The URL can be used to link to this page

BWFE2016-012878-495.CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BWFE2016-0128 Property Address: 52700 EISENHOWER DR APN: 773301012 Application Description: HUDSON / (5) PILASTERS Property Zoning: Application Valuation: $2,000.00 Applicant: EDWARD J STRZELCZYK P 0 BOX 7114 LA QUINTA, CA 92248-7114 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 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. LicenseClass-B C10 C29 License No.: 43990 Date:�� S Contractor OWNER -BUILDER IYECLARATION 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).: (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 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: RONNIE HUDSON 52700 EISENHOWER DR LA QUINTA, CA 92253 Contractor: EDWARD J STRZELCZYK P 0 BOX 7114 LA, QUI NTA,, CA 92248-7114 (760)578-0201 LIc. No.: 439904 Date: 6/15/2016 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 oftor which this permit is issued. Kon37010 have and will maintain workers' compensation insurance, as required by S 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: Polity 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: G �f' Applicant: WARNING: FAILURE TO SECURE WORKERS' CO NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL 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 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 upo above-mmentioned pro erty for inspection purposes. Date: J / Signature (Applicant or Agent): DESCRIPTION'. FINANCIAL INFORMATION ACCOUNT: QTY,. AMOUNT ; PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid. for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 1001F 101-0000-42404 0 $47.86 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for FENCE OR FREESTANDING WALL: TOTALS:0• $108.77 $0.00 00 Description: HUDSON / (S) PILASTERS Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW Applied: 6/15/2016 SKH APPROVED Approved: Parcel No: 773301012 Site Address: 52700 EISENHOWER DR LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 144 Lot: 12 Issued: UNIT 15 Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 PHONE Details: (5) PILASTERS WITH 2' WALL BETWEEN AT FRONT YARD [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT EDWARD J STRZELCZYK P 0. BOX 7114 LA QUINTA CA 92248- 7114 (941)228-5450 CONTRACTOR EDWARD J STRZELCZYK P 0 BOX 7114 LA QUINTA CA .92248- 7114 (941)228-5450 OWNER RONNIE HUDSON 527.00 EISENHOWER DR LA QUINTA CA 92253 (941)228-5450 Printed:. Wednesday, June 15, 2016 9:08:59 AM 1 of 2 J SYS Tf:MS PARENT PROJECTS ATTACHMENTS . Printed: Wednesday, June 15, 2016 9:08:59 AM 2 of 2 SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: WALL/FENCE - FIRST 101-0000-42404 0 $47.86 $0.00 . 100 LF WALL/FENCE - FIRST 101-0000-42600 0 $60.91 $0.00 100 LF PC Total Paid for FENCE OR FREESTANDING WALL: $108.77 $0.00 0• 00 PARENT PROJECTS ATTACHMENTS . Printed: Wednesday, June 15, 2016 9:08:59 AM 2 of 2 SYSTEMS Din # City of La Quintd ter= Building & Safety Division ' 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 2J — �' Gw �� Owner's Name: A. P. Number: Address: S"L • taw v w,e„- Legal Description: ,-_ ; Ci �� ST, Zip: I.A. Contractor: e r GL Telephone: P hone� Address: Q, 6 Project Description:Ba s'— � / 14r ,... City, ST, Zip: 0 ♦�; / 4�. Telephone:e. O — 7 S d -v U State Lic. # : City Lic. #.: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: P h one: �? • Construction TYPe ccu• O ancY� P State te Lic. # • Project type (circle one): New d'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE 9 Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2pd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A.'Approval Plans resubmitted Grading IN HOUSE:- '^' Reyiew, ready for corrections/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