BWFE2015-0032• �Jla1.� a I� ����_,
78-495 CALLE TAM,PICO
LQ'QUINTA, CALIFORNIA 92253
1
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
SUNROSE CORPORATION
72-850 SOMERA ROAD
PALM DESERT, CA 92260
Tws 4 1wQ&rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BWFE2015-0032
53255 VIA PALACIO
777210028
SUNROSE/SUNSHINE TRUST/142LF OF V BLOCKWALL
$8,500.00
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: B License No.: 5336
Dd Contr ctor:
OWNER -BUILD DECLARA ION
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 a
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.).
(1 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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 a for whit ermit is issued.
e and will maintain workers' compensation insurance, as required by
S on 700 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 provision4Section 0 o the Labor Code, I shall forthwith
complywith those provisions.Ap
WARNING: FILURE TO SECURE WORKERS' COMPENS TION 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 toicancellation.
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 enter upon the above-
mentioned property for inspection purposes.
Date y� Signature (Applicant or gent
Date: 2/3/2015
Owner:
SUNSHINE TRUST
40101 MONTEREY
RANCHO MIRAGE, CA 92270
rZ
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Contractor:
SUNROSE CORPORATION72-850
SOMERA ROAD,LPALM
[C��T
DESERT, CA 92260o
U it
(760)773-6633
Llc. No.: 533670
$
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 a for whit ermit is issued.
e and will maintain workers' compensation insurance, as required by
S on 700 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 provision4Section 0 o the Labor Code, I shall forthwith
complywith those provisions.Ap
WARNING: FILURE TO SECURE WORKERS' COMPENS TION 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 toicancellation.
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 enter upon the above-
mentioned property for inspection purposes.
Date y� Signature (Applicant or gent
31
Bin #
Permit #
City Of D. Quinta.
Building &r Safety Division
P.O. Box 1504; 78-495 Calle Tampico -
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
ProjcctAddrcss-
Owner's Name: A_S/77�f f2
�_9
L/
A. P. Number: 7 7 7 -a/z)
Addrcss' �.
Legal Description: Z-6 1196r A
7- Z�_
Contractor:
Telephone: 775 4, e 3
Address:
Project.Description:
City, ST, Zip:
Telephone:.
State Lic. 4:
City Lic. #
Arch., Engr., Designer,
Address:
City., ST, Zip:
Telephone:
Construction T�pe` Occupancy:
State Lic.
Project type (circle one) Add'n Alter. Repair Demo
Name of Contact Person:
Sq. Ft.:
JV Stories:
V Units:
Telephone 4,of Contact Person:
Estimated Value of.Projcct: <��Q
APPLICANT: DO NOT. WRITE BELOW THIS LINE
N
Submittal
Rcq'd
Rcc1d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item-
Amount
Structural C21cs.
Reviewed, ready for corrections
Plan. Check Dcposi t
Truss Cafes.
Called Contact Person
Plan Check Balance.
Titic 24 C-21cs.
Plans picked up
7
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'4 Review, ready for corrections/issue
Electrical
SubconfactorLW
C211cdCbnt2ctPcrsoit
Plumbing
Grant Deed
Plans picked up
IT.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'3'dRcyicw, ready for corrcc(ionsrissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
I)atc of permit issue
Scho6l Fccs
Tot;t]'Pcrmif* Fees
31
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Bin 3l
Permit #
�jIN DI�
city Of La Q am to .
Building &r Safety Division
P.O. Box 1504, 78 495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking -Sheet
ProjeetAddress: �J'1
�� P,4,L,4cI CU
Owncr'sName:T
A. P. Number: 7 7 7 _
Address'
Legal Description: Z-,,--,% �` / �f �g� -
City, ST, Zip:,V.0
Contractor:
Tele hone:
Address: -
Projeet.Description:
City, ST, ZiP:.
•Tclephonc: ,
State Lic. # : 6_3-3-(,76
City Lie. #c
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
fr.`'`
ConancY
:stnction TYP
,Occupancy:'
State Lic.
Add'n Alter. Repairai
r Demo
�cit la one 7P
Name of Contact Person:
Sq. Ft.: - -
# Stories:
# Units:
Tclephonc # of Contact Person:
Estimated Value of Projcct: Q e d
9 Submittal Rcq'd
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rcc'd TRACKMIG PERMIT FEES
Plan Sets
PIan Checksubmitted
Item-
Amount
Structural Ca1cs.
Reviewed, ready for corrcctions
Plan. Check Deposit
Truss Cala.
Called Contact Person.
Plan Check Balance
"I i((c24 Calcs.
