BWFE2017-014678-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2017-0146
Property Address: 50655 CALLE GUAYMAS
APN: 770094007
Application Description: LAKES / ANGELUS BLOCK WALL
Property Zoning:
Application Valuation: $7,00000
Applicant:
WILLIAM LAKES
79840 MEMORAIL PLACE
LA QUINTA, CA 92247
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: (_ License No.:
6o�ntr�actor. l�J
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 pgrformance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Na
Lender's Add
VOICE (760) 777-7125
1�FAX (760) 777-7011
1 SPE IONS (x7.60) 777-7153
Q011 ate: 1/ 017
WILLIAM�%!� o��ilt
79840 MEMOR-L�P*GE/0
LA QUINTA, CA 9224ye4� 2pq
Contractor:
OWNER BUILDER
Llc. No.:
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: _ Policy 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 become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Applicant: g`f�sl�N
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 this city to enter upon the
above-mentioned property for inspection purposes.
DatNW—e.-1.-3 1 Signature (Applicant -or -Agent):
Application Number:
BWFE2017-0146
Property Address:
50655 CALLE GUAYMAS
APN:
770094007
Application Description:
LAKES/ ANGELUS BLOCK WALL
Property Zoning:
Application Valuation:
$7,000.00
Applicant:
WILLIAM LAKES
79840 MEMORAIL PLACE
LA QUINTA, CA 92247
Owner:
WILLIAM LAKES
79840 MEMORAIL PLACE
LA QUINTA, CA 92247
Contractor:
OWNER BUILDER
Date: 7/31/2017
Llc. No.:
Detail: 97 LF OF BLOCK 9A AN' ES A I SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED
COATING WHERE VISIBLE FROM OUTSI 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.
DESCRIPTION
FINANCIAL INFORMATION
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:
$114.00
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 #
City of La Quinta
Building 81• Safity Division
78-495 Calle Tampico
La Quinta, CA 92253.- (760) 777-7012
Building Permit A lication and Tracking Sheet
Permit #
Project Address: ( U Owner's 1 7
A. P. Number: .' _ o _ g Address: a e C 42-
Legal Description: [_ +- o- ® Kr 6
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Contractor: ` )�� ho :
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Address: '��- l�t�lDd•r ��aG rojectDescription: 2� o �'�'ac_.`:::::..•_,\:,.::
City, ST, Zip: a G
TelePhon
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State Lic. # : City Lic. #:
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone: Construction Type: e: an
Con YP Occu cY:
P
State Lic. #: Project a circle one : New Add'n Alter
J tyP ) Repair Demo
Name of Contact Person: Sq. Ft.:Stories: # Units:
Telephone # of Contact Person:
� Estimated Value of Project:
APPLICANT: DO NOT WRIT W THIS LINE
#
Submittal
Req'd
Recd
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 Ca1cs..
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A: Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
>3
R EXISTING GTE.E:QUIPMENT BOXES 0-
-; Protect Address. ' 50-655 Calle Guaymas La Qui
Owner: Bill & Joanna Lakes 760
• - '"" 79-840 Memorial Place
=-® LaQuinta, CA 92253 casadela
'Structural Engineer: Joanne Singer PE26900 760
' - 40-530 Kinsale Place
I Indio, CA 92203 ' s safarii
1 Title 24 Energy Calcs: Joan'Hacker 76(
72875 Fred Waring Drive Suit
• ! Palm Desert, CA 92211 jener
1'
ApN: 770-094-007=6
Legal Description: Lot 40 MB 021/061 DESERT CL
PATIO Occupancy Group: R-3 Zoning: R -L
�.
Building Use: Single Family Residence - On
onstruction: V - B Sprinkled ,
Building Data: Lot Area: 1;
RI House i
1,
Garage
\' I Total Sq. Footage:
% Coverage:
o + %� 4 ` L - Applicable Codes
i
�L C V1 lV r2016 CA Administrative Code 2016 C
2016 CA Building Code 2,016 C
_........ ._
01
2016 CA Residential Code 2 6 C
IDENCE GZ 2016 CA Electrical Code 2016 1
(—
2016
.2016 CA Mechanical Code
9 ! o La Quinta Municipal Code
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