BWFE2016-0170 Revision 1)78-49�CALLE TAMPICO D
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
WALL/FENCE/CITY STANDARD/PRE-APPROVED
Application Number:
BWFE2016-0170
Property Address:
52505 MERIWETHER WY
APN:
767690025
Application Description:
ALLEN SMOLINSKY / BLOCK WALL
Property Zoning:
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Application Valuation:
$30,000.00
Applicant:
DISCOVERY BUILDERS CALIFORNIA
INC DBA DB
14605 N 73RD STREET
SCOTTSDALE, AZ 85260
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/12/2018
s
Owner:
EAST OF MADISON C
P 0 BOX 1482.
LA QUINTA, CA 0 J) AI I T
Contractor:
DISCOVERY BUILDERS CALIFORNIA INC DBA DB
14605 N 73RD STREET
SCOTTSDALE, AZ 85260
(480)624-5200
Llc. No.: 915336 n
cl
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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.: 915336
Date
Contractor:
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:
OWNER -BUILDER DECLARATION
Carrier. TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
Number: YJUB282D7797
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
I certify that in the performance of the work for which this permit is issued,
city or county that requires a permit to construct, alter, improve, demolish, or repair
I shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions.
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
Date: Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(1 I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit.
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application , the owner, and the applicant, each agrees to,
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
and shall defend, indemnify and hold harmless the City of La Quinta, its officers,
the Contractors' State License Law.).
agents, and employees for any act or omission related to the work being performed
(_) I am exempt under Sec. . B.&P.C. for this reason
under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
Date: Owner:
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 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. Q.
Lender's Name:
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.
Lender's Address: I Date: -Signature (Applicant or Agent):
Date: 3/12/2018
�ApplicJtion BWFE2016-0170 Owner:
Number: 52505 EAST OF
Property MERIWETHER WY MADISON
Address: 767690025 P 0 BOX 1482
APN: ALLEN SMOLINSKY LA QUINTA, CA 0
Application / BLOCK WALL
Description:
Property $30,000.00
Zoning:'
Application
Valuation:
Applicant: Contractor:
DISCOVERY BUILDERS DISCOVERY
CALIFORNIA INC DBA DB BUILDERS
14605 N 73RD STREET CALIFORNIA INC
SCOTTSDALE, AZ 85260 DBA DB
14605 N 73RD
STREET
SCOTTSDALE, AZ
85260
(480)624-5200
LIc. No.: 915336
-------------------------------
Detail: 1011-F OF 6' GARDEN WALL[PROTO 2] 165LF
OF 6' RETAINING WALL 5 PILASTER FIRE PIT NOT IN
PIRMIT [ANGELUS SPECIFICATIONS] PRECISION
CONCRETE BLOCK SHALL BE COVERED WITH
STUCCO, PAINT, OR TEXTURED COATING WHERE
VISIBLE FROM OUTSIDE THE PROPERTY. 2013
CALIFORNIA BUILDING CODES
DESCRIPTION
HOURLY CHARGE - CITY BUILDING STAFF '
ACCOUNT QTY AMOUNT
101-0000-42600 0.25 $38.00
Total Paid for BLDG CITY STAFF - PER HOUR: $38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$14.50
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
- DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
Total Paid -for FENCE OR FREESTANDING WALL: $123.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RET WALL <=12 - EA ADD 50 LF
101-0000-42404
0
$29.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RET WALL <=12 -FIRST 100 LF
101-0000-42404
0
$47.86
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RET WALL <=12 - FIRST 100 LF, PC
101-0000-42600
0
$60.91
Total Paid for RETAINING WALL: $137.77
TOTALS:04
-Jin /t '
Permit �;
Project -Address:
City of La QUin'ta
'Building 9 Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
b 1-70 ' Buiiding Permit Application and Tracking Sheet
w. Ws am t.
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
S Olt
TelP h n
e o e:
Address:
Project Description:
City, ST, Zip:
Telephone:
State Lic- # :
City Lie.
Arch.,'Engr., Designer:
Address:
City, ST, Zip:
h
Telephone:
one:
..........
onstrottt antY
n Type: Occupancy:
:
Cr
State Lic. #.
ject type eir le one): New. Add'n Alter Repair r Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit '
Truss Ca1e5.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°' Review, ready for corrcclions/issue
Electrical .
Subcontactor List
Called Contact Person
Plumbing
Gran( Deed
Plans picked up
S.M.T.
I1.0.A. Approval
Plans resubmitted
Grading
IFI
INHOUSE-
'"!Revietiv, ready for corrcclions/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. APpr
Dale of permit issue
School Fees,
Total I'crmit Pecs
fa �q 6),-�
C,�
Qin # .
Permit ,",
Project Address: cc,,
tl
City of La Q uin ta.
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Owner's Name: t�1,5. D JS
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
C7
Ur,
Telephone:
Address:
Project Description:
.............
City_ ST, Zip:
e
T le Ph o ne-
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r! i E�
State Lic. # :
City Lic. #;
rim
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
h one:
..... _
Construction s on T O :
y �e:
P Occupancy:
P
State .
S Lic- L c /.-•
Project ect tYPa (circle le one • New Add'n Alter Repaira-u
Demo
0
Name of Contact Person: R ( GIC
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Projeci:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrcctions/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I-I.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrcctions/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I•P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
I
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