BWFE2015-006678-495 CALLE TAMPICO
LA QUINT NIA 92253
S
COMMUNITY DEVELOPMENT DEPARTMENT
Application Number: BWFE2015-0066
Property Address: 53525 AVENIDA CORTEZ
APN: 774101001
Application Description: CAGIANO/21 FEET OF 5 FOOT BLOCK
Property Zoning:
Application Valuation: $2,500.00
Applicant:
YOUNGS CONSTRUCTION
OUTSIDE CITY LIMITS
LA QUINTA, CA.92253
BUILDING
MAY 14 2015
COMMUNnMVEIOPMEN7DEP_ N�ENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed underprovlsions 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 CClass* B License No.: 88845,
Date: ` Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm underpenalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 70315; Business and Professions Code: Any
city or county that requires a permit to construct, after, improve, demolish, or repair
anystructure, prior to its issuance, also requires the applicant forthe 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 Businessand Professions Code) or that he.orshe is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 76315 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred�dollars
($500)::
L_J I, as owner of the property, or my employees with wages as their sole
compensation, wilLdo 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'bullds or improves thereon, -and who does the.work
himself or herself through his or her own employees, provided that the improvements
are.notintended 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.).
U'I, as owner of the property,,am exclusively contracting.withlicensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State.License Law does not apply town owner of property who builds or improves
thereon, and who contracts for the projects with a contractors) licensed pursuant to
the Contractors' State, License Law.).
(__j 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
theperformanceof the work for which this permit is Issued (Sec. 3097; Civ. C:).
Lender's Name:
Lender's Address:
VOICE'(760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/14/2015
Owner:
MATTHEW CAGGIANO
Contractor:
YOUNGS CONSTRUCTION
41-501 BROWNSTOWN DR
BERMUDA DUNES, CA 92203
(760)238-2383
Llc. No.: 888454
. WORKER'S'COMPENSATION DECLARATION
Lhereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate:of.consent to self -insure for workeW
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
1 have and will! maintainworkers' 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, if I should become subject to the
workers' compensation provisionsof.Se n3700 of the La r Code,.I shall forthwith
comply wit %thole provisions.
Date: S . I '`J 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.AODITION TO THE COST OF
COMPENSATION,.DAMAGES AS PROVIDED FOR IN SECTION' 3706.OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made'to the Building Official for a permit subject to
the'condttlons 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 for any act or omimiomrelated 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 issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that) have read thisappllcation and:state that the above information is correct.
I agree to comply with all clty.and county ordinances and state laws relating to building
construction, and hereby authorize representatives of thi city to enter upon the above-
mentioned p5operty for inspection purposes.
45/1q&
Date:. Signature (Applicant or Agent):
Description: CAGIANO/21 FEET OF 5 FOOT BLOCK WALL'[CITY STANDARD).
Type: WALL/FENCE Subtype: StatusASSUED
Applied: 4/6/2015-SKH
Approved: S/6/201S JFU
Parcel No: 774101001 Site Address: S352S AVENIDA CORTE2 LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA.AT VALE LA QUINTA Block: 195 Lot:.1
Issued: S/14/2015 MFA
UNIT 19
Lot Sq Ft: 0 Building..Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,500.00 Occupancy Type: Construction Type:
Expired: 11/10/2015 MFA
No.. Buildings: ;0 No. Stories: 0 No. Unites: 0
Details: 21 LF 5' HIGH BLOCK WALL. EQUIPMENT ENCLOSURE AT FRONT YARD. 2013 CALIFORNIA BUILDING CODES.
""CONTRACTOR MUST OBTAIN CITY BUSINESS LICENSE AND PRO_ VIDE PROOF OF CURRENT VALID CONTRACTOR'S LICENSE PRIOR
TO ISSUANCE OF PERMIT."""
30 �`' ' ✓ ,
yr a
FINANCIAL INFORMATION
Printed: Thursday, May 14, 2015 3:06:23 PM 1 of 2
SYSTEMS
-r 'F`
rDESCRI TI
A
Q'�fY
p'7', '7
#" MO
�
P I
b
#
CHEC
N
,ONS :
-
-
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
S/14/1S
86086
3268
CHECK
YOUNGS
CONSTRUCTION.
MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:.
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$47.86
S/14/15
R6086
3268
CHECK
YOUNGS
MFA
100 LF
CONSTRUCTION
WALL/FENCE - FIRST
101-0000-42600
0
$60.91.
$60.91
S/14/18
R6086
3268
CHECK
YOUNGS
MFA
100 LF PC
1
CONSTRUCTION
Total Paid forFENCE OR FREESTANDING WALL .$109.77 $108.77
TOTALS. $109.77
Printed: Thursday, May 14, 2015 3:06:23 PM 2 of 2
SYSTEMS