BWFE2016-005378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
C&hr4.fwQu&rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BWFE2016-0053
Property Address:
59535 SEVILLE
APN:
764710005
Application Description:
ANDALUSIA/ BLOCK WALL 208 LF
Property Zoning:
Application Valuation:
$5,275.00
Applicant:
T D DESERT DEVELOPMENT LIMITED PARTNERSH
81570 CARBONERAS
LA QUINTA, CA 92253
111111111111.11111111
51
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
Si {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.: 762987
Date: ,, -7 � Contractor:�LAY/ L
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, 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 Contactors' 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. Q.
Lender's
Lender's Add
Owner:
T D DESERT DEV
81570 CARBONERAS
LA QUINTA, CA 0
VOICE (760) 777-7125
FAX (760)777-7011
INSPECTIONS (760) 777-7153
Date: 2/26/2016
Contractor:
T D DESERT DEVELOPMENT LIMITED.PARTNERSH
81570 CARBONERAS
LA QUINTA, CA 92253
(760)777-1001
Llc. No.: 762987
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: 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 ' comp nsation provisions of Section 3 of the Labor. Code, I shall forthwith
comply with t se r1ovisions. -
Date: E' 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
constructio and hereby authorize representatives of this city to enter upon the
above-menione¢property for inspection purposes.
Date: ` G12 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
$43.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
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
QTY
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: $152.27 $0.00
TOTALS: $153.27 00
Description: ANDALUSIA / BLOCK WALL 208 LF
Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: APPROVED
Applied: 2/25/2016 MFA
APPROVED
Approved: 2/26/2016 MFA
Parcel No: 764710005 Site Address: 59535 SEVILLE LA QUINTA,CA 92253
Subdivision: TR 31681-3 Block: Lot: 179
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,275.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 208 LF GARDEN WALL [ANGELUS SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR
TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. PER 2013 CALIFORNIA BUILDING CODES.
__�Applied to Approved .::
Printed: Friday, February 26, 2016 11:05:22 AM 1 of 2 r SYSTEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES'
PLAN CHECK SUBMITTAL MARY FASANO
RECEIVED
2/25/2016
2/26/2016
CONDITIONS
CONTACTS
CITY
STATE
ZIP PHONE
FAX
EMAIL
'NAME TYPE
NAME
ADDRESSI
APPLICANT
T D DESERT DEVELOPMENT LIMITED
PARTNERSH
81570 CARBONERAS
LA QUINTA
CA
92253
NSPARKS@RANCHOLA
QUINTA.COM
CONTRACTOR
T D DESERT DEVELOPMENT LIMITED
PARTNERSH
81570 CARBONERAS
I
I
LA QUINTA
CA
I
92253
I I
NSPARKS@RANCHOLA
I QUINTA.COM
OWNER
T D DESERT DEV
. 81570 CARBONERAS
I
LA QUINTA
CA 1
0
Printed: Friday, February 26, 2016 11:05:22 AM 1 of 2 r SYSTEMS
INSPECTIONS
PARENT PROJECTS
Printed: Friday, February 26, 2016 11:05:22 AM 2 of 2
SY57FM5
CLTD
DESCRIPTION
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 - EA
101-0000-42404
0
$43.50
$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: $152.27 $0.00
TOTALS:00
INSPECTIONS
PARENT PROJECTS
Printed: Friday, February 26, 2016 11:05:22 AM 2 of 2
SY57FM5
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