BPOL2019-024178-495 CALLE TAMPICO D 4P
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: POOL/WATER FEATURE
Application Number: BPOL2019-0241
Property Address: 53370 ROSS AVE
APN: 767680011
Application Description: THE WAY WE ROLL, LLC / (2) WATER FEATURES
Property Zoning:
Application Valuation: $12,000.00
Applicant: a
HUGO CERVANTES - HC DESIGNS D
51825 AVENIDA VELASCO NOV 0 6 2019
LA QUINTA, CA 92253
GITY OF iA QUINTA
DESIGN &DE►1ELOPMENT 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 v� License No.:
Date:. (�1 L Contractor:
OWNER-BUILD�R 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 Name:
Lender's Ad
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/14/2019
Owner:
THE WAY WE ROLL, LLC.
53370 ROSS AVENUE
LA QUINTA, CA 92253
Contractor:
DISCOVERY BUILDERS CALIFORNIA INC DBA DB
14605 N 73RD STREET
SCOTTSDALE, AZ 85260
(480)624-5200
Llc. No.: 915336
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 th for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
SecV, 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: MAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy Number:
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 o he Labor Code, I shall forthwith
comply with thoselr�ojvisions.
Date: I( ` ` Applicant: cl+
WARNING: FAILURE TO SECURE WORKER eOMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO&WMINAL 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 t enter upon the above -
mentioned property for inspection purposes.
Date: �` ��' Signature (Applicant or A
Date: 11/14/2019
Application Number:
BPOL2019-0241
Property Address:
53370 ROSS AVE
APN:
767680011
Application Description.
THE WAY WE ROLL, LLC / (2) WATER FEATURES
Property Zoning:
Application Valuation:
$12,000.00
Applicant:
HUGO CERVANTES - HC DESIGNS
51825 AVENIDA VELASCO
LA QUINTA, CA 92253
Owner:
THE WAY WE ROLL, LLC.
53370 ROSS AVENUE
LA QUINTA, CA 92253
Contractor:
DISCOVERY BUILDERS CALIFORNIA INC DBA DB
14605 N 73RD STREET
SCOTTSDALE, AZ 85260
(480)624-5200
LIc. No.: 915336
Detail: WATER FEATURE AT FRONT ENTRY [ESI/FME ENGINEERING]. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
FINANCIAL
INFORMATION I
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
Credit Card Fee
101-0000-43505
0
$11.47
Total Paid for Credit Card Fee: 911.47
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER FEATURE
101-0000-42404
0
$201.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER FEATURE
101-0000-42404
0
$201.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER FEATURE PC
101-0000-42600
0
$109.48
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER FEATURE PC
101-0000-42600
0
$109.48
Total Paid for POOL / SPA 2019: $621.46
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
$648.93
TCustom Residence Sheet Title:
53-370 Ross Avenue
La Qu i nta, CA 92263
THESE DRAWINGS ARE THE PROPERTY OF HUGO CERVANTES / MAY NOT BE
REPRODUCED, CHANGED OR COPIED IN WHOLE OR IN PART WITHOUTH THE
EXPRESSED WRITTEN CONSENT OF HUGO CERVANTES.
COPYRIGHT 2010
Water Feature Elevation
Scale: 3/1 6if _ 1 1_011 Drawn By:
Hugo Cervantes, ph: (760) 771-6658
HC [��S/GNS
CUSTOM HOME DESIGNS CONSULTING
51-825 Avenida Velasco- La Quinta, California 92253
Phone: (760) 771-6658 Fax: (760) 771-6658 Email: hvrvan@aol.com
Revisions: I Sheet No:
aCA-10212019
A5,1