BWFE2019-002378-495 CALLE TAMPICO DlL[+C[J VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/8/2019
Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED Owner:
Application Number: BWFE2019-0023 MELDMAN FAMILY LTD PARTNERSH
Property Address: 53525 HUMBOLDT BLVD 53525 HUMBOLDT BLVD
APN: 767700018 LA QUINTA, CA 92253
Application Description- MELDMAN / 28LF OF 7' - 4" INTERIOR GARDEN WALLS
Property Zoning:
Application Valuation: $4,000.00
Applicant: � Contractor:
DISCOVERY BUILDERS CALIFORNIA INC DBA DB D�L DISCOVERY BUILDERS CALIFORNIA INC DBA DB
14605 N 73RD STREET 14605 N 73RD STREET
SCOTTSDALE, AZ 85260 _ FEB 0 U 0 2019 SCOTTSDALE, AZ 85260
(480)624-5200
CITY OF LAQUINTA Llc. No.: 915336
DESIGN & DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: B License No.: 915336 of thew� rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Date: •AL • f _ Contractor: 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:
OWNER -BUILDER DEC RATION Carrier: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State Number: Y UB4K 5 �p218 _
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply with those provisions.
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 Date:.A "ai— 19 Applicant; _
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) 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 ($100,000). 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 ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors 1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the 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 for 180 days will subject permit to cancellation.
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 Address:
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.
er e
Dat] Signature (Applicant or Agent):
Date: 2/8/2019
Application Number:
BWFE2019-0023
Property Address:
53525 HUMBOLDT BLVD
APN:
767700018
Application Description
MELDMAN / 28LF OF 7' - 4" INTERIOR GARDEN WALLS
Property Zoning:
Application Valuation:
$4,000.00
Applicant:
DISCOVERY BUILDERS CALIFORNIA
INC DBA DB
14605 N 73RD STREET
SCOTTSDALE, AZ 85260
Owner:
MELDMAN FAMILY LTD PARTNERSH
53525 HUMBOLDT BLVD
LA QUINTA, CA 92253
Contractor:
DISCOVERY BUILDERS CALIFORNIA INC DBA DB
14605 N 73RD STREET
SCOTTSDALE, AZ 85260
(480)624-5200
Llc. No.: 915336
Detail: 28LF OF 7' - 4" INTERIOR GARDEN WALLS ON THE SOUTH SIDE OF THE PROERTY. [ANGELUS 5-1.11LQ 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.
k FINANCIAL INFORMATION
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
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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APN #:
Applicant Name: "Dl Sr oVep
Address: y:�"E
City, ST, Zip:
Telephone:
Email:
PERMIT # t.J W FE Lori ^ QO Z3
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
28tp�' 0-r- "70—Ltt! 14IC%14 C-0
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Valuation of Project $_ y , 000
Contractor Name: "DIX0Je1Z:Y "aVIL-D6tie.S New SFD Construction:
Address: i c%D r ?3 rM S-" Conditioned Space
City, St, Zip 5k--CrM1D01rE A-L ps,Z�i� Garage
Telephone:6 ge (02..5-2. O p O Patio/Porch
Email: Fire Sprinklers
State Lie: CrIg 3 .3(,,=, City Bus Lie:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lie:
Property Owner's Name:
Address:
City, ST, Zip 4A (Qv t
Telephone:
Email:
Construction Type:
Grading:
Bedrooms: I Stories:
City Bus Lie:
SF
SF
SF
SF
Occupancy:
# Units:
�L AA J New Commercial / Tenant Improvements:
t�/KaDL.D'F' Total Building SF
Al � 4 4 22S Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000