BWFE2015-000754125 Avenida Madero
BWFE2015-0007
i
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht D VOICE (760) 777-7125
FAX (760) 777-7011
)MMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/8/2015
Application Number:
BWFE2015-0007
Owner:
Property Address:
54125 AVENIDA MADERO
KAREN FRANE
APN:
774192017
Application Description:
40LF GARDEN AND 41LF COMBO WALLS AT FRONT AND SIDE PL
92253
Property Zoning:
Application Valuation:
$6,000.00
D
Applicant:
Contractor:
ORTEGA MASONRY
JAN O S 2015
ORTEGA MASONRY
0 OUTSIDE CITY LIMITS
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
CRY OF LA QUINTA
LA QUINTA, CA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
(760)912-1730
Llc. No.: :LIC -0004031
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 i in full rce and effect.
License Class: ense No.: :LIC -0004031
Date: Contractor:
J 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.).
(_J 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
Lender's Address:
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 ovisions of section 3700 of the Labor Code, I shall forthwith
comply with t se pro sions. ,
Dat .Applicant:
WAR. NG: F ILURE 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 that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereb authorize representatives of this city to enter upon the above-
mentioned pro.Arty f ingction purposes.
Date: Signature (Applicant or Age
f
DESCRIPTION
FINANCIAL .•
ACCOUNT
1.
QTY
AMOUNT- .
'; PAID PAID DAjTE
BSAS SB1473 FEE
101-0000-20306
0
$1.00 :"
$1.00 1/8/15
PAID BY
METHOD -
RECEIPT #
CHECK # CLTD BY
ORTEGA MASONRY
DEBIT
R3339
AOR
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID.DATE
WALL/FENCE -,FIRST 100 LF
101-0000-42404 - •
0
$47.86
$47.86
1/8/15
PAID BY
METHOD {t ',
RECEIPT #
CHECK #
CLTD BY
ORTEGA MASONRY
DEBIT `'{ f
R3339 U `
AOR
DESCRIPTION
ACCOUNT `"'#
.CITY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 ! y a„
j 0 ",
. " $60.91 f
$60.91
1/8/15
PAID BY
METHOD
"RECEIPT # "i
CHECK #
CLTD BY
ORTEGA MASONRY
DEBIT
R3339
AOR
Total Paid forFENCE OR FREESTANDING WALL- $108.77 $108.77
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RET WALL <=12 - FIRST 100 LF
101-0000-42404
0
$47.86
$47.86
1/8/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ORTEGA MASONRY
DEBIT
R3339
AOR
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RET WALL <=12 - FIRST 100 LF PC
101-0000-42600
0
$60.91
$60.91
1/8/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ORTEGA MASONRY
DEBIT
R3339
AOR
Total Paid foi:RETAINING WALL* $108.77 $108.77
TOTALS: $218.54 $218.54
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Description: 40LF GARDEN AND 41LF COMBO WALLS AT FRONT AND SIDE PL .
Type: WALL/FENCE
Subtype:
Status: APPROVED
Applied: 1/8/2015 AOR
Approved: 1/8/2015 AOR
Parcel No: 774192017 Site Address: 54125 AVENIDA MADERO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 258
Lot: 6
Issued:
UNIT 24
Lot Scl Ft: 0
Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $6,000.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
ORTEGA MASONRY
Details:
CA 92253
OWNER
KAREN FRANE
Printed: Thursday, January 08, 2015 9:10:50 AM 1 of 2
lsrsrrnes
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESS1 CITY
STATE ZIP PHONE FAX EMAIL
APPLICANT
ORTEGA MASONRY
0 OUTSIDE CITY LIMITS LA QUINTA
CA 92253
CONTRACTOR
ORTEGA MASONRY
0 OUTSIDE CITY LIMITS LA QUINTA
CA 92253
OWNER
KAREN FRANE
92253
Printed: Thursday, January 08, 2015 9:10:50 AM 1 of 2
lsrsrrnes
v .
Printed: Thursday, January 08, 2015 9:10:50 AM 2 of 2
SYSTEMS
._........
-
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
.BY
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$47.86
1/8/15
R3339
DEBIT
ORTEGA MASONRY
AOR
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$60.91
1/8/15
R3339
DEBIT
ORTEGA MASONRY
AOR
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL•
$108.77
$108.77
RET WALL <=12 - FIRST
101-0000-42404
0
$47.86
$47.86
1/8/15
R3339
DEBIT
ORTEGA MASONRY
AOR
100 LF
RET WALL <=12 - FIRST
101-0000-42600
0
$60.91
$60.91
1/8/15
R3339
DEBIT
ORTEGA MASONRY
AOR
100 LF PC
Total Paid for RETAINING WALL•
$108.77
$108.77
TOTALS:
$218.S4
$218.S4
INSPECTIONS
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
COMPLETED
RESULT
REMARKS
NOTES
DATE
DATE
FOOTINGS
AOR
FINAL"
BOND BEAM
v .
Printed: Thursday, January 08, 2015 9:10:50 AM 2 of 2
SYSTEMS
Permit #
'OSS•
Project Address:-,
City of La' Q uin to .
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Owner's Name: f k-, .C_
A. P. Number: .
Address: S— L/ 2 Affil° M0 .moo,—C:,>
Legal Description: j 1
G 1
City, ST, Zip: qzz
ntract r
Co o .TeleP
hone:
Address: '
Project.Description: /
City, ST, Zip:.
7• /
Telephone:
<>'.%::::.,.,.::,:::::.:.
State Lie. # : 2L d
cry Lie'. s.;;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Tele hone:
p
:<€#::«:;:.»;;:•s>;: «h;;: <^:<:<.<:
Construction Type: Occupancy
State Lie.
Pro ' a (circle one): New Add'n Alter Repair Demo
Project tyP ) A
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Dccd
Plans Pickcd up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:
Reyiew, 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