BWFE2020-002978-495 CALLE TAMPICO " 0 D � VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/22/2020
Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED Owner:
Application Number: BWFE2020-0029 MONROE 52 BUILDERS LLC
Property Address: 81830 SEABISCUIT WY 78401 HIGHWAY 111 STE X
APN: 767740029 13V4&r LA QUINTA, CA 92253
Application Description RANCHO SANTANA /41W BLOCK WALLS
Property Zoning:
Application Valuation: $6,900.00
Applicant: Contractor:
DESERT ESTATES DEVELOPMENT INC D a DESERT ESTATES DEVELOPMENT INC
78401 HWY 111 STE X 78401 HWY 111 STE X
LA QUINTA, CA 92253 JA N 2 2 2020 LA QUINTA, CA 92253
(760)777-9920
Llc. No.: 1019375
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 Divi ion 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: B License No..
Cate: Contractor:
or
OWNER-BUILDkR 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.).
(_) 1, 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 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
Secf,on 3700 of the Labor Code, For the performance of the work for which this permit is
iss d. My workers' [flmpensation insurance carrier and policy number are:
Car er: EXEMPT Policy Number:
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 Lo the workers'
compensation laws of California, and agree t t, if I should become subject to the
workers' compensation provisions of Secti 700 of the Labor Code, I shall forthwith
comply with t ose provisions. {
Date: I Z�I�.� Aoolicant:
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 sae laws relating to building
construction, and hereby authorize representatives of this to enter upon the above -
mentioned p operty for inspection purposes,
Date: 9,)-li Signature (Applicant or Agent):
r
Date: �/22/2020
Application Number:
BWFE2020-0029
Property Address:
81830 SEABISCUIT WY
APN:
767740029
Application Description-
RANCHO SANTANA /115LF BLOCK WALLS
Property Zoning:
Application Valuation:
$6,900.00
Applicant:
DESERT ESTATES DEVELOPMENT INC
78401 HWY 111 STE X
LA QUINTA, CA 92253
Owner:
MONROE 52 BUILDERS LLC
78401 HIGHWAY 111 STE X
LA QUINTA, CA 92253
Contractor:
DESERT ESTATES DEVELOPMENT INC
.78401 HWY 111 STE X
LA QUINTA, CA 92253
(760)777-9920
Llc. No.: 1019375
Detail: 134LF OF 6' HIGH GARDEN WALL ATPROPERTY LINE & SIDE YARD [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH
STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2019 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
QTY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50LF
101-0000-42404
0
$16.10
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/FENCE - FIRST 10OLF
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: $136.85
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 QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611 0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
PERMIT
PLAN LOCATION:
Project Address:
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Project Description: tion: Pool Remodel Add't Elect Plumb Mech
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APN
Applicant Name:
4011
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of Project $ .r V
Contractor Name: f--r7 r �� �. �,���„ Q�J
11Yew SFD Construction:
Address: _7
Conditioned Space SF
City, St, Zip �Q �r
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lie: City Bus Lie:
Arch/Eng Name: Construction Type: Occupancy:
Address: Grading:
City, St, Zip
Telephone: Bedrooms: Stories: # Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name: New Commercial / Tenant Improvements:
Address: Total Building SF
City, ST, Zip Construction Type: Occupancy:
Telephone:
Email: I
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
IN i SANTANA
LOT PLOT DISCLOSURE
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The undersigned homebuyer(s) acknowledge receipt of this Lot Plot Disclosure and understand the plotting
of the home on the lot that you are purchasing as described above, including, but not limited to, the front,
rear and side yard setbacks, and the approved location of the air conditioning compressors.
BUYER
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Date BUYER
Date
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