Plans picked up
Construction
Flood plain plan
-Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrcctions/issue
Electrical 1
Subcontacior List
Called Contaef Ptrsou
Plumbing
Grant Dced
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'`° IZevicw, ready for corrcclionstissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
i
Total Permit Fees
E -y
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FINANCIAL •1•
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^�DESCRIRTLON ` �, `' F'
A. ACCOUNT"` a; .QTY
;'• - AMOUNT:-`
"' PAID PAID DATE
47
BSAS SB1473 FEE 101-0000-20306
0
$1.00
$0.00
PAID BY' � y �} "; METHOD n
��' ' ;RECEIPT #
'' •CHECK # i rx� CLTD BY,'
�;. ,'s,
1 d
Total Paid for BUILDING•STANDARDS ADMINISTRATION BSA y ` $1.00 $0.00
DESCRIPTION t =
M' "ACCOUNT
=QTY
AMOUNT :.
PAID . ';"
; PAID DATE
,
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404-
0
$62.36
$0.00
'+METHOD
RECEIPT
�CHECK #
GLTD'BY '
..PAIDwBY.
w
.
aDES CRIP.,TION p . z:
' ,";t ACCOUNT
;
AMOUNT '
PAID' •`
PAID DATE
,
,;QTY
,
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
PAID BY"METHOD��
ua
` e # ".
t .CHECK #
=, CLTD.BY
t
.RECEIPT
.'' DESCRIPTION Z''a
'<�;:A000UNT
QTY
''K '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 for FENCE OR FREESTANDING WALL $171.13 $0.00
TOTALS:0i
Description: SUNROSE/SUNSHINE TRUST/142LF OF 6' BLOCKWALL r
Type: WALL/FENCE Subtype: Status: UNDER REVIEW
Applied: 2/3/2015 SKH .
Approved: 2/3/2015 SKH
Parcel No: 777210028 Site Address:`53255 VIA PALACIO LA QUINTA,CA 92253
Subdivision: TR 29894-2 Block: Lot: 214
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled: '
Valuation: $8,500.60 Occupancy Type: Construction Type:
•
Expired: Y
w r
r
No. Buildings: 0 No. Stories: 0 No. Unites: 0
PA.ID
Details: 142 LF OF 6' GARDEN WALL AT VARIOUS LOCATIONS (8) PORTIONS [CITY APPROVED SPECIFICATIONS] PRECISION CONCRETE BLOCK
SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA
-BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
FINANCIAL
CONTACTS
j'>r
~CHECK
r DESCRIPTION ACCOUNT'. QTY,
_+,
AMOUNTS
PA.ID
NAMETYPE
: "
-. ..
-
STATE
ZIP
PHONE
FAX
$1.00
APPLICANT
SUNROSE CORPORATION
72-850 SOMERA ROAD
PALM DESERT
CA
92260
(760)773-6633
-
CONTRACTOR
SUNROSE CORPORATION
72-850 SOMERA ROAD
PALM DESERT
CA
92260
(760)773-6633
}
OWNER
SUNSHINE TRUST
40101 MONTEREY
RANCHO
MIRAGE
CA
92270
(760)773-6633
Printed: Tuesday, February 03, 2015 12:11:53 PM 1 of 2 C
SV.CTFMS `
FINANCIAL
INFORMATION
j'>r
~CHECK
r DESCRIPTION ACCOUNT'. QTY,
_+,
AMOUNTS
PA.ID
PAID -DATE RECEIPT ,# #'
METHOD - PAID BY YD.
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
-
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SV.CTFMS `
DESCRIPTION
;!ACCOUNT
77
AMOUNT
, PAID
PAID DATE
RECEIPT #.
^ySEQID
'
PAID BY
=
'COMPLETED "zRESULTti ;
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DATE 'c
! .. I
h-'
a.• DATE z .s w s
WALL/FENCE - EA
101-0000-42404
0
$62.36
$0.00.
�e�
FOOTINGS
AOR
ADDITIONAL 50 LF
_ FINAL"*
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WALL/FENCE -FIRST
101-0000-42404
0
$47.86
$0.00
;
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
. $60.91.
$0.00
77-7
100 LF PC
t•
Total. Paid for FENCE OR'FREESTANDING WALL $171:13.. $0.00 a
TOTALS: $172.13 00
PARENT PROJECTS
INSPECTIONS
^ySEQID
INSPEC3TIONrTYPE :..
-= 'iINSPECTOR '. '
'SCHEDULED
'COMPLETED "zRESULTti ;
.. r..REMARKS' ;F -
"-? I NOTES�'`i
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BOND BEAM
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PARENT PROJECTS
REVIEWS
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RETURNED I ,< LL,STATUS, .•:REMARKS
REVIEW TYPE REVIEWER YSENT DATE :DUE GATE.
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