BWFE2017-0256r
78-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED
Application Number: BWFE2017-0256
Property Address: 52680 AVENIDA VELASCO
APN: 773295010
Application Description: BLOCK GARDEN WALL
Property Zoning:
Application Valuation: $4,000.00
Applicant:
PINSON'CONSTRUCTION & DESIGN
69-202 DORAL WAY
CATHEDRAL CITY, CA 92234
l QUINtA
J�MUNITIOE(iECOPT M_ EpEP _7MEW
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C35, B License No.: 995012
abate 4f contractor: $t 50,-, Q.Ur�,!Iz�
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
(_) 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.). r .
(_) 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: 12/8/2017
Owner:
LETICIA ALVARADO
52680 AVENIDA VELASCO
LA QUINTA, CA 9,2253
Contractor:
PINSON CONSTRUCTION & DESIGN
69-202 DORAL WAY
CATHEDRAL CITY; CA 92234
(760)578-1790
Llc. No.: 995012
WORKER'S COMPENSAMON DECLARATION
I hereby affirm under penalty of perjury one or 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.
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: 9114811
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 Code, I shall forthwith
comply with t ose provisions.
Dgtee`y d icant: � Q � 1 l r VA S O-)_
WARNING: FAILURE TO SECURE WORKERS' COAAPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($500,00). 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 thi: application.
1. Each person upon whose behalf this appli:ation 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 owns, 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 ssuance 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 of this city to enter upon the
above -mention d property for Inspection purposes.
Date Signa Applicant or Agent)
Date: 12/8/2017
Application Number: BWFE2017-0256
Owner:
Property Address: 52680 AVENIDA VELASCO
LETICIA ALVARAEO
APN: 773295010
52680 AVENIDA NELASCO
Application Description:. BLOCK GARDEN WALL
LA QUINTA, CA 9?253
Property Zoning:
Application Valuation: $4,000.00
Applicant:
Contractor:
PINSON CONSTRUCTION & DESIGN
PINSON CONSTRUCTION & DESIGN
69-202 DORAL WAY
69-202 DORAL WAY
CATHEDRAL CITY, CA 92234
CATHEDRAL CITY,.CA.92234
(760)578-1790
----------------------------------------------------------
Llc. No.: 995012
------------------------------------
Detail: 60 LF OF BLOCK GARDEN WALL AND 5 PILASTERS [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 --ENCING SHALL BE LANDSCAPED,
HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT CITY
AMOUNT
:WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$52.01
DESCRIPTION
ACCOUNT CITY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$65.02
Total Paid for BLOCK WALL:
$117.03
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
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE:
$10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
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PERMIT #
PLAN LOCATION:
Project Address:
vIRProject Description: Pool, Remodel, Add't, Elect, Plumb, Mech.
APN
Garage SF.
Telephone: l(®,b C`L C-635
Patio/Porch SF
Applicant Name
Fire Sprinklers SF
Address: b ^ S Lo
City, ST, Zip: 9
.Telephone: Q Da
Email:Valuation
of Project $
Contractor Name: �.� 1 5 6'�
New SFD Construction:
Address: (� (� Q
��
Conditioned Space SF
City, St, Zip
Garage SF.
Telephone: l(®,b C`L C-635
Patio/Porch SF
Email: V �` N S Or 2 6' Y I
Fire Sprinklers SF
State Lic: of - City Bus Lic: ;
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: 1 �
ew Commercial / Tenant Improvem �nts:
Address:
Total Building SF
City, ST, Zip / CC'{��
Construction Type: Occupancy:
Telephone: OO 1701;� _a4, d
E-mail:
78495 CALLE TAMPICO
LA QU I NTA; CA M53
760-777-7000
OFFICE USE ONLY
a�
#
Submittal
Req'd
Ree'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License