BWFE2019-015778-495 CALLE TAMPICO C� 0 D "'iUrCV
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED
Application Number: BWFE2019-0157
Property Address: 52015 AVENIDA JUAREZ
APN: 773203012
Application Description: SEGAL / 210 LF BLOCK WALL
Property Zoning:
Application Valuation: $6,500.00
Applicant: D ZZ�
ROBERT SEGAL
52015 AVENIDA JUAREZ AUG 12 2019
LA QUINTA, CA 92253
F D
CITY OF LA QUINTA
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: License No.:
Date:
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
a nj Professions Code) or that he or she Is exempttherefrom and the basis fbr the
Oen
exemptio. Any violation ofSection7031.5 byany applicantfor a permits the applicanttoaciv11penaltyof notmerethanfive hundred dollars($50D).:
ownerofthe property, or myemplayeesth _agesasthirsot'nSation, will do the work, and the structure is not intended or offered fbr 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
arl not intended or offered For sale. If, however, the building or improvement is sold
*11hin one year of completion, the owner -builder will have the burden of proving that he
did not buitd or improve For the purpose of sale.).
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,
who contracts for the projects with a contractors licensed pursuant to th
tk�LWctors' State License Law.).
am exempt under Sec. B.&P.C. for f s reason
I
__ Aor
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/12/2019
Owner:
ROBERT SEGAL
52015 AVENIDA JUAREZ
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
Llc. No.:
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
Sectl n 3700 of the Labor Cade, far the perfarman I of the work for which this permit is
issu . My workers' compensation insurance carrier and polity number are:
Ca r: _ Policy Number. _
1 certify that in the performance of the work for which this permit is issued, I
IM temploy any person in any manner so as to come subject to th rkers'
compensation laws of California, and agree that, if o0vbecome sub' t o the
workers' compensation provisions of Section 37 bor Cojfe, IV forthwith
comply with those provisions. I
Date: ' 1 1 C)%LlAp H ant• [r1
WARNING: FAILURE TO SECUREWORKERS' COMPENSATION 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
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 co rect.
I agree to comply with all city and county ordinances and slat laws rela Ing to ding
construction, and hereby authorize representatives of this [i to enter pon t above -
mentioned property for inspection purposes. �� /
101 ignature (Applicant or Agent):
I
Date: 8/12/2019
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ROBERTSEGAL
52015 AVENIDA JUAREZ
LA QUINTA, CA 92253
BW FE2019-0157
52015 AVENIDA JUAREZ
773203012
SEGAL / 210 LF BLOCK WALL
$6,500.00
Owner:
ROBERT SEGAL
52015 AVENIDA JUAREZ
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
Llc. No.:
Detail: 150LF OF RETAINING COMBO WALL ON NORTH AND SOUTH PL 801-F OF 6' GARDEN [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
CITY
AMOUNT
RETAINING/COMBINATION WALL EA 50LF
101-0000-42400
0
$48.03
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$48.03
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: $216.14
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
i
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
am�tra
ta E: r•
�a ,� �, i ) i�sr�rR—
PERMIT # •-c
---�`
PLAN LOCATION:,S2 9-i' •Z
Project Address: 1
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #: 3 - �� Oil
Applicant Name: �{
a
Address; 46C�• � �
1_
Zip: 2 �„
Telephone: ci, —
Valuation Project $ J l i CJ CX0
Contractor Name: _
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: City Bus Lic: / 6 LA•Z
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: V4-elrt
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type; Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
CITY OF LA QUINTA
BUILDING DIVISION
APPROVED
FOR CONSTRUCTION
By: lop"' DATE:
CALLIE DURANGO
TIEDE_ELDPER/
T
C^
On1RACTOR/
a R "
TI€ VMFCATOO
I
FJ(ISTMG cute roR
pr✓s aF.* CU
F-AMG P
EXI C TIM F
EXI0T.1 LOG4TILN FRQ1
FROPERfT" WO)WIN
TIE PIIELIG w.aace
DEPARO'1EhT
I
T.., v
O EE EIIET
KL
A 0EP4RATE5 I�EIa`9f
D FLOOR TD BE
12' M DATIAI POMi
D'
1E C
AT TOP LP G1A� AT
CEME%IrO: CF LOT
fIII
4
I
PAIMP M
Q
z
la
VT7boP1
"ARATF
lEPPRATE PR"w
M.pECTlcn FF
QTY 6 LA
I
."
LLC10rA DEFT.
WW6 DEPt.
PdOT1Y Cuw
aPlllll
II
I
1 EXI5TING RESIDENCE I
SITE PLAN
SCALE:Y6 =1'-0 NORTH
AR,
E,
e
z
z
a
a
r
u
'u
n
a
76-115 Calle Estado, Ste, 105
La Quinta, CA 92253
P: (760) 564-4707 F: (760) 564-4955
www.swconcepts.com
PROJECT TITLE:
PROPOSED RESIDENCE
FOR ROBERT SEGAL
52 015 AVENIDA JUAREZ
LA QUINTA. CA 92253
APN: 773-203-012
Date ) Description
Number
Plan Chak C-11... 05.08.2019
DI awn *L
y any
Project
Manager.
_ Steve
lu sE9AR
ti
P" Y tl+�
4F` Cy
Ry Y
7-1t_p�
z
J
C A
W
F
n
�rR /
1
1
Os/06/2019
St piton R. Meto Date _
Date: 05/0B/2019
A1,0