BWFE2019-019978-495 CALLE TAMPICO Tjht D "i _ Qalftro VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED Owner:
Application Number: BWFE2019-0199 DAVID SMITH
Property Address: 54080 AVENIDA OBREGON 2169 WESTWOOD LANE
APN: 774204028 EUGENE, OR 97401
Application Description: SMITH / 400 LF GARDEN AND COMBO WALLS AROUND PL
Property Zoning:
Application Valuation: $20,000.00
Applicant: Contractor:
SIPOVAC CONSTRUCTION INC DD
SIPOVAC CONSTRUCTION INC
72651 THEODORA LANE 72651 THEODORA LANE
SEP 3 0 2019
PALM DESERT, CA 92260 PALM DESERT, CA 92260
0 (760)567-2347
CITY OF LA QUINTA Llc. No.:581636
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: B. C33. C53, C-9. C10, C20, C36, C21 License No.: 581636
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
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
Lender's Add
Date: 9/30/2019
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: STATE COMPENSATION INSURANCE FUND Policy Number: 9087965
_ 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: Applicant:
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 ofthis 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 pro arty f r inspection purposes.
Date:a Signature (Applicant or Agent):
Date: ' 9/30/2019
Application Number:
BWFE2019-0199
Property Address:
54080 AVENIDA OBREGON
APN:
774204028
Application Description:
SMITH / 400 LF GARDEN AND COMBO WALLS AROUND PL
Property Zoning:
Application Valuation:
$20,000.00
Applicant:
SIPOVAC CONSTRUCTION
INC
72651 THEODORA LANE
PALM DESERT, CA 92260
Owner:
DAVID SMITH
2169 WESTWOOD LANE
EUGENE, OR 97401
Contractor:
SIPOVAC CONSTRUCTION INC
72651 THEODORA LANE
PALM DESERT, CA 92260
(760)567-2347
Llc. No.: 581636
Detail: 300LF OF 6' GARDEN W/2' RETAINING AROUND PL AND 90LF OF 6' GARDEN WALL AT FRONT COURTYARD, AND 10LF OF 4' GARDEN WALL
AROUND PROPANE TANK [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 INFORMATION
DESCRIPTION ACCOUNT
CITY
AMOUNT
RETAINING/COMBINATION WALL EA 50LF
101-0000-42400
0
$96.60
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50LF
101-0000-42404
0
$96.60
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/FENCE - FIRST 100LF
101-0000-42404
0
$53.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/FENCE - FIRST 100LF PC
101-0000-42600
0
$67.08
Total Paid for BLOCK WALL 2019: $313.95
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
t(V Qa■tt(4j
CALIFORNIA
PERMIT # L , F ODt 61- 1 C G
PLAN LOCATION:
Project Address: _ ®Sp
Project Description:
APN #:
Applicant Name:
Address:
City, ST, Zip:
Telephone: 7-
Email: _�
CV
Project Valuation $
Contractor Name: .57 �( �.
� o
New Construction:
Address:
Conditioned Space SF
City, St, ZipZziLaGarage
SF
Telephone:
Patio/Porch SF
Email: OB
Fire Sprinklers SF
State Lic:,C—R,16 gity 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: vp 11
New Commercial / Tenant Improvements:
Address: G9
Total Building SF
City, ST, Zip e O 77,r01
Construction Type: Occupancy:
Telephone: r- 747
Email: cAfU pe s &i rovr
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
duildinq Ap(,) updated 3-11-19
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
I
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
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CITY OF LA QUINTA
BUILDING € iVISION
REVIEWED FOR
CODE
COMPLIANCE
NE W6 HWOH 711kiAwlN1�
COMBOWALL
CONSULTANTS, .--..--.........
Design & Drawings by S9.—Comrracrion I l
72-651 Theodora Ln Palm Desert Ca92260
760-567-2347
Lic H 581636
Design & Drawings by Sip— Comlrocf-
71-651 Theodora L. Palm Desert Ca 92260
760-567-2347
Lic H 581636
s--1 ELECTRICAL:
Design & Omwings by Sgrosac Cons1—don I-
71-65/ 7heodnra Ln Palm Desert Ca 92260
2347 Lic 0 5
Lic 5816366
CIVIL'
GENERAL CONTRACTOR.........
1 Design & Drawings by Sipowc Cor r action /nr
72-651 Theodora Ln Palm Desert Co 92260
760-567-2347
Lic H 58/636
OWNER ..................
David Smith
54080Ave. Obregon, La Quinla, CA92153
547-729-1303
.,23 ACRES MIL IN PARS 2 PM 2271029 PM
33991
Nf.wa Hqn 7 I.RUO
caM80WALL .APN# 774-104-028-3
Calculation of the Net Lot Area
Lot size - 10000 sgft
Total sgft of all proposed structure - 3336.004:"5r:Ej4
sgft
Net lot area - 34%
MARK
DATE
i DESCRIPTION
SCALE: 1/8" = 1'-0"
WALL LEGEND
PROJECTNO:
022119
6-0" PRECISION BLOCK WALL
WALLS
T-0" PRECISION BLOCK WALL
MODEL FILE: Casa La Quinla 2 2119
DRAWN BY: 11WSipovac
CHWD BY: Wonlacl Full Name
COPYRIGHT
Sipovac Construclion Inc.
SHEET TITLE
Site Plan
Ave. Obregon
- SEWER LATERAL T. - Q PLAN
NORM
1. Driveway approach requires a separate permit and inspection from City of La Quinta Public
works Department.
2. Finishing floor shall be 12 inches above datum point at top of curb at centerline of lot.
3. Block Walls, Pools, Spas, Bbqs and Fire Pits requires a seperate permit from City of La
Quinta Building Department
�n
Monday, September 30, 2019
A-101
SHEET 4 OF 25
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