BWFE2015-0223r
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4t,r °F lwQrunrw
COMMUNITY DEVELOPMENT DEPARTMENT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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: A, CC -8 License No.: 310985
Date: (e'—oZ —�5 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).:
(_) 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 3X0 of the Labor Code, for the performance
ofk for which this permit is issued.
t.
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 :,o as to become subject to the workers'
compensation laws of California, and agree fiat, if I should become subject to the
workers' compensation provisions of Sectior 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 's` �l Applicant: �
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMNAL 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 ACKN DWLEDGEMENT
IMPORTANT: Application is hereby made to tlhe 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 Quints, 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 app ication becomes null and void if work is
not commenced within 180 days from date cf issuance of such permit, or cessation of
work for 180 days will subject permit to cancallation.
I certify that I have read this application and ::tate that the above information is correct.
I agree to comply with all city and county orc inances and state laws relating to building
construction, and hereby authorize represen-.atives of this city to enter upon the.above•
mentioned property for inspection purposes_ . ' -
Date: I"— r-'1*'f Signature (Applicant or Agent)
BUILDING PERMIT
c�"
Date: 6/23/2015
Application Number:
BWFE2015-0223
Owner:
Property Address:
77025 VIA FLORENCE
LAKE LA QUINTA HOMEOWNERS
AS
APN:
643110030
47305 VIA RAVENNA
Application Description:
LAKE LA QUINTA / WALL AND RETAINING
LA QUINTA, CA 0
Property Zoning:
Application Valuation:
$9,000.00
Applicant:
Contractor:
z
c— �
C
CANYON POOLS DBA CANYON SPECIA
CANYON POOLS DBA CANYON SPECIAm p
Z I
77-590 MOUNTAIN VIEW77-590
MOUN'AIN VIEW
o �'
!
PALM DESERT, CA 92211
PALM DESERT, CA 92211
z c
(760)345-8200
n D
ist
Llc. No.: 310985
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: A, CC -8 License No.: 310985
Date: (e'—oZ —�5 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).:
(_) 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 3X0 of the Labor Code, for the performance
ofk for which this permit is issued.
t.
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 :,o as to become subject to the workers'
compensation laws of California, and agree fiat, if I should become subject to the
workers' compensation provisions of Sectior 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 's` �l Applicant: �
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMNAL 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 ACKN DWLEDGEMENT
IMPORTANT: Application is hereby made to tlhe 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 Quints, 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 app ication becomes null and void if work is
not commenced within 180 days from date cf issuance of such permit, or cessation of
work for 180 days will subject permit to cancallation.
I certify that I have read this application and ::tate that the above information is correct.
I agree to comply with all city and county orc inances and state laws relating to building
construction, and hereby authorize represen-.atives of this city to enter upon the.above•
mentioned property for inspection purposes_ . ' -
Date: I"— r-'1*'f Signature (Applicant or Agent)
FINANCIAL INFORMATION
:DESCRIPT.ION,: "* `��AC000NTt4.�`'QTYW `' Y: AMOUNT 'PAID t '' PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $0.00
PAID.'BY° ,� -.MET HOD,�
'.>RECEIPT#A�CHECK#,' -cCLTD BY _
,—i
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 '
+ i , a* f
4� ACCOUNT
"AMOUNTr:.`
? Ps PAID,
PAID DATE""
..'DESCRIPTION ,x -
c , -
; .;,
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
' r PAID BYr
-METE! D
RECEIPT #
CHECK # v
CLTD BY,
,
-
rrx DESCRIPTION
x Yw
a
ACCOUNT.
�.
', i
AINIOUNT
�cr < PAID #r
ss * s r'"
PAID DATE'.
r
..
"QTY
_ 4
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
e
METHOD r.w
".' RECEIPT # A. ;
> = CHECK #
CLTD BY -
Total Paid forFENCE OR FREESTANDING WALL $108.77 $0.00 :
r_
DESCRIPTION` gni"a i''
`, ACCOUNT:,
a.CfTY�
AMOUNT t' &
t
PAID:DATE
•s
,PAIDx
RET WALL <=12 - FIRST 100 LF
101-0000-42404
0
$47.86'
` ' $0.00
s udy ��xPAID BYfj
R
RECEIT#
HECK '
CLTD BY,METHOD
,.
,
+'.DESCRIPTION
AMOUNT ',`''>
F`PAID
r PAID, DATE
Tri
RET WALL <=12 - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
> PAID BY M1 '
_
METHOD • ^ '�
; RECEIPT #
CHECK # `�-
!''CLTD BY
,"t
:; •„
x
-
Total Paid forRETAINING WALL $108.77 $0.00
TOTALS:4 $0.00
Description: LAKE LA QUINTA WALL AND RETAINING
Type: WALL/FENCE -Subtype: Status: UNDER REVIEW
Applied: 6/23/2015 SKH
Approved:
Parcel No: 643110030 Site Address: 77025 VIA FLORENCE LA QUINTACA 92253
Subdivision: TR 26152 Block: Lot: 283
issued:
Lot Sq Ft: 0 Building Sq Ft: 01 Zoning:
Finaled:
Valuation: $9,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 56LF OF COMBO WALL SURROUNDING A PUMP [CITY SPECIFICATIONS -OPTION A FOR RETAINING] PRECISION CONCRETE BLOCK
SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA
-BUILDING CODES.
