BWFE2017-003378-495 CALLE TAMPICO 44Pa
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2017-0033
Property Address:
78735 AVENIDA LA JARITA
APN:
770145004
Application Description:
FERRILL / 181 LF OF 5'/6' BLOCK
Property Zoning:
Application Valuation:
$9,000.00
VOICE (760) 777-7125 .
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
STEVE FERRILL
78735 AENIDA LAJARITA
LA QUINTA, CA 92253
Applicant: Contractor:
HEY DUDE CONSTRUCTION INC HEY DUDE CONST'AUCTION
PO BOX 1018 PO BOX 1018
THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 922
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.: 845115 �j _ L
DP: Contractor: p®^h�v�C' co %sA e
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, atter, 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 contractors) 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)343-5272
Llc. No.: 845115
Date: 3/1/2017
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WORKER'S COMPENSATON 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 370C 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 insuranc= carrier and policy number are:
Carrier: ACE AMERICAN INSURANCE COMPAN! Policy Number: RWCC48814888
I certifythat in the performance of :he work for which this permit is issued, I
shall not employ any person in any manner so 3s to become subject to the workers'
compensation laws of California, and agree th.-t, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Daey . y - (- VI Applicants .
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 ($100,00. 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 thi: application.
1. Each person upon whose behalf this applitation is made, each person at whose
request and for whose benefit work is perform ed 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 tie 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 cancetlation.
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 ord-nances and state laws relating to building
construction, and hereby authorize representatives of this city to enter pon the
above-mentioned property for inspection purposes.
Dail! A Signature (Applicant or Agent)
Date: 3/1/2017
Application Number: BWFE2017-0033 Owner:
Property Address: 78735 AVENIDA LA JARITA STEVE FERRILL
APN: 770145004 78735 AENIDA LA IARITA
Application Description: FERRILL / 181 LF OF 5'/6' BLOCK LA CIUINTA, CA 92253
Property Zoning:
Application Valuation: $9,000.00
Applicant: Contractor:
HEY DUDE CONSTRUCTION INC HEY DUDE CONSTRUCTION INC
PO BOX 1018 PO BOX 1018
THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276
(760)343-5272
Llc. No.: 845115
--------------------------------=------------------------------------------------------------
Detail: 75LF OF 5' WALL AND 106LF OF 6' GARDEN WALL AT FRONT YARD AND WEST PL. [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE
COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
FINANCIALINFORMATION
ACCOUNT. QTY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404 0
$30.40
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:
$144.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
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
TOTALS:
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Bin # City of La Quinta
Building & Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Project Address: _7S6' -1 5 1 J Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
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Tele hone:
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State Lie. # : S u5 L 1 5
City Lie. #.:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: e hone:
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n tructi n Type: O ecu an
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State ie. ,.
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Project type (circle one): New Add'n Alter Repairair Demo
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Name of Contact Person: �,
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Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person
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Estimated Value of Project: s Doc,
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Derosit
Truss Cales.
Called Contact Verson
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical ,
SubcontaetorList
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
`J Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fres
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GfTY OF LA QUINTA
BUILDING,& SAFETY DEPT.
PAPPRC)VED
FOR CaNSTRUCTION
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