BWFE2017-001178-495 CALLE TAMPICO C` VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN &DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
v D 24/2017
Application Number: BWFE2017-0011 Owner: M
Property Address: 50675 CEREZA CITRUS EL DORA[P
APN: 776340019 1157 N RED GUMj5
Application Description: CITRUS / 110 LF OF BLOCK WALL ANAHEIM, CA 0 v n
Property Zoning: Z
Application Valuation: $2,750.00 O
T
CD
Applicant: Contractor: m ry
ECOWIZE INC ECOWIZE INC �j z o
73081 FRED WARING DRIVE 73081 FRED WARR5AIVE V
PALM DESERT, CA 92260 PALM DESERT, CA�260
(760)776-8300 �
LIc. No.: 945713 �=�J
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/ License No.: 945713
(Date: L ' PIC— l-7 Contractor: r✓`LC/ lit0 i 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 (Seca 70315, Business and Professions Code: Any
city or county that requires a permit to construct, after, 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).:
U 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 Name:
Lender's Add
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of :he following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 :)f the Labor Code, for the performance
of the wyrk 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: EVEREST NATIONAL INSURANCE COMPANY Policy Number:
CA10002430
I certify that in the performance of tine work for which this permit is issued, I
shall not employ any person in any manner so a to become subject to the workers'
compensation laws of California, and agree than, if I should become subject to the
workers' compensation provisions of Section 3i00 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 7 Applicant: ��J j.�I�'
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 ($100,00CD. 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 i2suance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and stace 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 representatves of this city to enter upon the
above-mentioned property for inspection purposes. /
Date: ^ 2E 1 �7 Signature (Applicant c r Agent): r/ /r
Date: _1/24/2017
Application Number:
BWFE2017-0011
Owner:
Property Address:
50675 CEREZA
CITRUS EL DORADO
APN:
776340019
1157 N RED GUM ST
Application Description:
CITRUS / 110 LF OF BLOCK WALL
ANAHEIM, CA 0
Property Zoning:
Application Valuation:
$2,750.00
Applicant: Contractor:
ECOWIZE INC ECOWIZE INC
73081 FRED WARING DRIVE 73081 FRED WARING DRIVE
PALM DESERT, CA 92260 PALM DESERT, CA 92260
(760)776-8300
Llc. No.: 945713
---------------------------------------------------------------------------------------------
Detail: 110LF OF 6' GARDEN WALL AT SOUTH PL [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR
TEXTURED COATING WHERE VISIBLE.
DESCRIPTION
FINANCIAL •• •
ACCOUNT CITY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404 0
$15.20
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$50.67
DESCRIPTION
ACCOUNT aTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$63.33
Total Paid for BLOCK WALL:
$129.20
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
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5:00
Bin.# lily of La Qi rota
Building 8£ Safety Division
78-495 Calle Tampico
Permit # La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Project Address: �Q (� C Owner's Name: /OP.L�S/ p/� ro C-1 (el) -7 �� e
A. P. Number: -776 31j0 — 01
Address: UP g lr,6b W4-
Legal Description:
City, ST, Zip: 10A11l,1 OCse d Z 2 6 6
Contractor: EC C) LJ E5-
Telephone:
Project Description:
Address: 730? t
City, ST, Zip:0—ffhv) fierse RT,
o .q z 6 (3
Pl:OPEf GiN� �3Lack G�I±I9r
Telephone:
o '760 7
State Lic. # :
City Lic'
Arch., Engr., Designer:
Address: 0 COR�02c l�
K
City, ST, Zip: l R tfl4%L/ eji-
q 2-60
Telephone: e: y- go d
q y �
•
Construction TyP e: O ecu P alcY:
i
A da 'n Alter Repair.
air Demo. circle one): New.State
Name of Contact Persona e v� I U
&Oj,v
Sq. Ft.: # Stories:
# Units:
Telephone # of Contact Person:
6- 9'13 6
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
9
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
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 correctionsfissue
Electrical .
Subcontactor List
Called ContactPcrson
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IIOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.T.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
I
-EIV
Total Permit Fcces Y
Jr%l I W V LW I I
IC
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
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