BWFE2015-030378-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BWFE2015-0303
Owner:
Property Address:
55101 MONROE ST
MONTERRA PROP
APN:
767860042
55075 MONROEST
Application Description:
MONTERRA / 11OLF OF 6' BLOCKWALL ON SOUTH SIDE OF PROPERTY
LA QUINTA, CA 0
Property Zoning:
Application Valuation:
$3,000.00
Applicant:
WOODBRIDGE PACIFIC GROUP LLC
27285 LAS RAMBLAS SUITE #230
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: /a /2 -/F Contractor:
OWNER -BUILDER DECLARA/ ON
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).:
(_) 1, 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.).
(_) 1, 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 Name:
Lender's Address:
24
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
WOODBRIDGE PACIFIC GR(
27285 LAS RAMBLAS SUITE
MISSION VIEJO, CA 92691
(949)348-8162
Llc. No.: 963887
Date: 10/12/2015
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CD
I P_I LLC
m Q
az
1710 I�
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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
offor which this permit is issued.
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: 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: /0,/4�zr/rADolicant: yft�
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.
/n13
Date: Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL ,
ACCOUNT
!
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-O00-20306
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
QTY
MOUNT
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
i
Total Paid for FENCE OR FREESTANDING WALL:
$108.77
0•
$0.00
i0
Description: MONTERRA / 11OLF OF 6' BLOCKWALL ON SOUTH SIDE OF PROPERTY
Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW
Applied: 10/12/2015 SKH
APPROVED
Approved:
Parcel No: 767860042 Site Address: 55101 MONROE ST LA QUINTA,CA 92253
Subdivision: TR 32742 Block: Lot: G
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ADDRESSI
Details: 37LF OF 6' GARDEN RETAINING WALL AT NORTH 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
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
WOODBRIDGE PACIFIC GROUP LLC
27285 LAS RAMBLAS
SUITE #230
MISSION VIE10
CA
92691
SZABALA@WOODBRID
GEPACIFIC.COM
CONTRACTOR
WOODBRIDGE PACIFIC GROUP LLC
27285 LAS RAMBLAS
SUITE #230
MISSION VIEJO
CA
92691
SZABALA@WOODBRID
GEPACIFIC.COM
OWNER
MONTERRA PROP
55075 MONROE ST
LA QUINTA
CA
0
Printed: Monday, October 12, 2015 3:56:22 PM 1 of 2 CRW
SYS7EM5
T
Y
CLTD!
DESCRIPTIONv
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
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
1
Total Paid for FENCE OR FREESTANDING WALL: $108.77 $0.00
TOTALS:0• • 0•
PARENT PROJECTS
Printed: Monday, October 12, 2015 3:56:22 PM 2 of 2
)"WSYS7FMS
Bin
Qty of La Quinto
Building u Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 -1760) 777-7012
wp,0-nBuilding Permit Application and Tracking Sheet
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Project Address: Owner's Name: Z4.
A. P. Num r.
Address: 2 -709,f _r5
Legal Description: r� ��j�j''
City, ST, Zip:/f�eO/7 ///&a 9a&521
Contractor:,_„_
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Telephone: �
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Address:
Project Description:
City, ST, Zip:
6`17Y J
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Telephone: D-
-
G L�GU
State Lic. # :
City Lie.
--
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:hone•
cY•
Construction n TYPe: Occupancy:an
Project circle on e)• New Add 'n Alter Repairair Demo
State Lic. #.
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Proje 00 e)
APPLICANT: DO NOT WRITE BELOW THIS LINE
N Submittal Req'd Rcc'd TRACICR�G PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d 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 corrections/issue
Developer Impact fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Dale of permit issue
School Fees,
Total Permit Fees
V
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REVISIONS:
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