BWFE2017-013578-495 CALLE TAMPICO
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760)•777-7153
BUILDING, PERMIT
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Date: 7/20/2017
Application Number:
BWFE2017-0135
Owner:
Property Address:
54200 AVENIDA RUBIO
PEPE BUILDS LLC
APN:
774202010
PO BOX 447
Application Description:
PEPE BUILDS / 45LF 5' WALL / 24LF OF 4' WALL
LA QUINTA, CA 92247
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Property Zoning: Application Valuation:
$1,800.00::
Applicant:
Contractor:��
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CORONEL ENTERPRISES INC
CORONEL ENTERPRISES INC
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42760 MADIO STREET
42760 MADIO STREET
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INDIO, CA 92201
INDIO, CA 92201
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(760)775-1234
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Llc. No.: 727199
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 Professi ns Code,
and my License is in full force and effect.
License Class: B License No.: 727199
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:
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 the -work for which this permit is issued.
C 1 -have and will maintain workers' compensation insurance, as required by
Section 700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and polity number are:
Carrier: BENCHMARK INSURANCE COMPANY Policy Number: CSTS009346
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 Sectia37700he Labor Code, I all forthwith
comply with those provisions.
Da ' �'Aonlicant
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 building
construction, and hereby authorize representatives ofaptyter u onabove. mentioned property for inspection purposes.
D�/ 1-� �� Signature (Applicant or Agen
Date: 7/20/2017
Application Number: BWFE2017-0135 Owner:
Property Address: 54200 AVENIDA RUBIO PEPE BUILDS LLC
APN: 774202010' PO BOX 447
Application Description: PEPE BUILDS / 45LF 5' WALL / 24LF OF 4' WALL LA QUINTA, CA 92247
Property ZGning:
Application Valuation: $1,800.00
Applicant: Contractor:
CORONEL ENTERPRISES INC CORONEL ENTERPRISES INC
42760 MADIO STREET 42760 MADIO STREET
INDIO, CA 92201 INDIO, CA 92201
(760)775'-1234
Llc. No.: 727199
------------------------------------------------- -----------------------------------------
Detail: 45LF OF 5' BLOCK WALL AND 24LF OF 4' EQUIPMENT WALL INSIDE FRONT PL [SITE SPEICIFIC EINGINEERING] PRECISION CONCRETE BLOCK SHALL BE
COVERED WITH STUCCO, PAINT, OR TEXTURED WATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREABETWEEN 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.
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
l •• 1.'
FINANCIAL
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$50.67
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
-7-T-
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