BWFE2017-0031Tit . - Y/ 44aw
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LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 1 hereby affirm under penalty of perjury one of the following declarations: -
{commencing with Section 70001 of Division 3 of the Business and Professions Code, and. _ I have and will maintain a certificate of consent to self -insure for workers'
my License is in full force and effect. , compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: B License No.: 431792 of the work for which this permit is issued.
'] bm,l4Ihave and will maintain workers' compensation insurance, as required by
Dat1 Contractor: YYY coon 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:
OWNER -BUILDER DECLARATION Ca ler- XEMPT Polity Number: _
I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State �I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any sttall-no employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair any compensation laws of California, and agree that "fl should become subject to the
structure, prior to its issuance, also requires the applicant for the permit to file a signed workers' compensation provisions of Section 3 00 of the abor d , I shall forthwith
statement that he or she is licensed pursuant to the provisions of the Contractor's State comply with those provisions.
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 Da 7� 1 ? Applicant,.,**
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).: WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVERAGE IS UNLAWFUL,
I ) 1, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale. • ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that he IMPORTANT: Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application.
I ) I, as owner of the property, am exclusively contracting with licensed contractors to 1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon, as a result of this application , the owner, and the applicant, each agrees to, and shall
and who contracts for the projects with a contractors) licensed pursuant to the. defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
Contractors' State License Law.). employees for any act or omission related to the work being performed under or
(� I am exempt under Sec. . B.&P.C. for this reason following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work isnot
commenced within 180 days from date of issuance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
VOICE (760) 777-7125
78=495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN &DEVELOPMENT DEPARTMENT
i. INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/1/2017
Application Number: BWFE2017 0031 Owner:
Property Address: 54685 AVENIDA JUAREZ AVONNA HERRERA
DPN: 774262029 77224 CALLE POTRERO E Application Description: HERRERA100LF OF COMBO WALLLA QUINTA, CA 0Propert
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
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 ordinal
construction, and hereby authorize representath
mentioned property for inspection purposes.
Date:(F- (- 17 Signature (Applicant or
y Zoning:Application
Valuation: $7,000.00Applicant:Contractor:
T R CONSTRUCTIONT
R CONSTRUCTION77224
CALLE POTRERO77224
CALLE POTREROLA
QUINTA, CA 92253LA
QUINTA, CA 92253
(760)831-1863
Llc. No.: 431792
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
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 ordinal
construction, and hereby authorize representath
mentioned property for inspection purposes.
Date:(F- (- 17 Signature (Applicant or
Application Number:.
BWFE2017-0031 .
Property Address:
54685 AVENIDA JUAREZ
APk: .
774262029
Application Description:
HERRERA / 10OLF OF COMBO WALL
Property Zoning:
Application Valuation:
$7,000.00
Owner:
AVONNA HERRERA
77224 CALLE POTRERO
LA QUINTA, CA 0
Date: 3/1/2017
Applicant: Contractor: .
T R CONSTRUCTION T R CONSTRUCTION
77224 CALLE POTRERO 77224 CALLE POTRERO
LA QUINTA, CA 92253 LA QUINTA, CA 92253
(760)831-1863
Llc. No.: 431792-
---------------------- ------------------- 7 ---------------------------------------------------
Detail:
31792----------------------------------------7---------------------------------------------------
Detail: 1OLF OF 6' GARDEN WALL AT REAR PL TO COMPLETE EXISTING FENCE AND 100CF OF COMBO WALL AT NORTH PL [CITY SPECIFICATIONS]
PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013
CALIFORNIA BUILDING CODES.
