BWFE2017-0144Applicant:
SUNROSE CORPORATION
72-850 SOMERA ROAD
PALM DESERT, CA 922U
4 1
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
FPP
'ALES
;I JUL 2 72017
,- ')EPARTMENT ',
VOICE (760)777-7125
FAX (760)777-7011
INSPECTIONS (760) 777-7153
'Owner:
HERB & JUDI GIBO
78145 MASTERS CIR
LA QUINTA, CA 92253
Contractor:
SUNROSE CORPORATION
72-850 SOMERA ROAD
PALM DESERT, CA 92260
(760)773-6633
Llc. No.: 533670
Date: 7/27/2017
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I I hereby affirm under penalty of perjury one of the following declarations
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
78-495 CALLET,AMPICO;,..:
compensation, as provided for by Section 3700 of the Labor Code, for the performance
LA QUINTA, CALIFORNIA 92253
Application Number:
BWFE2017-0144
Property Address:
78145 MASTERS CIRCLE
APN:
770350012
Application Description:
GILBO RESIDENCE / BLOCK
Property Zoning:
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
Application Valuation:
$16,500.00
Applicant:
SUNROSE CORPORATION
72-850 SOMERA ROAD
PALM DESERT, CA 922U
4 1
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
FPP
'ALES
;I JUL 2 72017
,- ')EPARTMENT ',
VOICE (760)777-7125
FAX (760)777-7011
INSPECTIONS (760) 777-7153
'Owner:
HERB & JUDI GIBO
78145 MASTERS CIR
LA QUINTA, CA 92253
Contractor:
SUNROSE CORPORATION
72-850 SOMERA ROAD
PALM DESERT, CA 92260
(760)773-6633
Llc. No.: 533670
Date: 7/27/2017
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I I hereby affirm under penalty of perjury one of the following declarations
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and 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.: �S3367�����
—7 jj1
LtoSection
of the work for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
3700 of the Labor Code, for the performance of the work for which this permit
I
is issued. My workers' compensation insurance carrier and policy number are:
OWNER-BUILER DECLARATION
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 1948056
1 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
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions. �.
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
`/ica
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
e:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, 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
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the 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 is
not commenced within 180 days from date of issuance of such permit, or cessation of
Date: Owner:
work for 180 days will subject permit to cancellation.
. CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes. e
Lender's Name: '7 ' pp
Sigr kre (Applicant r A
Lender's Address: S/�
Date: 7/27/2017
Application Number: .: ;,�i311�/FE2017-0144
Owner: �.
Property Address: 78145 MASTERS CIRCLE
HERB & JUDI GIBO
APN: 770350012 •
78145 MASTERS CIR
Application Description: GILBO RESIDENCE /BLOCK WALLS
LA QUINTA, CA 92253 -
Property Zoning:
Application Valuation: $16,500.00
Applicant:
Contractor:
SUNROSE CORPORATION 1
SUNROSE CORPORATION
72-850 SOMERA ROAD
72-850 SOMERA ROAD
PALM DESERT, CA 92260
PALM DESERT, CA 92260 .
(760)773-6633
Llc. No.: 533670
---------------------------•------------------------------------------------------------------
Detail: 90 LF OF 6"HIGH GARDEN WALL, 80 LF OF 18" GARDEN WALL, 110 LF OF 24. RETAINING WALL AND 60 LF OF 36" RETAINING WALL [ANGELUS
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.
FINANCIAL
DESCRIPTION
'•,
ACCOUNT
QTY .
AMOUNT
BSAS SB1473 FEE
RETAINING/COMBINATION WALL EA 50LF
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
TOTALS:.0
Bin #
Qty of La Quinta.
.-Building 8£ Safety Division
Box 1504, 78-495 Calle Tampico .
Dl� La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
Project Address:7ef
Owner's Name 1Lee),^45XJ6 U
A. P. Number: 7 70 5-o O ��
Address: v��QSte_ SQ
Legal Description: '70 - F?4, 7
City, ST, Zip:
Contractor;Telephone:
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Address:/ D� T��E -
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Project Description: A/_C)C�
City, ST, Zip:.
Telephone:
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Statc Lie. #: �o ' p
City Lie. #C)OD /13
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Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
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Construction Type:,/�j ccupancy:
State Lie.r.,;.:.,..,;:.;;.;;;.
Project type (circle on cw . dd n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
#Stories:
# Units:
Telephone #,of Contact Person:
Estimated Value of Project: Cr ted
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rcc'd
TRACIQT'G
PERMIT FEES
Plan Sets
Plan Clieck submitted
I(cm
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Rcview, ready for corrections/issue
Electrical
Subcon(ae(or List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
N.O.A. Approval
Plans resubmit(cd
Grading
IN ROUSE:-
'`° Rcvicw, ready for eorrcctions(ssue
Developer Impact FCC
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Datc of permit issue
School Fees
TOt'al Pcrmi( Fees
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BUH-DINIG & SAFETY DEPT.
APP;R0VED
FOR CONSTRCTION
SCALE 1'=10' DATE _?62/4
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