BWFE2014-1125[�/ (1 D
�i Qumry
VOICE (760) 777-7125
78-495 CALLE TAMPICO T a
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING,PERMIT
Date: 11/14/2014
Application Number: BWFE2014-1125 Owner:
Property Address: 46805 WASHINGTON ST ST ANDREWS RESIDENCE
APN: 643194011. 46805 WASHINGTON
Application Description: BLOCK WALL 71 LN FT X 6 FT HT ANGELUS LA QUINTA, CA 92253
Property Zoning:
Application Valuation: , $3,100.00
Applicant: Contractor:
M CASTILLO'S CONCRETE CO a M CASTILLO'S CONCRETE CO
P 0, BOX 5 FDEVajopmENT
P O BOX 5
COACHELLA, CA 92236 COACHELLA, CA 92236
\I(760)398-9227
TYOFLA0UINTA Llc. No.:881611
DEPARTMENT
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
' y Date:
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, improvd, 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).:
(_) 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.).
(__j 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
Contractor:
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 shall forthwith
comply with those provisions.
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: Signature (Applicant or Agent)
1
FINANCIAL INFORMATION
3 '' DESCRIPTION s 4` ;'ACCOUNT,YAMOUNT t
a f PAID'r
PAID DATE:
✓~'
BSAS SB1473 FEE
' -101-0000-20306 • 0- $1.00
$0.00
_ i 1.
y
rc> #"; PAID BY t` -`.
f
y+.��+#� }METHOD-�;- 4,' # 'CHECK # r'`• ' CLTD BY�y
a �wRECEIPT.
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00
$0.00
�;, .- . ... s Jfi' +
DESCRIPTION' +
�• rY., ._.
5. !•7 AMOUNT4
PAID
PAID'DATE
:;
�: rF1ACCOUNT sy'
,.
.;QTY
rz.
WALL/FENCE -FIRST 100 LF
101-0000-42404
0-
✓-, `' $47.86 -'
$0.00
z
,r� r 'PAID BY," t :,
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CLTD BY
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ta-'L„AMOUNTj
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PAID.DATE•
of a: yDESCRIRTION
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
A=;t f 7�';s PAID BY' °F
�;a� S �, ;METHOD s
q=F �'� RECEIPT #�
`,CHECK #
CLTD,BY
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Total Paid for FENCE OR FREESTANDING WALL • $108.77
$0.00
TOTALS:0•
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Descri tion: BLOCK WALL 71 LN FT X 6 FT HT ANGELUS
Type: WALL/FENCE
Subtype:
Status: SUBMITTED
Applied: 11/14/2014 PJU
Approved:
Parcel No: 643194011 Site Address: 46805 WASHINGTON ST ST LA QUINTACA 92253
Subdivision: TR 2117
Block:
Lot:'66
Issued:,
Valuation: $3,100.00
Occupancy Type:,
Construction Type:
CONTACTS
Expired:
TX
Details:
"4
M CASTILLO'S CONCRETE CO
POBOX5
0
ADDITIONAL SITES
4.
CHRONOLOGY
CONDITIONS
CONTACTS
TX
EM Ali
APPLICANT
M CASTILLO'S CONCRETE CO
POBOX5
COACHELLA
CA
92236
(760)534-4634
CONTRACTOR
M CASTILLO'S CONCRETE CO
P 0 BOX 5
COACHELLA
CA
§2236
(760)534-4634
OWNER
ANDREWS RESIDENCE
46805 WASHINGTON
LA QUINTA
CA
92253
(760)S34-4634
4.
BSAS S61473 FEE
101-0000-20306
0
$1.00
so -00
T otal Paid forBUILDING STANDARDS ADMINISTRATION
.
$1.00
$0.00
. .. ,
� .
'
Printed: Friday, November 14,ZOl49573mAM' zofZ
' ~=="w^"'EM°
, .
PARENT PROJECTS
REVIEWS
-f 7�
RETURNED = STAT US 1,f'i
�,,,iREVIE���j IEWER' ��Ut'tAiE NOTES,
BOND INFORMATION
ATTACHMENTS
. Printed: Friday, November 14, 2014 9:57:38 AM 2 of 2
CRSYSTEMS
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"�ETHOD!
PAID V
CLT&�'.
DESCRI PTION
ACCOUNT
U
AMOUNT
:�PAI!D
PAID DATE
#
CHECK #
L&El)'[:�,:Rl
'COMPLETED
_DA_
'Ti
RESULT
ULT
_BY-.
-NOTES'
'4 3
FINAL"
4
BOND BEAM.
WALL/FENCE - FIRST
FOOTINGS
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: $109.77 $0.00
PARENT PROJECTS
REVIEWS
-f 7�
RETURNED = STAT US 1,f'i
�,,,iREVIE���j IEWER' ��Ut'tAiE NOTES,
BOND INFORMATION
ATTACHMENTS
. Printed: Friday, November 14, 2014 9:57:38 AM 2 of 2
CRSYSTEMS
INSPECTIONS
�':-'-'�INSPECTION�TYPik*���
CTOR,w
INSPECTOR
",SCHEDULED'
DATE
L&El)'[:�,:Rl
'COMPLETED
_DA_
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RESULT
ULT
R K - S�'..��
_EMAR V
-NOTES'
'4 3
FINAL"
BOND BEAM.
FOOTINGS
PARENT PROJECTS
REVIEWS
-f 7�
RETURNED = STAT US 1,f'i
�,,,iREVIE���j IEWER' ��Ut'tAiE NOTES,
BOND INFORMATION
ATTACHMENTS
. Printed: Friday, November 14, 2014 9:57:38 AM 2 of 2
CRSYSTEMS
#
Clay Of La Quien' to
BulkFtng & Safety DhWon
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: &/Ic .. 605 Q/t 5 ti„f /-VA 5kee
Owner's Name:. A, e a&4/
A. P. Number)
”
Address: �:- � OS
Lege( Description: //
Contractor. ` !o r c A! t e . t�p
City, ST, Zip:
Telephone: j1� —5 3
rc jest Description:
Address: (, j30
/
City, ST, Zap: C -14 C /l4 C 9 Z Z 3
to ` H i 4 I -f -104A 1W41,9 Olt Cr :
Telephone: O -
State Lia #: �'� City Lir #: 1023
9t
-4444D
Arcfi, l3ttgr., Designer
3' A,4 6,-L 6-11/ f,4. &,44 fl , .
Address:
City, ST, Zip:
Telephone:
State Lia #:
Name of Contact Person:
Construction Type:. Occupancy:
Project type (circle one): New Ad 'n Alter Repair Demo
Ft : *Stories Units
Telephone # of Contact Person:
Estimated Value of Project %pd , UD
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
ReWd
Reed
TRACKING
Plan Check submitted
PERMrrFEES
Item Amount
Structural CS
Reviewed, ready for corrections
Plan Check Deposit, .
Truss Calcs•
Called Contact Person
Plan Check Balance
Tide 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted." •
Mecharikal
Grading plan
2'! Review, ready for corrections/issue
I
Electrical
Subcontactor list
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE.-
'"' Review; ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
AJ..P.P.
Pub. Wks. Appr "
Date of permit issue
School Fees
Total Permit Fees
f�
s ..
itll �
I�I it (EXIST.ING))I 6 x B'8•"
,EXISTING FRENCH_=DOORS _. _ a -
N 1 ELECTRICAL =
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