The URL can be used to link to this page

BWFE2015-003778-495 CALLE TAMPICO C& 0 D Qum& LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BWFE2015:0037 'Property Address: 52295 AVENIDA VALLEJO APN: 773262031 Application Description: 82LF 5' GARDEN WALL APPROVED STD. Property Zoning: Application Valuation: $3,000.00 Applicant: VEGA MASONRY OUTSIDE CITY LIMITS LA QUINTA, CA 92253 FEB 13 2015 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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: License No.: :LIC -0006861 ate: Z octor: 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 - 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.).- (__j ale.).(__j 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: I P VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/13/2015 Owner: MERRILL HADLEY 52295 AVENIDA VALLEJO LA QUINTA, CA 92253 Contractor: VEGA MASONRY OUTSIDE CITY LIMITS LA QUINTA, CA 92253 (760)578-5230 Llc. No.: :LIC -0006861 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: 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 provisions of Section 3700 f the Labor Code, I shall forthwith comply with those provisions. Date: �� f 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 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 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 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 nter upon the above- mentioned property for inspection purposes. 7" - 2 f ignature (Applicant or Agen /�� "DESCRIPTION.' ''..: r.+-<., ..,. '.S Y S" t.39" ., X r FINANCIAL INFORMATION CCOUNT ` QTYx ��AMOUNT ..-�—.. ..e w S 1 .i `.l t !: i:..J"'._ _.. s.,a ..m..,e PAIDx S _ff `.�•A 'PAID DATEp k.._ BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 ` `• a PAID�BYi is 's Tse. �,' METHOD "# RECEIPT:# -,i CHECK # - CLTD BYE r Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 r� 'DESCRIPTION - '` , ; ACCOUNT` '¢ � QTY, ; w`AMOUNT,-! ' �y� PAID t � {PAID DATE. WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $0.00 PAID BY ti X s �`ht : , �? 41 METHOD x ? RECEIPT # E 'As F'AY, 'CHECK #y� b CLTD BY. - c�.DESCRIPTIONF x' ;ACCOUNT , g� QTYbAMOUNT't - r PAID PAID'DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $0.00 '. , d RECEIT:# i CHECK CTDBY+;METHODPAID.BY` ? Total Paid forFENCE OR FREESTANDING WALL- $108.77 $0.00 TOTALS:0• 00 . r r 11 Description: 82LF S' GARDEN WALL APPROVED STD. Type: WALL/FENCE Subtype: Status: APPROVED Applied: 2/13/2015 KHE Approved: Parcel No: 773262031 Site Address: 52295 AVENIDA VALLEJO LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: Lot: 3 CONTACTS Issued: UNIT 10 NAME " : ; ' Lot Scl Ft: 0 Building Scl Ft: 0 t Zoning: ` Finaled: Valuation: $3,000.00. Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 . No. Unites: 0 Details: 82 L.F. 5' GARDEN ACCEPTED CITY STANDARD, 2013 CODES. LA QUINTA •„ ADDITIONAUSITES -CHRONOLOGY . 4.h CONTACTS CONDITIONS Printed: Friday, February 13, 2015 9:46:58 AM 1 of 2' e ` SYSTfnAS CONTACTS NAME TYPE ; ; NAME " : ; .: ADDRESSI" _ CITY. STATE ZIP PHONE FAX ivim sa APPLICANT VEGA MASONRY OUTSIDE CITY LIMITS LA QUINTA CA 92253 - CONTRACTOR VEGA MASONRY OUTSIDE CITY LIMITS LA QUINTA' CA- 92253 OWNER MERRILL HADLEY 52295 AVENIDA LA QUINTA CA 92253 VALLEJO FINANCIAL INFORMATION -. ... DESCRIPTION ,T . , : � F.. � k ACCOUNT Z p :..Y g; sl .,.n � ri .x �•, .,QTY i AMOUNT.,, ' 'PAID - - : i x ,.r.:.. _ �. PAID DATE- RECEIPT #_ CHECK #�4 METHOD,`A y,. r ,G BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 _ BSA: Printed: Friday, February 13, 2015 9:46:58 AM 1 of 2' e ` SYSTfnAS r Printed: ACCO QT AMOUNT PAID _ PAID DAT E RECEIPT # CHEC# METHOD _,. PAID BY-,, CLTD BY - WALL/FENCE - FIRST 101-0000-42404 011 $47.86 $0.00 100 LF WALL/FENCE -FIRST 101-0000-42600 0 $60.91 $0.00. •100 LF PC Total Paid forFENCE OR FREESTANDING WALL- $108.77 $0.00 • 0 - TOTALS:0•77 $0.00 Printed: Friday, February 13, 2015 9:46:58 AM 2 of 2 SYS TEti1S CITY OF 'lam QU6' TA OUILDINIG & SA.FEfYyDEPT. APPROVED. FOR CONSTRUCTION DATE: aZ S BY C I A e . v , Birth l 1 Permit #Ot� A WOO. Crty of U Uinta: 7 w : �j l�_ Z?27 -Building st;. Safety Division P.O. Box 1504, 78-495 Calle .Tampico . W� - . La Quinta, CA 92253 - (760) 777-7012. - . Building Permit Application and Tracking Sheet Project Address: J 2a9 s y-LMIPJ�jLA_ (Q Owncr's Namc: A. P. Number: Address: Legal Description: City, ST, Zip: LA (Q:) (LA t Contractor: ' h ne: Z Telephone: Address: 3 13? 1 h Q' V Project.Description: At, L City, ST, Zip:. d Q 14-- 2-2- ZTelephone: Telephone: State Lic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone:hone• Construction Type: OccuP Y• State .ic. .Project type (circle one):,..Add'n Alter. Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: oe Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Rcc'd 'TRACKING PERMIT FEES Plan Sets PIan Check submitted Itcm Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs.' Called Contact Person Plan Check Balance, Titic'24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'4 Review, ready for corrections/issue Electrical Subconfactor List Called Contact'Person Plumbing , Grant Decd Plans Pickcd up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`° Rcvicw, ready for corrcctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I•P.P. Pub. Wks. Appr Date orpermlt issue School FCCS Total Permit Fccs