wpiperwAr inspection purposes.
Date: Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT :
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
4/7/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
SUN BOSS CORPORATION
CHECK
MR146
2473
SKH
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT ' .
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT '#
CHECK #
CLTD BY
-T
Total Paid for ELECTRICAL: $48.34 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PATIO COVER, STD, OPEN
101-0000-42404
0
$97.17
$97.17
4/7/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
SUN BOSS CORPORATION
CHECK
MR146
2473
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$95.72
$95.72
4/7/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
SUN BOSS CORPORATION
CHECK
MR146
2473
SKH
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $192.89 $192.89
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$1.04
$1.04
4/7/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
SUN BOSS CORPORATION
CHECK
MR146
2473
SKH
Total Paid forSTRONG MOTION INSTRUMENTATION SMI $1.04 $1.04
Description: HALSEY/240 SQUARE FOOT PATIO COVER WITH PARTIAL SCREENING
Type: PATIO COVER Subtype: Status: ISSUED
Applied: 4/7/2015 SKH
Approved: 4/7/2015 SKH
Parcel No: 773082012 Site Address: 51490 AVENIDA CARRANZA LA QUINTA,CA 92253.
Subdivision: SANTA CARMELITA VALE LA QUINTA ' Block: 67 Lot: 13
Issued: 4%7/2015 SKH
UNIT 6
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,000.00 Occupancy Type: Construction Type:
Expired: 10/4/2015 SKH
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME
Details: PATIO COVER - 240 SQ FT INCLUDING 156 SQ FT SCREENED [METALS BUILDING PRODUCTS SPECIFICATIONS]. 5/15/15 ADDED TO FAN!
TO SITE PLAN. PER BURT HANADA, OK TO ADD TO THIS PERMIT. 2013 CALIFORNIA BUILDING CODES.
__} Applied to Approved
Approved to Issued
CHRONOLOGY
CONDITIONS
CONTACTS
NAME'TYPE
NAME
ADDRESSI•
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
SUN BOSS CORPORATION
3010 VINE ST
RIVERSIDE
CA
92507
CONTRACTOR
SUN BOSS CORPORATION
3010 VINE ST
RIVERSIDE
CA
92507
OWNER
KIM HALSEY
51490 AVENIDA
CARRANZA
LA QUINTA
CA
92253
Printed: Friday, May 15, 2015 9:54:28 AM 1 of 3
pSYSTEiNS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
FRAMING
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
'4/7/15
MR146
2473
CHECK
SUN BOSS
SKH
CORPORATION
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
PATIO COVER, STD,
101-0000-42404
0
$97.17
$97.17
4/7/15
MR146
2473
CHECK
SUN BOSS
SKH
OPEN
CORPORATION
PATIO COVER, STD,
101-0000-42600
0
$95.72
$95.72
4/7/15
MR146
2473
CHECK
SUN BOSS
SKH,
OPEN PC
CORPORATION
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $192.89 $192.89
SMI - RESIDENTIAL
101-0000-203080
$1.04
$1.04
4/7/15
MR146
2473
CHECK
SUN BOSS
SKH
CORPORATION
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.04 $1.04
TOTALS:•4 .93
Printed: Friday, May 15, 2015 9:54:28 AM 2 of 3
RSYSTFtiiS
INSPECTIONS
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
FRAMING
AOR
5/7/2015
5/7/2015
APPROVED
W/EXCEPTIO
N
BASE AND WALL CONNECTIONS ONLY.
Printed: Friday, May 15, 2015 9:54:28 AM 2 of 3
RSYSTFtiiS
ATTACHMENTS
Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED
5-0020
DOC 4/8/2015 CECILIA PATINO APPROVED PLANS BPAV.ED PLANS. 0
APPROVED PLANS.pdf
DOC 4/8/2015 CECILIA PATINO ISSUED PERMIT BPAT2015-0020.pdf 0
Printed: Friday, May 15, 2015 9:54:28 AM 3 of 3
S YSTEtifS
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A RE-INSPECTIO.
WILL BE CHARGED A
PLANS AND JOB C
THE SITE FOR fjj C.
INSPECTION
NO EXCEPTIONS!
t.y
WED
r ON
1LED
Construction is NOT PERMITI ED
on the following Code Holidays:
New Year's Day
Dr. Martin Luther King Jr. I ay
President's Day
Memorial Day
Independence Day
Labor Day
Veteran's Day
Thanksgiving Day
Christmas Day
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AS
CITY OF LA QUINTA-
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
r
` CONSTRUC'TION*HOURS
0&ober 1st - April 30
Minna p.y - Friday: 7:00 a.m. to 5:30 p.m.
S aOree. ty: 81.00 .a.m. to 5:00 P.M.
NoneNome
S:�,t+iia€r s0t
(,110S!s a.m. to 7.00 p.m.
.fa0. -,Ian. to 5:00 P.M.
.., %ent Code Holidays: None
30 a 0� rr>�-r P �.
51�
PIV
773—D��-06�
PI: DDD E2UA SLY SIZED DEBRIS CONTAINER'
=D ON THE JOB SITE DURING ALL
S OF CONSTRUCTION AND MUST BE
AS 111_CESSARY: FAILURE TO DO SO
;;A 1,j LTHE CITY TO HAIJE THE CONTAINER
;J Al T1iE EXPENSE OF THE OWNER/'
L;" „TOR."