BWFE2014-109078-4Y CALLE TAMPICO �t 4 aulftrw VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253., COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
Application Number:
BWFE2014-1090
Property Address:
52334 AVENIDA RUBIO
APN:
773253024
Application Description:
BLOCK WALL 90X6HT 37X 5HT
Property Zoning:
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Application Valuation:
$5,500.00
Applicant:
' /
C)`7
- 2 -
DOBBINS MASONRY, LENNY
Date: Applicant: f !�
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
WARNING:.FAILURE TO SECURE WORKERS'_ COMPENSATION COVERAGE IS UNLAWFUL,
BUILDING PERMIT
SEP 2 3 2014
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 -0000293
Date: �- Z �' / Contractor:
Date: 9/23/2014
Owner:
SCHNEIDER RESIDENCE
52334 AVENIDA RUBIO
LA QUINTA, CA 92253
Contractor:
DOBBINS MASONRY, LENNY
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)568-5880
Llc. No.: :LIC -0000293
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 proyided 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:
OWNER -BUILDER DECLARATION
Carrier:— Policy Number: _
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following. reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner'so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair any:
compensation laws of California, and agree that, if I should become subject to the
structure, prior to its issuance, also requires the applicant for the permit to file a signed
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
statement that he or she is licensed pursuant to the provisions of the Contractor's State
comply with those provisions.
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
' /
C)`7
- 2 -
and Professions Code) or that he or she is exempt therefrom and the basis for the alleged
Date: Applicant: f !�
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).:
WARNING:.FAILURE TO SECURE WORKERS'_ COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
compensation, will do the work, and the structure isnot intended or offered for sale.
HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that he
IMPORTANT:Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.)..
the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors to
'1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon, and
as a result of this application, the owner, and the applicant, each agrees to, and shall
who contracts for the projects with a contractors) licensed pursuant to the Contractors'
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
State License Law.).
employees for any act or�omission related to the work being performed under or
(_) I am exempt under Sec. B.&P.C. for this reason
following issuance`of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
comnii nced'within 180 days from date of issuance of such permit, or cessation of work
Date: Owner:
for 180 days will subject permit to cancellation.
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:
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 upon the above-
mentioned property for inspection purposes. /
Date: ^ 2'�' �� Signature (Applicant or Agent): I
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Total Paid forFENCE�OR FREESTANDING..WALL '. $171 13 $0.00
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Description: BLOCK WALL 90X6HT 37X SHT
Type: WALL/FENCE Subtype: Status: SUBMITTED
Applied: 9/23/2014 PJU
Approved:
Parcel No: 773253024 Site Address: 52334 AVENIDA RUBIO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 10 Lot: 20
Issued:
UNIT 1
ME
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 90 LN FT X 6 FT HT & 37 LN FT X 5 FT HT PER ANGELUS STANDARDS & APPROVED PLANS BLOCK SHALL BE COVERED WITH STUCCO,
PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES.
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Description: BLOCK WALL 90X6HT 37X SHT
Type: WALL/FENCE Subtype: Status: SUBMITTED
Applied: 9/23/2014 PJU
Approved:
Parcel No: 773253024 Site Address: 52334 AVENIDA RUBIO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 10 Lot: 20
Issued:
UNIT 1
ME
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 90 LN FT X 6 FT HT & 37 LN FT X 5 FT HT PER ANGELUS STANDARDS & APPROVED PLANS BLOCK SHALL BE COVERED WITH STUCCO,
PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES.
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' NAME TYPEr .%NAM E
ADDRES51
s. CITY
STATE
r ZI P..' ' , PHONE
FAX
EMAIL
4 ;
APPLICANT
DOBBINS MASONRY, LENNY
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
CONTRACTOR
DOBBINS MASONRY, LENNY
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
OWNER
SCHNEIDER RESIDENCE
52334 AVENIDA RUBIO
LA QUINTA
CA
92253
0' •
DESCRIPTION:ACCOUNT QTY AMOUNT k PAID PAID; DATE: RECEIPT # , =CHECK # METHOD PAID'BY CLTD
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BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Tuesday, September 23, 2014 9:31:31 AM 1 of 2
SVSTFM S
'DESCRIPTIONi
ACCOUNT •'
QTY:
#AMOUNT
:, PAID
I PAID DATE
',CHECK #
77777
METHOD ':
PAID BY ' F
CLTD.'
,
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BY
WALL/FENCE - EA
------------
101-0000-42404
0
$62.36
$0.00
ADDITIONAL 50 LF
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$0.00
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL .$171.13, $0.00
TOTALS:00
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, September 23, 2014 9:31:31 AM 2 of 2 Mr
SVf TFMC
Bin #
City. of L.a Quin to
Building•i r Safety Division
P.O. 136x1504, 78-495 Calle Tampico .
La Quinta, CA 92253.-.(760) 777-7012
Building..Permit.Applicition-and Tracking Sheet
Permit #
Project Address: 52-331. OVE we. jD
Owner's Name:S CP A/E/ D�,
A. P. Number:
-Address:
Legal. Description:
City, ST, Zip:
Contractor: �A/ �0��11✓S S
Telephone:
Address: /�` - S"�� 1� D
Projeet.Description: /27 1—/ J ')!�T 40
City, ST, Zip: ,e 7 t^1�: �1'� Zr� ZS
�''1 '4 S a N C f yi .Q. d1A ✓L S
-13 ecW ti -j
Telephone: 7 !1- S t
::...:
.. `i»>>#>
�' 1
State Lie. # : 6 (0 0 2 � �/
City Lie. <
Arch., Engr., Designer:
7 t ILI 1
Address:
City, ST, Zip.
Telephone:
<..h:>..<..;.,.;a,;;z:>�:;:<<::>:
ConstructionType: Occupancy:
State Lic. #:
"r""""`"°" >''°'°''" ''"
. Project type circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:.
# Stories:
# Units:
Telephone #,of Contact Person:
Estimated Value of Project4 S so 0
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl
Submittal
Req'd
Rec'd.
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance.
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2pd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
R.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'`d 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
ooh