BWFE2017-001278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BWFE2017-0012
U '� �kNhfCl/ VOICE (760) 777-7125
FAX (760) 777-7011.
DESIGN '& DEVELOPMENT DEPARTMENT-7153INSPECTIONS (760) 777
BUILDING PERMIT
Property Address:
61763 TOPAZ DR
APN:
764530021
Application Description:
REDLINE / SOLF OF V WALL ST SIDE YARD
Property Zoning:
:
Application Valuation: ,
$800.00
Applicant:
DAZ
P 0 BOX 5083
LA QUINTA, CA 92253
LICENSED. CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B License No.: 944325 .
Date: Contractor:
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
:Date: . 1/25/2017
Owner: ^°
Carrier: STATE COMPENSATION INSURANCE FUND Polity Number: 9168769
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
ROBERT REDLINE
.License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
I certify that in.the performance of the work for which this permit is issued, I
246 SILAS LN
shall not employ any person in any manner so as to become subject to the workers'
any.structure, prior to its issuance, also requires the applicant for the permit to file a
NEWBURY PARK, CA 92253,.'
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of. Division
comply with those provisions.
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permit subjects the applicant to a civil penalty of not more than five hundred dollars
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WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
Contractor: I
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
D
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INTEREST, AND ATTORNEY'S FEES.
P 0 BOX 5083
Q
U_LLl
LA QUINTA, CA 92253
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is'hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
9��
(_) I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
v
(760)285-3793
issued as a result of this application, the owner, and the applicant; each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
Llc. No.: 944325
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
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
t
is issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION •
Carrier: STATE COMPENSATION INSURANCE FUND Polity Number: 9168769
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
I certify that in.the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any.structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of. Division
comply with those provisions.
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
Date: Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR.IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT .
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is'hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to.an owner of property who builds or improves
issued as a result of this application, the owner, and the applicant; each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(_) I am exempt under Sec. B.&P.C. for this 'reason
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
Date: Owner:
work for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY
I certify that I'have read.this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for
I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Lender's Name:
Date: Signature (Applicant or Agent):
Lender's Address:
t
A
Date., 1/25/2017
Application Number:.
IBWFE2017-0012
Owner: .
Property Address:
61163 TOPAZ DR
ROBERT REDLINE
APN:
764530021 •
246 SILAS LN
Application Description:
REDLINE / 1OLF OF 6' WALL ST SIDE YARD
NEWBURY PARK, CA 92253
Property Zoning:. .
Application Valuation:
$800:00
Applicant:
Contractor:
DAZ
DAZ 1
P 0 BOX 5083
P 0 BOX 5083
LA QUINTA, CA 92253
LA QUINTA, CA 92253
,(760)285-3793
Llc. No.: 944325
Detail: lOLF OF 6' GARDEN WALL AT SIDE YARD [CITY SPECIFICATIONS) PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR
'TEXTURED COATING WHERE
VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA
p
BUILDING, CODES.
DESCRIPTIONACCOUNT
FINANCIAL INFORMATION
' QTY
AMOUNT
WALL/FENCE - FIRST 100 LF 1101-0000-42404.
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 SB 1473 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
• 00
Bin #. ;
City of La Q uin to
Bbitding 8£ Safety Division
• 78-495 Caf1e Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Owner's Name:
Permit #
Project Address:
A- P- Number:
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Address: TO �lct- w,L
Legal Description:
City, ST, Zip:
LeL v,
Contractor:
Telephone: %•
Address:
U
S
Project Description:
City, ST, Zip:
Telephone-,
StrV
f \ '
State Lic. # :
City Lie. #:
Arch.,`Engr., Designer:
Address:
City, ST, Zip:
Telephone. one:
Con' tructi n T Occupancy:
YPe: aneY:
,
State Lie. #-
Project type one • New Add'n Alter Repair. Demo.
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Name of Contact Person:Sq.
Ft.:
# Stories:
# Units:
Telephone 4 of Contact Person:
Q 1 f>Y±
Estimated Value of Project:.
.9 Submittal
Req'd
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rcc'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Catcs.
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
2n° Review, ready for corrections/issue
Electrical
SubcontactorList
Called Contact Person
Plumbing
Grant Aced
Plans. picked up
S.M.T.
I-I.O.A. Approval
Plans resubmitted
Grading
IN If OUSE:-
'rd. Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.1-P.P.
Pub. Wks. APpr
Date of permit issue
School Fees,
Total Permit Fees