BWFE2016-00O678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2016-0006
Property Address: 79185 SHADOW TR
APN: 600400006
Application Description: DESERT COVE / WALLACE/ 6' BLOCK WALL AT WEST PL, EAST RETURN
Property Zoning:
Application Valuation: $9,000.00
Applicant:
SAL GUTIERREZ MASONRY AND CONCRETE INC
31-695 AVENUE DEL PADRE
CATHEDRAL CITY, CA 92234
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (comment' ith Section 7000) of Division 3 of the Business and Professions Code,
and my Lic is i full force and effect.
License Cla : C29 -8 License 7254
Date: Con ctor. r
2 / / 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.).
(_) 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 propertywho 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:
Owner:
RICHARD WA
80406 PASEO
INDIO, CA 92;
Contractc
SAL GUTII
31-695 AVENUE DEL PADRE
CATHEDRAL CITY, CA 92234
2,
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/11/2016
(760)250-6934
Llc. No.: 725297
WORKER'S COMPENSATION DECLARATION
I he i
a rm under penalty of perjury one of the following declarations:
,
ave 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
1a 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 issue ,My workers' compenVlir insurance carrier and polity number are:
Carrier Polity Number:
I certify that in.the performance of the work for which this permit is issued, I
I
sha n t employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that,P31ould become subject to the
workers' compensation provisions of Section 3 he abor Code, I shall forthwith
comply with those provisions.
Date: 11 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 count2u.
es and state laws relating to building
construction, and hereby authorize reprethis city to nter up the
above mentioned property for inspectioDate: � Signature(A gent):
DESCRIPTION
FINANCIAL ••
ACCOUNT'.-
!,
CITY
s, AMOUNT.;'
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
2/11/16
PAID BY.
METHOD 4
RECELPT #
" CHECK #
CLTD BY
RICHARD WALLACE
CHECK
R12830
5320
RSE
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
$1.00'
DESCRIPTION
ACCOUNT:,-:::
ATYAMOUNT
PAID
PAID DATE..
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$47.86
2/11/16
PAID BY
METHOD,
-RECEIPT#
CHECK #
CLTD BYr ,
RICHARD WALLACE
CHECK
R12830
5320
RSE
DESCRIPTION
.'A000UNT.
QTY;
AMOUNT '
PAID
PAID DATE:
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$60.91
2/11/16
PAID BY
METHOD':-,
RECEIPT #:.CHECK
#
RICHARD WALLACE
CHECK
R12830
5320
RSE
Total Paid for FENCE OR FREESTANDING WALL:
TOTALS:0•
$108.77
$108.77
0•
Description: DESERT COVE / WALLACE/ 6' BLOCK WALL AT WEST PL, EAST RETURN
Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: APPROVED
Applied: 1/11/2016 SKH
APPROVED
Approved: 1/11/2016 JFU
Parcel No: 600400006 Site Address: 79185 SHADOW TR LA QUINTA,CA 92253
Subdivision: TR 31310 Block: Lot: 6
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $9,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 90LF OF 6' GARDEN WALL AT WEST PL AND RETURN AT EAST PL. [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE
COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE .
Printed: Thursday, February 11, 2016 9:37:42 AM 1 of 2
• SYS TEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
NOTE
STEPHANIE KHATAMI
1/11/2016
1/11/2016
RECEIVED SUBMITTAL, PLACED ON HOLD AS CONTRACTOR'S
COMP IS EXPIRED.
PLAN CHECK SUBMITTAL
RECEIVED
STEPHANIE KHATAMI
1/11/2016
1/11/2016
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL "
APPLICANT
SAL GUTIERREZ MASONRY AND
CONCRETE INC
31-695 AVENUE DEL
PADRE
CATHEDRAL
CITY
CA
92234
CONTRACTOR
SAL GUTIERREZ MASONRY AND
CONCRETE INC
31-695 AVENUE DEL
PADRE
CATHEDRAL
CITY
CA
92234
OWNER
RICHARD WALLACE
80406 PASEO TESORO
INDIO
CA
92201
Printed: Thursday, February 11, 2016 9:37:42 AM 1 of 2
• SYS TEMS
ATTACHMENTS
Printed: Thursday, February 11, 2016 9:37:42 AM 2 of 2
srsrrMs
FINANCIAL
••
1•
DESCRIPTION ACCOUNT QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
.
BY '
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$1.00
2/11/16
R12830
5320
CHECK
RICHARD WALLACE
RSE
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
$1.00
BSA:
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$47.86
2/11/16
R12830
5320
CHECK
RICHARD WALLACE
RSE
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91.
$60.91
2/11/16
R12830
5320
CHECK
RICHARD WALLACE
RSE
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL:
$108.77
$108.77
TOTALS:0•
•• .77
ATTACHMENTS
Printed: Thursday, February 11, 2016 9:37:42 AM 2 of 2
srsrrMs
Bin #*
Qty of La Quinta
Building &' Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
7/UIIQ-d�
'P'roject Address: '79lgvC h
Owner's Name:
A. P. Number: _ , D
Address: (rh s8
Legal Description:310
City, ST, Zip: CD Zv
act r
Contr o .
T e h ne.
elP o 7 SOU V 7
Address: p, _
Project Description: '
City, ST, Zip: ,ZAr���
Telephone:
P
State Lic. # : C'
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
TelePh ne:
Con tructi n Type: Occupancy:
State Lic.. #.
ProJect type (circle one • Neww Add'n Alter Repair Demo
Name of Contact Person: c
Sq. Ft.:
# Stories:
# Units:
'Telephone # of Contact Person: 9,01, Yq 7
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
It
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
1(
Item
Amount
Structural Calcs.
Reviewed, ready fore cors J35UC
( l I
Plan Check Deposit
Truss.Cales.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IH ROUSE:-
Jrd. Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Lal Permit Fees
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RESIDENTIAL PIANS FOR:
Richard Wallace & Cheryl Jacobs
791$, $ho0ow frail
La QUInta, Ca 92953
AAPN#: 600=400-006 LOT 6, TRACT 31310
PROJECT TEAM VICINITY MSP FINAL INSPEQTiQN NOTES
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