BWFE2017-0167'
Q�iTAMPICO-. 40914z!
VOICE (760) 777-7125
78-49S CALLE
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FAX (760)_777-7011
LA QUINTA, CALIFORNIA'92253
DESIGN &DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/6/2017
Application Number:
BWFE2017 0167Owner:
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co
Property Address:
80625 VIA MONTECITO
MC DONALD
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-
APN:
777400011
40101 MONTEREY AVE B1-.214
Application Description:
MC DONALD / 240L OF BLOCK WALLS AT EAST PL AND FRONT YARD
RANCHO MIRAGE, CA 92220-
22.EProperty
PropertyZoning:
m
Application Valuation:
$6,000.00
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Applicant:
Contractor: C
SUNROSE CORPORATION
SUNROSE CORPORATION=
o
72-850 SOM ERA ROAD
72-850 SOME&A ROAD m0 y
PALM DESERT, CA 92260
PALM DESERT, CA 92260
(760)773-6633 m
Llc. No.: 533670
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: License No.: 533670
Date: 01-6— Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat 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
Lender's
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certifiate of consent to self -insure for workers'
compensation, as provided for by Section =700 of the Labor Code, for the performance
of the work for which this permit is issued.
have and will maintain worker: 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 Polity Number: 1948056
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 those.provisions.
Date: -b — 1 7 Applicant: (� /fY/ `u✓P/
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO.
ONE HUNDRED THOUSANDDOLLARS ($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 0 the Building Official for a permit subject to
the conditions and restrictions set forth onthis application.
1. Each person upon whose behalf this a;3plication 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 -o 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 of this city to enter upon the
above-mentioned property for inspection purposes. i
Date: ` -v 7 Signature (Applicant or Agent): C�'y o"'""' `�
3
Date: 9/6/2017
Application Number: BWFE2017-0167
Owner:
Property Address: 80625 VIA MONTECITO
MC DONALD
APN: 777400011
40101 MONTEREY AVE B1-214
Application Description: MC DONALD / 240L OF BLOCK WALLS AT EAST PL AND FRONT YARD
RANCHO MIRAGE, CA 92270
Property.Zoning:
Application Valuation: $6,000.00
. Applicant:
Contractor:
SUNROSE CORPORATION
SUNROSE CORPORATION
.72-850 SOMERA ROAD
72-850 SOMER_A ROAD
PALM DESERT, CA 92260
PALM DESERT, CA 92260
(760)773-6633.
Llc. No.: 533670
Detail: 240LF BLOCK WALL INSIDE EAST PL, FRONT YARD, AND SIDE YARD WING WALLS. [CITY SPECIFICATIONS) PRECISION CONCRETE BLOCK SHALCBE
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.
3
1
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404 0
$45.60
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$50.67
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$63.33
Total Paid for BLOCK WALL: $159.60
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:
• .•
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Bin#
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 Address:8Pd4�'_ Vl;n-
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Owner's Name: MGbOn07I
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A.P. Number ?77 •' 4*O _ tq C 1
Address:
Legal Description: 2R g;-10— *
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City, ST, Zip:
Contractor: P
Telephone:
Address: �vl0 O
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Project Description:' v
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City, ST, Zip: i` &
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Telephone: 1� _ —bb
State Lie. #:
City Lie #:
Arch; Engr., Designer:
Address:
City, ST, Zip:
Telephone:
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Construction Type: G,��
OccLpancy:
State Lie. #:
Prcj. Type
New
Add'n
After
Repair
Demo
Name of Contact:
SgFt:
#Stories
# Units:
Telephone of Contact:
Estimated Value of Project:
APPLICANT: 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 Check Deposit:
Truss Calcs
Called Contact Person
Plan,Check Balance:
Title 24 Calcs
Plans Picked Up
Construction:
Flood Plain Plan
Plans Resubmitted N
Mecianical:
Grading Plan
2nd Rev, Ready for corrections /
Elec,rical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M ].
HOA Approval
Plans Resubmitted
Gracing
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.f.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
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