BWFE2015-0239lJ �1 V
Applicant: _ � 1,01 Coetractor.
NEW CONSTRUCTION SOLUTIONS \NSP NEW CONSTRUCTION SOLUTIONS
53641 AVENIDA VILLA \��F o ��eP 41 AVENIDA
VILLA
LA QUINTA, CA 92253 LA
coMM� �owE� ;
2253
(76D)861-1730
Llc_ No.: :LIC -0106715
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: License No.: :LIC -0106715
(Date: Contractor.
OWNER -BUILD LARATION
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:
WORKEWS 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 pernit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Coda, for the performance of the work for which this permit
is issued. My workers' compersation 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 inQny manner so as to become subject to,the workers'
compensation laws of Californb, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, shall orthwith
comply with those provisions.
Date:Q D Applicant: `
WARNING: FAILURE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND D(3LARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES A! 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 hod harmless the City of La Quinta, its officers, agents, and
employees for any act or omisson related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a resdt 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 Age t .
� �
VOICE (760) 777-7125
78-495 CALLE.TAMPICO
D -`
'LA
FAX (760) 777-7011
QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
I
BUILDING PERMIT
Date: 7/9/2015
Application Number:
BWFE2015-0239
Owner: "
'property Address:
53615 AVENIDA VILLA
SU.3AN EFFINGER
APN:
774133018
53615 �AVENIDA VILLA
Application Description:
EFFINGER RESIDENCE BLOCK WALL FRONT YARD
LA QUINTA, CA 92253
Property Zoning:
n �O
Application Valuation:
$3,500.00
n
lJ �1 V
Applicant: _ � 1,01 Coetractor.
NEW CONSTRUCTION SOLUTIONS \NSP NEW CONSTRUCTION SOLUTIONS
53641 AVENIDA VILLA \��F o ��eP 41 AVENIDA
VILLA
LA QUINTA, CA 92253 LA
coMM� �owE� ;
2253
(76D)861-1730
Llc_ No.: :LIC -0106715
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: License No.: :LIC -0106715
(Date: Contractor.
OWNER -BUILD LARATION
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:
WORKEWS 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 pernit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Coda, for the performance of the work for which this permit
is issued. My workers' compersation 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 inQny manner so as to become subject to,the workers'
compensation laws of Californb, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, shall orthwith
comply with those provisions.
Date:Q D Applicant: `
WARNING: FAILURE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND D(3LARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES A! 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 hod harmless the City of La Quinta, its officers, agents, and
employees for any act or omisson related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a resdt 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 Age t .
FINANCIAL INFORMATIOW.
W `DESCRIPTION. c _ ACCC►UNT4 ,QTY r: �x AMOUNTSiMR PAIDDATE.
• tori
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
#� PAID BYE �•r�� METHODM x`x to rr°I CHECK# q CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
z< <'DESCRIPTION 4��Y
ACCOUNT
#y
r $ # AMOUNT+
PAID �`;�=PAID4DATE:
WALL/FENCE - FIRST -100 LF
101-0000-42404
0
$47.86
$0.00
t
��° t
:? , .�
�Y PAID;BY
r K e#:;; x E c
METHOD ;tip'
tr K1c y� k x azo
. RECEIPT # � ,4 �t
,y ,�
.NCHECK
CLTD BYE
4DESCRIPTION ; `
,.. v: ro... <Y:"N+- M,
;y �aACCOUNT M ' a
dFx'- ufa
QTY
. x . i ,LF
�ANIOUNT
PAID !
r
PAID:.DATE.
.:.
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
"',PAID . BY ' F
xMETHOD
.'
j; ` 'rRECEIPT #
$eta
fi CHECK #
CLTD BYE
Total Paid for FENCE OR FREESTANDING WALL $108.77 $0.00
TOTALS:0• 00
v
t
y
v
}
Bin #
City of La Quinta
Building 8i Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
02 3 `l Building Permit Application and Tracking Sheet
Permit #
V W CC -2-0) 5 "
Project Address:
I^ �,I
(1/ � i' )V� f�p�• i
Owner's Name: Swan t
A. P. Number:
Address: �3
Legal Description:
Ci ST Zip:
P:
Contractor:46.
