The URL can be used to link to this page

BWFE2015-031178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tit4t 4 4 Q�mroj COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BWFE2015-0311 Property Address: 79775 POMELO APN: 776200012 Application Description: CITRUS COURSE HOA / REPLACE (2) PILASTERS LIKE FOR LIKE Property Zoning: Application Valuation: $3,000.00 (;� O Applicant: `c�➢ OCT 7 CADD WORKS INC ' G ZO15 31475 CALLE HELENE THOUSAND PALMS, CA 92276 CITYOFLAOUINTA 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- BB�D^�06 C29 License No.: 917955 Date: -7 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).: I ) 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.). (_J 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: 11111111111111111111 34 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/27/2015 Owner: CITRUS COURSE HOMEOWNERS ASS 74399 HIGHWAY 111 NO M PALM DESERT, CA 0 Contractor: CADD WORKS INC 31475 CALLE HELENE THOUSAND PALMS, CA 92276 (760)272-4383 Llc. No.: 917955 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. 1 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: ✓CApplicant: 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 ente/r, upon the above•menti01 property for inspection purposes. /I U F Date: 10 27 S Signature (Applicant or Agent) DESCRIPTION " FINANCIAL •• • ACCOUNT QTY AMOUNT PAID PAID DATE' BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/27/15 PAID BY = METHOD RECEIPT # CHECK # CLTD BY' CHRIS EVANKO REMODEL CHECK R10321 1224 SGU Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION _ ` 'ACCOUNT.;. QTY AMOUNT:;, PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 • $47.86 $47.86 10/27/15 PAID BY :`' METHOD, • RECEIPT # .. CHECK # CL -TD BY CHRIS EVANKO REMODEL CHECK R10321 1224 SGU DESCRIPTION ACCOUNT QTY .: :AMOUNT ` PAID PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $60.91 10/27/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY CHRIS EVANKO REMODEL CHECK R10321 1224 SGU Total Paid for FENCE OR FREESTANDING WALL: TOTALS:0• $108.77- $108.77 0• Description: CITRUS COURSE HOA / REPLACE (2) PILASTERS LIKE FOR LIKE type: WALL/FENCE SubLype: SPECIAL/ENGINEERED SLalus. APPROVED Applicd: 10/27/2015 SGU DESIGN Approved: 10/27/2015 SGU Parcel No: 776200012 Site Address: 79775 POMELO LA QUINTA,CA 92253 Subdivision: TR 24890-1 CM 92/82 92 Block: Lot: A Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $3,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0. PHONE Details: REPLACING (2) EXISTING PILASTERS LIKE FOR LIKE 8FT HIGH [CITY 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 NAME TYPE. NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT CADD WORKS INC 31475 CALLE HELENE THOUSAND PALMS CA 92276 CONTRACTOR CADD WORKS INC 31475 CALLE HELENE THOUSAND PALMS CA 92276 OWNER CITRUS COURSE HOMEOWNERS ASS 74399 HIGHWAY 111 NO M PALM DESERT CA 0 FINANCIAL INFORMATION Printed: Tuesday, October 27, 2015 4:49:22 PM 1 of 2 C SYS7flviS INSPECTIONS PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Tuesday, October 27, 2015 4:49:22 PM 2 of 2 SYS7F1v1S CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS.SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/27/15 R10321 1224 CHECK CHRIS EVANKO SGU REMODEL Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: WALL/FENCE - FIRST 101-0000-42404 0 $47.86 $47.86 10/27/15 R10321 1224 CHECK CHRIS EVANKO SGU 100 LF REMODEL WALL/FENCE -FIRST 101-0000-42600 0 $60.91 $60.91 10/27/15 R10321 1224 CHECK CHRIS SGU 100 LF PC REMOODELDEL Total Paid for FENCE OR FREESTANDING WALL: $108.77 $108.77 TOTALS: INSPECTIONS PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Tuesday, October 27, 2015 4:49:22 PM 2 of 2 SYS7F1v1S N Bin # 0"7t` City of La Quinta Building 8T Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #P.O. Project Address: �5 �, G(, Owner's Name: S uxgr L r/g A. P. Number: Address: 3KQWGL 5 0 Legal Description: City, ST, Zip: Contractor: Lu0 S �K ne• Telephone: h 3 o00 .................:........................... Address: -- L E-�r!— u Project Description: City, ST, Zip: p �� SIS C 4-, a s -76 o VE- +AJ R 'c/f c E 'Cel ehne P o NEMSEM State Lie. # : `j CityLie. #•: (� y t / fV � S�/U lT Gp ' Arch., Engr., Designer: Address: -7,-2. 7 d GU/ A k C GO—R—(4 , 49 R• , IvoleTkI S (P� City, ST, zip: FALM D €z. o,- 92-2- 6 O p F .4 VE— S Telephone: o� aneY Construction Type: Occupancy: State Lie. # Add'n AlterProJecttYPeci(circle one): RairDemo ' Name of Contact Person: C Sj5 VAc k p Sq. Ft.: i $ # Stories:- # Units: / Telephone # of Contact Person: (p 0 3 �{ ( 3 ( Estimated Value of Project: 30CC) APPLICANT: DO NOT WRITE BELOW THIS LINE tt Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. 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. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees MA to 4 —�� W �ia{s ,�3t fA�` tSi Ir 1. � a r