BWFE2015-034878-495 CALLE TAMPICO T 0 D 4 Qu
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2015-0348 Owner:
Property Address: 55101 AUTUMN VALLEY CT MONTERRA PROP
APN: 767860036 55075 MONROEST
Application Description: MONTERRA / 139LF OF 6' BLOCK WALL LA QUINTA, CA 0
Property Zoning:
Application Valuation: $8,201.00
Applicant:
WOODBRIDGE PACIFIC GROUP LLC
27271 LAS RAMBLAS SUITE #100
MISSION VIEJO, CA 92691
111111111 i 1111111111
80
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
WOODBRIDGE PACIFIC GRO
27271 LAS RAMBLAS SUITE
MISSION VIEJO, CA 92691
(949)348-8162
Llc. No.: 963887
Date: 12/8/2015
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performance of the work for which this permit
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is issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Carrier: _ Policy Number:
O
_ 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
Cp�
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signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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.: 963887 of t or which this permit is issued
�7 ave and will maintain worke
Date: o� �a Contractor: Section f h Labor o for h
rs' compensation insurance, as required by
Sect o 3 00 o the abo Code o the
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
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: Id ' fSignature (Applicant or Agent)
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
�01
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
Date: / Applicant:
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' COMPE SATION 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 is 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
Lender's
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: Id ' fSignature (Applicant or Agent)
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 1
$1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
$0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$14.50
$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
QTY
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:•0
$123.27
$0.00
Description: MONTERRA / 139LF OF 6' BLOCK WALL
Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: APPROVED
Applied: 12/2/2015 SKH
APPROVED
Approved: 12/8/2015 SKH
Parcel No: 767860036 Site Address: 55101 AUTUMN VALLEY CT LA QUINTA,CA 92253
Subdivision: TR 32742 Block: Lot: 36
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,201.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ADDRES51
Details: 139LF OF 6' GARDEN WALL AT WEST PROPERTY LINE [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
ADDRES51
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
LA QUINTA
CA
0
Printed: Tuesday, December 08, 2015 8:50:20 AM 1 of 2
_ R5 YS TEM S
DESCRIPTION
ACCOUNT
`QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS 581473 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
$14.50
$0.00
ADDITIONAL 50 LF
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$0.00
100 LF
WALL/FENCE -FIRST
101-0000742600
0
$60.91
$0.00
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL: $123.27 $0.00
TOTALS:• •0
INSPECTIONS
Printed: Tuesday, December 08, 2015 8:50:20 AM 2 of 2 CN?W
SYSTEMS
0
SCALE: 1"=30'
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CITY OF LA QUINTA
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LOT 36
i1 iE
BUILDING & SAFETY DEPT.
I
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PLAN 4
55-101 AUTUMN VALLEY COURT
I I
APPROVED
FOR CONSTRUCTION
I
DATE _
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AUTUMN VALLEY
COURT...
LEG E N D 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
® PILASTER
CURB & GUTTER
I POWER, TELCO, CAN & GAS CO FLATWORK
CATCH BASIN
METER LOCATION
PROPERTY LINE
4 STREET/STOP SIGN
001 AIR CONDITIONING UNITS ---- RIGHT-OF-WAY
O H.O.A. MAINTAINED LANDSCAPE
--- PUBLIC UTILITY EASEMENT --- STREET CENTERLINE pS POOL EQUIPMENT
-e—S— SEWER MAIN & MANHOLE —W— WATER MAIN
�— SEWER CONNECTION a WATER SERVICE METER
POOL/SPA
SLOPE
HO -I FIRE HYDRANT
Wpg 27271 Las Ramblas
Suite 100
MONTERR
LOT EXHIBIT
LOT 36
Mission Viejo
TRACT 32742
WOODBRIDGE California 92691
PACIFIC
@PGA WEST
LA
55-101 AUTUMN VALLEY COURT
GROUP Tel: 949-348-8162
QUINTA , CALIFORNIA
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.
--�
Qin City of La Quin to
Building 8� Safety Division
Permit # S d 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
SBuilding Permit Application and Tracking Sheet
Project Address: �% �j� f(��� Owner's Name: M (�zlll)1714
A. P. Number: 77Z
Address: /DD
Legal Description: //<0!'I�E%Z+eir►
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City, ST, Zip:*I,, +qe4 / D
Contractorkjd � :�
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Address:
Project Description:
City, ST, Zip:
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Telephone: Q'
P 6 38 6 D
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State Lic. # :
City Lic.
Arch., Brig., Designer:
Address:
City, ST, Zip:
.............................................
Pe:Telephone: an
Con truetion TY Occupancy:
cY
State Lc. #
a i
Project nPa circle one): New Add'n Alter Repair r Dem o
Name ofContact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE'
N
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 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2q' Review, ready for-corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"! Reyiew, 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