BWEF2017-0060V,
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r. -78-495 CALLE TAM PICO.
LA QUINTA, CALIFORNIA 92253
TtY' 4„4C'Qaxfw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: ' BWFE2017-0060
Property Address: 53470 AVENIDA RAMIREZ
APN: 774082026
Application Description: HARDIE / 160 LF GARDEN WALL IN FRONT AND SIDE YARD
Property Zoning: i
Application Valuation`:
Date: 4/18/2017
Application Number: BWFE2017-0060 Owner:
Property Address: 53470 AVENIDA RAMIREZ HARDIE HUGH
APN: 774082026 53470 AVENIDA RAMIREZ
Application Description: HARDIE / 160 LF GARDEN WALL IN FRONT AND SIDE YARD LA QUINTA, CA 92253
Property Zoning:
Application_ Valuation: $8,000.00
Applicant: ) Contractor:
HARDIE HUGH OWNER BUILDER
53470 AVENIDA RAMIREZ
LA QUINTA, CA 92253
Llc. No.:
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Detail: 401-F OF 5" GARDEN AND 115LF OF 6' GARDEN WALL AT EAST AND SOUTH SIDE YARDS [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL
BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY -THE AREA BETWEEN THE BACK OF CURB
AND ANY FENCING SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE
PROPERTY OWNER. 2016 CALIFORNIA BUILDING CODES.
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FINANCIALINFORMATION,`�
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404 0
$30.40
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$50.67
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$63.33
Total Paid for BLOCK WALL:
$144.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00'
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
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a;t, #
City of La Quint"a
Buifdinn 81• Safety Division
Permit ,1 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701.2
Building Permit Application and Tracking Sheet
Project A7d7ess:�3 1��Q�� �y� 2 eL Owner's Name:
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A. P. Number:
Address: 5 q% Q d
Legal Description:
City, ST, Zip: tJ tQ5?j
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TeleP hon c:7&0 vG..
Address:
Project Description:
City, ST, Zip:
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Telephone:
.......................................................
State Lic. # :
City Lic. #;
Q L 6 0
Arch.,'Engr., Designer:
Address:
City, ST, Zip:
Telephone:ne:
Occupancy:
Pe: aneY
Construction traction TY
State Lic #,_
Po'type cir le one): New Add'n Alter Repair.air Demo
Name of Contact Person:
�J�
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: f'j
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Rcc'd
' 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'
2qd Revicw, ready for corrections/issue
Electrical
Subcontactor'List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
flans resubmitted
Grading
IN HOUSE:-
Jrd 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
2
f
5N7 AVE .
T -VY .4 4 a"
P.O. BOX 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760)777-7012
FAX {760) 777-7011
Disclosures & Forms for Owner-Builders.Applying for Construedon Permits
IMPORTANT. NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official -address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signer you understand or verify this information.
XII understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own labor and rraterial personally. 1, as
an Owner -Builder, may be held liable.and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
understand building permits are not required to be signed by property owners unless they zre responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
eI understand as an "Owner -Builder" I•am the responsible party of record on the permit. I undersand that I may protect
lifrom potential financial risk by hiring a licensed Contractor and having the. permit filed in his or ber name instead of my
own.
understand. Contractors are required by law to be licensed and bonded in California and to list tl.ir license numbers on
permits and contracts.
I understand if I employ or otherwise engage any persons, other than California licensed Contractors, o tractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be conridered an "employer''
under state and federal law.
understand if I.am considered an "employer" under state and federal law, I must register witt. the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance; and contrib lte to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to.serious financial
risk.
understand under California Contractors' State License Law, an Owner -Builder who builds si
ngle-farrrrly residential
structures cannot legally build them with .the intent to offer them for sale, unless .all work is' performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
1� understand as an Owner -Builder if I. sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries 'sustained by any subsequent owner(s) that -result from any latent construction defects in the
workmanship or materials.
Munderstand I may obtain more information regarding my'obligations as an."employer" from the Internal Revenue
Service, the United States Small -Business Adnumstrathon, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at I-
800-32-
1-CSLB (2752) or www.cslb-ca.gov.for more information about licensed contractors.
am aware of and consent to an Owner -Builder building permit applied for in m and understand that I a
legally, y name � m the
party and financially responsible for proposed construction activity at the following address:
1 . I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as.well as employers.
agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the.agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property ownerC-'�il/' Date: — / 7 .
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agents) to apply for, sign; and file. the documents necessary to obtain an Owner -Builder
Permif for my project.
Scope of Construction Project (or Description of Work): _ 1 C3 1L
Project Location or Address: S 2>N-70
2 �� t �Z e7
Name of Authorized Agent:
Tel No -7 b
Address of Authorized Agent: J () _C Q ."2 2 "l U
.I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be p7sente�hen the permit is issued to verify the property owners signature.
Property Owner's Signature:'_ Gfi!/; 1117117
p � �' ' �� O Date:
�0661NTA
v;.'CITY OF
COMMUNITY DEVELOPMENT DEPARTMENT
(760) 777-7125
�y
INSPECTION REQUEST LINE
F71(b�w (760) 777-7153
Owner HARDIE HUGH
Contractor OWNER BUILDER r=
Permit Number BWFE2017-0060
POST ON JOB IN A CONSPICUO Ce z
INSPECTOR MUST SIGN ALL APPLICAB SPAV-S Cs
JOB ADDRESS 53470 AVENIDA RAMIREZ •-+ ,�
NOTES 40LF OF 5' GARDEN AND 11 5L OF 6' EN TALIL&
EAST AND SOUTH SIDE YARDS f ICAMONSr<
PRECISION CONCRETE BLOCK SHALL BE COVERED WITH
STUCCO PAINT OR TEXTURED COATING LE
FROM OUTSIDE THE PROPERTY. THE AREA THE
BACK OF CURB AND ANY FENCING SHALL B
HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE
CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2016
MASONRY INSPECTI S
FOOTINGS / STEEL
BOND BEAM
ABOVE APPROVALS DO NOT INCLUDE THE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
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