BWFE2017-0166�78-495 CALLE TAMPICO � D 4 Qum&.
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2017-0166
Property Address: 51792 AVENIDA RAMIREZ
AP.N: 773171002
Application Description: " SANCHEZ / 13SLF OF BLOCK WALL AT SIDE YARDS
Property Zoning:
Application Valuation: $5,500:00
Applicant:
CARDENAS, CONSTRUCTION COMPANY INC
P 0 BOX 1537
INDIO, CA 92201
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.: 886924
Date: Contract&:12X4
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
VOICE (760) 777-7125
. FAX (760) 777-7011
INSPECTIONS (760) 777.-7153
Owner:
SANCHEZ
51792 AVENIDA RAMIREZ
LA QUINTA, CA 9.253
Date: 9/5/2017
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
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Contractor:
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WORKER'S COMPENSAT€ON DECLARATION
I hereby affirm under penalty of perjury one ofthe 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.
_At_C,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: STATE COMPENSATION INSURANCE FUND Policy Number: 9034381
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 us to become subject to the workers'
Contractor:
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CARDENAS CONS -RUCTION NY IIE
P 0 BOX 1537
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comply with those provisions.
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
INDIO, CA 92201
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
(760)393-6617
permit subjects the applicant to a civil penalty of not more than five hundred dollars
Llc. No.: 886924
($500).:
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WORKER'S COMPENSAT€ON DECLARATION
I hereby affirm under penalty of perjury one ofthe 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.
_At_C,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: STATE COMPENSATION INSURANCE FUND Policy Number: 9034381
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 us 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 tha[, 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
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basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
Dater 6 l 7ApplicantZ�'�1/1s�
permit subjects the applicant to a civil penalty of not more than five hundred dollars
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($500).:
WARNING: FAILURE TO SECURE WORKERS' COM PEN SATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, ofmy 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 ($100,00[•). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FORUN 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
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 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:
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 th.e 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 it
not commenced within 180 days from date of isuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
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 representatves of this city to enter upon the
above-mentioned property for inspection purpcses.
Date: :[16f1 / L /b / L / Signature (Applicant cr Agent)
Date: 9/5/2017
Application Number: BWFE2017-0166
Owner:
Property Address: 51792 AVENIDA RAMIREZ
SANCHEZ
APN: 773171002
51792 AVENIDA RAMIREZ
Application Description: SANCHEZ / 135LF OF BLOCK WALL AT SIDE YARDS
LA QUINTA, CA 92253
Property Zoning:.
Application Valuation: $5,500.00
Applicant:.
Contractor:
CARDENAS. CONSTRUCTION COMPANY INC
CARDENAS CONSTRUCTION COMPANY INC ;
P O BOX 1537
P O BOX 1537
INDIO, CA 92201
INDIO, CA 92201
(760)393-6617
Llc. No.: 886924
Detail: 135LF OF 6' GARDEN WALL INSIDE PL AT NORTH AND SOUTH SIDE OF PROPERTY. [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.
Y
F
t DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT CITY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404 0
$15.20
DESCRIPTION
ACCOUNT CITY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$50.67
DESCRIPTION
ACCOUNT CITY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$63.33
Total Paid for BLOCK WALL:
$129.20
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATIOV BSA:
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMEIMT FEE:
$5.00
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City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinti, CA 92253 - (760) 777-7012
l.� Budding Permit Application and Tracking Sheet
Permit*
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Project Address: ' —7q Z Ave�� d a �Q ►� ir►-�v
Owner's Name:
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A.P. Number — w 6
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Address: 51 _Z q z- )'F
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Legal Description: P 5� dt/)Gt
City, ST, Zip:
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Contractor: 6 alfde�q 5 .'s+r(Ic'-k p
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Telephone:
Address: C 7
Project Description: ' Fr46 +unv_ __ l CA
City, ST, Zip: `6v0%lD CIA -l�i�C%7i
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Telephone: 760 - 57 V '7?0'&
— —
- -
State Lic. #: 9 6 Z_ City Lic #:
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type:
Occupancy:
State Lic. #:
Proj. Type
I Neyy
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Add'n
Alter Repair
Demo
Name of Contact:
SgFt:
#Stories
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Telephone of Contact:
Estimated Value of Project:
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APPLICANT: DO NOT WRITE BELOW THIS LINE
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Submittal
Req'd
Rec'd
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
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
100'-0"
PROPOSED BLOCK WALL FOR
MR. AND MRS SANCHEZ
WITA�Tj#kl ti�,r✓ �; 1 ^:v_ 1 -11 :Yk'1Z -1 - ,
SCALE: 3/32"=1'-0"
DATE:9/4? 17