BWFE2015-004778-495 CALLE TAMPICO .,,
LA QUINTA, CALIF6RNIA'§2253'
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:.
Application Valuation:
Applicant: .
SUNROSE CORPORATION
72-850 SOMERA ROAD
PALM DESERT, CA 92260
i.
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BWFE2015-0047
80460 VIA PESSARO
777180010
WILLIAMS RESIDENCE BLOCK WALL 122 LN' FT X 6FT HT
$2,000.00
1
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
t
Owner:
JAMES WILLIAMS
2 HERMITAGE LN
LAGUNA NIGEL, CA 0
Contractor: '
SUNROSE CORPORATION
72-850 SOMERA ROAD
PALM DESERT, CA 92260
(760)773-6633
Llc. No.: 533670
Date: 3/18/2015
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---------,-------------------------- ---- ----- --
-- ----- ------ - - - - -- -
LICENSED CONTRACTOR'S DECLARATION
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, as provided for by Section 3700 of the Labor Code, for the performance
License Class: B License No.: 533670
of the work for which this permit is issued.
22� _
Date: 7-�ST —ill Contractor:
1 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:
OWNER -BUILDER DECLARATION
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 Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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
Date: Applicar>t�
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' C MPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) 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 i's 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
( ) I, 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 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
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
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:
—
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: �' !�—�`7 Signature (Applicant or Agent):
FINANCIAL •' •
''"'ACCOUNT °` r" AMOUNT PAIDW r PAID DATE
DESCRIPTION
xF r v;4n'
BSAS SB1473 FEE
101-0000-20306 0 $1.00 $1.00 3/18/15
TYBYPAID '
CLTD'BMETD
.RECEIP
T.
SUNROSE CORPORATION
CHECK R4062 16863 PJU
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION x '.� -K -r
ACCOUNT �':
AMOUNT '
RAID .''
PAID DATE:
.CtTY
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$14.50
$14.50
3/18/15
PAID BY
r "
A METHOD d"'�„
RECEIPT # At
CHECK #
CLTD BY.
SUNROSE CORPORATION
CHECK
R4062.
16863
PJU
-.`.DESCRIPTION '. '
« +; ACCOUNT 4
QTY
a• AMOUNT,
'' PAID=
PAID DATE
N ' e rs , -'
Xa,
. k'''-'
WALL/FENCE - FIRST 100 LF
'101-0000-42404
0
$47.86
$47.86
3/18/15
?i PAID BY ^°+::' ` ,
:� " .``METHOD
RECEIPT,
CHECK #
CLTD BY.
SUNROSE CORPORATION
CHECK
R4062
16863
PJU
DESCRIPTION
f, ACCOUNT
QTY.
AMOUNT -
PAID
PAID DATE
, _ m
.
. , ,r _
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
.0
$60.91
$60.91
3/18/15
PAID.BY ' uz -
`.;c'aMETHOD n °f
RECEIPT # r, .•
- CHECK #r. '
CLTD.BY ,
SUNROSE CORPORATION
CHECK
R4062
16863
PJU
Total Paid for FENCE OR FREESTANDING WALL- $123.27 $123.27
Description: WILLIAMS RESIDENCE BLOCK WALL 122 LN FT X 6FT HT
Type: WALL/FENCE Subtype: Status: ON HOLD
Applied: 3/9/2015 PIU -. -. -
Approved:
Parcel No: 777180010 Site Address: 80460 VIA PESSARO LA QUINTA,CA 92253.
Subdivision: TR 29894-2 _ Block: Lot: 185 r s
Issued:
ADD •
Lot Sq Ft: 0. - ,Building Sq Ft: 0 - - Zoning:, ,
Finaled: —
Valuation: $2,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No, Stories: 0 No. Unites: 0
Details: ° 122 LN FT X 6 FT HT BLOCK WALL PER ANGELUS STANDARD. PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT,
- `OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE•THE PROPERTY: 2013 CALIFORNIA BUILDING CODES.
_ , r„ .. , £, ����, ' µ:vi . �•_ �
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FNANCIAC INFORMATION
t- ,
Printed: Wednesday, March 18, 2015"1:15:25 PM 1 of 2 r ��lvby SYSTEMS-
ADDITIONAL
YSTEMS'
ADD •
• 0M •
,Y:' _..Y• s :_ x
#T A F� ACTION DATE*iCOMPLETION DATE- J-: �`"' ^NOTES +:
CHRONOLOGY:TYPEr;: z •STAFF NAME;.`
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_ _....
a
ON HOLD DUE TO BUSINESS LICENSE, PERMIT READY TO
NOTE
PHILIP JUAREZ
3/9/2015
3/9/2015 -
ISSUE NEEDS TO UPDATE BUSINESS LICENSE WITH FINANCE.'
CONDITIONS
CONTACTS
4°NAME TYPE
w ..`,K r�. NAME-' ADURES51 a
=CITY , STATE
ZIPS.F `PHONE FAX°' Y EMAILr�
APPLICANT
SUNROSE CORPORATION 72-850 SOMERA ROAD
PALM DESERT CA
92260
CONTRACTOR
SUNROSE CORPORATION 72-850 SOMERA ROAD
PALM DESERT CA
92260
OWNER
JAMES WILLIAMS
2 HERMITAGE LN
LAGUNA NIGEL CA
0
FNANCIAC INFORMATION
t- ,
Printed: Wednesday, March 18, 2015"1:15:25 PM 1 of 2 r ��lvby SYSTEMS-
ADDITIONAL
YSTEMS'
7777
.77
'PAID
DESCRIPTION
ACCOUNT--
tk QTY
AMOUNT
Z;
DATE,
R ECEIPT
CHECK
PAID BY
DATE
BONDBEAM
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
3/18/15-
114062
16863
-
CHECK
CORPORATION
PJU
Total Paid forBUILDING STANDARDS ADMINISTRATION -
WALL/FENCE - EA
101-0000-42404
0
$14.50
$14.50
3/18/15
R4062
16863
CHECK
SUNROSE
PJU
ADDITIONAL 50 LF
CORPORATION
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$47.86
3/18/15
R4062
16863
CHECK
SUNROSE
PJU
100 LF
CORPORATION
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$60.91
3/18/1 5
114062�
16863
CHECK
SUNROSE
PJU
100 LF PC
.
CORPORATION
Total Paid forFENCE OR FREESTANDING WALL -$123.27 $123.27
TOTALS: .$124.27 $124.27
REVIEWS
REMARKS
]'RETURNED
41 x
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BOND INFORMATION
ATTACHMENTS
. .
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INSPECTIONS
DATE
BONDBEAM
FOOTINGS
REVIEWS
REMARKS
]'RETURNED
41 x
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BOND INFORMATION
ATTACHMENTS
. .
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