BWFE2019-016478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
WALL/FENCE/CITY STANDARD/PRE-APPROVED
BWFE2019-0164
52175 AVENIDA RUBIO
773212019
MOLDENHAUER / 60LF BLOCK WALL
$4,200.00
Applicant:
HUITRON CONSTRUCTION CO.
50427 RIGO CT
COACHELLA, CA 92236
P
QU
AUG 26 2019 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 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: B License No
Dater ���'� I 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
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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/26/2019
Owner:
Moldenhauer Michael E & Ana Marie
52175 AVENIDA RUBIO
INDIO, CA 92253
Contractor:
HUITRON CONSTRUCTION CO
50427 RIGO CT
COACHELLA, CA 92236
(760)457-9960
Llc. No.: 1030332
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one ofthe 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 Lhe work for which this permit is issued.
64-4 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: BENCHMARK INSURANCE COMPANY Policy Number: CST5015396
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 C de, I shall forthwith
comply with those provisions.
r fj
Date:��_1_2L_j q Applicant: - I
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 abo nfor lion is
I agree to comply with all city and county ordinances andt o slinconstruction, and hereby authorize representatives of thisy enr upon t
mentioned property for inspection purposes.
Date:''L.{,'-1'Isignature (Applicant orAgentT"_1 LL&Zj +
Date: 8/26/2019
Application Number: BWFE2019-0164
Property Address: 52175 AVENIDA RUBIO
APN: 773212019
Application Description: MOLDENHAUER / 60LF BLOCK WALL
Property Zoning:
Application Valuation: $4,200.00
Applicant:
HUITRON CONSTRUCTION CO
50427 RIGO CT
COACHELLA, CA 92236
Owner:
Moldenhauer Michael E & Ana Marie
52175 AVENIDA RUBIO
I N DIO, CA 92253
Contractor:
HUITRON CONSTRUCTION CO
50427 RIGO CT
COACHELLA, CA 92236
(760)457-9960
Llc. No.: 1030332
Detail: 60LF OF G GARDEN WALL AT SOUTH PROPERTY LINE [CITY 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.
FINANCIAL • •
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
T.a+..1 e.a:J C.... M nry %&J it -in no
. vau. . �a. .v. va.va..a •v r.a. a.. yaw.vu
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
TOTALS,
aPERMIT
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#
PLAN LOCATION:
Project Address: ��•�
Project Description: Q
APN #:
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
Project Valuation $�
Contractor Name:
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New Construction:
Address: 59 4—
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,
Conditioned Space SF
City, St, Zip
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CA
Garage SF
Telephone:
L517 29 L -0
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: 103033L
City Bus Lic:
Architect/Engineer Name:
Construction Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms: Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address: LL.1�t
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email;
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Required
Received
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
CVWD Fire Flow Letter
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
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OF LA QUiNTIX
G & SAFETY DEPT.
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PROVED
EATE
CONSTRUCTION
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the owner of the r idenue located in
52175 Avenida Rubio La Quinta, CA- 92253. and l��'r
the owner of the property located in 52185 Avenida Rubio La Quinta, CA. 9424153 have decided to
install a block wall on our mutual property line, The block wall will overlap 3 inches on each
side of the properties.
Printed nam *1EK
Signature:
Printed name:
Signature:
Date:
7