BWFE2018-002178-495 CALLE TAMPICO 4 VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: ,1/30/2018
Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-AP R,'ROVED Owner:
Application Number: BWFE2018-0021 rl DE5gajESTATES DEVELOPMENT INC
Property Address: 81862 SEABISCUIT WY 7 1 WY 111 STE X
APN: 767740031 ; AAA A, CA 92253
Application Description: MONROE / 94 LF BLOCK WALL JAN
Property Zoning: 0 2018L)
Application Valuation: $5,000.00
Applicant:. DESIGNANDpEV�E P QUINTA
MENTpEp I Contractor:
DESERT ESTATES DEVELOPMENT INC Af>mji ESTATES DEVELOPMENT INC
78401 HWY 111 STE X 78401 HWY 111 STE X
LA QUINTA, CA 92253 LA QUINTA, CA 92253
(760)77779920
Llc. No.::CONV:140528101254085875
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 3the Business and Professions Code, and
my License is in full force and effect.
License Class: •_ License No.::CONV:1401101254085875
aG,ofi't ctor:
OWNER -BUILDER ECLARATION
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 C
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).:
(1 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 ) 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 h reby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
com nsation, as provided for by Section 3700 of the Labor Code, for the performance
of th ork for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by
Secti n 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: _
_ I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner as to become subject to the workers'
compensation laws of California, and agre at, if I should become subject to the
workers' compensation provisions of Secti 700 of the Labor Code, I shall forthwith
comply with those provisions.
Mte: / Y.r/i-pl ant:
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 anVteIawslating to building
construction, and hereby authorize representatives of tr upon.the above-
mentloned prgperty foJ inspection purposes.
D� U /' Sig at re (Applicant or Agent)
Date: 1/30/2018
Application Number: BWFE2018-0021
Owner:
Property Address: 81862 SEABISCUIT WY
DESERT ESTATES DEVELOPMENT INC
APN: 767740031
78401 HWY 111 STE X
Application Description: MONROE / 94 LF BLOCK WALL
LA QUINTA, CA 92253
Property, Zoning:
Application Valuation: $5,000.00 <
Applicant:.
Contractor:
DESERT ESTATES DEVELOPMENT INC
DESERT ESTATES DEVELOPMENT INC
78401 HWY 111 STE X
78401 HWY 111 STE X
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)777-9920
-----------------------------------------------------------------------------------------------
Llc. No.::CONV:140528101254085875
Detail: 94 LF OF 6' GARDEN WALL AT WEST SIDE [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.
FINANCIAL
DESCRIPTION
INFORMATION
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 BLOCK WALL: $117.03
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
502-0000-43611
0
$5.00
:ontractor Name:''
PERMIT #
PLAN LOCATION:
Project Address: �!j0 J i�jJ/?,r!-v,� L/1/
Project. Description: Pool, Remodel, Add't, Elect, Plumb, Mech
'ity, St, Zip
Garage . SF
elephone:.
Patio/Porch SF
A,pplicant Name:
Fire Sprinklers SF
kddress:. / / kl
:ity, ST, Zip: �.,4
-elephone: % ' O 7 % 7 / ?-2 1
;mail ;,-���it
Valuation of Project
:ontractor Name:''
-New SFD. Construction:
.ddress: _
Conditioned Space SF
'ity, St, Zip
Garage . SF
elephone:.
Patio/Porch SF
mail:
Fire Sprinklers SF
tate Lie:/(j /9 3 7I.' City Bus Lic: /.Q , 0 d /
rch/Eng Name:.
Construction Type: Occupancy:
ddress:
Grading:
ty, St, Zip .
Construction Type:. Occupancy:
:lephone:.
Bedrooms:Stories:
ail:
# Units:.
nail:
ite Lic: ` City Bus Lic;
operty Owner's Name /)a,l; ?i-,. S% .�v���j �Z� �,
New Commercial / Tenant Improvements:
dress: LJ l/�` . #� a o
Total Building SF
y, ST, Zip �� nay„ r �� y d
Construction Type:. Occupancy:
ephone:
ail:
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LA QUINTA, CA 92253
760-777-7000
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