BWFE2014-114978-495 CALLE TAMPICO a� VOICE (760) 777-7125
� O�i D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/16/2014
Application Number: BWFE2014-1149 Owner:
Property Address: 81150 ELSWORTH PL JIMMY FILLER
APN: 767670007
Property Zoning:
Application Valuation: $1,500.00
Applicant: D Contractor:
M CASTILLO'S CONCRETE CO M CASTILLO'S CONCRETE CO
P0BOX 5 DEC 16 2 14 P0BOX 5
COACHELLA, CA 92236 COACHELLA, CA 92236
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT (760)398-9227
Llc. No.: 881611
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: C-8, C29 License No.: 881611
Date: , LIl 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
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 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 Address:
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 of the Labor Code, I shal forthwith
comply with those provisions. i7
bate: Z �U / 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 enter upon the above•
mentioned property for inspection purposes.
Date: ZZI-141& Signature (Applicant or Agent):
DESCRIPTION r
FINANCIAL •
I ' '• 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 - 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
TOTALS:••
$108.77
$0.00
• •0
Description: BLOCK WALL 6'6"X 24 LN FT
Type: WALL/FENCE Subtype: Status: SUBMITTED
Applied: 12/16/2014 PJU
Approved:
Parcel No: 767670007 Site Address: 81150 ELSWORTH PL LA QUINTA,CA 92253
Subdivision: TR 33076-1 Block: Lot: 11
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME TYPE
Details: 6'6" HT ANGELUS BLOCK WALL 24 LN FT GATE ENCLOSURE FOR ELECTRICAL GATE APPROVED PER JJ.THIS PERMIT DOES NOT INCLUDE
ELECTRICAL PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM
OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
FAX
EMAIL
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
APPLICANT
M CASTILLO'S CONCRETE CO
P 0 BOX 5
COACHELLA
CA
92236
CONTRACTOR
M CASTILLO'S CONCRETE CO
P 0 BOX 5
COACHELLA
CA
92236
OWNER
JIMMY FILLER
2964 SHOOK HILL
PKWY
BIRMINGHAM
AL
0
FINANCIAL INFORMATION
CLTD
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBU1LDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Tuesday, December 16, 20141:01:15 PM 1 of 2
CRW SYSTEMS
DESCRIPTION ACCOUNT QTY
WALL/FENCE - FIRST 101-0000-42404 0
100 LF
WALL/FENCE - FIRST 101-0000-42600 0
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL
AMOUNT I♦ PAI- D-- YI PAIDDATE I RECEIPT#^I CHECK#'IPMETHOD
$47.86 1 $0.00
$60.91 I $0.00
$108.77 $0.00
PAID BY CLTD -
BY
Printed: Tuesday, December 16, 20141:01:15 PM 2 of 2
RW SYSTEMS
INSPECTIONS
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
BOND BEAM
FOOTINGS
FINAL"
Printed: Tuesday, December 16, 20141:01:15 PM 2 of 2
RW SYSTEMS
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CITY OF LA QUI -N TIA
BUILDING & SAFETY DEPT.
APPROVED.
FOR CONSTRUCTION,,
bATELA( kY—
Bin #
City of La Q uin to .
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012 '
Building Permit Application and Tracking Sheet
Permit #
Project Address:. "'
Owner's Name: EAs
A. P. Number:
Address.
Legal Description:
City, ST, Zip:
Contractor: ►
Telephone:
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Address'Or
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Project Description:
city, ST, Zip: (B C (A
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Telephone: �(j -</ t
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State Lic. # : �' 6. �(
City Lie. #:. /D Z3
Arch., Engr., Designer:
Address:
City., ST, Zip:
togtitiaughy6�-
Telephone:
aneY
structi0 nTY Occupancy:
:Co
Pe:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: S
{ �/ /
Sq. Ft.: Z ><
I # Stories:
# Units:
Telephone #,of Contact Person:
Estimated Value of Project: 4,1014? 190
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.'
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs. '
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan'
t
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.X.
II.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:
Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
(/,