BWFE2019-018278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
WALL/FENCE/CITY STANDARD/PRE-APPROVED
BWFE2019-0182
78216 HACIENDA LA QUINTA
646280005
FOSTER / 60LG GARDEN WALL
$1,500.00 Q
Applicant: cCD
GRAND MARK LANDSCAPE INC DBA GRAND MARK JCr
75855 RAMON ROAD
THOUSAND PALMS, CA 92276
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/17/2019
Owner:
Foster John & Joan
LA QUINTA, 92253
Contractor:
GRAND MARK LANDSCAPE INC DBA GRAND MARK
75855 RAMON ROAD
CITY OF LA QUINTA THOUSAND PALMS, CA 92276
DESIGN & DEVELOPMENT DEPARTMENT (760)409-7879
Llc. No.: 929398
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 Cl s: C27 Od License No.: 3 8
...W G 'C r:
- e/&J
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 ad
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
() I am exempt under Sec. B.&P.C. for this reason
Date.,
Owner:
17 2019
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self -insure for workers'
compe ration, as provided for by Section 3700 of the Labor Code, forthe performance
of rk for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Sec0o 3700 of the Labor Code, for the performance of the work for which this permit
is issued, My workers' compensation insurance carrier and policy number are:
Carrier: tJNfTED WI$CONSIN INSURANCE COMPANY _ Policy Number:
certify that in the performance of the work for which this permit is issued,
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 oAthLabo;Cocle, I shall forthwith
comply with t ose revisions,
`%
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,
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to ente upon the
above-ment ne propert.y for inspection purposes. q
Lender's Name: 0
(Applicant or Agent):
Lender's Address:
Date: 9/17/2019
Application Number:
BWFE2019-0182
Property Address:
78216 HACIENDA LA QUINTA
APN:
646280005
Application Description:
FOSTER / 60LG GARDEN WALL
Property Zoning:
Application Valuation:
$1,500.00
Applicant:
GRAND MARK LANDSCAPE INC DBA GRAND MARK
75855 RAMON ROAD
THOUSAND PALMS, CA 92276
Owner:
Foster John & Joan
LA QUINTA, 92253
Contractor:
GRAND MARK LANDSCAPE INC DBA GRAND MARK
75855 RAMON ROAD
THOUSAND PALMS, CA 92276
(760)409-7879
Llc. No.: 929398
Detail: 601-F OF 4" GARDEN WALL OPTION B [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
WALL/FENCE - FIRST 10OLF
101-0000-42404
0
$53.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/FENCE - FIRST 10OLF PC
101-0000-42600
0
$67.08
Total Paid for BLOCK WALL 2019: $120.75
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
Project-Address:((�l,
APN #:
'Applicaint Name: ! Zroh h F0 S��
Address:
City, ST, Zip:
Telephone
Email:
ERMIT #
PLAN LOCATION:
Projbct Descriptionr,,
at, e a Co
Projdct Valuation $ 143
/6495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OIL
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OFFICE. USE ONLY
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Submittal
I
Required Received
Plan Sets
Structural Calcs
Truss Calcs
Titic 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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CITY OF LA QUiNTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
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