BWFE2014-1140r r_1
78-495 CALLE TA,\t?ICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BWFE2014-1140
53260 AVENIDA RAMIREZ
774082001
86LNFT X 6HTANGELUS; 128
`ter 4 ZP QuiRt
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
$15,000.00
Applicant:
ORTEGA MASONRY
31691 ROSEMARY LANE
THOUSAND PALMS, CA 92202
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: C29 License No.: 809
Date: Z / Contr�n�
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 Divisio 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 fo 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 Name:
Lender's Addre!
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:. 12/8/2014
Owner:
DAVID WARDEN
53260 AVENIDA RAMIREZ
LA QUINTA, CA 9225=
Contractor:
ORTEGA MASONRY
31691 ROSEMARY LAME
THOUSAND PALMS, CA 92202
(760)912-1725
Llc. No.: 809220
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 tine 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 car•ier 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 sub* ct to the
workers' compensation provisions of �nt:
0 of the Labor Code ;s forthw
comply with th se pr isions `
atez ��Apph
WAR"G:J'AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P[NALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). Ih ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN S _CTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Buil Jing Official for a permit subject to
the conditions and restrictions set forth on this appl'.cation.
1. Each person upon whose behalf this applicatior 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, anc 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 issuarce 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 ordinance: and state laws r lating to building
construction, and hereby authorize rep r es of this city to a on the e
mentioned pro rty r inspection p ' s,
Date( u Signature (Applicant or Agent):
FINANCIALINFORMATIONr.
x JESCRIPJION _ . y ACCOUNT' J QTY
AMOUNT
PAID DATE:.
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
' AID BY, c
a „'METHOD . t ; .,;
RECEIPT #� :
-CHECK #r
CLTD BY'
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA
$1.00
$0.00
;DESCRIPTION ,�. • -, a-
, ' ="ACCOUNT : '`
QTY
x . AMOUNT,
t PAID :
PAID DATE
WALL/FENCE - EA ADDITIONAL 50 LF -
101-0000-42404
0
$91.36
$0.00
:PAID BY
-METHOD . _
RECEIPT'# =
CHECK #
:.CLTD BY
DESCRIPTION
ACCOUNT
QTY
:, AMOUNT-, "�,
♦ }._PAID
PAID.DATE'
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
'PAID.BY,' - s
METHOD, ;
: , .:RECEIPT# '
CHECK #
kCLTD BY
;? , ;. `DESCRIPTION Yom,** R
,ACCOUNT r , "''
QTY
AMOUNT " - *"
> PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00.
r'PAID BY
a
METHOD
RECEIPT #
`'CHECK #
"'
rCLTD BY,
Total Paid for FENCE OR FREESTANDING WALL-
$200.13
$0.00
TOTALS:•
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Description: 86LNFT X 6HTANGELUS; 128LN FT X 5'6"CITY STND
Type: WALL/FENCE Subtype: Status: SUBMITTED
Applied: 12/8/2014 PJU
Approved: -
Parcel No: 774082001 _ Site Address: 53260 AVENIDA RAMIREZ LA QUINTA CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 224 Lot: 24
Issued: ,
UNIT 21
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $15,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 86 LN FT X 6 FT HT ANGELUS STANDARDS 128 LN FT X 5'6" PER CITY SPECS. BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR
TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES APPROVED PER JJ.
.c rte. _S; rf -� c` `�..` c"?A
DDITIONAL SITES
'CONDITION S3'w.-44#,,44
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.° 'INSPECTION,
INSPECTOR: SCHEDULED ;COMPLETED RESULT'
CHECK
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-',. DATE n a,``� DATE
DESCRIPTION
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�_ I PAID
PAID DATE'
RECEIPT #
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FINAL"
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
=Total Paid forBUILDING STANDARDS ADMINISTRATION- -
$1.00 $0.00
BSA:
WALL/FENCE - EA
101-0000-42404
0
$91.36
$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- $200.13 $0.00
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.° 'INSPECTION,
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Existing retaining wall
Bin #
City of La Quinta.
Building $i Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and. Tracking Sheet
Permit #�
Project Address: 3 Vvlri-&ZOwner's
Name: V ` f fn
A. P. Number:
Address:
Legal Description: (,F�D�.
City, ST, Zip: —25'"'
ntract •v
Co or• 1/Y10t-99 Y1 r'6
Telephone-: D 1.r
Address: dse V-
Project Description:
City, ST, Zip: 0W I
Telee•
.P
ph %O
" F
State Lic. City Lie. #;
Arch., Engn, Designer:
Address:
City, ST; Zip:
Telephone:ne:
.. .........................................:..
Co structi C tt%aneY
occupancy:
n TYPe:V, •
State Lic. #:
Project type (circle one): New Adan Alter Repair Demo
4,00
Name of Contact Person: %
Sq. Ft.: 7-1
# Stories:
If Units:
Telephone #,of Contact Person:
�-
Estimated Value of Project:_ ;0od '01
7-4 0 2 ��
Z � APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
;. TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cal cs.
Called Contact Person
Plan Check Balance,
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechnni:al
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbin;.
Grant Dccd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading,
IN IiOUSE:-
'rd 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 Pcrmit.Fccs