BWFE2015-034978-495 CALLE.TAMPICO D Qumrcu
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2015-0349 I IIIIII "III IIII IIII Owner:
Property Address: 55080 AUTUMN VALLEY CT 01 MONTERRA PROP
APN: 767860037 55075 MONROE ST
Application Description: MONTERRA / 258 LF OF V BLOCK WALL LA QUINTA, CA 0
Property Zoning:
Application Valuation: $15,222.00
Applicant:
WOODBRIDGE PACIFIC GROUP LLC
27271 LAS RAMBLAS SUITE #100
MISSION VIEJO, CA 92691
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.: 963887
Date: /� / 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
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.).
(_J 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/2/2015
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
ofr which this permit is issued.
�
ave 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 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 the Labor Code, I shall forthwith
comply with those provisions.
Date: /C� /`> Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPEN ATION 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-mentioned pr/o gAy for inspection purposes.
Date: Signature (Applicant or Agent):
m
Contractor:
,` o n
WOODBRIDGE PACIFIC GROU
^�R(� r✓
27271 LAS RAMBLAS SUITE #1 z c
MISSION VIE10, CA 92691
m
_C
cai
(949)348-8162
Llc. No.: 963887
=,
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
ofr which this permit is issued.
�
ave 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 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 the Labor Code, I shall forthwith
comply with those provisions.
Date: /C� /`> Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPEN ATION 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-mentioned pr/o gAy for inspection purposes.
Date: Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
$0.00
DESCRIPTION
ACCOUNT
CITY,
AMOUNT
PAID
PAID DATE
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$58.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT.
CITY
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:
TOTALS:00
$166.77
$0.00.
Description: MONTERRA / 258 LF OF 6' BLOCK WALL
Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW
Applied: 12/2/2015 SKH
APPROVED
Approved:
Parcel No: 767860037 Site Address: 55080 AUTUMN VALLEY CT LA QUINTA,CA 92253
Subdivision: TR 32742 Block: Lot: 37
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $15,222.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CONTACTS
Details: 258LF OF 5' (WITHIN FIRST 10' OF PLAT FRONT YARD) AND 6' GARDEN WALL AT SOUTH, EAST, AND WEST PROPERTY LINES [PROTO II
SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE
FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX EMAIL.
APPLICANT
WOODBRIDGE PACIFIC GROUP LLC
27271 LAS RAMBLAS
SUITE #100
MISSION VIEJO
CA
92691
SZABALA@WOODBRID
GEPACIFIC.COM
CONTRACTOR
WOODBRIDGE PACIFIC GROUP LLC
27271 LAS RAMBLAS
SUITE #100
MISSION VIEJO
CA
92691
SZABALA@WOODBRID
GEPACIFIC.COM
OWNER
MONTERRA PROP
55075 MONROE ST
I LA QUINTA
CA
0
7777
Printed: Wednesday, December 02, 2015 5:23:24 PM 1 of 2
RWYSTEMS
yam` Permit Details PERMIT NUMBER
3 City of La Quinta BWFE201�5�0349
,r
Printed: Wednesday, December 02, 2015 5:23:24 PM 2 of 2 V?
SYSTEMS
l
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS 561473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
WALL/FENCE - EA
101-0000-42404
0
$58.00
$0.00
ADDITIONAL 50 LF
WALL/FENCE - FIRST
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 for FENCE OR FREESTANDING WALL: $166.77 $0.00
TOTALS:00
Printed: Wednesday, December 02, 2015 5:23:24 PM 2 of 2 V?
SYSTEMS
Bin #.0ty of La Quinto
Building St Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address` Gala i'4 !/.�� Owner's Name: Get Qat/ xl�
A. P. Number: 7",&
Address:
Legal Description: /%�Of'IfEl�2/�
P6,} lrrc�
City, ST, Zip:�`1���/�
Contractor . D
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Telephone:hone:
Address:
Project Description:. vx
City, ST, Zip:
Telephone: ne: 8 B 6oa
I�WZV
State Lie. # :
City Lie.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
e• Occupancy:
Co nstructio n TYP
State Ltc
S .
Project type circle one): Nw Add'n Alter Repairair Demo
Name of Contact Person:
Sq. Ft.:#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed,. ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for correctionslissue
Electrical
SubeontactorList
Called Contact Person
Plumbing
Grant Deed
Plans picked up
5.114.1.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jrd Review, ready for corrections/issuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
po
�__.._..�.._.._.._. , SCALE: I"=30'
/
fL
I ••. I I
LOT 37
Ojl I� PLAN 1 I I
55-080 AUTUMN VALLEY COURT I I
I I
I j •� I
44
I 0 -��I• .
• ❑❑❑ 5 I ITY OF LA Old I NTA
i :... :.. j
3UILD9NG &SAFETY DEPT.
APPROVED
• : / �... °. :: FOR CONSTRUCTION
EBY
-� fly
AUTUMN VALLEY
COURT �''8 Ivw t
LEGEND NOTE: SOME ITEMS MAY NOT BE APPLICABLE FOR THE LOT SHOWN HEREON.
® ELECTRIC -MANHOLE FENCE ---- AREA DRAIN & DRAIN LINE
0 ELECTRIC -TRANSFORMER BLOCK WALL SWALES
® ELECTRIC-PULLBOX RETAINING WALL ■ BUBBLER BOX
® TELEPHONE -PEDESTAL 0 , PILASTER CURB & GUTTER
I POWER, TELCO, CATV & GAS O FLATWORK CATCH BASIN
METER LOCATION PROPERTY LINE 4 STREET/STOP SIGN
00 AIR CONDITIONING UNITS ---- RIGHT-OF-WAY O H.O.A. MAINTAINED LANDSCAPE
— PUBLIC UTILITY EASEMENT --- STREET CENTERLINE po POOL EQUIPMENT
-&—S— SEWER MAIN & MANHOLE —W— WATER MAIN
SEWER CONNECTION o WATER SERVICE METER D POOL/SPA
SLOPE K)A FIRE HYDRANT
Wp9 27271 Las Ramblas Suite 100
MONTERR
LOT EXHIBIT
LOT 37
Mission Viejo
TRACT 32742
WOODBRIDGE California 92691
PACIFIC GROUP Tel: 949-348-8162
@PGA
WEST
LA QUINTA, CALIFORNIA
55-080 AUTUMN VALLEY COURT
WOODBRIDGE PACIFIC GROUP RESERVES THE RIGHT TO MAKE MODIFICATIONS AND CHANGES TO ITEMS INCLUDING BUT NOT LIMITED TO LOT GRADING AND
DRAINAGE, LOT LINES, FENCE LOCATIONS, PAD ELEVATIONS, TOP AND TOES OF SLOPES, RETAINING WALLS, UTILITIES LOCATION, MAILBOXES, DRIVEWAYS,
SIDEWALKS AND SETBACKS. ALL UTILITIES, SIGNS, FENCES AND DIMENSIONS ARE SHOWN AS APPROXIMATE. LOCATIONS AND DIMENSIONS MAY VARY
DEPENDING UPON CONSTRUCTION CONDITIONS. THIS LOT EXHIBIT WILL NOT BE UPDATED TO REFLECT ANY MODIFICATION, CHANGES OR REVISIONS THAT
HAVE BEEN MADE AS A PART OF THE CONSTRUCTION OF THIS LOT. BUYER IS EXPRESSLY ADVISED NOT TO ALTER THE DRAINAGE OF THE LOT.