BWFE2017-021778-495 CALLE TAMPICO D ZP
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED
Application Number: BWFE2017-0217
Property Address: 81825 FOUR SEASONS PL
APN: 767860008
Application Description: MONTERRA / BLOCK WALL / LOT 7
Property Zoning:
Application Valuation: $1,000.00
Applicant: D s y' ,
WOODBRIDGE PACIFIC GROUP LLC �
27271 LAS RAMBLAS
MISSION VIEJO, CA 92691
#100 Dil ., 052017
C2017
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/20/2017
Owner:
LA QUINTA HOUSING 1, LLC
27285 LAS RAMBLAS, SUITE 230
MISSION VIEJO, CA 92691
Contractor:
WOODBRIDGE PACIFIC GROUP LLC
27271 LAS RAMBLAS SUITE #100
MISSION VIEJO, CA 92691
D �Yji Ir± (949)32
QUINTA Llc. No..::963863887
MENT
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.: 963887
Date: Contractor:ICG /
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 ofthe
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 Nzrrc-
Lender's Address
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: GRANITE STATE INSURANCE COMPANY Policy Number: WC065256310
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 Labor Code, I shall forthwith
comply with those provisions.
Date: /ZI ° I7 A4��,44Z
pplicant:
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 upon the
above -mentioned property for inspection purposes.
Date: �� %� Signature (Applicant or Agent):
Date: 11/20/2017
Application Number:
BWFE2017-0217
Property Address:
81825 FOUR SEASONS PL
APN:
767860008
Application Description
MONTERRA / BLOCK WALL / LOT 7
Property Zoning:
Application Valuation:
$1,000.00
Applicant:
WOODBRIDGE PACIFIC GROUP LLC
27271 LAS RAMBLAS SUITE
#100
MISSION VIEJO, CA 92691
Owner:
LA QUINTA HOUSING 1, LLC
27285 LAS RAMBLAS, SUITE 230
MISSION VIEJO, CA 92691
Contractor:
WOODBRIDGE PACIFIC GROUP LLC
27271 LAS RAMBLAS SUITE #100
MISSION VIEJO, CA 92691
(949)348-8162
Llc. No.: 963887
Detail: 90 LF OF 6' GARDEN WALL [PROTO TYPE II 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. PER 2016 CALIFORNIA BUILDING CODES.
FINANCIAL
DESCRIPTION ACCOUNT
CITY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$52.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$65.02
Total Paid for BLOCK WALL: $117.03
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
FOUR SEASONS PLACE
f i
7.14
LOT 7
PLAN 3
a
90 � � 81-845 FOUR SEASONS PLACE
'�y'�1 F
-- - - - - - - - - - - - - - - - - - - - - - - - - -- - --
BROWN DEER PARK
LEGEND NOTE: SOME ITEMS MAY NOT BE APPLICABLE FOR THE LOT SHOWN HEREON.
®
ELECTRIC -MANHOLE
- FENCE
-- --
AREA DRAIN & DRAIN LINE
0
ELECTRIC TRANSFORMER
- BLOCK WALL
SWALES
�•
ELECTRIC-PULLBOX
RETAINING WALL
BUBBLER BOX
TELEPHONE -PEDESTAL
PILASTER
CURB & GUTTER
POWER, TELCO, CATV & GAS
FLATWORK
CATCH BASIN
METER LOCATION
- PROPERTY LINE
4
STREET/STOP SIGN
k
AIR CONDITIONING UNITS
RIGHT-OF-WAY
H.O.A. MAINTAINED LANDSCAPE
--
PUBLIC UTILITY EASEMENT
STREET CENTERLINE
po
POOL EQUIPMENT
=ems-
SEWER MAIN & MANHOLE
WATER MAIN
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SEWER CONNECTION
WATER SERVICE METER
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POOL/SPA
SLOPE
FIRE HYDRANT
REV:10130117
- 27271 Las Rambles Suite 100 M O N T E R RA LOT EXHIBIT LOT 7
f
Mission Viejo TRACT 32742
PAOCIIF C GROUP Tel 11949'348 8162 PGA WEST LA QUINTA, CALIFORNIA $1 FOUR SEASONS PLACE
WOODBRIDGE PACIFIC GROUP RESERVES THE RIGHT TO MAKE MODIFICATIONS AND CHANGES TO ITEMS INCLUDING BUT NOT LIMITED TO LOT GRADING AND
DRAINAGE, LOT LINES, FENCE LOCATIONS, PAD ELEVATIONS, TOP AND TOES OF SLOPES, RETAINING WALLS, UTILITIES LOCATION, MAILBOXES, DRIVEWAYS,
SIDEWALKS AND SETBACKS. ALL UTILITIES, SIGNS, FENCES AND DIMENSIONS ARE SHOWN AS APPROXIMATE. LOCATIONS AND DIMENSIONS MAY VARY
DEPENDING UPON CONSTRUCTION CONDITIONS. THIS LOT EXHIBIT WILL NOT BE UPDATED TO REFLECT ANY MODIFICATION, CHANGES OR REVISIONS THAT
HAVE BEEN MADE AS A PART OF THE CONSTRUCTION OF THIS LOT. BUYER IS EXPRESSLY ADVISED NOT TO ALTER THE DRAINAGE OF THE LOT.
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