BWFE2015-0299Applicant:
WILLIAM MORRIS DEVELOPMENT
P 0 BOX 703
LA QUINTA, CA 92247
OCT C7 2015
CITY CIF 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: B —7 License No.: 945496
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).:
( 11, 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 11, 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
Lender's Address:
21
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/7/2015
Contractor:
WILLIAM MORRIS DEVELOPMENT
P 0 BOX.703
LA QUINTA, CA 92247
(760)668-2608
Llc. No.: 945496
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 .or 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: _ 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: 10 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.
c<.
Date: Signature (Applicant or Agent):
4
78-495 CALLE TANFPICO�EO
LA CONTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2015-0299
Owner:
Property Address: 78680 AVENIDA NUESTRA
'RICK MORRIS
APN: 770172010
P 0 BOX 366
Application Description: MORRIS / 314 LF PERIMETER WALL LA QUINTA, CA 0
Zoning:
Zoning
Application Valuation: $11,300.00
Ilnl
n
Applicant:
WILLIAM MORRIS DEVELOPMENT
P 0 BOX 703
LA QUINTA, CA 92247
OCT C7 2015
CITY CIF 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: B —7 License No.: 945496
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).:
( 11, 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 11, 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
Lender's Address:
21
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/7/2015
Contractor:
WILLIAM MORRIS DEVELOPMENT
P 0 BOX.703
LA QUINTA, CA 92247
(760)668-2608
Llc. No.: 945496
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 .or 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: _ 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: 10 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.
c<.
Date: Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
QTY AMOUNT PAID .
PAID DATE
BSAS SB1473 FEE
101-0000-20306
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
AMOUNT
PAID
PAID DATE
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$72.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK If
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
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
Total Paid for FENCE OR FREESTANDING WALL:
TOTALS:00
$181.27
$0.00
Permit Details PERMIT NUMBER
City of La Quinta y;
BWFE2015-0299
4.
Description: MORRIS / 314 LF PERIMETER WALL
Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW
Applied: 10/7/2015 SGU
APPROVED
Approved:
Parcel No: 770172010 Site Address: 78680 AVENIDA NUESTRA LA QUINTA,CA 92253
Subdivision: DESERT CLUB TR UNIT 5 Block: Lot: 169
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $11,300.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 314 LF OF 5' AND 6' GARDEN WALL AND 2 PILASTERS [CITY AND ANGELUS APPROVED SPECIFICATIONS] PRECISION CONCRETE BLOCK.
SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA
BUILDING CODES.
Printed: Wednesday, October 07, 2015 11:31:01 AM 1 of 2
• SYSTEh1S
ADDITIONAL
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
WILLIAM MORRIS DEVELOPMENT
P 0 BOX 703
LA QUINTA
CA
92247
CONTRACTOR
WILLIAM MORRIS DEVELOPMENT
P 0 BOX 703
LA QUINTA
CA
92247
OWNER
RICK MORRIS
P 0 BOX 366
LA QUINTA
CA
0
Printed: Wednesday, October 07, 2015 11:31:01 AM 1 of 2
• SYSTEh1S
' Permit Details PERMIT NUMBE=R 2
BWfE2015=0299'°`
City of La Quinta
mom
I. INSPECTIONS
BOND INFORMATION
Printed: Wednesday, October 07, 2015 11:31:01 AM 2 of 2. C
SYS7Eti1S
CLTD,
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
WALL/FENCE - EA
101-0000-42404
0
$72.50
$0.00
ADDITIONAL 50 LF
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
Total Paid for FENCE OR FREESTANDING WALL: $181.27 $0.00
TOTALS: $182.27 00
I. INSPECTIONS
BOND INFORMATION
Printed: Wednesday, October 07, 2015 11:31:01 AM 2 of 2. C
SYS7Eti1S
r`
Qin ##
Permit #
Project Address: — (0 D
Qty of La Quinta
Building a Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
_p �� Je jo�r0wner'§.Name: JZ 1 L (� e s f4 t �) - 0 yV1
A. P. Number: —7"1 b
Address:SVA, L
S/ SzS nt� A
Legal Description:
City, ST, Zip: Cck to -J+4
Contractor: D c �eO
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Telephone: n
e:
Z o � z
Address: —7 C) z
Project Description: 11 O C,
City, ST, Zip: �. ig, Q l k)-kl!}
Telephone: U 8
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l w
State Lic. # :
City Lic. M. I OO K
(' -}-rp yL
Arch., Engr., Designer:
Address:
• 1 V -�WCI ' 7i
City, ST, Zip:
one:
Telephone:
S Lic. tc. #.
Name of Contact Person:
aneY
Construction Type. e• Occupancy:
P :
Project nPa (circle one): New Add'n Alter Repair Demo
Sq. Ft_:
# Stories:
# Units:
Telephone # of Contact Person:d
(0(00 (p O
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'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 Calcs-
Plans picked up
Construction '
Flood plain plan .
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for correctionsrissue
Electrical
Subcontact'orList
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I-P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
C) C -,-V--
� V -j 3 , � �) S �) , 4-1 �' L- S 1 - '�'
--0 +PC �
Avenicla Nuestra
SITE PLAN
SCALE: 1/8" =1' -0'
-3 ` U c-, L<_ vv V--,�- L-1--
19 ( U C, 64-- r,C L
54U49 WtIa CMI-e4U, 14%e.
PROGRESSIVE DESIGN CONCEPTS
• Architectural Design
• Residential and Commercial
• Planning and Development
78-115 Calle Estado, Ste. 105
La Quanta, CA 92253
Office (760) 564-4707 Fax (760) 564-4955
www.swconcepts.com
PROJECT TITLE
Proposed Single
Family Residence
for
WM Development
Avenida Nuestra
La Quinta, CA 92253
A.P.N.: 770-172-010
Date/ Description
Number
Drawn By
Approved By
Project Manager
�y�gs r2�1'
t, � ', �, ,-) At I "I
7%
Stephen R. Nieto Date
Date: 12/15/2014
A1 .0