BWFE2015-008378-495 CALLE TAMPICO c&t. D VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
;/ BUILDING PERMIT
A � � Date: 5/1/2015
Application Number: BWFE2015-6083 Owner:
Property Address: 52880 AVENIDA RAMIREZ LARRY REED
APN: 773323007 52880 AVENIDA RAMIREZ
Application Description: READ / 80' OF 6'. COMBO WALL LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $7,600.00
Applicant:
T L C MASONRY
74 - 562 GARY AVENUE
PALM DESERT, CA 92260
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm undefpenalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Profe sions Code,
and my License is in full force and effect.
License Class: C29 License No.: 790349
Date.' _'� ^f ^�� Contractor:
a
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.).
( ) 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
Contractor:
T L C MASONRY
74 - 562 GARY AVEMUE
PALM DESERT, CA 92260
(760)668-7867
Llc. No.: 790349
WORKER'S COMPENSATICN DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate cf consent to self -insure for workers'
compensation, as provided for by Section 3700 cf the Labor Code, for the performance
of the work for which this permit is issued.
4e. 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,fif I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code fo ith
comply with those provisions.
Date: o� �— Applican
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINA, PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,0001 IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IV SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOW _EDGEMENT
IMPORTANT: Application is hereby made to the 3uilding Official for a permit subject to
the conditions and restrictions set forth on this Epplication.
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 C-ty 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 applica-ion becomes null and void if work is
not commenced within 180 days from date of is.:uance 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 buiIdL'DFn
construction, and hereby authorize representatives of this city to enter upon ov
mentioned property for inspection purposes.
Date��S Signature (Applicant a Agent)
C
FINANCIAL • •
DESCRIPTION --
'ACCOUNT
-AMOUNT ',:, s . ' `PAID"- R
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0
$1.00 $0.00
CHECK#
CLTD BY .
> Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION ''� " ,'
ACCOUNT •. `'
: QTY
'` AMOUNT-,-
= PAID.
PAID DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
". 'PAIDBY
- n METHOD
RECEIPT #
CHECK # -
CLTD BY
DESCRIPTION' _
i . ACCOUNT s-�y ..
QTY
; , "AMOUNT'. g
�= ^PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
- :, •� PAID BY ; : ` "
° , METHOD `� `
r RECEIPT #
=CHECK # ' ' .'
'CLTD BY."
Total Paid for FENCE OR FREESTANDING WALL, $108.77 $0.00
'QTY
AMOUNT;
PAID
;PAID DATE
RET WALL <=12 - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
-"w -PAID PAID BY}.� f'�r
k�nt�; METHOD.;
RE14, CEIPT:#r
_ CHECK #�� `.
CLTD BY'
DESCRIPTION
ACCOUNT `
QTYtAMOUNT
PAID
•PAID DATE'
RET WALL <=12 - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
'-PAID,BY� f .. "
METHOD
RECEIPT # . 4
CHECK # d
f{ CLTD BY•,,=
Total Paid for RETAINING WALL- $108.77 $0.00
• _ 00
Description: READ / 80' OF 6' COMBO WALL
Type: WALL/FENCE Subtype: Status: UNDER REVIEW
Applied: 5/1/2015 SKH
Approved:
Parcel No: 773323007 Site Address: 52880 AVENIDA RAMIREZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 158 Lot: 20
Issued:
UNIT 16
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $7,600.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 80LF OF 6' GARDEN WALL ATOP 2' RETAINING WALL [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH
STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES
— -- -
CONDITIONS . I
Printed: Friday, May 011 2015 4:22:25 PM 1 of 2 CES E.1C7LT srsrFMs
xrt` •- r RETURNED `' STATUS _ vREMARK
Sr
,REVIEW TYPE REVIEWER SENT DATE; : DUE DATE f - NOTES
.
DATE
v.
i
Printed: Friday, May 01, 2015 4:22:25 PM 2 of 2 BT ` SYSTEMS
DESCRIPTION
��lACCOUNT •
QTY
AMOUNT
„ PAID
PAID DATE
RECEIPT#
CHECK #
;iCLTD
METHOD
PAID BY -
By
.,
_
-.
' t DATE.
BOND BEAM
BLD
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$0.00
FINAL"
BLD
100 LF
FOOTINGS
BLD
_
WALL/FENCE -FIRST
101-0000-42600
.0
$60.91
$0.00
100 LF PC
Total Paid forFENCE OR FREESTANDING WALL- $108.77 $0.00
RET WALL <=12 - FIRST
101-0000-42404
0
$47.86
$0.00
100 LF
RET WALL <=12 - FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
Total Paid for RETAINING WALL, $108.77 $0.00
TOTALS:00
xrt` •- r RETURNED `' STATUS _ vREMARK
Sr
,REVIEW TYPE REVIEWER SENT DATE; : DUE DATE f - NOTES
.
DATE
v.
i
Printed: Friday, May 01, 2015 4:22:25 PM 2 of 2 BT ` SYSTEMS
INSPECTIONS
SEQID
INSPECTION TYPE'
INSPECTOR
SCHEDULED
COMPLETED
:RESULT . `
REMARKS `
NOTES T
L3
�,:DATE
' t DATE.
BOND BEAM
BLD
FINAL"
BLD
FOOTINGS
BLD
xrt` •- r RETURNED `' STATUS _ vREMARK
Sr
,REVIEW TYPE REVIEWER SENT DATE; : DUE DATE f - NOTES
.
DATE
v.
i
Printed: Friday, May 01, 2015 4:22:25 PM 2 of 2 BT ` SYSTEMS
Bin #
City of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sleet
Permit #
Ob%3
Project Address: 4� Z
L7
PPi /2, cf
Owner's Name:
A. P. Number:
Address: 2�i� /,.
Legal Description:
Contractor L
sD��
City, ST, Zip: t Z
ir Z
TePhone
Address: J7
U•
Project Description:
City, ST, Zip: M
-49- C111-C ._ Z 2 (J
�-
:r/ i�� 6' L 2
v
TeleP nR,
State Lie. # : `7 2 67 ✓ V
City Lie. #•:
Arch., Engr., Designer:
1,17
Address:
City., ST, Zip:
Telephone: hone:
�C
onstruct on TY e: ancY
P Occupancy:
State Lie. #•
Project h'Pa (circle cie one • w
e Add'n AlterP D Repair Demo
Name of Contact Person:
Sq. Ft.:#Stories:
7#
Units:
Telephone # of Contact Person:
Estimated Value of Project: 0 - 0 0
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 Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' 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
Apr 29 15.11:59a
Me
Apri1.28, 01:36 PM
To. Skhatani r
CC. aortega hide
My name is Lvonne Yessayian Weber and I am
the owner of the home at 52860 Avenida Ramirez.
was contacted by the neighbors contractor today
regarding a wall between our properties. It my
understanding that the footing of the wall will be
on my property and you need my acknowledgment.
of such. I give the neighbor my permission to do
so: My phone number is
understand you need'a copy of my id as well. I
am not able to attach it. If you can send me your
fax number I can send a copy that way.
Thank you.
Lvonne Yessayian
_
'��.