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
FINANCIAL •R •
:-,;.D.ESCRIPTION ACCOUNTQTY AMOUNT
t. RETAINING/COMBINATION WALL EA 501-F
101-0000-42400
0
$30.40
DESCRIPTION
ACCOUNT
QTY
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
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$63.33
Total Paid for BLOCK WALL: $159.60
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.#
:. Cj/ Of is Quinta
Btiik-ting 8t Sareo Division
P.O. Box 1504, •78-495 Calle Tampico
fa.Quinta, CA 92253 -:(760) 777-7012
Building PermitA lication' and Tracking Sheet
PP
Permit #
Project Address: c�L/ — 1p� j�l r'�i �1Q2Z�
�
Owner's Name:.'?? -AC' *W </AVBI'}NzLi_-
A. P. Number.
Address: .'772-2Y
Legal Description:
City, ST, Zip: t,4—u/ v Lt !Z �
Contractor: -TR dc"JARUC416ICJ
Telephone:%6 /Ak
Address: 77P—all6411Z . 6&eA2Q
ProjeetDescription:
City. ST, Zip:t
Telephone:766 tft 1g6
City Lie'. fi;o 10 MP
,
>�
Stage Lic. # : �7 I7q�
Archy Bngr., Designer:
.
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Construction Type: , occupancy:
Project type (circle one) ew Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Proj -7660 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Rcq'd
Recd
TRACICTIVG
PERMFr FEES
Pian Sets
Pian Check submitted
Item Amount
Structural Calor.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mecbariksl
Giading plan
2'' Review, ready for correctionsAssue
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plana picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IM ROUSE:-
'" Review, ready for eorrectionslissae
Developer Impact Fee
Planaing Approval.
Called Contact Person
AA.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
r
GENERAL INFOF
OWNER:
• LEGAL DESCRIPTIO)
PROJECT ADORES:
5 -0• _
HIGH POINT I% -RESIDENCE
14. MIN. ( S -P GARAGE I MECHANIC
'-0• B CK COVERED PATIO 26'.
GRAVEL c m TP. �- b.•
/ y F TOTALSTRUCTURE
ry ION TOTAL SITE
BOX 2,38215,000
TE ONE -
TOTAL LOT COVERAI
JUN N BOX „
CONC. I 20
n
" EL EL '
GRI%VEL •d- ^ -=moi i
. - 8.• I \\ RASEL r
r-
1 4
rXI2 I =
`
TC"
s N
BL ALL I '
• I _ RESIDENCE
i 1 1.811 SO.FT.
HI PROPOSED HOUSE FOOTPRINT FINISH
GRAVEL I B CK ALL ELEVATION ASSUMED 100.x, F.F. PAD I
OVERED o \f 101.a
I O PATIO I, (FINISHED FLOOR TO BE1r ABOVEOP
T
267 SO.FT. POINT AT TOP OF CURB AT CENTERLI<
I I 3 C.
p
I
_ I 1 r jl� THE DEVELOPER I CONTRACTOR 1OW
1% - 1% RESPONSIBLE FOR THE VERIFICATION
50• I CONC. OFCKn VEL EXISTING CURB (OR EDGE OF STREET
I _ GARAGE/MECH NO CURB EXISTS) LOCATION FROM PR
' 471 SO.FT. LINE(S) WITH THE PUBLIC WORKS DEP
• 6.Ik-
4• HIGH ILLUMINATED STREETi6'NUMBERS VISIBLE
AND
LEGIBLE FROM THE STREET i Gd ` • - • - ; •_ -
' •.3 4i I I � BL
P�
L_ -_____- __ ________________
POOL " 155 124• BOX CERCIDIUM i S HIGH
• I (NOT A PART) 050 Wd. ORIDIUM (BLUE PALO SL W
I. ROE) r
b A 150 - ♦ r ;
••i
NU PR
1% •8' 9'-0• 5'- WERS 6P ACING
• v 3 S. 30• TER
o (S) AL to yr Tq GTH
(J INDIO YS ERY F 3-3 GHT
PA WIN 0
_ - I
CONC. •r C C. 'VE
314 WEIGHT
DECK S. -
•
LIC
APPROACH 3'
PA PA _ REO A SEPAtATE J BL ALL
' PE no*Ml
L I m CTI FROM CT'
1 4,-3• 5 OUI PUBLIC
RKS DE MEM
C AT
- BO FOR 1 f 24' BOX pq '
PA CERCIOIUN y6 �p {�•+ a] yPj•Ly�� a��g
. P fLOR1DIUM lB I CITY q.d 9 3j • U ,d NTA
+ i PALO VERDE) S•3• i
"I'll -DI G &?�' SAFETY 07"- PT.
a AL
._ (1)24.80% EXI G ® F. 8®
"ENOPHLIA 5' AND '
(SHOESTERIN ) �n^�
. k RE N ONNECTED .l ♦ FOR CONSTRUCTION. .
