BWFE2019-014778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ACOSTA CONSTRUCTION
47750 ADAMS STREET #423
LA QUINTA, CA 92253
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
WALL/FENCE/CITY STANDARD/PRE-APPROVED
BW FE2019-0147
52435 AVENIDA BERMUDAS
773275019
LEON / / 29LF GARDEN WALLS AT PL
$3,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
YAN, LEON
74203 ANASTACIA
ACOSTA CONSTRUCTION
U 47750 ADAMS STREET #423
JUL 2 6 2019 QUINTA, CA 92253
0(760)619-9630
CITY OF LA QUINTA Llc. No.: 955217
DESIGN & 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 and Professions Code, and
my License is in full force and effect.
License Class: B. C-8 License No.: �
Date: / ` Z �" 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, 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
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:
Date: 7/26/2019
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 work 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9163347
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 or Cad sh forthwith
comply with those provisions.
Date: Z� ( I Applicant:
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 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
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 up a above=7
mentioned property for inspection purposes.
Date: �%` L G "D{ Signature (Applicant or Agent)
Dates' 7/26Y2019
Application Number:
BWFE2019-0147
Property Address:
52435 AVENIDA BERMUDAS
APN:
773275019
Application Description:
LEON / / 29LF GARDEN WALLS AT PL
Property Zoning:
Application Valuation:
$3,000.00
Applicant:
ACOSTA CONSTRUCTION
47750 ADAMS STREET #423
LA QUINTA, CA 92253
Owner:
YAN, LEON
Contractor:
ACOSTA CONSTRUCTION
47750 ADAMS STREET #423
LA QUINTA, CA 92253
(760)619-9630
LIc. No.: 955217
Detail: 39LF OF 6' GARDEN ALL NORTH, EAST (FRONT) PROPERTY LINES WITH (6) PILASTERS [CITY STANDARD SPECIFICATIONS FOOTING OPTION 'B']
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
6 CALIFORNIA BUILDING COp�.S.. ,
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$53.37
DESCRIPTION
ACCOUNT QTY
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
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
U„ fcu
C a 0
PERMIT # 3wf7e::2—ot l —�
PLAN LOCATION:
Project Address:
p�
v `
i
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
D L
Applicant Name:
Lev-,
Address:
w— e
,
City, ST, Zip:
I
Telephone:
?60 7
t
(- (--
Valuation of Project $ S G 0 0
Contractor Name: New SFD Construction:
Address: Conditioned Space SF
City, St, Zip Garage SF
Telephone: G (,� Gj Patio/Porch SF
Email: C �Q C IreSprinklers SF
State Lic: SS'2 l -7 City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: V\ V�
New Commercial / Tenant Improvements:
Address: Z r3 V" I
Total Building SF
City, ST, Zip C (jz�S3
Construction Type: Occupancy:
Telephone:
Email
S 78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
comdev
From:
Raul <acosta.contractor@gmail.com>
Sent:
Friday, July 26, 2019 11:14 AM
To:
comdev
Subject:
Fwd: New General Contractor
EXTERNAL: This message originated outside of the City of La Quinta. Please use proper judgement and caution when opening
attachments, This
links or responding to requests for information.
---------- Forwarded message ---------
From: leon yan <
Date: Tue, May 7, 2019, 8:27 AM
Subject: New General Contractor
To: Lorri Van Weelden <
Cc: Raul Acosta <acosta.contractor@gmail.com>
Good morning Lorri,
I'd like to introduce you my new licensed General Contractor, Raul Acosta (Acosta Construction, Licence # 955217) who
will continue and complete the entire building project of my home at 52435 Avenida Bermudas, La Quinta, CA 92253.
Please assist him for any necessity steps with CBNT and Dixieline.
He will soon be contacting you. His contact number is 760-619-9630.
Thank you,
Leon
EXISTING RESIDENCE
EXISTING RESIDENCE
EXISTING RESIDENCE
SCALE: 1/5'=V-0' NORTH
4-1
CITY OF LAQUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
CO PLIANCE
QAT� ZG If gy
- (o
- C ;-(`( c bPY
THE DEVELOPER /
CONTRACTOR / O"R
IS RESPONSIBLE FOR
THE VERIFICATION OF
EXISTING CURB (OR
EDGE OF STREET
PAV1W. IF NO CURB
EXISTS) LOCATION FRCH
PROPERTY LME(S) WITH
THE PUBLIC WOFRKS
DEPARTMENT
FMISHED FLOOR TO BE
IV ABOVE DATUM POMT
AT TOP OF CURB AT
CENTERLME OF LOT
GATES AND BLOCK
WALLS TO BE BUILT
UNDER A SEPARATE
BUILDING PEWIT