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14-0582 (BLCK)TA P.O. BOX 1504 78-495 CALLE TAMPICO LA•QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 14-000 Owner: Property Address: 52010 AVENIDA MONTEZUMA GOSS TESS APN: 773-201-001-1 -000000- 75589 HAYSTACK Application description: WALL/FENCE PALM DESERT, CA 92260 Property Zoning: COVE RESIDENTIAL (760) 568-6569 Application valuation: 1175 Contractor: Applicant: Architect or Engineer: HUMBLE HANDYMAN, THE 42335 WASHINGTON ST, v PALM DESERT, CA 922,1 (760)345-1011 Lic. No.: 972874 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/23/14 tD rAl E F3J lea 10- 1 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Profess io s Code, and my License is in full force and effect. I have and.will"maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B e ice o.: 972874 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is (� issued. - 'Contractor. _ 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 - OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the _ Carrier. NORTGUARD Policy Number DAWCA445184 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,_ permit to file a signed, statement that he or she is licensed pursuant to the provisions bf the Contractor's State and agree that, if I should be (�e subject to the wo rs' compe sation provisions of Section 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 Section 7031.5 by 3700 of the Labor Code, h 1 fotthwit p aD'tfi those visigns. - of any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS5001.: Applicant: (_ 1 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for'this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City Date: Owner: CONSTRUCTION LENDING AGENCY , I hereby affirm under penalty of perjury that there is a construction lendingagency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: r Lender's Address: LQPERMIT 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 correc gree to comply with all city and county ordinances and state laws relating to building nstruction, an er tze representatives of this county to enter upon the above-mentioned propert r i spection Date"Signature (Applicant or Agent): LQPERMIT' Application Number . . 14-00000582 Permit . . . . WALL/FENCE PERMIT 2013 Additional desc . Permit Fee . . . . 47:19 Plan Check Fee .00 Issue Date. Valuation 1175 Expiration Date 12/20/14 ,- Qty Unit Charge Per Extension ---------------------------------------------------------------------------- 1.00 47.1900 LS MISC WALL, FIRST 100 LF 47.19 Special Notes and Comments ADD 2 COURSES TO EXISTING BLOCK WALLS PER STRUC CALCS. June 20, 2014 2:12:35 PM jjohnson. ---------------- ------------------------------------------------------------ Other Fees . . . . . BLDG STDS ADMIN>(SB1473) 1.00 HOURLY PLAN CHECK 157.50 PLAN CHECK, WALLS 60.06 Fee summary Charged Paid Credited Due - -------- ---------- ---------- ---------- Permit Fee Total 47.19 .00 .00 47.19 Plan Check Total .00 .00 .00 .00 Other Fee Total 218.56 .00 .00 218.56 Grand Total 265.75 .00 .00 -265.75 LQPERMIT' 4� Bin # City of La Quin'ta 4% -04 Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico co Cj �9y La Quinta, CA 92253 - (760) 777-7012 ��� OS�o Building Permit Application and Tracking Shee�'j Cg� /51, Permit I# !�� u Project Address: 0 Owner's Name:zk gs A A. P. Number: Address:s_2fr 5 �S io Legal Description: �� J City, ST, Zip: �3 ,0 Contractor: Telephone: ® P 'D O ,�o % (o Address: _ S �� Project Description: City, ST,.Zip: '� . Sd��e F3 Y if 0 Telephone: 1 6 g S- State Lic. # :60 2,8 % City Lie. #; l Ce o, (9 i -L Gf (� Arch., Engr., Designer: Address:-� S to City, ST, Zip: 11-.j. '-' �� l i' . 71J �j Tele hone: Con cti n Type: cc u an c State L ic. #: Project a circle one New Add'n Alter Repair Demo Name of Contact Person: aV Sq. Ft.:#Stories: #Units: Telephone.# of Contact Person: Estimated Value of Project: 'Q© Q ^� ` �— P INT: O NDT WRITE BELOW THIS LINE t/ Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted J� Item Amount Structural Calcs.i Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Q! Plan Check Balance, Title 24 Cales. Plans picked up t �� % Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctio s/issue210) Elect rical C*VM. CT0IL- Nbbb Subcontactor List Called Contact Person 6 Plumbing Div Grant Decd Plans picked up S.M.I. Not Y.O.A. Approval Plans resubmitted Grading IN ROUSE:- ''" Review, ready for correction'Srissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees bv_ F, 0 )p a �?' COMMUNITY DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO OF9ti LA QUINTA, CALIFORNIA 92253 (760) 777-7125 FAX (760) 777-7011 To:'Greg Butler, Building Official To,PD: .,05/19/2014 From: Les Johnson, CDD Director Due Date: ASAP Permit #: 14-582 Status: 1 st , } B�ui .ding; Plans Approval (This'is an approval to issue a Building Permit) Planning has reviewed the Building Plans for the following project: t Description: APPLICATION WALL PERMIT 14-582 /.CODE CASE 14-0650.. Address or General Location: 52-010 AVE: MONTEZUMA Applicant Contact: TESS GOSS 760-568-6569 Planning finds that: ...these Building Plans do not require Planning approval. ...these Building Plans are approved by Planning. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections. to the applicant. When the corrections are made please return them to Planning for review. r r � Les Johnson, Communitv Development Department Director Date r , I1� vU �,� , � 3 ��. �a �� n N J s i` � ,n ■• + �... y VQQe 151, r • 1 UP -sit -r .�■ h W ■ !I r4r J r � `• "�� - ` .. .�Y _� ,,� A r► r _ n tir � r }4p-, i ' 9; x.. V; N ti _r f � i r �'n J r 4 WU► ( De- ey C wR(-L, Ro-fI u6S I r .. l �. � `: iL� _ _ '•tip � , j� � �� . ..k •�.:'� 1 •� .�"1 prry • Tl. _ • ` # !' •may r r r ' � }ram _�:i }K• X .. . . 2W, ..-Ak- I r WN 1 LzII a M& IN i .,.,A - 0 -So t, Earth Systems Southwest 79.8118 Country Club Drive �� Bermuda Dunes, CA 92203 (760) 345-15881 FAX (760) 345-7315 Client Name ClientAddess Client Phone _ THE FOLLOWING WAS NOTED: Locating reinforcing steel in perimeter garden walls. DATE JOB NO. 4/22/14 12246-01 PROJECT CMU Garden Walls LOCATION 52010 Avenida Montezuma CONTRACTOR OWNER Humble Handyman De ear WEATHER TEMP o at AM at PM PRESENTAT SITE Mark Houghton Reinforcing steel was located and identified using a Protovale Covermaster CM-52 (pachometer), serial number 5296033. Western Perimeter Wall: - 6X6X16 CMU block. - Vertical Steel: #4 reinforcing bars @ approximately 30" to 32" on center. - Horizontal Steel: #4 reinforcing bar @ 4' height. - Footing appeared to have 1 reinforcing bar continuous. Southern Perimeter Wall (west end): - 8X8X16 CMU block retaining approximately 2' of soil on southern side. - Vertical Steel: #4 reinforcing bars @ approximately < 24" on center. Bar appears near southern (retaining) face. - Horizontal Steel: #4 reinforcing bar @ 3' to 4' height. - Footing appeared to have 1 reinforcing bar continuous. CLIENT REPRESENTATIVE SIGNATURE RGFS-002 (In8) FIELD REPORT T HhICIA SIGNATURE