BWFE2017-0047VOICE (760) 777-7125
78-495 CALLE TAMPICO-. .(;64 4
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT FAX (760) 777-7011
FAX
(760) 777-7153
BUILDING PERMIT
Date: 3/21/2017'
Application Number: BWFE2017-0047 Owner:
Property Address: 53985 AVENIDA DIAZ BARBARA PHELPS
APN: 774151024 217 W VISTA ROYAL CIR
Application Description: PEPE BUILDS / 100 LF OF COMBO N IDE NO L PALM DESERT, CA 0
Property Zoning: !9 J
Application Valuation:
Applicant: MAR 2 3 2017/042760
ntractor:
CORONEL ENTERPRISES INC RONEL ENTERPRISES INC
42760 MADIO STREET MADIO STREET
INDIO, CA 92201 �ESIG/V 'T yOL QUI, DIO, CA 92201
4ENTUEPARTMENT (760)775-1234
LIC. No.: 727199
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: B License No.: 7271
Date: 3')L 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, 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).:
( ) 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 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 Address:
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
ok for which this permit is issued.
�r
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: BENCHMARK INSURANCE COMPANY Policy Number: CST5009346
_ 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 subl the
workers' compensation provisions of Secti 70 of the Lab .Code, 1 all foIthwith
comply with those provisions.
Date: 3 - -3 Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS U\NLAWFUL,
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 W. to laws rel ing to i g
construction, and hereby authorize representatives of this ci ent r upon th
above-mentioned property for inspection purposes. , �•
Date: 3 `a V Signature (Applicant or Agent):
Date: 3/21/2017
Application Number: BWFE2017-0047
Owner:
Property Address: 53985 AVENIDA DIAZ
BARBARA PHELPS
APN: 774151024
217 W VISTA ROYAL CIR
Application Description:.. PEPE BUILDS / 100 LF OF COMBO WALL INSIDE NORTH PL
PALM DESERT, CA 0
Property Zoning:
Application Valuation:
. Applicant:
Contractor:
CORONEL ENTERPRISES INC
CORONEL ENTERPRISES INC
42760 MADIO STREET
42760 MADIO STREET
INDIO., CA 92201
INDIO, CA 92201
(760)775-1234
Llc. No.: 727199
Detail: 100LF OF COMBO W/2' RETAINING INSIDE PL [OTHER ADDRESS SPECIFIC SPECIFICATIONS]
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
DESCRIPTION
ACCOUNT QTY
AMOUNT
RETAINING/COMBINATION WALL EA 50LF
101-0000-42400 0
$30.40
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 1001F
101 0000-42404 0
-$50.67
DESCRIPTION
ACCOUNT QTY
AMOUNT,
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$63.33
Total Paid for BLOCK WALL:
$144.40 .,
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-436.11
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00