BWFE2017-015278-495 CALLE TAMPICO Ct 0 D
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2017-0152
Property Address: 48965 VISTA ESTRELLA
APN: 602240027
Application Description: HAYTER / 28LF GARDEN WALL AT COURTYARD AND SIDE YARD
Property Zoning:
Application Valuation: $1,200.00
Applicant:
_-.4'--Q\
SANTUCCI BUILDERS INC
72529 BEAVERTAIL STREET AUG 0 9 2017
PALM DESERT, CA 92260 DD.
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
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 Cla,CB License No.: 820801
atD e �ntractor
� C64�
OWNER-BUI ER 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 L
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 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/9/2017
Owner:
GLENN HAYTER
23643 SW STAFFORD HILL DR
WEST LINN, OR 92253
Contractor:
SANTUCCI BUILDERS INC
72529 BEAVERTAIL STREET
PALM DESERT, CA 92260
(760)578-7757
Llc. No.: 820801
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 t ork for which Phis pernnit is issued.
��I have and will maintain workers' compensation insurance, as required by
S 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: BENCHMARK INSURANCE COMPANY Polity Number: CSTS010232
_ 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
complywi h th a provisions.
D -at 7X 4 Apples icantd, ^
WARNING: FAILURE TO SECURE WORKER COMPENSATION 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-
mentir
D to e -//yr --Signature (Applicaent): �~
Date: 8/9/2017
Application. Number: BWFE2017-0152
Owner:
Property Address: 48965 VISTA ESTRELLA
GLENN HAYTER
APN: 602240027
23643 SW STAFFORD HILL DR
Application Description: HAYTER / 28LF GARDEN WALL AT COURTYARD AND SIDE YARD
WEST LINN, OR 92253
Property Zoning:
Application Valuation: $1,200.00
Applicant:
Contractor:
SANTUCCI BUILDERS INC.
SANTUCCI BUILDERS INC
72529 BEAVERTAI L STREET
72529 BEAVERTAIL STREET
PALM DESERT, CA 92260
PALM DESERT, CA 92260
(760)578-7757
LIc. No.: 820801
Detail: 20 LF OF T GARDEN WALL AT THE NORTH SIDE YARD AND 8 LF AT ENTRANCE W/ GATE [CITY 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.
o
DESCRIPTION
FINANCIAL •R •
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:
$114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
'0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
00
t
0
1
0
Din #
o.
Ct�/ 0f Qtirnta
-Building 8r 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: z!S_ %G! ES/1--e-114
Owner's Namer/
A. P. Number:
Address:
Legal Description:
Contractor: �'K GK y/t"//f ✓s
City, ST, Zip: 1�
,. .
Telephone: ;, .. '?' ,
Address: %pZ PQ!/N Cell �7%
Project Description: Plec W0,
City, ST, Zip:
/:E/=
Telephone: !kO S- 7f(
t r�
State Lia # : v�dl City Lic. tR:
Arch, Engr., Designer.
Address: 7 gs26rl�,H-Q
j�j
City, ST, Zip: ! CG4 ZzlPo.
Telephone: -7(�,,) 7,111- 222 t
State Lic. #: L- ,z.....4
Name of Contact Person: �GY/' /�
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft: 9 Stories: N Units:
Tel hone ti of Contact Person:
ep � �7 7S
d
Estimated Value of Project: �a���•
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKNG
PERMIT FEES,
61
Plan Sets
Plan Check submitted
Item Amount
Strnctuint Cates
Reviewed, ready for corrections
Plan Check Deposit. .
Tans Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Giading plan
2i° 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 QOUSE:-
'"° Review; ready for correctionsAssue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr •
Date of permit issue
School Fees
Total Permit Fees
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