BMCH2017-049578-495 CALLE TAMPICO . C� 0 D 'iK+uUCiJ
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED
Application Number:
BWFE2017-0236
Property Address:
44310 MARIGOLD LN LN
APN:
604092008
Application Description:
RADAKOVIC / 151LF BLOCK WALL
Property Zoning:
Application Valuation:
$10,000.00
Applicant:
ERNESTO ESPERICUETALDEC
78650 AVENUE 42 APT 816 - 7BERMUDA DUNES, CA 92203 A
PgRrME{y7
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: C29 License No.: 1020483
Date: �� ti Contractor:4r;_y1P 7r� �Yi@i►C ✓, �
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law forthe following reason (Sec.7031.5, Business and Professions Code: Any
city or county that requires a permitto construct, alter, improve, demolish, or repair any
structure, prior to its issuance, also requires the applicant for the permittofile a signed
statement that he or she is licensed pursuant to the provisions ofthe Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 ofthe 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 herselfthrough 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 ofthe 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: 12/4/2017
Owner:
ALEKSANDRA RADAKOVIK
443100 MARIGOLD
LA QUINTA, CA 92253
Contractor:
ERNESTO ESPERICUETA
78650 AVENUE 42 APT 816
BERMUDA DUNES, CA 92203
(760)391-0417
Llc. No.: 1020483
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one ofthe following declarations:
I have and will maintain a certificate of consentto self -insure for workers'
compensation, as provided for by Section 3700 ofthe Labor Code, for the performance
ofthe work for which this permit is issued. .
IFL&_ I have and will maintain workers' compensation insurance, as required by
Section 3700 ofthe Labor Code, for the performance ofthe 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 ofthe 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 agreethat, if I should become subjecttothe
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions. yf 1
Date: AAA Applicant:L r7u_ -4
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 behalfthis 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 upon the above -
mentioned property for inspection purposes.
Date: o / Signature (Applicant
&M
Date: 12/4/2017
Application Number: BWFE2017-0236
PropElity Address '44310 MARIGOLD LN LN
APN: 604092008
Application Description: RADAKOVIC / 151LF BLOCK WALL
Property Zoning:
Application Valuation: $10,000.00
Applicant:
ERNESTO ESPERICUETA
78650 AVENUE 42 APT 816
BERMUDA DUNES, CA 92203
Owner:
ALE KSANDRA RADAKOVIK
443100 MARIGOLD
LA QUINTA, CA 92253
Contractor:
ERNESTO ESPERICUETA
78650 AVENUE 42 APT 816
BERMUDA DUNES, CA 92203
(760)391-0417
Llc. No.: 1020483
Detail: 151LF OF G GARDEN [CITY SPECIFICATIONS] 10LF OF RETAINING [ANGELUS SPECIFICATIONS] ON EAST AND SOUTH OF PROPETY 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.
-i;DESCRIPTION
- ACCOUNT
QTY
AMOUNT
RETAINING/COMBINATION WALL EA 50LF
101-0000-42400
0
$15.60
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$15.60
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$52.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$65.02
Total Paid for BLOCK WALL: $148.23
DESCRIPTION
ACCOUNT
QTY
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
— — -- PE:RMIT14
PLAN LOCATION
Project Address: GJ� I U' Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of Project S ,�. 5;�J J
Contractor Name e-3 (?YiCta
New SFD Construction:
Address: vo O Ave ._Y.) Su'k. Gib
Conditioned Space SF
City, St, Zip � J C/,1
Garage SF
Telephone: L) 3V OY17
Patio/Porch SF
Email: ' e �v+
Fire Sprinklers SF
State Lic: - o 'i City Bu ic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
FStories:
#Chits:
E-mail:
State Lic: City Bus Lic:
Property Owner's Name:�io�i�
New Commercial / Tenant Improvements:
Address: YUN ",i
, An
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone: 9 � -3
Email: Llf�d6Iijj '�...
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LA QUINTA, CA 92253
760-777-7000
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