BWFE2015-017278-495 CALLE TAMPICO
LA `QUINTA, CALIFORNIA 92253
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2015-0172 D
Property Address: 80388 CHAMPIONS WY
APN: 775220021
Application Description: SIGNATURE ESTATES TM36537-1 PH LOT 7 JUN 11 2%
Property Zoning:
Application Valuation: $3,348.00 QUINTA
CITYOF
LAI
Applicant:
DOMMUNITY DEVELOPMENT DE
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008
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 Prof ssions Code,
and my License is in full force and effect.
License Class: B License No.: 927267
r?t 1Contra. o
Date: � ctorr: J
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt frL 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 Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/9/2015
II CWC LAQ LLC
PRIESTLY DR STE 110
;BAD, CA 92008
Eontractor:
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008 .
(760)918-6768
Llc. No.: 927267
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 ject to the
workers' compensation provisions of Section 37 0 of the Labor Co e, l shall forthwith
comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENS TION COVERAG IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES AND CIVI FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN AD TION TOTA COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3 F 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 t uilding
construction, and hereby authorize representatives of this city to enter up he above-
mentioned proppirty for inspection purposes.
0Z%t
Date Signature (Applicant or Agent): C
.. DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
QTY AMOUNT PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00 $0.00
PAID BY
METHOD
RECEIPT # CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$14.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
.101-0000-42600
0
$60.91
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for FENCE OR FREESTANDING WALL $123.27 $0.00
TOTALS: $124.27 00
Description: SIGNATURE ESTATES TM36537-1 PH 1 LOT 70
Type: WALL/FENCE Subtype: Status: UNDER REVIEW
Applied: 6/8/2015 MFA
Approved:
Parcel No: 775220021 Site Address: 80388 CHAMPIONS WY LA QUINTA,CA 92253
Subdivision: PM 20426 Block: Lot: 70
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,348.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
PLAN CHECK SUBMITTAL MARY FASANO
Details: 124 LF GARDEN WALL [ORCO SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED
COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES.
Printed: Tuesday, June 09, 2015 10:27:12 AM 1 of 2
SYSTEMS
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
PLAN CHECK SUBMITTAL MARY FASANO
6/5/2015
6/8/2015
RECEIVED
CONDITIONS
CONTACTS
NAME TYPE NAME
ADDRESSI
CITY
STATE
ZIP PHONE
FAX EMAIL
APPLICANT
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE
CARLSBAD
CA
92008
LBELLOSO@CALWESTC
STE 110
OMMUNITIES.COM
CONTRACTOR
CALIFORNIA WEST CONSTRUCTION I
5927 PRIESTLY DRIVE
CARLSBAD
CA
92008
LBELLOSO@CALWESTC
STE 110
OMMUNITIES.COM
OWNER
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE
CARLSBAD
I CA
j 92008
110
Printed: Tuesday, June 09, 2015 10:27:12 AM 1 of 2
SYSTEMS
o
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
REMARKS
LTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
tCHECK #
METHOD
PAID BY
FOOTINGS
BLD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
WALL/FENCE - EA
101-0000-42404
0
$14.50
$0.00
ADDITIONAL 50 LF
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$0.00
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL $123.27 $0.00
o
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
REMARKS
BOND BEAM
BLD
BUILDING
BUCKET
6/5/2015
6/12/2015
FINAL"
BLD
FOOTINGS
BLD
BOND INFORMATION
ATTAGHMENTS
Printed: Tuesday, lune 09, 2015 10:27:12 AM 2 of 2
SYSTEMS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
DATE
STATUS
REMARKS
NOTES
NON-STRUCTURAL -
1 WK
BUILDING
BUCKET
6/5/2015
6/12/2015
BOND INFORMATION
ATTAGHMENTS
Printed: Tuesday, lune 09, 2015 10:27:12 AM 2 of 2
SYSTEMS