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BWFE2016-02454 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BWFE2016-0245 Property Address: 53985 AVENIDA MENDOZA APN: 774172021 Application Description: STAFFORD / 88LF OF 5'/6' BLOCK WALL AND 34LF 4' Property Zoning: Application Valuation: $4,000.00 Applicant: VISION LANDSCAPE MANAGEMENT INC 83-090 AVENUE 50 COACHELLA, CA 92236 U Q 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 Profess' ns Code, and my License is in full force and effect. 17,4/ License Class: C27 License No.: 1012812 Date: _►, z Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contra is 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.). (__j 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: 0) 77125 FAX 77011 1 77153 a �C ® DatG 12ti2)L�016 — = LU Owner:. Q M THOMAS STAFFORD CIA :50- 53985 AVENIDA MEND O W LA QUINTA, CA 92253 ly 0 0 U Q Z C7 Contractor: Q � VISION LANDSCAPE MA to 83-090AVENUE 50 COACHELLA, CA 92236 (760)578-0215 LIC. No.: 1012812 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 polity number are: Carrier: TRANSPORTATION INSURANCE COMPANY Policy Number: WC612055383 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 beco ubject to the workers' compensation laws of California, and agree that, if I sho become subj _ to the workers' compensation provisions of Section 370 of th La Lor Cod shall forthwith comply with those provisions. Date: Applicant: i WARNING: FAILURE TO SECURE WORKERS' COM N TION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ` NALTIES 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 s relating to buil g construction, and hereby authorize representatives of this enter upon the above-mentioned propeity for inspection purposes. / A Date: 12,- 124 Application Number: BWFE2016-0245 Property Address: 53985 AVENIDA MENDOZA APN: 774172021 Application Description: STAFFORD/ 88LF OF 5'/6' BLOCK WALL AND 34LF 4' Property Zoning: Application Valuation: $4,000.00 Applicant: VISION LANDSCAPE MANAGEMENT INC 83-090 AVENUE 50 COACHELLA, CA 92236 Date: 12/12/2016 Owner: THOMAS STAFFORD . 53985 AVENIDA MENDOZA LA QUINTA, CA 92253 Contractor: VISION LANDSCAPE MANAGEMENT INC 83-090 AVENUE 50 COACHELLA, CA 92236 (760)578-0215 Llc. No.: 1012812 Detail: 88LF OF 5'/6' WALL AT SOUTH PL AND 34LF (4)RUNS OF 4' WALL BETWEEN EXISTING WALLS [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. n FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 .$15.20 DESCRIPTION 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: $129.20 DESCRIPTION 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 TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0' $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.00 SCALE 1/16' -1I V Qin i`i .. Qty of La Quinta Buifding 8F Safety Division Permit ,# . . 78-495 Calle Tampico �� La Quinta, CA 92253 - (760) 777-701,2 wilding Permit Application and Tracking Sheet Project Address: J 0 Owner's Name: A. P. Number: vit Address`] 3 9g,7/ 1 ✓l-/ "ldi/ ' /�V oZ Legal Descripti n: City, ST, Zip:ZA 001101h" V') ' Contractor:S1 Telephone: e: Da i' ............. Address: J -o ( Q PCq F GE) ProjectDescription: ion: �j��A.� City_ST^Zip:-EJ 11 res/_W ( q dd cJ �_ sf,4 •' . rX ,//U 1 7 OQ C v i%•%1j Te le h ne• P 0 b -5`7 A Ck. 11. State Lic. # : OF* City Lie. #.- cArch., Arch.,Engr., Designer: �"� Address:-►`' l hi �3/!/� City, ST, Zip: IN �/►C� Telephone: ................ Construction TY Pe• Oe�cJuN PanS cY: State ,. Lic . # •.............. Project type (circle ne • New Add'n Alter Repair. Demo 0 Name of Contact Person: Sq. Ft.:#Stories # Units: Telephone # of Contact Person: W/�: y�l Estimated Value of Project: ,0, 0a APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMITFEES Plan Sets Plan Check submitted Item Amount Structural Cates. 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 corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Dccd Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Ms. Appr Date of permit issue School Fees, I Total Permit Fees