BWFE2018-0064c&t�p 4sI Qum&
78-495 CALLE TAMPICO D
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED
Application Number: BWFE2018-0064
Property Address: 52820 AVENIDA ALVARDO
APN: 773314005
Application Description: GOETTING RESIDENCE / BLOCK WALL
Property Zoning:
Application Valuation: $5,000.00
Applicant:
SHADE BUILDERS
P 0 BOX 66
THOUSAND PALMS, CA 92276
A
MAR 2 6 2018
CITY OF LAOUINTA
CG1!MUNFTYDEVELOPtI-tKTDOARP^...`v7
LICENSED CONTRACTOR'S DECLARATION
1 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. D03 License No.: 870046
Date: " lal,-P -Y5 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; 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.).
(_) 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
VOICE (760) 777-7125 ,
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/26/2018
Owner:
JENNIFER GEOTTING
52820 AVENIDA ALVARDO
LA QUINTA, CA 92253
Contractor:
SHADE BUILDERS
P 0 BOX 66
THOUSAND PALMS, CA 92276
(760)578-2930
Llc. No.: 870046
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: EXEMPT Polity 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 bec9me subject to -the
workers' compensation provisions o Dfi'37-00 o nLfIr ode, I II forthwith
cor�(yw)i� hose prov
Date: Applican
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 ordinanc relating to building
construction, and hereby authorize represe ves bf this city toe er ypgn the
above-mentioned property for inspectio urposes. A %1.7
Date: -" nature (Applicant �/ �� r Ag
Date: 3/26/2018
Application Number:
BWFE2018-0064
Owner:
Property Address:
52820 AVENIDA ALVARDO
JENNIFER GEOTTING
APN:
773314005
52820 AVENIDA ALVARDO
Application Description:
GOETTING RESIDENCE / BLOCK WALL
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$5,000.00
Applicant: Contractor:
SHADE BUILDERS SHADE BUILDERS
P O BOX 66 P 0 BOX 66
THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276
(760)578-2930
Llc. No.: 870046
---------------------------------------------------------------------------------------------
Detail: 64 LFOF 6' RETAINING WALL ON PROPERTY LINE WITH BOTH OWNERS CONSENT[CITY ) PRECISION CONCRETE BLOCK SHALL BE COVERED WITH
STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN THE BACK OF CURB AND ANY FENCING SHALL
BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2016 CALIFORNIA
BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY
AMOUNT
RETAINING/COMBINATION WALL EA SOLF
101-0000-42400 0
$31.20
DESCRIPTION
ACCOUNT w QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$52.01
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$65.02
Total Paid for BLOCK WALL: $148.23
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: $164.23
GEM flv L) F-,; I3 RT -
PERMIT #
PLAN LOCATION:
Project Address: 2��"�i) �C _ -1'1 �Jy
roject Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
��.
Patio/Porch SF
Stories:
Applicant Name: r,5c)-s-t s
State Lic. City Bus Lic:
Address: 511—qto Cl)\R— av"--�C)
State Lic: City Bus Lic:
City, ST, Zip: lam. O V'LI,,5TV4' L4\
Telephone:
Email:
Valuation of Project $ I
Contractor Name: b �Jl�l l S
New SFD Construction:
Address: ��(
Conditioned Space SF
City, St, Zip JJA-n,u5 ��/b
arage SF
Telephone: �� J=�� �O
Patio/Porch SF
Stories:
Fire Sprinklers SF
State Lic. City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:' i J—
New Commercial /Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUI NTA, CA 92253
760-777-7000
6PIjbn
Dfl've iAAY
AeIA )4-6 wm 0.
'OF LA QUINIA
�UNNG & SAFETY DE T.
APPROVED
Fop CPNSTRUCTION,
..)ATE3 Asy' Mf