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78-495 CALLE TAMPICO D
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
WALL/FENCE/CITY STANDARD/PRE-APPROVED
Application Number:
BWFE2017-0176
Property Address:
81240 PEARY PL
APN:
767680033
Application Description:
MADISON / DOAN / 100 LF OF INTERIOR WALLS 5'/6'
Property Zoning:
Application Valuation:
$2,000.00
Applicant:
RICHARD DOAN CONSTRUCTION
P 0 BOX 8011
RANCHO SANTA FE, CA 92067
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.
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License Class: BB License No.: 374118 I ►y/�/� 1 p/��
Date: ; / / / _ i i7contractor:
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)::
(1 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.).
(� 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 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 Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
RICHARD DOAN
P.O. BOX 8011 `
RANCHO SANTA FE, CA 92067
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Contractor:
RICHARD DOAN CONSTRUCT?
P Q BOX 8011
RANCHO SANTA FE. CA 92067
(858)756-4930
Llc. No.: 374118
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of t ie following declarations:
I have and will maintain a certificate cf consent to self -insure for workers'
compensation, as provided for by Section 3700 d the Labor Code, for the performance
Pon
rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Se700 of the Labor Code, for the performa nce of the work for which this permit
is issued. My workers' compensation insurance aarrier and policy number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 1908709
I certify that in the performance of the 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 37CD of the Labor Code, I shall forthwith
comply with t ose pro vi 'ons.
Date: �(/2 Applicant:
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 ($100,000)., 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 applicat on 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, acid the applicant, each agrees to, and
shall defend, indemnify and hold harmless the Cite 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 issLance of such permit, or cessation of
Work for 180 days will subject permit to cancellati in.
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 ordinances and state laws relating to building
construction, and hereby authorize representatives of this to en6er on the
above -me Toned roperty for inspection purposes.
.Date: �� Signature (Applicant or ~gent):
Date: 9/25/2017
Application Number: BWFE2017-0176
Owner:
Property Address: 81240 PEARY PL
RICHARD DOAN
APN: 767680033
P.O. BOX 8011
Application Description: MADISON / DOAN / 100 LF OF INTERIOR WALLS 5'/6'
RANCHO SANTA F_, CA 92067
Property Zoning:
Application Valuation: $2,000.00.
Applicant:
Contractor:
RICHARD DOAN CONSTRUCTION
RICHARD DOAN CONSTRUCTION
P 0 BOX 8011
P 0 BOX 8011
RANCHO SANTA FE, CA 92067
RANCHO SANTA FE, CA 92067
(858)756-4930
Llc. No.: 374118
Detail: 10OLF OF 5'/6' INTERIOR EQUIPMENT WALLS -4 RUNS AT EAST AND WEST SIDE OF PL [CITY 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.
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FINANCIAL INFORMATION
DESCRIPTION. ACCOUNT CITY
AMOUNT
WALL/FENCE - FIRST 100.1-F
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: $114.00
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
00
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City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinti, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
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Project Addres a
A.P. Number
Owner's Name:
Address 1
Legal Description:
City, ST, Zip-
0
Contractor:
Telephone-
AddresG� /
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Project DescripYfon:
City, St, Zip.
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Telephone: , O / L,
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State Lica /#: City Lic #:
1
Arch, Engr., Designer:
Address:
City, ST, Zip:
rV 4W
Telephone:
Construction Type:
Occupancy:
State Lic. #:
Proj. Type
New
Add'n
Alter
Repair
Demo
Name of Contact:
gFt:
#Stories
# Units:
Telephone of Contact:
^ 2
Estimated Value of Project:
L:20 00
APPLI ANT:
0 NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMP, 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
Mechan -cal:
Grading Plan
2Ad Rev, Ready for corrections /
Electricsl:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact, Person
A.I.P.P.
.Pub. Wks. Apps
Date of permit issue
School Fees
Total P=it Fees