14-0620 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: -4; 14�00000620�--�
:
Property Address- -. 77450 CALLE-TECATE
APN: 774-293-025-12 -000000-
Application description: WALL/FENCE
Property Zoning: COVE RESIDENTIAL
Application valuation: 125
eioJ feet or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I a licensed under p visions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business d rofessionals C , and my License is in full force and effect. -
License Class: B Lic ns No.: 814095
C=:;:. ate ntractor.
` OWNER -B DER 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).:
(_ 1 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.).
1—) 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 Address:.
LQPERMIT
Owner:
BURGOS EDWARD & SU FEI
77450 CALLE TECATE
LA QUINTA, CA 92253
Contractor:
L & D CUSTOM WORK
84419 ROSAL AVENUE
COACHELLA, CA 9223
(760)578-8606
Lic. No.: 814095
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/13/14
MAY n2014
iiYOF LA oumn
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 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 carrier and policy number are:
Carrier STATE FUND Policy Number 9000594-2013
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manners s to become subject to the workers' compensation laws of California,
and agree that, if I sh Id me subject to a workers' compensation provisions of Section
3700 of the Labor de, shall for[R'�M com ly with those provisions.
..t.52 Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ,ND 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 ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT7�
IMPORTANT Application is hereby made to the Director of Building and Safety fora -.permit subject to the
conditions and restrictions set forth on this application. 4.
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 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 issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this ap 'cation and state that the above information is correct. I agree to comply with all
city and county ordinances a Labove-�an'
to laelating-to but in construction, and hereby authorize representatives
of this county to enter upo tioned p ty f r inspection purposes.
Si t r Age_n -
Application Number . . . . 14-00000620
Permit . . . WALL/FENCE PERMIT 2013
Additional desc .
Permit Fee . . . . 47.19 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 125
Expiration Date 11/09/14
Qty , Unit Charge *Per
Extension
1.00 47.1900 LS MISC WALL, FIRST 100 LF
47.19
----------------------------------------------------------------------------
Special Notes and Comments
5 LN FT X 6 FT HT BLOCK WALL PER ORCO
STANDARDS & APPROVED
PLANS.SPECIFICATIONS] PRECISION CONCRETE
BLOCK SHALL BE COVERED WITH STUCCO,
PAINT, OR TEXTURED COATING WHERE VISIBLE
FROM OUTSIDE THE PROPERTY. 2013CBC.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, WALLS
60.06
Fee summary Charged Paid Credited
Due
Permit Fee Total 47.19 .00 .00
47.19
Plan Check Total .00 .00 .00
.00
Other Fee Total 61.06 .00 .00
61.06
Grand Total 108.25 .00 .00
108.25
LQPERMIT
Bin #
City Of La Quiilta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet(',
Permit #
j
Project Address:
Owner's Name:
A. P. Number:
Address: — C
Legal Description:
City, ST; Zip:
Contractor: �� /
, �
Telephone:
Address: L .-- q
LaiProject
Description:
City, ST, Zip-
ip:�-
4
a
Tele h
Telephone:,
one:
P :<
6 v
iv1i�
,6
State Lic. # : 0
City Lie: #•:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
i:i ..'i'.j}:;
;}.;N;::::•::y}}}}}}iv.ny::.!:iiL.'`•:�:}1:vviti
Construction Type: Occupancy
State.Lic. # •
Project circle one): New Addn Alter Repair
Ject tyPa � ) ' P Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone #:of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
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 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of.permit issue
Scliool Fees
Total Permit Fees
IR CONSTRUj ;
f3Y
U
Lu
CURB
GUTTER
6cr
� c>P
DA jr
48'-0'
I
22'-0'
SETBACK ..
SETBACK
'
250 GAL
LANK :., . . =.;•. .
. 100.00; FjRr► P,�f'�RZY "N
•�®
--®.. • • .:
..PROPANE
NEW 5' HIGH
I
.
• ^
MASONRY WALL
I WITH PLASTER
::
in
I
FINISH
5' HIGH WALL
----SCK LINE _
_ ' - - -
GATE
'
-----
r - - - - ------
_ --(E)
(E) CITRUS tREE
i
r
I
(E) PLANTEIR
(E) PLANTER
'
TO BE REMOVED ------
I
(E) GARDEN WALL
� ' I
I
I
i
F(E)
PAVERS
I
' \� lE) PALM TREE
(E) PALM TREES
I DRIVEWAY
I
lE) DEGK
.\\TO BE REMOVED I
I
I I APPROACH
AP
(E) 5' HIGHI
+I6' FROM DECKI
°al
\
NEW GONG.
WALL I
I
DRIVE
I
(E) GARDEN¢
I
I WALL �4'-4,
ADD SPA TO EXISITING POOL
`'
I
��
NEW 5' HIGH
MASONRY WALL
i
1 (SEPARATE PERMIT REQUIRED)
I I "
LASTER
J
�
FWITH INISH
SPILLWAY
o
LANDSCAP OI
+- I
(E) POOL
PA
- -
I
I (E) PAVERS
� 9
_
7TATE'Y�
a
N) CONC-
Q .
ei
(E) GARDEN lE) DECK (E) PLANTER/°
. , ..
!°; . W,4LKlUAY • .` I
i
fCATIUORi�
°�
I
lE) PLANTR
REMOVED
WALL
I. ° I.. °
PA°
e
° l '
qw U
e
—
t = o
ARCH. WOOD
I-------------
,
, .,,
.
+2
FRAMED /
e 1•
+24 1
PLASTER FIN.
I—SETBACK LINE
I
I
j PATIO
ti
+0 00
°
+3
+24
l��j
(E) CONC. FLATWORK
I
-----
'
r
---------- --------
°.. ' +24'
FIN. FL'R-
® ,
I
/� �/� I,
+0.00 I
NEW WATER
- .°
FOUNTAIN
I .
(E) WALL.
t GATE
i
! ---
-
°
°
8
I
f
------
— — — — —
, •.'
(E) LAND5CAPE
------
AREA
LANDSCAPE
IR CONSTRUj ;
f3Y
U
Lu
CURB
GUTTER