BWFE2017-021378-495 CALLE TAMPICO
LA QUINTA,CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED Owner:
Application Number: BWFE2017-0213 PEPE BUILDS LLC
Property. Address: S4190 AVENIDA CORTEZ PO BOX 447
APN: 774192010 LA QUINTA, CA 92253
Application Description: PEPE BUILDS / 50 LF OF 5' COMBO WALL AT REAR PL
Property Zoning:
Application Valuation: $1,300.00-
Applicant:
1,300.00Applicant: D Contractor:
CORONEL ENTERPRISES INC CORONEL ENTERPRISES INC
42760 MADIO STREET NOV 1& 2017 DD
42760 MADIO STREET
INDIO, CA 92201 INDIO, CA 92201
CITY OF LA QUINTA (760)775-1234
DESIGN AND DEVELOPMENT DEPARTMENT Llc. No.: 7271r--9
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
(commencing with Section 70001 of Division 3 of the Business and Professio Code,
my License is in force and effect.
License Class: License No.: 72719
Date: �\ — - �'1 +rContractor:
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.).
( ) 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 Na
Lender's
Date: 11/16/2017
WORKER'S COMPEN°ATION 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 37110 of the Labor Code, for the performance
ofrk for which this permit is issued.
f I have and will maintain workers' _ompensation insurance, as required by
oy
Section 3700 of the Labor Code, for the pert=xmance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are: .
Carrier: BENCHMARK INSURANCE COMPAN' Policy Number: CST5009346
I certify that in the performance d the work for which this permit is issued, I
shall not employ any person in any manner eo as to become subject to the workers'
compensation laws of California, and agree chat, if I should become su o the
workers' compensation provisions. of Sectr370 of the La�or\Cod I shat forthwith
comply with those provisions. 11 r
App iI cant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIN INAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,-)00). 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 ffiis application.
1. Each person upon whose behalfthis apffication 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, an I the applicant, each agrees to, and shall
defend, indemnify and hold harmless the Citw of La Quinta, its officers, agents, and
employees for any act or omission related tithe work being performed under or'
following issuance of this permit.
2. Any permit issued as a result of this app iication 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 cancellati m.
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 orcinances and state laws relating to building
construction, and hereby authorize representatives of thi ity ,entera ove-
mentioned property for inspection purposes '
Date: _ \- L G-17�— Signature (Applican: or Agent)
Date: 11/16/2017.
Application Number: BWFE2017-0213.
Owner:
Property Address'; .'..>' 34190 AVENIDA CORTEZ
PEPE BUILDS tLC
APN: 774192010
PO BOX 447
Application Description: PEPE BUILDS / 50 LF OF 5' COMBO WALL AT REAR PL
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $1,300.00
Applicant:
Contractor:
CORONEL ENTERPRISES INC
CORONEL ENTERPRISES INC
42760 MADIO STREET
42760 MADI05TREET
INDIO, CA 92201
INDIO, CA 922'1.
(760)775-1234
Llc. No:: 727199 .
Detail: 50 LF OF V HIGH BLOCK WALL W/ 32" RETAINING AT EASTA(REAR PL) [ANGELUS
SPECIFICATrONS] 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 50LF
101-0000-42400
0
$15.60'
DESCRIPTION
ACCOUNT
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: $132.63
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
} Total Paid for BUILDING STANDARDS ADMINISTRATIIDN BSA: $1.00
bESCRIPTION
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
Y *> ,•
- t
'
PLAN LOCATION
Project Address: ����i U
Project Description: Tool, Remodel, Add'.t, Elect, Plumb, Mech
APN
Garage _SF
Telephone: U_7
Patio/Porch SF
Applicant Name:
Fire Sprinklers SF
Address: Lia% 6 C� J `lA e l
City, ST, Zip: ��� <� LA a�� I,
Telephone: ( U — —?,7
Email
Valuation of Project S.
Contractor Name:
New SFD Construction:
Address: a-7
Conditioned Space SF
City, St, Zip 1
Garage _SF
Telephone: U_7
Patio/Porch SF
Email:
Fire Sprinklers SF
state Lic: City Bus Lic:
krch/tng Naine:
Construction Type: _ Occupancy:
%ddress:
Grading:
'ity, St, Zip
Construction Type:. Occupancy:
Telephone:
Bedrooms:
Stories:
4 Units:
.mail:
;tate Lic: City Bus Lic:
.roperty Owner's Name: ,l�
t.
New Commercial lTcnant Improyemcnts:
Adress: c) g` 4�
Total Building SF
'ity, ST, Zip � ` �_-2
Construction Type:. Occupancy:
elephone: ,
mail:
78495 CALLE TAMPICO
LA QUINTA, CA -92253
760-777-7000
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