BWFE2014-114478-495 CALLE TAMirICO
LA QUINT4 CALIFORNIA 92253
T4ht 4 4 Qumro-
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2014-1144
Property Address: 79982 EMISSION DR
APN: 602380001
Application Description: BLOCK WALL 7'3" X 6 FT HT CITY STNDRD
Property Zoning:
Application Valuation: $480.00 n
Applicant: u DEC ®9 2614 I.�
SANTUCCI BUILDERS INC 11
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253 CITY OF LA QUINTA
COMMUNITY 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 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: License No.::LIC-0106 51
Date: /,WQ/4� Contractor:^
OWNER -BUILD 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 D"' so 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
permit subjects the applicant to a civil penalty of not more than five hundred dollar
($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, 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 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:
VOICE (760) 777-7125 * ,`
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/9/2014
Owner:
STAFFORD MCKERGOW
79982 MISSION DR E
LA QUINTA, CA 92253
Contractor:
SANTUCCI BUILDERS INC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)578-7760
LIC. No.: :LIC -0106051
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 Section 3700 of the Labor Code, I shall forthwith
comply with thos prooviissions.
Da e: / Applicant: ^
WARNING: FAILURE TO SECURE WORKERS OM PEN TION 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 upo above-
mentioneprop rty for inspection purposes.
Date:l� ' Y Signature (Applicant or Agent):
!
INFORMATION
F t�rpESCRIPTIONa k!ACFINANCIAL
COUNT"% Q '}PAID DATE'
F,
BSAS SB1473 FEE
101-0000-20306 . 0
$1.00
$0.00
PAID'BY s �'�
r:'METHOD
CHECK`#1;';� CLTD.BY'
♦
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Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
4 DESCRIPTIONS 'z>�
sy„i ',,-:ACCOUNT.r'a:,
PAID?
PAID .DATE
5
,AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 '
0
$47.86
$0.00
•n'`. Y ` PAID BY _ r
T
RECEIPT #
CHECK# ^''
CLTD BY
,METHOD
'DESCRIPTION'
ACCOUNT!
r,i ` j, k
"QTY a''_yAMOUNT
'
w."
E PAID
PAID. DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60:91
$0.00
l.' METHOD "yc
'RECEIPT#
CLTO'BY:
fi
-
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+sr�CHECK:# ti
Total Paid forFENCE OR FREESTANDING WALL $108.77 $0.00
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11
Description: BLOCK WALL 7'3" X 6 FT HT CITY STNDRD
Type: WALL/FENCE Subtype: Status: SUBMITTED
Applied: 12/9/2014 PJU
Approved:
Parcel No: 602380001 Site Address: 79982 E MISSION DR LA QUINTA,CA 92253
Subdivision: TR 29457-3 Block: Lot: 25
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $480.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: BLOCK WALL EXTENSION 6 FT HT X 7'3" LONG PER CITY STANDARDS FREE STANDING PRECISION CONCRETE BLOCK SHALL BE
COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING
CODES.
CONDITIONS
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DESCRIPTION _�.,'A000IINT•r ;a.'EQTY = "AMOUNTS ;: PAID.
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
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WALL/FENCE - FIRST
FINAL"
101-0000-42404
0
$47.86
$0.00
FOOTINGS
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL: $108.77 $0.00
TOTALS:0• 00
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Printed: Tuesday, December 09, 2014 11:53:50 AM 2 of 2
- C17WSYS TEMS
jorge gmlcWk
PALM DESERT. CA 9�
76o. 27Z o2�—
r -B UI LDERS'INC.
�'. GENERAL. CONTRACTOR
.LIC982D801 -
72529 BEAVERTAIL ST.
PALM DESERT, CA 92299
`.''.(/60)'578-7757
• leny®aenNcdbuiMere.can
eantucdbWdarm.mn
No. ReA.1-Aesee Date
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR Cr
NSTRUCTION
DAT BY
1
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\TO REMAIN
•1
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SITE PLAN
N O R T H Scale: 1/8=1'-0'
QUUNTA
3UILCI9G & SAFFrY DEPT.
APPROVED
DATF_!�/'iJ __y
Oct 01, 2014
JGa
e� As Noted'
SITE PLAN/
I.,
Bin #
City. Of La Quinta.
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253- (760) 777-7012
Building Permit Application and Sheet
Permit #
Project Address: % 9� 02 %f?/s�% on (ice, Q S
�Tracking
Owner's Name: S 6t -JW 0 r— J m ck�'e k" O vo
A. P. Number:
Address: 7f ? $ A /WS/ ,e-A)A Dr, aS
Legal Description:
City, ST, Zip: L 2_2 �
Contractor: r• C2 GtGGti /
Telephone: ne:%�D S 7 8 -t75-7
s><
Address: '�/? �� �j b e - A d e e4, ; 51
Project Description: /lap,
City, ST, Zip: It hi, elms ey� % Z Z �Do
6 E ,ti X 7 �3. ZOr Q yJA.7
Telephone: 7�d S7817S.
off' Q
ti. ve eS7X--
State Lic. # : g 6 ��
City Lic. #•:
/0 16 C de Ae, %
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:.
#< <,; ,,.>::< ::.:>>:.:.>:>.>;'s;;s>:<•;;:<.
Construction Type: Occupancy:
/1�Occu •
State Lic.#:
Project type (circle one): New A dd' n Alter. Repair Demo
Name of Contact Person:y/ �ih'%Gli�l
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person:'76.0 d % 7s %
Estimated Value of Project: d .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES,
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
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 Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'"' Review, 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