BWFE2017-0068A�
78495 CALLE TAMPICO
c&°r4 4aQuiAroi
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2017-0068
Property Address: 53985 AVENIDA DIAZ
APN: 774151024
Application Description: PEPE BUILDS / BLOCK WALLS
Property Zoning:
Application Valuation: $4,000.00
Applicant:
CORONEL ENTERPRISES INC
42760 MADIO STREET
INDIO, CA 92201
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.: 72719
Date: 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).:
(_J 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
PEPE BUILDS
53985 AVENIDA DIAZ
LA QUINTA, CA 92253
,Contractor:
�CORONEL ENTERPRI
42760 MADIO STREE
INDIO, CA 92201
(760)775-1234
Llc. No.: 727199
Date: S/4/2017
�1
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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 tfor which this.permit is issued.
wave 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: CSTS009346
_ 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 subject to the
workers' compensation provisions of Se n 370P of the Labor C^ I shall forthwith
comply with those provisions.
fC, —`l _ �� Applican
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 county ordinances and state laws relating to building
construction, and hereby authorize representatives of ty toknter upon th?e^ e -
mentioned property for inspection purposes.
Dat'ei�k_7 Signature (Applicant or Agent) t
Date: 5/4/2017
Application Number: BWFE2017-0068 Owner:
Property Address: 53985 AVENIDA DIAZ PEPE BUILDS
APN: 774151024 53985 AVENIDA DIAZ
Application Description: PEPE BUILDS / BLOCK WALLS LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $4,000.00
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: 65LF OF COMBO WALL; 701-F OF 5' GARDEN WALL, 24LF OF 4' GARDEN WALL [SITE SPECIFIC HTK SPECIFICATIONS] AND (2)PILASTERS [CITY
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.
11141 I e • , •
- -DESCRIPTION
ACCOUNT QTY
AMOUNT
RETAINING/COMBINATION WALL EA 50LF
.101-0000-42400 0
$30.40
DESCRIPTION
•FARM
' ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
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
BSAS 561473. FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: "
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33' '
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600_
0
$25.33
r
f Total Paid for ELECTRICAL:
$50.66
DESCRIPTION ,
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
.$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
•FARM
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