BWFE2017-0121b.
78-495 CALLE TAMPICO D 11.. VOICE (760) 777-7125
LA QUI FAX (760) 777-7011INTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/5/7017
Application Number: BWFE2017-0121 Owner:
Property Address: 77345 CALLE SONORA GEORGE HADDOCK
APN: 773252012 77345 CALLE SONORA
Application Description: HADDOCK / 38.5LF GARDEN WALL AND 37.5LF COMBO WALL LA .QUINTA, CA 92253 '
Property Zoning:
Application Valuation: $4,000.00
JP D
UL 05 2017
CITY OF LA OU;NTA
COMMUNITY DEVELOPMENT DEPARTMENT
Applicant:
HEY DUDE CONSTRUCTION INC
P0BOX 1018'
THOUSAND PALMS, CA 92276
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: B License No.: 8451115
Date ]!5-ontrtor:
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 Name
Lender's Addre
Contractor:
HEY DUDE CONSTRUCTION INC
P O BOX 1018
THOUSAND PALMS, CA 92276
(760)343-5272
Llc. No.: 845115
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
ofe rk for which this permit is issued.
tEP have and will maintain workers' compensation insurance, as required by
Sectio 3n 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: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC64386165
_ I certify that in the performance of the work fog which this permit is iss jed, 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.
ARpliicccann.t. k, )Cie cools _C(�,
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPJTO
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 ATTORNEY'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 permfc issued
as a result of this application , the owner, and the applicant, each agrees to; and -;hall
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 worx is not
commenced within 180 days from date of issuance of such permit, or cessation a= work
for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is orrect.
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 entelhe above-
mentioned property for inspection purposes. ��
Date: 7/5,'2017
Application Number: BWFE2017-0121 Owner:
Property Address: 77345 CALLE SONORA GEORGE HADDOCK
APN: 773252012 77345 CALLE SONORA
Application Description: HADDOCK / 38.5LF GARDEN WALL AND 37.5LF COMBO WALL -LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $4,000.00
Applicant: Contractor:
. HEY DUDE CONSTRUCTION INC HEY DUDE CONSTRUCTION INC
P0BOX 1018 P0BOX 1018
THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276
'(760)343=5272
Llc.'No.: 845115
Detail: 37.5LF OF 6"GARDEN W/2' RETAINING AT SOUTH PL AND 38.5LF OF 6' GARDEN WALL AT WEST PROPERTY. LINES [ANGELUS (S-1.OLQ, S-1.5LQ)
SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO,.PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE rHE
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.
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: '
DESCRIPTION
FINANCIAL INFORMATION
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:
$114.00 .
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTIONACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: '
A
Bin #
City of La Q uin'ta
Building 8F Safety Division
Permit # 78.495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
1�l 406�� Building Permit Applic'don'and Tracking Sheet
Project Address:' 77 th" ! �' G�Gy -own . 's Name: CfeOO li �C t
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A. P. Number:
Add ess: 7% 3 A/S C-411,1 CJ 014 a Jv
Legal Description:
rCity,'ST, Zip:. Lu I 4 Cf ZZ S
Contra ctor:
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ele hone: � Q 5
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Address:p�
,project Description: &r je' mock �4.
City, ST, Zip:.'22-K,
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State Lie. # : 5
City Lie.
Ca/ LT / c -
Arch., Engr., Designer:
Address:
City, ST, Zip:
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Telephone:hone:
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Construction n TY an
Pe: Occupancy:
cY:
Lie. 9: .
Project type (circle rcle one • New Add'n 'Alter ReP ai r Demo
_State
Name of Contact Person:U'epr �j�
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# Stories:
# Units:
Telephone # of Contact Person: 5G' �' 7 ' V O 9 ,t
"Estimated Value of Project:
APPLICANT:, DO NOT WRITE BELOW THIS LINE
#
'Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Caics.
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
2°" Review, ready for corrections/issue
Electrical . .
Subcontactor List
Called Contact Person
Plumbing
Grant Deed '
Plans picked ups
S.M.I.
li.O.A. Approval
Plans resubmitted
Grading f
•.IN ROUSE:-
'"! Review, ready for correctionsrssuc
Developer Impact Fee
Planning Approval •
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
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