BWFE2017-016878-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DE'
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Permit Type/Subtype:
WALL/FENCE/SPECIAL/ENGINEERED DES
Application Number:
BWFE2017-0168
Property Address:
78612 PEERLESS PL.
APN:
770310017
Application Description:
JOHNSON / COMBO WALL
Property Zoning:
comply wit those provisions.
Application Valuation:
$11,775.00
Applicant:
SOUTH WEST CONCEPTS, INC.
78115 CALLE ESTADO, SUITE 105
LA QUINTA, CA 92253
NOV 0 7 2011
CITY QF LA QUINTA
COMMUNITY DEkIELOPMENT DO
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: License No.:
Date:
Contractor:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/7/2017
PAV JOHNSON
712 PEERLESS PL
LA QUINTA, CA 92253
Contractor:
OWNER / BUILDER
Uc. No.:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one Y the following declarations:
I have and will maintain a certific.te of consent to self -insure for workers'
compensation, as provided for by Section 3730 of the Labor Code, for the performance
of.the work for which this permit is issued.
I have and will maintain workers' -ompensation insurance, as required by
Section 3700 of the Labor Code, for the performance oft work for which this permit
is issued. My workers' compensation insurau,ce carrier a policy number are:
OWNER -BUILDER DECLARATION
Carrier: _ Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance cfi ch this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner Sa bject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree teaome subject to the
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any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply wit those provisions.
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 them
:Date:— 1 17 n: tom`
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(
AND SHALL SUBJECT AN EMPLOYER TO CRIMNAL PENALTIES AND CIVIL FINES UP TO
Q ,las owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000): IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKN 3WLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to :he Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on trais application.
Ate did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this apF lication is made, each person at whose
IT., as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is perforned under or pursuant to any permit
to -construct the project. (Sec. 7044, Business and Professio ode: The Contractors'
issued as a result of this application , the ow ier, and the applicant, each agrees to, and
State License Law does not apply to an owner of property w builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
there and who contracts for the projects with a contra or ) licensed pursuant to
employees for any act or omission related tc the work being performed under or
ontractors' State License Law.).
following issuance of this permit.
I am exempt under Sec. B.&P.C. for t ' r n
2. Any permit issued as a result of this app ication becomes null and voil if work is
not commenced within 180 days from date of issuance of such permit, Of essation of
work for 180 days will subject permit to canoellation.
CONSTRUCTION LENDINJIVENCY
I hereby affirm under penalty of perjury that they s a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's
Lender's
I certify that I have read this application and state that the abo
I agree to comply with all city and county ordinances and st laws
construction,.and hereby authorize representatives of this to e
above-fmgpti* ed erty for inspection pLrposes.
Da�` //•/ 'Signature-(Applicait-or-Agent):
i is correct.
to building
the
e;
Date: 11/7/2017
Application Number: BWFE2017-0168
Owner:
Property Address: 78612 PEERLESS PL
PAM JOHNSON
APN: 770310017
78612 PEERLESS PL
Application Description: JOHNSON / COMBO WALL
LA QUINTA, CA 92253
Property Zoning:
'
Application Valuation: $11,775.00
Applicant:
Contractor:
SOUTH WEST CONCEPTS, INC.
OWNER / BUILDER
78115 CALLE ESTADO, SUITE 105
LA QUINTA, CA 92253
---------------------------------------------------------------------------------------------
Llc. No.:
Detail: ENGINEERED WALLS 6'-6" HIGH WALL, 2'-6" RETAINING AND 5'-0" HIGH WALL,4'-6" RETAINING, PER 2016 CBC CODES
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FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
HOURLY CHARGE - ESGIL STRUCTURAL ENGINEER
101-0000-42600 1.S $180.00
Total Paid for BLDG CITY STAFF - PER HOUR: $180.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$124.80
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 BLOCS WALL: $241.83
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
S02-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.00
TOTALS: $427.83
0
0
G