• - TO SE
DATE BY.
t A AVENIDA. JUAREZ
NOTE: SHOW COMPLIANCE WTI H THE FOLLOWIN
• IT FIXTURES, PER CGC4
1/8"= V-0 0 FIXTURE FLOW
IXTURE TYPE '
�� _ - WATER CLOSETS
URINALS
SHOWERHEAJS
ZONING:
AC CONDENrG4''ETBI
OCCUPANCY:
'
(E) H CONC. PAD TOBLONO
LESS T ADE
'•
•
�.
S0.00'c
.. - -
-- '
AREA TABULATI
HIGH POINT I% -RESIDENCE
14. MIN. ( S -P GARAGE I MECHANIC
'-0• B CK COVERED PATIO 26'.
GRAVEL c m TP. �- b.•
/ y F TOTALSTRUCTURE
ry ION TOTAL SITE
BOX 2,38215,000
TE ONE -
TOTAL LOT COVERAI
JUN N BOX „
CONC. I 20
n
" EL EL '
GRI%VEL •d- ^ -=moi i
. - 8.• I \\ RASEL r
r-
1 4
rXI2 I =
`
TC"
s N
BL ALL I '
• I _ RESIDENCE
i 1 1.811 SO.FT.
HI PROPOSED HOUSE FOOTPRINT FINISH
GRAVEL I B CK ALL ELEVATION ASSUMED 100.x, F.F. PAD I
OVERED o \f 101.a
I O PATIO I, (FINISHED FLOOR TO BE1r ABOVEOP
T
267 SO.FT. POINT AT TOP OF CURB AT CENTERLI<
I I 3 C.
p
I
_ I 1 r jl� THE DEVELOPER I CONTRACTOR 1OW
1% - 1% RESPONSIBLE FOR THE VERIFICATION
50• I CONC. OFCKn VEL EXISTING CURB (OR EDGE OF STREET
I _ GARAGE/MECH NO CURB EXISTS) LOCATION FROM PR
' 471 SO.FT. LINE(S) WITH THE PUBLIC WORKS DEP
• 6.Ik-
4• HIGH ILLUMINATED STREETi6'NUMBERS VISIBLE
AND
LEGIBLE FROM THE STREET i Gd ` • - • - ; •_ -
' •.3 4i I I � BL
P�
L_ -_____- __ ________________
POOL " 155 124• BOX CERCIDIUM i S HIGH
• I (NOT A PART) 050 Wd. ORIDIUM (BLUE PALO SL W
I. ROE) r
b A 150 - ♦ r ;
••i
NU PR
1% •8' 9'-0• 5'- WERS 6P ACING
• v 3 S. 30• TER
o (S) AL to yr Tq GTH
(J INDIO YS ERY F 3-3 GHT
PA WIN 0
_ - I
CONC. •r C C. 'VE
314 WEIGHT
DECK S. -
•
LIC
APPROACH 3'
PA PA _ REO A SEPAtATE J BL ALL
' PE no*Ml
L I m CTI FROM CT'
1 4,-3• 5 OUI PUBLIC
RKS DE MEM
C AT
- BO FOR 1 f 24' BOX pq '
PA CERCIOIUN y6 �p {�•+ a] yPj•Ly�� a��g
. P fLOR1DIUM lB I CITY q.d 9 3j • U ,d NTA
+ i PALO VERDE) S•3• i
"I'll -DI G &?�' SAFETY 07"- PT.
a AL
._ (1)24.80% EXI G ® F. 8®
"ENOPHLIA 5' AND '
(SHOESTERIN ) �n^�
. k RE N ONNECTED .l ♦ FOR CONSTRUCTION. .
• - TO SE
DATE BY.
t A AVENIDA. JUAREZ
NOTE: SHOW COMPLIANCE WTI H THE FOLLOWIN
• IT FIXTURES, PER CGC4
1/8"= V-0 0 FIXTURE FLOW
IXTURE TYPE '
�� _ - WATER CLOSETS
URINALS
SHOWERHEAJS