BWFE2016-023178-495 CALLE TAMPICO T�/ D 40"
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LA QUINTA, CALIFORNIA 92253 D )
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS 0) -7153
BUILDING PERMIT NOV 16 2016
Date 6/2016
Application Number: BWFE2016-0231 CITY OF LA QUINTA
Property Address: 52020 AVENIDA CORTEZ UNHAND MMOPMENT DEPARTMENT
APN: 773202002 3419 VIA LIDO
Application Description: TERRY LIVING TRUST / BLOCK WALL NEWPORT BEACH, CA 92663
Property Zoning:
Application Valuation: $8,100.00
Applicant:
RIMCREST DEVELOPMENT INC
3419 VIA LIDO SUITE 455
NEWPORT BEACH, CA 92663
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 Divisio 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B License No.: 858893
Date:_ 170.1-1 A. Contractor.
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).:
(_J 1, 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 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
Lender's Address:
G
Contractor:
RIMCREST DEVELOPMENT INC
3419 VIA LIDO SUITE 455
NEWPORT BEACH, CA 92663
(949)466-0900
Llc. No.: 858893
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: EXEMPT 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 agrlat, should become subject to the
workers' compensation provisions of Secf the Labor Code, I shall forthwith
comply with those provisions.
Date: 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 a state laws relating to building
construction, and hereby authorize representatives of th ity to enter upon the
above-mentioned property for inspection purposes.
Date:Signature (Applicant or Agent):
Application Number: BWFE2016-0231
Property Address: 52020 AVENIDA CORTEZ
APN: 773202002
Application Description: TERRY LIVING TRUST / BLOCK WALL
Property Zoning:
Application Valuation: $8,100.00
Owner:
TERRY LIVING TRUST
3419 VIA LIDO
NEWPORT BEACH, CA 92663
Date: 11/16/2016
Applicant: Contractor:
RIMCREST DEVELOPMENT INC RIMCREST DEVELOPMENT INC
3419 VIA LIDO SUITE455 3419 VIA LIDO SUITE 455
NEWPORT BEACH, CA 92663 NEWPORT BEACH, CA 92663
(949)466-0900
Llc. No.: 858893
---------------------------------------------------------------------------------------------
Detail: 51 LF OF 6' GARDEN WALL AND 130 LF OF WITH 2 FT RETAINING [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH
STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES.
FINANCIAL
DESCRIPTION ACCOUNT
QTY
AMOUNT
RETAINING/COMBINATION WALL EA 501-F
101-0000-42400
0
$45.60
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$30.40
DESCRIPTION
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: $190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 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:d
0
1 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
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PROPOSED RESIDENCE
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Bin #
City of La QUinta
Building a Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address;
Owner's Name: 7e;z vv
A. P. Number:
Address: ,
Legal Description:
City, ST, Zip:
G
Contractor: d' i �� ,�
Telephone:
Address:
Project Description:7.
City, ST, Zip: 17 rill
Tele phone:
State Lic. # :
City Lie. #;
/
Arch., Engr., Designer.
ace 51A
Address: . . !
.1� 11; . d
City., ST,.Zip:
Telephone,
State Lie. #•
%.,>�::><r:;;,::;;:..:.:::::...>�,,...;
y... FF...,:f•_:s::: �. 1..;..;ar,.lty�4r'r;;yv;,r �::
Construction Type: Occupancy:
Project type (circle one): New. Add'n Alter Repair . Demo
Name of Contact Person:G z .
Sq. Ft.:
# Stories: 1# Units:
Telephone # of Contact Person: 2 4
Estimated Value of Project: V
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 Cales.
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 up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'"! Review, ready for corrections/issuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Tota -1P ermit Fees