BWFE2018-006078-495 CALLE TAMPICO
D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/20/2018
Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED Owner:
Application Number: BWFE2018-0060 Q ® RICK MORRIS
Property Address: 78605 AVE NIDA LA JARITA 52250 AVENIDA 14AVARRO
APN: 770145001 LA QUINTA, CA 92253
Application Description: MORRIS RESIDENCE/ BLOC
Property Zoning: MAR q ` 0 2018
Application Valuation: $14,000.00
OF LA QUNTA
Applicant: CIT`(
A & M CONSTRUCTION ESI AND DEVELOPMENT DEPARTMENTontractor:
A & M CONSTRU:TION
P 0 BOX 366 P 0 BOX 366
LA QUINTA, CA 92253. LA QUINTA, CA 92253
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. C10 L'cense No.: 487584
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).:
( ) 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 Address:
(760)564-4832
Llc. No.: 487584
WORKER'S COMPENSAMON DECLARATION
I hereby affirm under penalty of perjury one o. 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: EXEMPT Policy Number: _
1 certify that in the performance of :he 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 3100 of the Labor Code, I shall forthwith
comply with those provisions.
WARNING: FAILURE TO SECURE WORKERS' COLA PEN SATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,001). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOF 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 perform ad under or pursuant to any permit
issued as a result of this application, the ownea; 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 s at that the above information is correct.
I agree to comply with all city and county or nances and state laws relating to building
construction, and hereby authorize represe at ves of this city to enter upon the
above-mentioned property for inspection rpases.
Owner: "
RICK MORRIS
52250 AVENIDA NAVARRO
LA QUINTA, CA 92253
Date: 3/20/2018
Applicant: Contractor:
A & M CONSTRUCTION A & M CONSTRUCTION
P 0 BOX 366 ! P 0 BOX 366
LA QUINTA, CA 92253 LA QUINTA, CA 92253
(760)564-4832
Llc. No.: 487584
------------------------------------------------------------------------------.---------------
Detail: 328 LF OF 6' GARDEN WALL & (4) 16" PILASTERS [PROTO TYPE II S5.2 S6.1 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. PER 2016
CALIFORNIA BUILDING CODES.
J
Application Number:
BWFE2018-0060
Property Address:
78605 AVENIDA LA 1ARITA
APN:
770145001
Application Description:
MORRIS RESIDENCE/ BLOCK WALL
Property Zoning:
Application Valuation:
$14,000.00
Owner: "
RICK MORRIS
52250 AVENIDA NAVARRO
LA QUINTA, CA 92253
Date: 3/20/2018
Applicant: Contractor:
A & M CONSTRUCTION A & M CONSTRUCTION
P 0 BOX 366 ! P 0 BOX 366
LA QUINTA, CA 92253 LA QUINTA, CA 92253
(760)564-4832
Llc. No.: 487584
------------------------------------------------------------------------------.---------------
Detail: 328 LF OF 6' GARDEN WALL & (4) 16" PILASTERS [PROTO TYPE II S5.2 S6.1 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. PER 2016
CALIFORNIA BUILDING CODES.
J
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404 0
$78.00
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: $195.03
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATIOM BSA: $1.00
DESCRIPTION
ACCOUNT
QTY.
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENIT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: $211.03
0
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PERMIT #
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PLAN LOCATION:
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Description: Pool, Remodel, Add't, Elect, Plumb, Mech
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Construction Type: Occupancy:
.ddress:.
Grading:
ity, St, Zip
Construction Type: Occ°.ipancy:
elephone:
Bedrooms:
Stories:
# Units:
mail:
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ddress: (� �O
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78495 CALLE TAMPICO
LA QUI NTA, CA 92253
760-777-7000
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