BWFE2017-004578-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
'BUILDING PERMIT
Application Number: BWFE2017-0045
Property Address: 53900 AVENIDA RAMIREZ
APN: 774162010
Application Description: ROSINI / 142LF 5'/6' BLOCK WALL AT FRONT YARD AND NORTH
Property Zoning:
Application Valuation: $7,500.00
Applicant:_
NINO J ROSINI REALTY DEVELOPMENT
47-085 VIA ORVIETO
LA QUINTA, CA 92253
LICENSED CONTRACTOR'S DECLARATION,
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: B License No.: 366616
D ;t_�A O/ Contract
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 ofthe 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 interided 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 ) 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
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
oft the work.for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3760 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:.EXEMPT Polity Number: _
_ I certifyL,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 to the
workers' compensation provisions of Section 3700 of the. Labor Code, I shall forthwith
comply with those provisions.
Daf• ld - OI 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 A#ORNEY'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 forany'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 186 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 city to enter upon the above-
mentioned pr perty for inspection purposes.
Dafte%�*�_� 120,ignature (Applicant or Agent
Date: 3/10/2017
Owner:
NINO J. ROSINI
53900 AVENIDA RAMIREZ
LA'QUINTA, CA 0
Contractor:��,((r
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0
o
NINOJ ROSINI REALTY DEVEL
P
vC�
47-085 VIA ORVIETO
LA QUINTA, CA 92253
(310)502-8004
Llc. No.: 366616
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
oft the work.for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3760 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:.EXEMPT Polity Number: _
_ I certifyL,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 to the
workers' compensation provisions of Section 3700 of the. Labor Code, I shall forthwith
comply with those provisions.
Daf• ld - OI 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 A#ORNEY'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 forany'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 186 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 city to enter upon the above-
mentioned pr perty for inspection purposes.
Dafte%�*�_� 120,ignature (Applicant or Agent
Application Number:
BWFE2017-0045
Property Address:
53900 AVENIDA RAMIREZ
APN:
774162010
Application Description:
ROSINI / 142LF 5'/6' BLOCK WALL AT FRONT YARD AND NORTH
Property Zoning:
Application Valuation:
$7,500.00
Applicant:
NINO J ROSINI REALTY DEVELOPMENT
47-085 VIA ORVIETO
LA QUINTA, CA 92253
Date: 3/10/2017
Owner:
NINO J ROSINI
53900 AVENIDA RAMIREZ
LA QUINTA, CA 0
Contractor:
NINO J ROSINI REALTY DEVELOPMENT
47-085 VIA ORVIETO
LA QUINTA, CA 92253
(310)502-8004
Llc. No.: 366616
Detail: 142LF OF 5'/6' COMBO WALL AT FRONT YARD AND INSIDE NORTH P/L [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED
WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES.
- .. i. :.::. -, ... .:�,.. .i4.F;. .(.: do _-`�, da,.- k.. -w4nir i.34- ^c ��•.
DESCRIPTION K,
..ACCOUNT
QTY,: `
AMOUNT
RETAINING/COMBINATION WA EA 50LF
101=0000 42400 ,, ,`
s` 0
$45.60
DESCRIPTION
` ACCOUNT
QTY
AMOUNT
WALL/FENCE - EA�ADDITIONAL 50-LF,:"
1010000 42404
Y
0
$15.20
DESCRIPTION
ACCOUNT
.QTY'
AMOUNT
WALL/FENCE - FIRST100 LF. _>
101 0000.42404
4 0
$50.67
a•;
'DESCRIPTION NT,.
ACCO
;QTY,
AMOUNT
'
WALL/FENCE FIRST'1001T PC' .''`
M'.' 101-0000 42600
i. 0 ..
$63.33
Total Paid for.BLOckWALL:
$174.80
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSA5 SB1473 FEE
", J101,0000 20306 ; ; ' '
0
$1.00
Total Peed for BUILDINGkSTANDARDSADMINISTRATIONcBSAc
$1.00
DESCRIPTION.
ACCOUNTQTY
AMOUNT
TECH NOLOGY.ENHANCEMENTaFEE r.
502-0000-43611'
0
$5.00
r
fRon_gTotalPaidLATEyCr*„H_xNiJEE:
$5.00OOGY,ANEM
' ... -. .; :t .. ., 4..,.. '.- ._ „ti..�:.. ..1yL? *:•Y,t'.
