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BWFE2014-105478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: T-lu4t 4.fw4u;«rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BW FE2014-1054 79174 highway 111 600390029 ADDITION TO EXIST. TRASH ENCLOSURE Applicant: EBS CONSTRUCTION SERVICES INC P 0 BOX 822 TUSTIN, CA 92781 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.: 973962 Date; ` Contractor: OWNE - UILDER 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 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/12/2014 Owner: INLAND AMERICAN LAQUINTA PAV P 0 BOX 9271 OAK BROOK, IL 92253 Contractor: EBS CONSTRUCTION SERVICES INC P 0 BOX 822 TUSTIN, CA 92781 (714)836-7700 Llc. No.: 973962 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 yt for which this permit is issued. have and will maintain workers' compensation insurance, as required by Sect nn 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:_ 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 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: h Applicant: WARNING: FAILURE TO SECUR ORKERS' 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 1 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: Signature (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION ACCOUNT. QTYAMOUNT :. PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 2.5 $175.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCITY STAFF - PER HOUR: $175.00 $0.00 DESCRIPTION ACCOUNT QTY, ' . AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.19 $0.00 PAIDBY METHOD RECEIPT # CHECK # - CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE. WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.06 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forFENCE OR FREESTANDING WALL $107.25 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, STD, OPEN 101-0000-42404 0 $95.81 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY " DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, STD, OPEN PC 101-0000-42600 0 $94.38 $0.00 PAID. BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PATIO COVER/ COVERED PORCH / LATTICE $190.19 $0.00 TOTALS:•• Description: ADDITION TO EXIST. TRASH ENCLOSURE Type: WALL/FENCE Subtype: Status: SUBMITTED Applied: 9/9/2014 BHA Approved: Parcel No: 600390029 Site Address: 79174 highway 111 LA QUINTA,CA 92253 Subdivision: PM 29351 Block: Lot: 11 Issued: Lot Sci Ft: 0 Building Sci Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: ADDITION TO EXISTING TRASH ENCLOSURE W/ TRELLIS. 32 LIN FT X 6FT HGT. ENCLOSURE WALLS AND TRELLIS PER ENGINEERED PLANS. 2013 CODES. 92781 ADDITIONAL SITES CHRONOLOGY CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT EBS CONSTRUCTION SERVICES INC P 0 BOX 822 TUSTIN CA 92781 CONTRACTOR EBS CONSTRUCTION SERVICES INC P 0 BOX 822 TUSTIN CA 92781 ENGINEER CARUSO TURLEY SCOTT - ROY E. 1215 W. RIO SALADO TEMPE PKWY AZ 85281 OWNER INLAND AMERICAN LAQUINTA PAV P 0 BOX 9271 OAK BROOK IL 92253 i i FINANCIAL INFORMATION Printed: Friday, September 12, 2014 9:46:10 AM 1 of 2 Cfl?W.3ySTrMS ... PARENT.PROIECT5 REVIM RETURNED STATUS.: REMARKS REVIEW TYPE REVIEWER SENT DATE.: : DUE -DATE T NOTES , DA E .: Printed: Friday, September 12, 2014 9:46:10 AM 2 of 2 , SYSTf: ti1S _ }:. DESCRIPTION � ACCOUNT , QTY. AMOUNT .. PAID PAID DATE RECEIRT.# CHECK # METHOD PAID BY.:. CLTD . BY HOURLY PLAN CHECK - YES 101-0000-42600 2.5 $175.00 $0.00 Total Paid forCITY STAFF - PER HOUR: $175.00 $0.00 WALL/FENCE -FIRST 101-0000-42404 0 $47.19 $0.00 100 LF WALL/FENCE -FIRST 101-0000-42600 0 $60.06 $0.00 100 LF PC Total Paid for FENCE OR FREESTANDING WALL $107.25 $0.00 PATIO COVER, STD, 101-0000-42404 0 $95.81 $0.00 OPEN PATIO COVER, STD, 101-0000-42600 0 $94.38 $0.00 OPEN PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE $190.19 $0.00 • 00 ... PARENT.PROIECT5 REVIM RETURNED STATUS.: REMARKS REVIEW TYPE REVIEWER SENT DATE.: : DUE -DATE T NOTES , DA E .: Printed: Friday, September 12, 2014 9:46:10 AM 2 of 2 , SYSTf: ti1S ,��VPrQbtq Pf/hco IPS_ # VV � City of La uinta - Y Q Building 8£ Safety Division P.O.. Box 1504, 78-495 Calle Tampico . coMMo�r0� �0� La Quinta, CA 92253 - (760) 777-7012. NI?y <4 Building Permit Application and Tracking Sheet ��l�'Aq o Permit # Project Address: 4 ( wW [I-( _ Owner's Name: v1/Irf ,... t A: P. Number: (,-> q -(!>7. d - d q3 , -Address:. ZIZO Legal Description: - City, ST, Zip: .Contractor A� wl�--� ,� Address: �'5 rte; N � � A (,��,�., _ Tel cphone:63v l S%6 ' 2� « . Project -Description: C !City,' ST, Zip: tAeq 4vj)!1 CA 9 T TS S 4 - r9 L IZ�L G � fjti'f I L Telephone: -57 C _ ZG Q "State Lic. #: `t" � "City Lic. Arch., Engr., Designer: Address: City., ST, Zip: Telephone- r ::;;<;;:;:•::: ««:?s; Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: 0411 A Sq _FG #Stories: # Units: ' Telephone # of Contact Person: -q Z 9 4�; 4 r "Estimated Value of Project: APPLICANT: 00 NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets a PIan Check submittYoZ'J Item Amount Structural Calcs. Reviewed, ready 9rcorrections Plan Check Deposit Truss Calcs. Called Contact P on SO h Plan Check Balance Title 24 Calcs. Plans picked up ~ I Construction Flood plain plan Plans resubmitted Mechanical Grading plan Zed Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Jrd Review, ready for correc onsfissue Developer Impact Fee Planning Approval Called Contact Person , A.I.P.P. Pub. Wks. Appr Date of permit issue 1 .7 5 School Fees t�tw r 1 ' Total Permit Fees Z , g�� r See ; , g 9 i TA 9 8 9 i lam' / I V Ir%L /'\I\L/1 VI I\LIVIVULL- 4,641 4,641 SQ. FT.