BWFE2017-0205.78-495CALLE TAMPICO C� 0 D ANtiIUCt/ VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORXIX92253 DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/26/2017
Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED Owner:
Application Number: BWFE2017-0205 SID DEBOER
Property Address: 57370 PENINSULA LN LN 53370 PENINSJLA
APN: 762150043 LA QUINTA, CA 92253
Application Description: DEBOER / BLOCK WALL
Property Zoning:
Application Valuation: $1,000.00 Dn
OCT 26 2017
Applicant:
ABARCA CONSTRUCTION, INC.
OUTSIDE CITY LIMITS -
CITYOFLAQUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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.: :LIC -0111076
Daate3 %0.2(0-177 -contractor: AN ARmA
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).:
(_J 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.).
(_J 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
Contractor:
ABARCA CONSTRUCTION, INC.
OUTSIDE CITY LIMITS .
(760)766-5090
Llc. No.: :LIC -0111076
• WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one -of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3730 of the Labor Code, for the performance
of tV Viork 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: _ Policy Number: _
1 certify that in the performance o" 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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
M -2U-1'7 !Ap_plicaanP AJ—SAQCA 4foAS —0cr I IN. FLQ
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 ($100,900). 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'he Building Official for a permit subject to
the conditions and restrictions set forth on tH is application.
1. Each person upon whose behalf this appication 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 Cite of La Quinta, its officers, agents, and
employees for any act or omission related toithe work being performed under or
following issuance of this permit. '
2. Any permit issued as a result of this appFcation becomes null and void if work is not
commenced within 180 days from date of iss .lance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
I certify that I have read this application and::tate 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 represen-atives of this city to enter upon the above-
mentioned property for inspection purposes-
Doat"em'11,026A% Signature (Applicann o Agent)
Application Number: BWFE2017-0205
Property Address: ;.57370.PENINSUtA LN LN
APN: 762150043
Application Description: DEBOER / BLOCK WALL
Property'Zoning:
Application Valuation: $1,000.00
Owner:
SID DEBOER
53370 PENINSULA
LA QUINTA, CA 92253
Date: 10/26/2017
Applicant: Contractor:
ABARCA CONSTRUCTION, INC. ABARCA CONS—RUCTION, INC.
OUTSIDE CITY LIMITS OUTSIDE CITY LIMITS .
(760)766-5090
Llc. No.: :LIC -0111076
--------------------------------------------------------------------------------------------
Detail: 25 LF OF 6' BLOCK WALL FOR CONDENSOR UNrrS SOUTH SIDE REAR YARD. BUILOER WILL MAINTAIN PROPER CLEARANCES. [CITY AND ORCO
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.
N
DESCRIPTION
FINANCIAL •R •
ACCOUNT 'QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$52.01
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0006-42600 0
$65.02
Total Paid for BLOCK WALL:
$117.63
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
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
' Total Paid for RECORDS MANAGEMENT FEE:
$10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-6000-43611
0
.$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
TOTALS:
$5.00
t
Bin#
OROS
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
QACC1-C� 7
Project Address:5�-5-10
M#, :.�NE
Owner's Name: St,D
A.P. Number
Address:.TC)
1ISOuW
Legal Description:
City, ST, Zip:
a
Contractor:
tQ
Telephone:
Address:
Project Description:
aul_ G d:G�n
City, ST, Zip:
11Va0 CA
922C6
2S LAtJir.A► T
t
Telephone:
State Lio. #: a. .. �.�
C � \ V c �
Arch, Eng., Designer:
U
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: / 1/,
Occupancy:
Proj. Type
New
Add'n
Alte:
Repair
Demo
Name of Contact:
SgFt:
#Stories
# Units:
Telephone of Contact:
Estimated Value of Project:
(Jo V
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMQf 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
Consti-rction:
Flood Plain Plan
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
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 Permit Fees
NEW CONCRETE
AGGREGATE
CITY OF LA QUI
�}G�D111 5
DEP
A'PP�tVED
FOR CONON�;,TE~
EXISTING CONCR
PATHWAY TOS
I
F-1 ------
NEW 16' CONC, BAND
LTURF
i
EXISTING CONCRETE
PAT14WAY TO BE REMOVED
NEW FOUNTAIN CENTERED
NEW IS' CONC. BAND ON MIDDLE PLANTER
BELOW Ul/ FACE 4 CAP TO
MATCH EXISTIN63 PLANTERS
AT POOL AREA.
BY SEPARATE PERMIT
NEW 12x12 SALTILLO
TILE TO MATCH
EXISTMG
PARTIAL SITE PLAN
NORTH
NEW CONCRETE
AGGREGATE
2E' SET5ACK LINE
— NEW C04C.13AND
TO MATCH EXISTING
PLANTERS AT
POOL AREA
v
I.AUJN AREA—
E XIE
W 1 N%6.
PROGRESSIVE DESIGN CONCEPTS
• Architectural Design
- Residential and Commercial
• Planning and Development
'78-115 Calle Estado, Ste. 105
La Quinta, CA 92253
Office (760) 564-4707 Fax (760) 564-4955
www.swconcepts.com
PROJECT TITLE
Proposed Addition
Peninsula Park
For
Sid & Daren DeBoer
57370 Peninsula Lane
La Quinta, California
A.P.N.: 762450-043
Date/ Description
Number
Plan Check Corrections 06/12/2017
Drawn By
Rodolfo Lizarde
Approved By
Project Manager
14
Stephen R. Nieto Date 94
w
" Date: 6/12/2017 Q0
0