BWFE2014-1114 (BWFE)79925 Arnold Palmer
78=495 CALLE TAMPICO
CA QUINTA, CALIFORNIA 92253
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BWFE2014-1114_
Property Address:
79925 ARNOLD PALMER
APN:
775150013
Application Description:
116 LF RETAINING WALL UP TO 12 FT
Property Zoning:
Application Valuation:
$250,000.00
Applicant:
LIPPERT CONSTRUCTION
INC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
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: License No.: -LIC-01023 6
P4-, J
Dater 1 `tel• %J 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:
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:
IIIIIIIIVIIIIIIVIIIIIII
56
IE
1
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/4/2014
Owner:
PGA WEST RESIDENTIAL ASSN IN
75005 COUNTRY CLUB DR
PALM DESERT, CA 0
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7
Contractor:
n
D
LIPPERT CONSTRUCTION IN
m p
C
0 OUTSIDE CITY LIMITS
S S
LA QUINTA, CA 92253
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(760)863-5700
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.
Llc. No.: :LIC -0102366
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 work for which this permit is issued.
I 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:
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 Sec 3700 of the Labor Code, I shall forthwith
comply with tho e`p rovisions.
Date: ( 1 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.
I certify that I have read this application and state tha he above information is correct.
I agree to comply with all city and county ordinances an tate laws relating to building
construction, and hereby authorize representatives of t '%t(30 to Pon the abov
mentioned
pro erty for inspection purposes.
Date: `t t4 Signature (Applicant or Agent).
sq
Description: 116 LF RETAINING WALL UP TO 12 FT
Type: WALL/FENCE Subtype:
Status: APPROVED
Applied: 10/24/2014 MFA
Approved: 10/24/2014 MFA
Parcel No: 775150013 Site Address: 79925 ARNOLD PALMER LA QUINTA,CA 92253
Subdivision: TR 21381-1 CM 059/074 SEE ASR MB Block:
Lot: A2
Issued:
769/41 FOR CM
NAME TYPE
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $250,000.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
APPLICANT
Details: NO PERMIT FEE DUE TO STORM DAMAGE 116 LF PER 2013 CALIFORNIA BUILDING CODE
0 OUTSIDE CITY LIMITS
CHRONOLOGY
FINANCIAL INFORMATION
Printed: Tuesday, November 04, 2014 10:04:07 AM 1 of 2 OmI W SYSTEMS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
LIPPERT CONSTRUCTION INC
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
CONTRACTOR
LIPPERT CONSTRUCTION INC
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
OWNER
PGA WEST RESIDENTIAL ASSN IN
75005 COUNTRY CLUB
DR
PALM DESERT
CA
0
FINANCIAL INFORMATION
Printed: Tuesday, November 04, 2014 10:04:07 AM 1 of 2 OmI W SYSTEMS
BOND BEAM
FOOTINGS
PARENT PROJECTS
BOND INFORMATION
ATTAC H M E NTS
Printed: Tuesday, November 04, 201410:04:07 AM 2 of.2 Cb?WsrsreMS
Bin #-'
City of La Quinta
-Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quetta, CA 92253 - (760) 777-7012
I I Building Permit Application and Tracking Sheet
Project Address: !J
Owner's Name: L—C, Qu I ry4, R.px, Y-! e CI'u b pkd
A. P. Number: I-rq
Address: %9 g / 114veA%;r, 5-1
Legal Description:
City, ST, Zip: Ut144zz Cj- g 2zs3
Contractor: LI �' Co�lr�'o'►i¢'i'�1�c� �'►G•�
Telephone: (0 - g5U - �p
o `f' �fY 3
Address: '17"1
Project Description: %Z4k'%al/f, O hd i o'c e'
City,ST,Zip: 1/L& 406tA4C for 97vie
`e1Gl 1Tth 411_10_vl 4
Telephone:-l1jo,601=71437
% ::' #;:;:.;:.>s;:<.>::»:::>% «'•>:::` %><`
N ti 6 SYO-11..1
State Lic. #:'94 341 r
City Lic.
Iq 44 x201 L/� Creyt 7�1
Arch., Engr., Designer: Q �0V-,. h.
Address: 3 3 Q /� r(o0.{M►G� S f e
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>� 1` „> � S{ r V
City., ST, Zip: 2tj � Cil 9 2.3 -i3
-
l.
Telephone: q(�0 :>. ,., :::..;..,•.;:::::;..,:
P w -? y p`-O 49
State Lic. #: C Y(/3y 3
-
Construction Type:(�'&.rvvt (t1/(„�/Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 1
Sq. Ft.:
# S ?ries:
# Units:
Telephone #,of Contact Person: ��q - 7 �
Estimated Value of Project 5-0 4:>O-o
APPLICANT: DO NOT WRITE BELOW THIS L E •�f
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Scts
Plan Check submitted'
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2p' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Reviciv, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Mes' /-.