CONDITIONS
CONTACTS
TYPE� IN
NAME ME
ltA
�,�`ADDRESS
'CITY
�WE,,e,,
`410
dzj
EMAIL,-r�,
APPLICANT CANYON POOLS DBA CANYON
SPECIA
77-590 MOUNTAIN
VIEW
PALM DESERT
CA
92211
r
CONTRACTOR CANYON POOLS DBA CANYON
77-590 MOUNTAIN
PALM DESERT.
CA
92211
SPECIA VIEW
OWNER LAKE LA QUINTA HOMEOWNERS AS 47305 VIA RAVENNA LA QUINTA CA T o
FINANCIAL INFORMATION
.Printed: Tuesday, June 23, 2015 11:41:49 AM -1 of 2
SYSTEMS
~
DESCRIPTION,-
ACCOUNT---'-'
INSPECTIONS
MOUNT,
PAI
COMPLETED'
REMARKS
PAID By
DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
BOND BEAM
BLD
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
FINAL"
WALL/FENCE - FIRST
FOOTINGS
BLD
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
RET WALL <=12 - FIRST
101-0000-42404
0
$47.86
$0.00
100 LF
RET WALL <=12 - FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
Total Paid for RETAINING WALL $108.77 $0.00
TOTALS: $218.S4 $0.00
a
BOND INFO RIVIATION,
'
Printed: Tuesday, June Z],ZOzSll,ul:«9-AM 2ofZ
INSPECTIONS
COMPLETED'
REMARKS
DATE
BOND BEAM
BLD
FINAL"
BLD
FOOTINGS
BLD
a
BOND INFO RIVIATION,
'
Printed: Tuesday, June Z],ZOzSll,ul:«9-AM 2ofZ
I T 1
832.08. Class C-8 -- Concrete Contractor.
A concrete contractor forms, pours, places, finishes and installs specified mass,
pavement, flat and other concrete work; and places and sets screeds for
pavements or flatwork. This class shall not include contractors whose sole
contracting business is the application of plaster coatings or the placing and
erecting of steel or bars for the reinforcing of mass, pavement, flat and other
concrete work.
(Authority cited: Sectioas 7008 and 7059, Business and Professions Code. Reference: Sections 7058
and 7059. Business and Professions Code.)
832.29. Class C-29 -- Masonry Contractor
A masonry contractor installs concrete units and baked clay products; concrete,
glass and clay block; natural and manufactured stone; terra cotta; and fire brick
or other material for refractory work. This classification includes the fabrication
and installation of masonry component units for structural load bearing and
non -load bearing walls for structures and fences installed with or without mortar;
ceramic veneer (not tile) and thin brick that resembles full brick for facing;
paving; and clear waterproofing, cleaning and caulking incidental to masonry
construction.
(Authority cited: Sections 7008 and 7059, Business and Professions Code. Reference: Sections 7058
and 7059. Business and Professions Code.)
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CITY OF LA QUINTA
L 't
SOILDING & SAFETY DEPT.
APPROVED,,',
FOR CONST'R i0®N
r F r
DATE BY'
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Bin #.
Qty'of La QUtn to
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 17 7 --O�57
Owner's Name: /—,a IC,/e LeL
A. P. Number:
Ad -9�-&35 /ne_1 a: -,i '
Legal Description:
City, ST, Zip: F ( A- 2,ZJ3 -
Contractor: 0_q,h py% Poe) -VS -T-MC
Telephone: '7&0 3 —/ r ; :;O•:
Address: " ]'-7—:590 Al o" m+ n V I &od
Project Description:
City, ST, Zip: Pa l e t -t 2,2 I
Tn'S cd.� X I (p 10G l�
Telephone: - lU O
,�w; , �.. ,.
W,('t / / e Yl C/1 o SSU t—C
State Lic. # :O
City Lic. #,
Arch., Engr., Designer
Gt/✓�LC,
Address:
/ _ 13
City, ST, Zip: `
Telephone: ' w
Construction Type: Occupancy:
Project type (circle one):- New Add'n Alter Repair Demo
Sq. FL: # Stories: # Units:
State Lic. #:
Name of Contact Person: AI
Telc
Telephone # of Contact Person:
P %(0 0 ai j - (p
Estimated Value of Project 00 C7
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACKMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calks.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calks.
Called Contact Person
Pian Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical .
Grading plan
2°° Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing.
Grant Deed
Plans picked up
&MA
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
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