BWFE2015-029778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ELAINE MC CREARY
52120 AVENIDA HERRERA
LA QU I NTA, CA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BW FE2015-0297
52120 AVENIDA HERRERA
773224005
MC CREARY RESIDENCE /GARDEN WALL
$2,500.00
A
OCT 05 2015
CITY OF LA QUINTA
COMMUNITY 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 Class: _ License No.:
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).:
41, as owner of the property, or my employees with wages as their sole
com ensation, 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.).
AtI am exempt under Sec. . B.&P.C. for this reason
Date: /D '- '� Owner./ /J,.a
CONSTRUCTION LENDING AGENCY y
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 Address:
20
VOICE (760) 777-7125
SCANNEg FAX (760) 777-7011
SPECTIONS (760) 777-7153
Date: 10/5/2015
Owner:
ELAINE MC CREARY
52120 AVENIDA HERRERA
LA QUINTA, CA 92253
Contractor:
Llc. No.:
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
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: _ Polity 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:
Applicant:
WARNING: FAILURE TO SECURE WORKERS' 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-mentioned property for inspection purposes.
Date: �B f7 �S Signature (Applicant or Agent). 7
11.
FINANCIAL INFORM •
95d"; "v Y'>d 't -.F.
y' Y� s'i-' mi.-'.
a >r ACCOUNT $ QTY �€ AIVIOUNTs PAID PAIDrDATEf
4
yDESCRIPTION e�r�axV
BSAS SB1473 FEE -101-0000-20306
0 $1.00 $1.00. 10/5/15
*'�-.,�"' h�;
PAID BY MET1lOD
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#ti $ # �CLTD,BY
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b....
IRECEIPT s `CHECK
ELAINE MC CREARY • . CHECK
R9778 5873 SGU
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
rDESCRIPTION
ACCOUNTy #�'
=QTY
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%PAID i '
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WALL/FENCE - FIRST 100 LF
101-0000-42404
01
$47.86
.$47:86
10/5/15,
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ELAINE MC CREARY
CHECK
R9778
5873
SGU
- ; DESCRIPTIONS `"`
R ACCOUNT Y� ,` z
TY
AMOUNT
PAID s
PAID DATES
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WALL/FENCE - FIRST 100.LF PC,
101-0000-42600
0
.$60.91
$60.91
10/5/15
- "i {aY:aih y..'��`:
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METHOD'
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�..<i:RECEIPT
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BY.
ELAINE MC CREARY
CHECK
R9778
5873
SGU
Total Paid for FENCE OR FREESTANDING WALL: $108.77 $108.77
o 0• �•
Description: MC CREARY RESIDENCE / GARDEN WALL
Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW
Applied: 10/5/2015 SGU
APPROVED
Approved:
Parcel No: 773224005 Site Address: 52.120 AVENIDA HERRERA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 75 Lot: 18
Issued:
UNIT 10
CITY
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,500.00 Occupancy Type: Construction'Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
LA QUINTA
Details: 60 LF -OF 6' GARDEN GARDEN WALL WITH GATE AT SOUTH SIDE YARD [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE
COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA
BUILDING CODES.
ADDITIONAL SITES
CONDITIONS
FINAINCIAl
CONTACTS
ACCOUNT QTY
NAME TYPE
NAME ADDRESSI
CITY
STATE ZIP PHONE
FAX
EMAIL
APPLICANT
ELAINE MC CREARY 52120 AVENIDA
LA QUINTA
CA 92253 (760)564-4287
10/5/15 R9778 5873 CHECK I ELAINE MC CREARY I SGU
Total Paid for BUILDING STANDARDS ADMINISTRATION
HERRERA
$1.00
$1.00
BSA:
OWNER
ELAINE MC CREARY 52120 AVENIDA
LA QUINTA
CA 92253 (760)564-4287
HERRERA
Printed: Monday, October 05, 2015 3:15:41 PM 1 of 2
SYSTEMS
FINAINCIAl
INFORMATION
ACCOUNT QTY
AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$1.00
10/5/15 R9778 5873 CHECK I ELAINE MC CREARY I SGU
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
$1.00
BSA:
Printed: Monday, October 05, 2015 3:15:41 PM 1 of 2
SYSTEMS
Printed: Monday, October 05, 2015 3:15:41 PM 2 of 2
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
WALL/FENCE -FIRST
101-0000-42404
0
$47.86
$47.86
10/5/15
R9778
5873
CHECK
ELAINE MC CREARY
SGU
100 LF
WALL/FENCE -FIRST
101-0000-42600
0
$60.91
$60.91
10/5/15
R9778
5873
CHECK
ELAINE MC CREARY
SGU
100 LF PC -
I
I
I
I
I
I -
I
I il
Total Paid for FENCE OR FREESTANDING WALL: $108.77 $108.77
Printed: Monday, October 05, 2015 3:15:41 PM 2 of 2
SYSTEMS
PL
112'
PL
'Proposed W high wall
23'
1
55'
5'
52120 Avenida Herrera/Residence
Avenida Herrera
41'6"
CITY Y OF LA Cil INTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 4� /S By
W
Bin #
�ity of La QuIn.ta
Un �� Building U Safety Division
Permit # �i Imo` . . 78-495 Calle Tampico
l -o^ 6 La Quinta, CA 92253 - (760) 777-7012
Building' Permit Application and Tracking Sheet
Project Address:5 d 90e,4I a e e Owner's Name: ; e e C r a r`
A. P. Number:
Address: IlLo Q e rf ,/`C-7,
Legal Description:
City, ST, Zip:
Contractor:
^ h/
Telephone:
7 o
........�..,.,.,.�................:...::.::::.:::
Address:
Project Description: 8R 1 C K Side r�V'�t WGA %
City, ST, Zip:
-5511ayia 66ek We 1 W 1
Telephone:
Q
Q � e n
State Lic. # :
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
ne:
Telephone:
':'•<�><<>«Construction
:.,:::::
aneY
Type. Occupancy:
tate ic. #.
S L
Add Project type (circle ne • Newn Alter Repairai
r Demo
0
Name of Contact Person:
Sq. Ft.: # Stories:
# Units:
/�
Telephone # of Contact Person: 7& 0 - 5 to ;
d
Estimated Value of Project: �j QO
APPLICANT: DO NOT WRITE BELOW THIS LINE
t✓
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Clieck Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan .
Plans resubmitted
Mechanical
Grading plan
2"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:-
Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees, .
Total Permit Fees