BWFE2017-005378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BWFE2017-0053
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address:
52340 ROSS AVE
APN:
767670025
Application Description:
JONES DEVELOPMENT/ 123LF OF 6'WALL AND 64LF OF3'WALL
Property Zoning:
w
Application Valuation:
$13,500.00
Applicant:
Q
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A S T STONE CORPORATION
1279 W MAIN STR. STE. 205
EL CAJON, CA 92020
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: C29. C54 License No.: 816966
Date: Contractor:
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).:
( ) I, 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 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: 4/10/2017
Owner:
JONES DEVELOPMENT Y
78060 CALLE ESTADO
LA QUINTA, CA 9225
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Contractor: ^
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ASTSTONE CORP 7
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1279 W MAIN STR. STE. 05 a:
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EL CAJON, CA 920 0 L
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(619)401-8871
Llc. No.: 816966
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of 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 ttaq wArk for which this permit is issued.
�/��j���', 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: FALLS LAKE FIRE AND CASUALTY COMPANY Policy Number: FLA0003157
_ 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 3700 of the Labor Cde, I shall forthwith
comply with those provisions.
i
Date: , 1 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 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 commenced within 180 days from date of issuance 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 ding
construction, and hereby authorize representatives of this city to enter upon t e
above-mentioned property for inspection purposes. /\ „ 5P7
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Date: __/ .. 1. Signature (Applicant or Agent):.
ry�
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Date: 4/10/2017
Application Number: BWFE2017-0053
Owner:
Property Address: 52340 ROSS AVE
JONES DEVELOPMENT CORP, JODY
APN: 767670025
78060 CALLE ESTADO 9
Application Description: JONES DEVELOPMENT / 123LF OF 6'WALL AND 64LF OF3'WALL
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $13,500.00
Applicant:
Contractor:
AST STONE CORPORATION
A S T STONE CORPORATION
1279 W MAIN STR. STE. 205
1279 W MAIN STR. STE. 205
EL CAJON, CA 92020
EL CAJON, CA 92020
(619)401-8871
---------------------------------------------------------------------------------------------
Llc. No.: 816966
Detail: 123LF OF 6'BLOCK WALLS AT SOUTH PL, WING WALLS OUTSIDE MASTER BEDROOM, POOL EQUIPMENT ENCLOSURE, UTILITY METERS, AND 3
PILASTERS. 64LF OF 3'BLOCK WALLS AT NORTH SAND SOUTH 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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DESCRIPTION
FINANCIAL.
ACCOUNT CITY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
�• 101-0000-42404 0
$30.40
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 KOCK WALL:
$144.40
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
TOTALS:
$5.00.
0
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Bfn.#
Permit #
-2
..0ty. Of La Who
Building &r Safety Division
P.O. Box 1504, 78"495 Calle Tampico
la.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Traclung Sheet
Project Address: S; 3qo Pt5,5
tAVQN✓f
er's Name:.
A. P. Number.
T.Address:
Legal Description:,
Contractor: ASS �5fpt•1s- Gtr-('•
ST, Zip:
Telephone: WIN 3ts,>,<a�- .:.s&•�
Address: 7G- 11-1 SO -60
4M,
Project Description: 5UIM 4. IaS,TA(,L Li, Cr^V
City, ST, Zip: 'FAL*A q7 -y-1)
Vic.0(_Y. qTevOL W1(wttf.,).71StVd' yAVV, Mk6Tr/-'
Tele hone: o •
p 76 4b°I H611
>: ~
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City Lie. 9,g!0fl
'e et '1State
3 1p� y4t� 14A rk 3tijAlter
Lic.#: $lb96,6
Ddtvoodi! (vpK uJ h e ,.+m-t�TRUoX coolciAn
Arch., Engr., Designer.
Q� v.E(' T S Wt Vt4" u, 38taAddress:
1�1iX �)JkA4 c7 �4itNlgttl�i�City.,
ST, Zip:
Telephone:Construction
Lic. #:Project
Name of Contact Person:
1A. �'��.
Type:y:State
type (circle one): New Ar Repair Demo
Sq.Ft.: # Stories:#Unit;:Telephone
# of Contact Person:
Estimated Value of Project: n
APPLICANT: DO NOT WRITE BELOW THIS LINE
it
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted'
Item Amount
Structural Cities.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan check Balance
Tide 24 Cales.
Plans picked up
Cons ruction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
ElecHcal
Subcontactor List
Called Contact Person ?
P1um6ing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resdbmitted
Grading
IN HOUSE:.
'^' Review, ready for correctionsAssae
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.SP.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
:
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PINION
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LANAI MAIN,RES._
920 SF.' 6,198 SF.
t r.
t� dUES
1155
GARAb
'853 SF.
31'26"W 203.11'
LOT 6
TRACT 33016-1
MB 355/5 7-79
(PAD =10015)
(EX. RE5IDENCE)
AREA TABULATIONS
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CITY OF LA OUNTA
BUILD'a G & SAFETY DEFT.
APeR0V 1)
FOR C NS T RUCTIOiV
DATE��
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