BWFE2018-0214ceit�t 4 4a Qulftz
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: 10/10/2018
Permit Type/Subtype:
WALL/FENCE/CITY STANDARD/PRE-APPROVED
Owner:
Application Number:
BWFE2018-0214
NINO ROSINI
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Property Address:
54720 AVENIDA CARRANZA
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APN:
774275011
,CA
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Application Description:
ROSINI / BLOCK WALL AT FRONT YARD
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Property Zoning:
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Application Valuation:
$4,800.00
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Applicant:
Contractor:
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NINOJ ROSINI REALTY DEVELOPMENT
NINO J ROSINI REALTY DEVELOgll�f
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47-085 VIA ORVIETO
47-085 VIA 0RVIETO
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LA QUINTA, CA 92253
LA QUINTA, CA 92253
(310)502-8004
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LIc. No.: 366616
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: _/r License No.;
�: /a Alp Zd /Contractor:
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, BusirHW nd 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
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 the k 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: EXEMPT 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 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.
DalV '/Q'ZO%G Al
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 an 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 hoid 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 cessatlon of
work for 180 days wlII subject permit to canceIlatlon.
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.
60
0 Signature (Applicant orAgAnn
Date: 10/10/2018
Application Number:
BWFE2018-0214
Property Address:
54720 AVENIDA CARRANZA
APN:
774275011
Application Description:
ROSINI / BLOCK WALL AT FRONT YARD
Property Zoning:
Application Valuation:
$4,800.00
Applicant:
NINO J ROSINI REALTY DEVELOPMENT
47-085 VIA ORVIETO
LA QUINTA, CA 92253
Owner:
NINO ROSINI
CA
Contractor:
NINO J ROSINI REALTY DEVELOPMENT
47-085 VIA ORVIETO
LA QUINTA, CA 92253
(310)502-8004
LIc. No.: 366616
Detail: 64LF OF 6' GAhDEN WALL AND (2) PILASTERS INSIDE EAST PL - FRONT YARD [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED
WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2016 CALIFORNIA BUILDING CODES.
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 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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Project Address: �--- 7Z.� A� �_ e
APN #: 7-:;� 4-' Z.7 j O/ / �p
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
PERMIT #C�YZ14-
PLAN LOCATION:
kroject Description: Pool, Remodel, Add't, Elect, Plumb, Mech
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tAJ ALL, - &4-{
Valuation of Project $,
Contractor Name: 1�-g (2� , ��� New SFD Construction:
Address: 6 `� _D f �U Conditioned Space SF
City, St, Zip AI A Lv ���� . Garage SF
Telephone: 2 PD 0 Patio/Porch SF
Email: - ( /A N0112 J A14,,,,Fire Sprinklers SF
State Lic 6 City Bus Lic:7
Arch/Eng Name:CKA_tkJCor), truction Type: Occupancy:
Address: D,9 r Grading:
City, St, Zip
Telephone: -�7 (06 Bedrooms: Stories: # Units:
Email:
State Lic: /,q/,,:5 4�(� City Bus Lic:
Property Owner's Name: 4am mercial / Tenant Improvements:
Address: -// Total Building SF
City, ST, Zip Construction Type: Occupancy:
Telephone:
Email: _
CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY