BWFE2015-025278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COM MUNITY.D.EVELOPMENT.DEPARTMENT
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
SUNROSE CORPORATION
OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
I.BUILDING PERMIT ? '
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/27/2015
BWFE2015-0252._,_;___-:__._: _,.; : .....,....�_,:... __.::._::.....? Owner:
80605 VIA MONTEC••JTO ,; -4;>.: ;i = - GIORDANO RESIDENCE
777400012 =� •t ro: = 80605 VIA MONTECITO
BLOCK WALL ANG,EWS•STANOARD= '.JAS QUINTA, CA 92253
40
$1,025.00
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: _ License No.: :LIC -0001137
Dater 7
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 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.).
(_) 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
Contractor:
SUNROSE CORPORATION
OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)773-6630
LIc. No.: :LIC -0001137
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
n 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 he Labor Code, I shall forthwith
comply with those provisions.
Date: .7 a Appli nt:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATI14N 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- S
mentioned property for inspection purposes.
Date: 7 S Signature (Applican or A e
IN
FINANCIAL •• •
n. r=' 9DESCRIPTION. PAID DATE
BSAS 561473 FEE ,101-0000,-20306 0-1
$1.00. $0.00
PAID.BY ", f 4 ��METWOD,Pit-, rte. �� s' ;RECEIPT # `. `# CHECK # CLTD BY.
f . }� , s _ -
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1'.00 $0.00
ACCOUNT }"'xz
QTY'
'� AMOUNT
PAID,,.r
PAID DATE
WALL/FENCE - EA ADDITIONAL 50,LF
.101-0000-42404
0
$29.00
$0.00
„ �,�'w •'`-. PAID BY ,,'z
-',fib. ,�w METHOD` `` `�
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` ' ACCOUNT
=.: "�i'AMOUNT
�;.: PAID
PAIID DATE
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,QTY„'
;
WALL/FENCE - FIRST 100 LF
101-0000-42404 `
0 .
$47.86.
$0.00
PAIDBY C'..��x +..:';"MET,HOD��f:1
t';.�'RECEIPT#
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.t. "DESCRIPTION ;" i4Sf ''r a
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, _ -D-AT
PAID DATE
aACCOUNT y
e
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WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
;' . $60.91
$0.00
. ''AID.BY
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CLTD BY
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7-1
Total Paid for FENCE OR FREESTANDING WALL $137.77 $0.00
TOTALS:• 00
IN
Description: BLOCK WALL ANGELUS STANDARD
Type: WALL/FENCE Subtype: Status: UNDER REVIEW
Applied: 7/27/2015 PJU-
Approved:
Parcel No: 777400012 Site Address: 80605 VIA MONTECITO,CA
Subdivision: TR 29894-4 Block: Lot: 66
issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled: 2
Valuation: $1,025.00 Occupancy Type: Construction Type:
Expired:
No: Buildings: 0 No..St6ries: 0 No., U n ites: 0
Details: 185 LN FT X 6 FT HT BLOCK WALL ANGELUS STANDARD & APPROVED PLANS.] PRECISION CONCRETE BLOCK SHAW BE COVERED WITH,
STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. -
Printed: Monday, July 27, 2015.10:47:31 AM
1of2 OF w1s Ys , TEMS
ADDITIONAL SITES
CHRONOLOGY
lie
CONDITIONS
Printed: Monday, July 27, 2015.10:47:31 AM
1of2 OF w1s Ys , TEMS
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
AME TYPE -
NAME' ADDRESS1�"
x< CITY ": "'STATET>
..ZIP:, 4 PHONE
hFAX : ~ EMAIL
Vti
APPLICANT SUNROSE CORPORATION
OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(760)773-6633
.CONTRACTOR SUNROSE CORPORATION
OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(760)773 -663 -3. -
OWNER GIORDANO RESIDENCE
80605 VIA MONTECITO
LA QUINTA
CA
92253
(760)773-6633
Printed: Monday, July 27, 2015.10:47:31 AM
1of2 OF w1s Ys , TEMS
DESCRIPTION
`;ACCOUNT.:i!
7
.-AMOUNT.-- -
7-7
2 PAID
ePAID DATE
.'RECEIPT#-
CHECK#..:,
METHOD
kil) BY,
CLTD
DA
_z,
4"
BY'
WALL/FENCE - EA
PATE�
BOND BEAM
BLD
101-0000-42404
01
$29.00
$0.00
BLD
ADDITIONAL 50 LF
FOOTINGS
BLD
PARENT PROJECTS
WALL/FENCE -FIRST
101_0000-42404
$47.86
$0.00
100 LF
WALL/FENCE FIRST.
101-0000-42600
0
$60.91.
so.bo
100 LF'PC
.Total Paid forFENCE OR FREESTANDING WALL $137.77 $0.00
TOTALS: $138.77 $0.00
Printed: Monday, July 27, 2015 10:47:31 AM 2 of 2 CRW.IYSTEMS
INSPECTIONS
,SEQID'
--:,I I N TYPE
--I SPE
DA
_z,
4"
PATE�
BOND BEAM
BLD
FINAL"
BLD
FOOTINGS
BLD
PARENT PROJECTS
Printed: Monday, July 27, 2015 10:47:31 AM 2 of 2 CRW.IYSTEMS
Bid #City
of La Quin to .
-Building& Safety Division
P.O. Box 1504; 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking...Sheet . .
Permit
Project Address:80 A)�
/,
Ower's Qac` � 0,, � Q
A. P. Number: '7 7'7' ,- � _ 0 � �
Address: Q 0iV ,V_0.5C o ep-
Legal -Description: J_,0 7- e/, ! _
City, ST, Zip: 6r4ryl JE
Contractor: V t»/e E f��/O
Telephone:
y :'. v's:>:>>' %>•`•r> `:s#
Address: -YO O t 110A) 7—,e?,Oe a 1
Project.Description: 45 Oe
City, ST, Zip: /e`7kxAb 7 9aX7a
.
.
Telephone:-7
leo [ -7 2 J
.. iJv
3>
w
State Lic. # : (� p
City Lie. #toow?j
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
i%'s <•.,::<::
' >> <'< .<• ^•-.r.,',:,•>
Construction Type Occupancy::
State Lic. #:
Pro • Add'n Alter. Repair Demo
Project tyPccircle one: New
J
Name of Contact Person:
w Sq. Ft.:
# Stories:
# Units:
Tcicphonc # of Contact Person:
Estimated Value of Project: '
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Rcq'd Rcc'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Cheek Deposit
Truss Cala.
Called Contact Person.
Plan Check Balance
TitIc24.Cales.
Plans picked up _
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"4 Review, ready for corrections/issue
Electrical
Subconfacfor List
Called Contac(Person
Plumbing
Gran( Dccd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`° Rcyitw, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.U.P.
Pub. Wks. Appr
Date of permit issue
School Fccs
Total Permit Fees