BWFE2017-018778-495 CALLE TAMPICO
LA QuiWX.,'CALIFORNIA" 92253 `S''
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
AST STONE CORPORATION
1279 W. MAIN STIR. STE. 205
EL CAJON, CA 92020
T4ty, 4 4v Q".
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
WALL/FENCE/CITY STANDARD/PRE-APPROVED
BWFE2017-0187
53391 VIA DONA
777420027
SUN VISTA/ HIDEAWAY/ 302 LF BLOCK WALL
$18,000.00 A
D
OCT 0 4 2017 LD)
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
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 a d Professions Code, and
my License is in full force and effect.
License Class: C29, C54 License :418 966
C Kbaate/ Contract
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/4/2017
Owner:
M JOHNSON
24516 SE WINDSOR BLV
SAMMAMISH, WA 0
Contractor:
AST STONE CDRPORATION
1279 W MAIN STR. STE. 205
EL CAJON, CA 92020
(619)401-8873
Llc. No.: 8169E•6
WORKER'S COMPEN!•ATION 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 3100 of the Labor Code, for the performance
Ruwork for which this permit is issued.
I have and will maintain workers'compensation insurance, as required by
3700 of the Labor Code, for the perfDrmance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Carrier: CYPRESS INSURANCE COMPANY Policy Number: ASWC817597
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance cf the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any.person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair any
compensation laws of California, and agree :hat, if I should become subject to the
structure, prior to its issuance, also requires the applicant for the permit to file a signed
workers' compensation provisions of Sectio:a 3700 of the Labor Code, I shall forthwith
statement that he or she is licensed pursuant to the provisions of the Contractor's State
comply with those provisions.
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
I— L '
and Professions Code) or that he or she is exempt therefrom and the basis for the
Dater App—ppic�ent:
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).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLA L,
( ) I, as owner of the property, or my 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 ($100000). IN ADDITION -TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN 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
APPLICANT ACK14OWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that he
IMPORTANT: Application is hereby made tc the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on itis application.
(� I, as owner of the property, am exclusively contracting with licensed contractors to
1. Each person upon whose behalf this ap alication is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon,
as a result of this application , the owner, and the applicant, each agrees to, and shall
and who contracts for the projects with a contractor(s) licensed pursuant to the
defend, indemnify and hold harmless the Ci -y of La Quinta, its officers, agents, and
Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
( __) I am exempt under Sec. . B.&P.C. for this reason
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
Date: Owner:
for 180 days will subject permit to cancellat.on.
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
Lender's
I certify that I have read this application anc state that the above information is correct.
I agree to comply with all city and county or-Jinances and state laws relating to building
construction, and hereby authorize representatives of this 'ty to enter upon bove-
mentioned property for inspection purpose:..
ent
Signatur—flApplicaot or Ag)':
n
Application Number: BWFE2017-0187
Pro>'eyWAddress: °;°:`` ',�"5339Y4VIA DONA
APN: 777420027
Application Description: SUN VISTA/ HIDEAWAY/ 302 LF BLOCK WALL
Property Zoning:
Application Valuation: $18,000.00
Applicant:
A S T STONE CORPORATION
1279 W MAIN STR. STE. 205
EL CAJON, CA 92020
Owner:
M JOHNSON
24516 SE WINDSOR BLV
SAMMAMISH,'WA 0
Contractor:
A S T STONE C,DRPORATION
1279 W MAIN STR. STE. 205
EL CAJON, CA 92020
Date: 10/4/2017
(619)401-8871
Llc. No.: 816966
--------------------------------------------------------------------------------------------
Detail: 125LF OF V GARDEN AT NORTH PL, 115LF OF 6- GARDEN WALL AT SOUTH PROPERTY LINE, AND 62LF OF 3- GARDEN WALL AT NORTH AND SOUTH
SIDE PROPERTY LINES [ANGELUS 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.
0
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404 0
$78.00
DESCRIPTION
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:
$195.03
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
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin#
018-7
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
Project Addres . - `'
V /R
bn&24
Owner's Name:
A.P. Number
Address: ' O• Bo 4
Legal Description:
City, ST, Zip: �� V
Contractor:
Telephone:
Address: W- N
9111--
Project Description:
City, ST, Zip -.FL
Telephone:
T&4
State Lic. #:
City Lic #:
Arch, Engr., Designer:
_ o– ,
._"o-01
Address:
�—
City, ST, Zip:
Telephone:Construction
Typel C
Occuparxy:
State Lic. #:
Proj. Type
w
Alter
Repair
Demo
Name of Contact: , 1 �S
V
EAd'n
SgFt: es
# Units:
Telephone of Contact: Woe ?
J
_ Qc�
�•2511,�aaio
Estimated Value of Project:
A7PPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Ch=k Deposit:
Truss Calcs
Called Contact Person
Plan Check Balance:
Title 24 Calcs
Plans Picked Up
ConstruaJon:
Flood Plain Plan
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev, Ready for corrections /
Electrica.:
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
SUN
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