9, u..+F .ter'.i9l•:t'v
Bin >` F'y.f '.
City 6If LCI �.(. i l (.a
Building'd Safety Division
Permit # 78.495 Calle Tampico.
La Quinta, Ck92253 -,.(760)'777-7011
Building Permit.Application'and Trackirlg.Siieet
Project Address: S:;� C.3Q^1) 7kG 1 1 ` Owner's Name:We
A. P. Number:
Address: O.a ®iL t7
Legal Description:
City, ST, Zip: .
Contractor: ctbr: O S t A.�
/ (
Tele h "ne
o D
P '. t 3 6 O.
Address: . �g V�"Q Do.v I 1.T'C,>.
Project Description:
City_ ST, Zip: 6>ct
C >a Owe; 154,-r
Telephone
e :
P o fl.• Z D
r M1
-
P T 1 1
State Lic. # : • _jX0 (0(p City Lie.
Arch., Engr., Designer:
/I
Address: t0 •��
City, ST, Zip: v f RXM, CA
M.
State le Lic. #
tricti mType: Occupancy:
. Project ljPe circle one � New Add'n Alter Repair Demo
Name of Contact Person: -,A ►� j
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: ��Q . Z � /7S.BU
¢' QIP
Estimated Value of Project:.
APP,LICANT::DO NOT.W.RITE BELOW THIS LINE
M
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 Cates.
Called Contact Person
r
^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.I.
H.O.A. Approval'
Plans resubmitted
Grading
IN If OUSE:-
Review, ready for correctibns/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
J
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FOR DRAIN
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LOCATIONS RELATIVE TO PROPERTY LINES
NEW BLOCK WALLS REQUIRE
SEPARATE PERMIT & INSPECTION
FROM CITY OF LA QUINTA BUILDING
DEPARTMENT
PROPERTY LINE 50.0'
H.P.
0
5'x5' PAD Ch
A/C
NEW 6' BLOCK
WALL 50' LONG
MAINTAIN MIN. 5'
CLEARANCE 1
HOL
SE
FINISH FLOOR :TO BE
MIN. OF 12" ABOVE
DATUM POINT ATT
P OF CURB
MEASURED AT CEN
ER LINE OF LOT
SEE CITY OF LA QUINTA
PUBLIC WORKS
FOR APPROVAL FOR
ANY ADJUSTMENT
IF REQUIRED
1
I
PATIO
20' LONG NEW 5'
HIGH BLOCK WALL
BLOCK WALL
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iE DEVELOPER / CONTRACTOR/ OWNER IS RESPONSIBLE
R THE VERIFICATION OF EXISTING CURB LOCATION FROM
PROPERTY LINES WITH PUBLIC WORKS DEPARTMENT
DATUM POINT
MID -POINT OF
fqN ir,nAl (-.Al IFC)RNIA FAN PALM
NEW 6' BLOCK
WALL 80' LONC
NEW BLOCK WALL
5' HIGH 20' LONG
VE 6x6 OPEI
I DRAINAGE
3/8" ROCK PALM SPRIT`
GOLD GROUND COVE[
DRIVEWAY APPROACH REQUIRES A
SEPARATE PERMIT AND INSPECTION
FROM CITY OF LA QUINTA PUBLIC
WORKS DEPARTMENT
4, �„
o
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l�
.o
C•
C73ETE DIRIV.EW I(
o z
uJ
C
.°a.
o
J
.
°•
w LL
iE DEVELOPER / CONTRACTOR/ OWNER IS RESPONSIBLE
R THE VERIFICATION OF EXISTING CURB LOCATION FROM
PROPERTY LINES WITH PUBLIC WORKS DEPARTMENT
DATUM POINT
MID -POINT OF
fqN ir,nAl (-.Al IFC)RNIA FAN PALM
NEW 6' BLOCK
WALL 80' LONC
NEW BLOCK WALL
5' HIGH 20' LONG
VE 6x6 OPEI
I DRAINAGE
3/8" ROCK PALM SPRIT`
GOLD GROUND COVE[
DRIVEWAY APPROACH REQUIRES A
SEPARATE PERMIT AND INSPECTION
FROM CITY OF LA QUINTA PUBLIC
WORKS DEPARTMENT