BWFE2018-0276`e,ihr 4 Xfv Q"
78-495 CALLE TAMPICO
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA
92253
FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/13/2018
Permit Type/Subtype:
WALL/FENCE/CITY STANDARD/PRE-APPROVED
Owner: v
Application Number:
BWFE2018-0276
RYAN LUGO & MARIA RAME
Property Address:
52175 AVENIDA OBREGON
52175 AVENIDA OBREG(
APN:
773214019
LA QUINTA, CA 92253 QO
Application Description.
LUGO / 50LF OF BLOCK WALL AT FRONT YARD
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Property Zoning:
Ill
Application Valuation:
$1,250.00
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Applicant:
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Contractor: c N
MELO POOLS INC
MELO POOLS INC rn a o
77-530 ENFIELD LN BUILDING C
77-530 ENFIELD LN BUINING C
PALM DESERT, CA 92211
PALM DESERT, CA 9221
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(760)341-3505
Llc. No.: 954374
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: C153 License No.: 954374
Date: �� �` jLj, Contractor:
9 OWNER -BUILDER DECLA�TIOJI hereby affirm under penalty of perjury that I am ex 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 t�k for which this permit Is issued.
I have and will maintain workers' compensation insurance, as required by
Sec ' 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: PREFERRED PROFESSIONAL IN5URANCE Policy Number: ON08354
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 CSde shall forthwith
comply with those provisions.
Dater Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPE4TICt-4- OVERAGE 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
folkowing 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 k? �iiding
construction, and hereby authorize representatives of this city to enter u�
above -mentioned property for inspection purposes.
Date: _ 1� 54—
Signature (Applicant or Agent):
1111
Date: 12/13/2018
Application Number: BWFE2018-0276
Property Address: 52175 AVENIDA OBREGON
APN: 773214019
Application Description: LUGO / 50LF OF BLOCK WALL AT FRONT YARD
Property Zoning:
Application Valuation: $1,250.00
Applicant:
MELO POOLS INC
77-530 ENFIELD LN BUILDING C
PALM DESERT, CA 92211
Owner:
RYAN LUGO & MARIA RANGEL
52175 AVENIDA OBREGON
LA QUINTA, CA 92253
Contractor:
MELO POOLS INC
77-530 ENFIELD LN BUILDING C
PALM DESERT, CA 92211
(760)341-3505
Llc. No.: 954374
Detail: 501-F OF 6' BLOCK WALL AT FRONT YARD INSIDE PL NORTH, EAST AND DRIVEWAY. (CITY STANDARD) 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 ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$53.37
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$66.71
I Total Paid for BLOCK WALL: 5120.08
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
DESCRIPTION
ACCOUNT CITY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$53.37
DESCRIPTION
ACCOUNT CITY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$66.71
Total Paid for BLOCK WALL:
$120.08
DESCRIPTION
ACCOUNT QTY
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
`7V/`1LC 1/`-F - I -I--
SCALE 3/32"=1'
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PERMIT# 6nl�"
PLAN LOCATION:
Project Address: 2 L G
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
( [ 0 C le G ✓ L O v, / �
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Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of Project $ 7
Contractor Name: s
New SFD Construction:
Address: s- 3� �— �� �( �/ L , 4o, e
Conditioned Space SF
City, St, Zip Zz j/
Garage SF
Telephone: 7 .e)
Patio/Porch SF
Email: ` /. 7ie�O vY ,
Fire Sprinklers SF
State Lic: C .S-c� ity Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms: Stories:
F#Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip 0 LAq 7,20
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000