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BWFE2017-009878-495 CALLE.TAMPICO LA QUINTA, CALIFORNIA. 92253 Application Number: BWFE2017-0098 4 w DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 80505 RIVIERA APN: 762200014 Application Description: FOX RESIDENCE / BLOCK PLITI LF Property Zoning: Application Valuation: $2,500.00 .moo MAY 3l 2011 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/31/2017 Owner: CLIFFORD FOX 80505 RIVIERA LA QUINTA, CA 922S3 Applicant: Contractor: LANG CONSTRUCTION LANG CONSTRUCTION 80590 CAMINO SAN GREGORIO 80590 CAMINO.SAN GREGORIO INDIO, CA 92203 DESIGN RNU DEVELOPMENT DEPARTMENT INDIO, CA 922.03 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 License No.: 748605 9 _ _ r• Date:' r % Contractor: Z ID' 2� -�01 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 th,e_ 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 Address: (760)574-8687 Uc. No.: 748605. WORKER'S COMPENSATiDN 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 3700wf 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: 1889409 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: A—It WARNING: FAILURE TO SECURE WORKERS' COGA PENSATI ON 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 tie work being performed under or following issuance of this permit. 2. Any permit issued as a result of this appliotion becomes null and void if work is not commenced within 180 days from date of :ssuance of such permit, or cessation of work for 180 days will subject permit.to cancetation. 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. Date:L. Y_Signature (Applicantor Agent): Date: 5/31/2017 Application Number: BWFE2017-0098 Owner: Property Address: 80505 RIVIERA CLIFFORD FOX APN: 762200014 80505 RIVIERA Application Description: FOX RESIDENCE / BLOCK WALL 25 LF LA QUINTA, CA 92253 Property Zoning: Application Valuation: $2;500.00 Applicant: Contractor' LANG CONSTRUCTION LANG CONSTRUCTION 80590 CAMINO SAN GREGORIO 80590 CAMINO SAN GREGORIO • INDIO, CA 92203 INDIO, CA 92203 (760)574-8687 Llc. No.: 748605. Detail: 25 LF AT 6 FT -HIGH BLOCK GARDEN WALL[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. DESCRIPTION PINIANCIALINFORMATION ACCOUNT QTY AMOUNT- WALL/FENCE - FIRST 100 LF. 101-0000-42404 0 $50.67 . DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $63.33 Total Paid for BLOCK WALL: $114.00 DESCRIPTION ACCOUNT • QTY AMOUNT BSAS 561473 FEE 101-0000-20306 0 $1.00 Total Paid for. BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for -TECHNOLOGY ENHANCEMENT FEE: $5.00 0.0 i In Bin# .0ty of La. Quin ta Building &r Safety Division 78-495 Calle Tampico. La Quinta, CA 92253 - (760) 777-7012 Building Permit'Application and Tracking Sheet Permit # Project Address: C Owner's Name: A. P. Number: Address: /� �'` Legal Description: 'Contractor: City, ST, Zip: Telephone: Address: Project Description: City, ST, Zip: r := Telephone: l b fq � h W UL k)-fA4 State Lic. 7d City Lic. #.. Arch., Engr., Designer: • Address: City., ST, Zip: Telephone: State Lic. #• Construction Type: O•;Pcu an cY: P Project ct type (circle role one: New Add' tAlteRepair Demo Name of Contact Person: Sq: FL: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: ' APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check.Deposit Truss Calcs. 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 correctionsrissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A: Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionsrssue Developer =mpact Fee Planning Approval Called Contact Person A.I.P.P. Pub: Wks. Appr Date of permit issue School Fees Total Permit Fees' LANG CONSTRUCTION 80590 CAMINO SAN GREGORIO INDIO, CA 92203 License # B-748605 (760) 574-8687 r EXISTING 6 FT. HIGH PERIMTER GMU HALL - NEN 6". THK. x 6HI6H it GMU HALL STUCCO W �`�• 36" HD. GATE '�p�,\0� \`�� p� OJ\ QIP p� o' AN . \O�pQ` p��e �'0 0�' v��. p Q� �� 0 �Q b Opp up ��Q 00 �p� p �p Pp �'��' 4 p� Q�O�J00 �.� e�°'yep off, _ �y\Z � PROPOSED /1>1 OUTDOOR tl'r HATCHED ARE INDICATES THE PROPOSED ADDITION- BLOCI�OALL CONSTRUCTION (N.T.S.sm) i CITY OF LA QUINTA BUll_I INC & SAFETY DEPT.; FOR C NSTRUCTICiN DATE-' Jb l By Cow!? \\� . POS :.:. *-jA 'r.;. �..'.' HER CASITA ADDITION CLIFF & FABEENNE FOX 80-505 Riviera of PGA west La Quint,, CA 92253 (310) 247 - 8090 gw�zr n -