BWFE2015-011078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Qumr(u
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BWFE2015-0110
Property Address:
59265 SEVILLE
APN:
764700005
Application Description:
ANDALUSIA TM 31681-3 LOT 170 / BLOCK WALL 199 LF
Property Zoning:
I an will maintain workers' compensation insurance, as required by
Application Valuation:
$4,975.00
Applicant:
is issued. My workers' compensation insurance carrier and policy number are:
T.D. DESERT DEVELOPMENT,
L.P.
81-570 CARBON ERAS
_ I certify that in the performance of the work for which this permit is issued, I
LA QUINTA, CA 92253
a�
Owner:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/14/2015
T D DESERT DEV
81570 CARBONERAS
LA QUINTA, CA 0
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'
and my License is in full force and effect.
compensation s provided for by Section 3700 of the Labor Code, for the performance
License Class, _ U nse No.: AEC212
o e w r o whi this permit is issued.
LL,
I an will maintain workers' compensation insurance, as required by
Date: - Contractor: F/
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ecti 3700 of the abor Code, for the performance of the work for which this permit
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is issued. My workers' compensation insurance carrier and policy number are:
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_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
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5
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the L e, I shall forthwith
u_
Contractor:
Lt
Date 4 Applican
O w
T.D. DESERT DEVELOPMENT,
P,
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($500).:
81-570 CARBON ERAS
(1 I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
LA QUINTA, CA 92253 jam' '
1j 4
Llc. No.: AEC212
LICENSED CONTRACTOR'S DECLARATION I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
_ I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation s provided for by Section 3700 of the Labor Code, for the performance
License Class, _ U nse No.: AEC212
o e w r o whi this permit is issued.
� - ��
I an will maintain workers' compensation insurance, as required by
Date: - Contractor: F/
� �
ecti 3700 of the abor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
OWNER-BUILDECLARATION
Carrier: _ Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the L e, I shall forthwith
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
comply w' tho pr isions.
of the Business and Professions Code) or that he or she is exempt therefrom and the
Date 4 Applican
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAG IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Cl. IL FINES UP TO
(1 I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(__) 1, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
-
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit. .
( I I am exempt under Sec. . B.&P.C. for this reason
2. Any permit issued as a result of this application becomes null and void if work is
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 Na
Lender's Add
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 laws relating to building
construction, and hereby authorize representativ this city enter upon the above-
mentioned)6ropeA f9f inspection purposes.
Signature (AppV6ant or Agent):
FINANCIAL .•
DESCRIPTION , ACCOUNT
1•
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 SO LF,
101-0000-42404
0
$29.00
$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 forFENCE OR FREESTANDING WALL $137.77 $0.00
TOTALS:$0.00
Description: ANDALUSIA TM 31681-3 LOT 170 / BLOCK WALL 199 LF
Type: WALL/FENCE Subtype: Status: UNDER REVIEW
Applied: 5/12/2015 MFA
Approved:
Parcel No: 764700005 Site Address: 59265 SEVILLE LA QUINTA,CA 92253
Subdivision: TR 31681-3 Block: Lot: 170
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,975.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 199 LF GARDEN WALL [ANGELUS 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
T.D. DESERT DEVELOPMENT, L.P.
81-570 CARBONERAS
LA QUINTA
CA
92253
NSPARKS@RANCHOLA
QUINTA.COM
CONTRACTOR
T.D. DESERT DEVELOPMENT, L.P.
81-570 CARBONERAS
LA QUINTA
CA
92253
NSPARKS@RANCHOLA
QUINTA.COM
OWNER
T D DESERT DEV
81570 CARBONERAS
I LA QUINTA
I CA
1 0
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DESCRIPTION
ACCOUNT,
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
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
$29.00
$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 forFENCE OR FREESTANDING WALL- $137.77 $0.00
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Printed: Thursday, May 14, 2015 2:47:05 PM 2 of 2
LJ U LJ LJ SYSTEMS