BWFE2015-014978-495 CALLE TAMPICO
LA ZUINTA` CALIFORNIA 92253
Titit 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2015-0149
Property Address: 80421 PLATINUM WY
APN: 775220021
Application Description: SIGNATURE HACIENDAS TM36537-1 PH 1 LOT 29
Property Zoning: n
Application Valuation: $2,592.00'
Applicant: 1
CALIFORNIA WEST CONSTRUCTION I. JUN 1 1 ZO15
5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008
CITY OF LA QUINTA
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Prof sions Code,
and my License is in full force and effect.
License Claw: B License No.: 927267
:_�
j
Date: C f t r Contractor:
OWNER -BUILDER DECLARATION f
I hereby affirm under penalty of perjury that I am exempt fro the Contra or's State
License Law for the following reason (Sec. 7031.5, Business and ns 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, 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.).
r -
Lender's Name
Lender's
C
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 7774153
Date: 6/8/2015
Owner:
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE STE 110
f-ARLSBAD, CA 92008
IFORNIA WEST CONSTRUCTION 1
7 PRIESTLY DRIVE STE 110
,LSBAD, CA 92008
(760)918-6768
Lic. 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 Ccde, 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 subjecto the workers'
compensation laws of California, and agree that, if I should become ubject to the
workers' compensation provisions of Section 37 0 of the La r C e, I shall forthwith
comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION OVERA E IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE IL 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 erote above•
mentioned property for inspection purposes. � iJDate:/�C/
Signature (Applicant or Agent):
FINANCIAL i
DESCRIPTION ACCOUNT QTY AMOUNT
•
PAID
PAID DATE
:BSASSB1473FEE - 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 - 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 forFENCE OR FREESTANDING WALL $108.77 $0.00
TOTALS:0• 00
Description: SIGNATURE HACIENDAS TM36537-1 PH 1 LOT 29
Type: WALL/FENCE Subtype: Status: APPROVED
Applied: 6/5/2015 MFA
Approved: 6/5/2015 JJO
Parcel No: 775220021 Site Address: 80421 PLATINUM WY LA QUINTA,CA 92253
Subdivision: PM 20426 Block: Lot: 29
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,592.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME TYPE
Details: 96 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.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE
CARLSBAD
CA
92008
(760)918-6768
LBELLOSO@CALWESTC
STE 110
OMMUNITIES.COM
CONTRACTOR
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE
CARLSBAD
CA
92008
(760)918-6768
LBELLOSO@CALWESTC
STE 110
OMMUNITIES.COM
OWNER
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE
CARLSBAD
CA
92008
(760)918-6768
1
1
LBELLOSO@CALWESTC
1
STE 110
OMMUNITIES.COM
Printed: Monday, June 08, 2015 11:16:32 AM 1 of 2 .,.
SYSTEMS
PARENT PROJECTS
Printed: Monday, June 08, 2015 11:16:32 AM 2 of 2 C
SY57EM5
INSPECTIONS
SEQID
INSPECTION TYPE
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
0
FINAL**
BLD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
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 forFENCE OR FREESTANDING WALL $108.77 $0.00
TOTALS:09 00
PARENT PROJECTS
Printed: Monday, June 08, 2015 11:16:32 AM 2 of 2 C
SY57EM5
INSPECTIONS
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
0
BOND BEAM
BLD
0
FINAL**
BLD
0
FOOTINGS
I BLD
PARENT PROJECTS
Printed: Monday, June 08, 2015 11:16:32 AM 2 of 2 C
SY57EM5