BSPN2016-001378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BSPN2016-0013
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address: 54140AVENIDA CORTEZ
APN: 774192007
Application Description: BANK OF AMERICA/ SPECIAL INSPECTION FOR IID RELEASE
Property Zoning:
Application Valuation:
Applicant:
ACKERSON PROEPRTY SERVICES, CHAD
OUTSIDE CITY LIMITS
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.:
Date:
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
compehsation, 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: TheContractors'
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:
06
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Llc. No.:
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 tothe
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date:
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 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 citvto enter upon the
above-mentioned for inspection purposes. Dat Signature (Applicant or AgenZ-L
I A
Date:
2/8/2016
Owner:
BANK OF AMERICA
�—=J
PO BOX 742226
DALLAS, TX 75324
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Contractor:
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Llc. No.:
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 tothe
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date:
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 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 citvto enter upon the
above-mentioned for inspection purposes. Dat Signature (Applicant or AgenZ-L
I A
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT` :', "QTY, >.`AMOUNT
NPAID6
PAID DATE
SPECIAL INSPECTION
101-0000-42404
0 $72.52
$0.00
PAID BY.{
METHOD % ° ° .>. { .
:RECEIPT
F CHECK # . _
CLTD BY .
Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 $0.00
TOTALS:• 00
a
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3
ff'M OF 7'NF'v
Description: BANK OF AMERICA / SPECIAL INSPECTION FOR IID RELEASE
Type: SPECIAL INSPECTION Subtype: Status: UNDER REVIEW
Applied: 2/8/2016 SKH
Approved:
Parcel No: 774192007 Site Address: 54140 AVENIDA CORTEZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 258 Lot: 18
Issued:
UNIT 24
(972)590-2738 ackreo@gmail.com
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: SPECIAL INSPECTION FOR IID RELEASE. THIS PERMIT IS NOT FOR WORK. 2013 CALIFORNIA BUILDING CODES.
Printed: Monday, February 08, 2016 2:21:57 PM 1 of 2 C
SYSTEh1S
CONTACTSCONDITIONS
NAME TYPE- NAME ADDRESSI CITY
STATE ZIP PHONE FAX EMAIL
APPLICANT ACKERSON PROEPRTY SERVICES, OUTSIDE CITY LIMITS
CHAD
(972)590-2738 ackreo@gmail.com
OWNER BANK OF AMERICA PO BOX 742226 DALLAS
TX 75324 (972)590-2738
Printed: Monday, February 08, 2016 2:21:57 PM 1 of 2 C
SYSTEh1S
INSPECTIONS
Printed: Monday, February 08, 2016 2:21:57 PM 2 of 2 0?
• SYSTEMS
gin # City of La Quinta
)� Building &r Safety Division
Permit #{ 78-495 Calle Tampico
6xkM..qx,La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: &LIN O 4W -,41U 1Aq 6M 1 Z
Owner's Name: 61\ PtA'' CSP-. "
A. P. Number:
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Address: P _ O
Legal Description:
City, ST, Zip: O , 1 \G x x S 3?
Contractor: l�
Telephone': � a
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Address: �3 O S �,nq G S
Project Description:. �,cc�nC�,, _l ✓�S.
city, ST, zip: e�eJ - �t
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Telephone:-? dK.
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State Lic. #:
City Lic. #;
Arch., Engr., Designer:
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Lo c v- bcx \ ..S ?2 ?-yti
Address: N 0 0
CAAC4-`760 - S6q-
City, ST, Zip:
Telephone:
...............:......................................
Co tructi n Type: Occupancy:cu an
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State Lic.
Project type le one • New Add'n Alter Repair Demo
Nanid,of Contact Person:
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Sq. Ft.:
# Stories: # Units:
Telephone # of Contact Person: '�
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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 Cafes.
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
2°" 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 I{OUSE:-
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
Bank of America'''*
Safeguard Properties
7887 Safeguard Circle
Valley View, OH 44125
Tax ID # 90-0881590
February 5, 2016
Authorized Agents: y�
CHAD ACKERSON c-
Christine McElhone
Rich Stifel
Rosemarie Magro
Tam! (Tucholski) Eck
To Whom It May Concern:
Safeguard Properties has our authority to enter the referenced property
54140 AVENIDA CORTEZ LA QUINTA CA and activate/manage all utility services.
The billing should be set up:
Bank of America
c/o SPI/Ecova
PO Box 742226
Dallas, TX 75374
972-590-2738
Should you require any additional information or documentation„in order to allow
Safeguard Properties to represent us as our Agents on the referenced property, please feel
free to contact me. Thank you in advance for your cooperation. ;.
Sincerely,
Christine M. McElhone
Supervisor, REO Operations
216-739-2900 ext. 1781