TeleP hone:
Address: L
Project Description:
City, ST, Zip: <!2tt
in rJ
D -z a
Telephone: o
P I7
� J
. L
LJ
C
� u
_
State Lic. # : O I G%S
City Lic. #.: 40 el'"7
1 CU 2 V14 -1,"Q G704-24-iff
Arch., Engr., Designer:
Address:
City, ST, Zip:
TeleP- hone:
Construction ucti
e•
on TY aneY
Occupancy:
P : -
State Li #
S . c
Project ect tYPe (circle rcle ne •
�w
N Alter r Re ai r Demo.
Name of Contact Person:
Sq. Ft.:
# S ries:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: 3, S O O ,
APPLICANT: DO NOT WRITE BELOW THIS LINE
I
Submittal
Req'd
. Ree'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 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2pd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
REBAR._PLAC.EMENT
ILLUSTRATION
-10` (TYPICAL) r --
ALL REBAR SPLICES
24" MIN. OVERLAP
FOOTING OPTION A
09006-M-019-3 &LOMMUS
ACTIVE SOIL PRESSURE (PSF)
=30
PASSIVE SOIL BEARING•(PSF)•
=150
COEFFICIENT OF FRICTION
= 0.25
ALLOWABLE SOIL BEARING (PSF)
=1500
WIND = 80 MPH. EXPOSURE C
SEISMIC:
NA= 1.3. Nv=1 .6. Z=0.4, SOIL PROFILE=SD
"' (TYPICAL)
ONLY :ELLS AND B
COURSES WIT
µ.r G
f d 7, (DO NOT S _�y Livty� J_$E
GRO SY5S" htlr"
Q,
.n
ICAL)
AL, AR SHALL HAVE A
MINIMUM OF 3" CONCRETE
COVER AT FOOTINGS
WESTERN RIVERSIDE CGUNTYCODE UNIFORMITY PROGRAM G,RAM
Titif ot c �
cu
0 -
�" �5 FREESTANDING BLOCK WALL
'pp orrro
PHONE (760) 777-7125 78-1195 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
PAX (760) 777-701 1 10/y/2c14 jC7lh4UNlTYDpvrLopAIENT DEPT. PAGE 2 01`2
Description: EFFINGER RESIDENCE BLOCK WALL FRONT YARD
Type: WALL/FENCE Subtype:
Status: UNDER REVIEW
Applied: 7/9/2015 EVA
Approved:
Parcel No: 774133018 Site Address: 53615 AVENIDA VILLA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 242
Lot: 6
Issued:
UNIT 23
Lot Sq Ft: 0 Building Sq Ft: 0"
Zoning:
Finaled:
Valuation: $3,500.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
CONTRACTOR NEW CONSTRUCTION SOLUTIONS
Details: INSTALL 40 LF OF BLOCK WALL IN FRONT YARD PER CITY STANDARD FREESTANDING BLOCK WALL
LA QUINTA
iUNULC
.Nnr�n
Printed: Thursday, July 09, 2015 4:06:27 PM 1 of 2 sysreras
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APPLICANT. NEW CONSTRUCTION SOLUTIONS
53641 AVENIDA VILLA
LA QUINTA
CA
92253
(760)899-8558
CONTRACTOR NEW CONSTRUCTION SOLUTIONS
53641 AVENIDA VILLA
LA QUINTA
CA
92253
(760)899-8558
OWNER SUSAN EFFINGER
53615 AVENIDA VILLA
LA QUINTA
CA
92253
(760)899-8558
Printed: Thursday, July 09, 2015 4:06:27 PM 1 of 2 sysreras
SEQID. I. INSPECTION TYPE:. I INSPECTOR I SCHDATELEQ I CO DATE EDI : RESU
BOND BEAM
BLD
FINAL"
BLD
FOOTINGS
BLD
REMARKS NOTES
Printed: Thursday, July 09, 2015 4:06:27 PM 2 of 2 CR?W1YsTrms