BWFE2017-016578-495 CALLEJAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
L M MASONRY
74074 ASTER
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BWFE2017-0165
52983 VIA SAVONA
777380.001
DEWEY RESIDENCE / BLOCK GARDCNQALL
$22,250.00
VOICE (760) 777-7125
FAX (760)777-7011
INSPECTIONS (760) 777-7153
Owner:
PAUL-DEWEY
75060 GERALD FORD,DR
PALM DESERT, CA 92211
Contractor:
AU(j L M MASONRY
74074 ASTER
Date: 8/29/2017
PALM pESERT, CA 92260 i �r
PALM DESERT, CA 92260
ESC
�0
�UIIVTq (760)413-4030
R�FiQ
'
Llc.• No.: 966567
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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 certificated consent to self -insure for workers'
and my License is in full forceand effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
1
License Class: C29 License No.: 96656
of the work for which this permit is issued.
_ I have and will maintain workers' compensation insurance, as required by
.D-5PJZR1,"o Co9
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and polity number are:
OWNER -B LDER DEC TION
Carrier: NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Polity Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
A9WC709072
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
I should become subject tothe
compensation laws of California, an/Section
signed statement that he or she is licensed pursuant to the provisions of the .
workers'' compensation provisions oof the Labor Code, I shall fo with
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 thebasis
com ly with those provisions.3
for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
Date: Zq Apppermit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).:
WARNING: FAILURE TOSECURE WONSATION COVERAGE IS UNLAWFUL;
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not,
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) 1, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to,an owner of property who builds or improves
issued as a result of this application , the owner,.and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(_) I am exempt under Sec. B.&P.C. for this reason
following issuance of this permit.
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 Address:
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.
C
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 I ws relating to building
construction, and hereby authorize representatives of this cit t enter upon the
above-mentione property for inspection purposes.
Da Sign'aTure (Applicant or Agen
Date: 8/29/2017
• - .,Application Number: BWFE2017-0165
Owner.
Property Address: 52983 VIA SAVONA
PAUL DEWEY
APN: 777380001
75060 GERALD FORD DR
Application Description: DEWEY RESIDENCE/ BLOCK GARDEN WALL
PALM DESERT, CA 92211
Property Zoning:
Application Valuation: $22,250.00r .
Applicant:
Contractor: .
L M MASONRY
L M MASONRY
.74074ASTER
74074 ASTER
PALM DESERT, CA 92260
PALM DESERT, CA 92260
(760)413-4030
Llc. No.: 966567
Detail: 204 LF OF 6' HIGH BLOCK GARDEN WALL4 PILASTERS AND,295 LF OF 2' PLANTER WALLS (ANGELUS SPECIFICATIONS] PRECISION. CONCRETE BLOCK
SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN THE BACK OF CURB
AND ANY FENCING SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY ,
OWNER. 2016 CALIFORNIA BUILDING CODES.
t+:,'',DESCRIPTION i.
ACCOUNT
QTY.
AMOUNT'
WALL/FENCE - EA ADDITIONAL 50 Lf
101-0000-42404
0.
$45.60
'DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE -FIRST 100 LF'
101-0000-42404
0
$50.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE.- FIRST 100 LF,PC
101-0000-42600
0
$63.33
Total.Paid for.BLOCK WALL:
$159.60
DESCRIPTION
ACCOUNT-,
QTY
` AMOUNT
BSAS SB1473 FEE • ..
101-0000-20306
0
-.$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
QYY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-.0000-43611
0
-$5.00
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VIA SAVONA - LA QUINTA - CA -.92253
57-nO sleac OIdMOND ld QUINIa 91253
!:160.899.3368 / E eelml�uapeurchifxlure®gmailcamcum
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City Of La Quints
Building a Safety Ditdsfon
P.O. Box 1504,78-495 Calle Tampfco
U.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjectAddress:„,;-
p AU0,veV g,.
Owner's Name:. +(4 L ✓, e; �
A. P. Number.
Address:
Legal Description:
50
Cita', ST, Zip: 4 (. rn ff f Cry- • / 2 2
Telephone: OContractor.
.2doo
Address:
7-1 ,c-
,f— 1
Project Description:
City, ST, Zip: Pot M �i
t ti C✓` z �15QIL0
M.Gv d 0 ei N
Telephone:'760 —
0
X.
L!l-S S i_Y9 r✓) �n.7 LL-
! -,c
State Lic. #:
City Lie. #;
Arch., Eng.. Designer.
Address:
2w. p Llov”- LV �a'vL
City, Sr, zip:
—2*«
Telephone:
State Lie. #:
Name of Contact Person:
Construction Type: r V1A'50,V Occupancy:
Project type (circle on :New Add'n Alter Repair Demo
►tea t Z p # Stories: # Unit$:
Telephone # of Contact Person:
Estimated Value of ProjecV022 7i�• ��
APPLICANT: DO NOT WRITE BELOW THIS LINE
p
Submittal
Req'd
Reed
TRACING ,.
PERMITFEES-
Plan Sets
Plan Cheek submitted
Item Amount
Structural Calea
Reviewed, ready for corrections
Plan Check Deposit. .
Trus Calcs.
Called Contact Person
Plan Cheek Balance.
Tide 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mechanical
Grading plan
2' Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S3LL
H.O.A. Approval
Plans resubmitted
Grading
IM HOUSE.-
"" Review, ready for correetionslissae
Developer Impact Fee
Planning Approval
Called. Contact Person
A.LP.P.
Pub. VVks. Appr
Date of permit issue
School Fees
Total Permit Fees