BWFE2017-013478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2017-0134
Property Address: 77250 CALLE NOGALES
APN: 773281029
Application Description: RES / 351 LF BLOCK WALL AROUND PL "!
Property Zoning: AUG 3 ® Z���
Application Valuation: $9,500.00
CITY OF LA QUINTA
Applicant: COMMUNITY MVELOPMENT DEF
WILLIAM MORRIS DEVELOPMENT INC DBA W M B
52-520 AVENIDA NAVARRO
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 License No.: 945496
Da a �_ 36-t C ntr �✓
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 11
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 ) 1, 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.).
(_) 1, as owner orthe 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 ) 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/20/2017
Owner:
TON E KINCAID AND EMILIY KINCAID
12 CLEARWATER BLVD
V1�I E LAKE, MI 48386
WILLIAM MORRIS DEVELOPMENT INC DBA W M B
52-520 AVENIDA NAVARRO
LA QUINTA, CA 92253
(760)688-2608
Llc. No.: 945496
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury oneof 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: _
certify that in the performance of the work for which this permit is issued, 1
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.
Aatt; '/ APPS I�ican�t: �.�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
DNE 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
:ommenced within 180 days from date of issuance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
certify that I have read this application and state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
:onstruction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes.
JgP /
Date"'ignature•(Apptieant-or Ag=)s
Application Number: BWFE2017-0134
Property Address: 77250 CALLE NOGALES
APN: 773281029
Application Description: RES / 351 LF BLOCK WALL AROUND Pl-
Property Zoning:
Application Valuation: $9,500.00
Date: 7/20/2017
Owner:
HILTON E KINCAID AND EMILIY KINCAID
1220 CLEARWATER BLVD
WHITE LAKE, MI 48386
Applicant: Contractor:
WILLIAM MORRIS DEVELOPMENT INC DBA W M B WILLIAM MORRIS DEVELOPMENT INC DBA W M B
52-520 AVENIDA NAVARRO 52-520 AVENIDA NAVARRO
LA QUINTA, CA 92253 LA QUINTA, CA 92253
(760)688-2608
Llc..No.: 945496
----------------------------------------------=------------------------------------'---------
Detail: 185LF OF 5' GARDEN W/2'8" RETAINING AND 166LF OF 5' GARDEN WALL AT NORTH, EAST, SOUTH AND WEST PROPERTY LINES [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.
e
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404 0
$91.20
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:
$205.20
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
1 V 1 ALJ: ?Zll.zu
v
Bin # ' City 'of LQ QUinIU
Building 8t• Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 922.53.- (760) 777-7012
�W f ••� Building Permit Application and Tracking Sheet
:W_Qj ect'Address`.'--7-7 Z 5o eh LZE- Nd /t-44 Owner's -Nam J�.t 1114071"T Cp cl
A. P. Number:
Add22 m
Legal Description:
City,•ST"Zip: w &-LT't4A•(AE_
'C_oritiactor: U3 -t M t04, V' jr>.�
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Address:— P 49 3
Project Descrip o : �! �•mG� !rJ{���j
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Tlehn
P o e: B Z i
State Ltc. # :
City Lic. #-.
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:
one:
Con structi n Type: e: Occupancy:
cY� .
t
S ateL ic. #
Project tYPa circ e one New Add'n Alter Repair Demo
Name of fContact-Person: &4z'd� 4%A f
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# Stories:
#Units:
Telephone`# of Contact Person:(O
W2pnEstimated
Value of Project: t.
APPLICANT: DO NOT WRITE BELOW 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 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2' Review, ready for correctionsfrssue
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
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GENERAL NOTES,
O ABBREVIATIONS, & SPECS' � � ^.Abe�s,�e
Proposed Residence
PPS
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GENERAL NOTES,
O ABBREVIATIONS, & SPECS' � � ^.Abe�s,�e
Proposed Residence
PPS
R��C DUOS
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77.250 Calle Nogales
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