BWFE2016-0125.11
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BWFE2016-0125
Property Address:
79895 DANDELION DR
APN:
604481001
Application Description:
DAVID TORRES / BLOCK
Property Zoning:
Application Valuation:
$5,000.00
`��r 4 lwQ�
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
JUN 13 2016 1141
Owner:
DAVID TORRES '
, 92253
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/13/2016
Applicant: CITY OF LA OUINTA- Contractor:
COMMUNITY DEVELOPMENT DEPARTMENT
MELD POOLS INC � MELO POOLS INC
73-700 DINAH SHORE #305 73-700 DINAH SHORE #305
PALM DESERT, CA 92211 PALM DESERT, CA 92211
(760)341-3505
Llc. No.: 954374
-----------------------------------------------------.---------------------=------------------
LICENSED CONTRACTOR' DECLARATION
I hereby affirm under penalty of perjury that I a licensed nder provisions of Chapter
9 {commencing with Section 7000} of Division 3 f the Busi ss and Professions Code,
and my Lice se is i full force and effect.
License Clas : C53 License No.: 954374
Date L� I�( Contractor. l
--- i
OWNER -BUILDER DECLItIftAjrION
I hereby affirm under penalty of perjury that I am ex pt 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 ) 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 ) 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
ofa ork for which this permit is issued.
M
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 performanc of the w k for which this permit is issued, I
shall not employ any person in any mann so as to b come subject to the workers'
compensation laws of California, and agre that, if I s ould become subject to the
workers' compensa 'on provisions of Secti n 700 of t e Labor Code, I shall forthwith
comply with th e p visions.
Date: ' Applicant:
WARNING: FAILURE TO SECURE WORKERS' OMP NSATION COVERAGE 15 UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI IN PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100, 0 . IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED F 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 issua ice of suctermit, or cessation of
work for 180 days will subject permit to cancellation
I certify that I have read this application and state th t th abov information is correct.
I agree to comply with all city and county ordinances and tate I s relating to building
constructio , and hereby authorize representatives o ity to nter upon the
above -men ionic property for inspection purposes.
Date: 1 ✓ Signature (Applicant or Agen ).
DESCRIPTION
FINANCIAL
ACCOUNT QTY AMOUNT`
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
6/13/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
MELO POOLS INC
DEBIT
R16254
RSE
Total Paid for BUILDING 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
6/13/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
MELO POOLS INC
DEBIT
R16254
RSE
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$60.91
6/13/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
MELO POOLS INC
DEBIT
R16254
RSE
Total Paid for FENCE OR FREESTANDING WALL:
TOTALS:0•
$108.77
$108.77
0•
Description: DAVID TORRES / BLOCK WALL
Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: APPROVED
Applied: 6/13/2016 RS. E
APPROVED
Approved: 6/13/2016 RSE
Parcel No: 604481001 Site Address: 79895 DANDELION DR LA QUINTA,CA 92253
Subdivision: TR 24197-1 Block: Lot: 1
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0.
MELO POOLS INC
Details: 70 LF REPAIR GARDEN WALL BACK SIDE OF THE HOUSE [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED
WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
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ADDRESSI
CONTACTS
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CITY STATE
APPLICANT
MELO POOLS INC
73-700 DINAH SHORE
#305
PALM DESERT CA
92211
CONTRACTOR
MELO POOLS INC
73-700 DINAH SHORE
#305
PALM DESERT CA
92211
OWNER
DAVID TORRES
92253
I'll NANCIAL.INFORMATION
Printed: Monday, June 13, 2016 11:16:50 AM 1 of 2
SYSTEMS
Printed: Monday, lune 13, 2016 11:16:50 AM 2 of 2 CpffAff
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
6/13/16
R16254
DEBIT
MELO POOLS INC
RSE
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00.
BSA:
WALL/FENCE -FIRST
101-0000-42404
0
$47.86
$47.86
6/13/16
R16254
'
DEBIT
MELO POOLS INC
RSE
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$60.91
6/13/16
R16254.
DEBIT
MELO POOLS INC
RSE
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL: $108.77 $108.77
TOTALS:0• i• .77
Printed: Monday, lune 13, 2016 11:16:50 AM 2 of 2 CpffAff
SYSTEMS
Bin
City of La Quinta
Building 8i: Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
VJire a o 16-
Project Address: -X),40 �� 7
Owner's Name: 1Hj/(� Q l/J Y '
A. P. Number:
Address: -2 q
Legal Description:
City, ST, Zip; A- l �•
Contractor: 'F.
ltO i C
1
Telephone:
_
Address: ?S� lf.G
Project Description:
City, ST, Zip: eA -L/W
l' i J. ,
�c/l
ele h
Telephone: 1 3 S
P J
-
.
? II
d�
State Lie. # : S �J% J.
City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
e.
Con str YP ucti n Type: e• ane
Occupancy:
Y:
State Lic. #
Project tYPa (circle one): New Add'n Alter Repair r Dem o
Name of Contact Person:
Sq. Ft.:
# Sto ies:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: z;-- "'o
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up.
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.T.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"! Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
L