BWFE2016-022878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BWFE2016-0228
Property Address: 52332 AVENIDA RUBIO
APN
773253002
`&'r41a4"^rw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
PHIL GERTZMAN
Property Zoning:
Application Valuation: $4,500.00
Applicant:
JOE W STEMMER JR
42335 WASHINGTON ST #355
PALM DESERT, CA 92211
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 Businesond Professions Code,
and my License is in full force and effect. ) ] \
License Class: B License No.: 6058,
Dates "v v .� l7 Contracto
I hereby affirm under penalty of perjury tWam 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.).
( ) 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 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:
Date: 11/7/2016
Contractor:
JOE W STEMMER JR
42335 "IND9 JOW1312a aNtl ri`�1530
PALM DESERT, CA 90mo V1 30 alo
(760)88 11 77
Llc. No. 6 58 ' goz L U AON
------ ----------- --J -- - -
- -
4
WORKER'S CO IONGLARA
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'
compens,,,ate�*as provided for by Section 3700 of the Labor Code, for the performance
of the wank for which this permit is issued.
- " I'have and will maintain workers' compensation insurance, as required by
Section 3 07 0 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: EXEMPT 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 bende,l
o the
workers' compensation provisions of Section 700 f the Laorthwith
comply with those provisions.
Applicant✓ 4L _
WARNING: FAILURE TO SECURE WORK 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 I have read this application and state that the above informatio is correct.
I agree to comply with all city and county ordinances and stat la4s relatin t building
construction, and hereby authorize representatives of this cit7to friterorl t e
above-mentioned property for inspection purposes. _I � I_
j J
DaIv142 Signature (Applicant or
Date: 11/7/2016
Application Number:
BWFE2016-0228
Owner:
Property Address:
52332 AVENIDA RUBIO
PHIL GERTZMAN
APN:
773253002
Property Zoning:
Application Valuation:
$4,500.00
Applicant:
Contractor:
JOE W STEMMERJR
JOE W STEMMERJR
42335 WASHINGTON ST #355
42335 WASHINGTON ST #355
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)880-3525
Llc. No.: 605857
Detail: 150LF OF 5/6' COMBO WALL INSIDE SOUTH AND WEST PL AND 50LF OF S' GARDEN WALL INSIDE EAST PLAT 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.
. _
DESCRIPTION _ =
x •
ACCOUNT
QTY
AMOUNT
RETAINING/COMBINATION WALL EA 501-F
101-0000-42400
0
$45.60
DESCRIPTION`
ACCOUNTQTY
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:
$159.60
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
;_'
s Total Paid for,TECHNOLOGY,ENHANCEMENT FEE:
$5.00
Bin. #
i: ...
:Cty d La Qd nta
Building k Safety Dn+ sion
P•O. Bo 1504; 7B-495 Calle.'Tamplco
La,Quirira, CA 92253 -(760) 777-7012
Bur(drng'Perrr it'Appfrcadon an'd Trgking,'Sheet
Permit #
vti✓ v j U :
Project Address: a :.3 Z "A'-
Owners Dteme:.; ` a
A P. Number. Z'
Address:
Legal Description:
'1 ,
Contractor:
Telephone.
Address: u1S A )�5�
ProjectDescription: ,
City, ST, Zip:
Telephone: 166
State Lie. # : �0
City Lie. #!
Arch., Engr., Designer.
Address:•
City, ST; Zip:
Telephone: r '
State Lic. #: " ;+ :rc
Name of Contact Person:.$�
Consruction Type: Occupancy: e� j
project type (circle one) N Add'a Alter Repair Demo
Sq. Ft :
#Stories: # Units:
Telephone # of Contact Person:; . Jov 'i'
,Estimated Value of Proj,,. 4S�
APPLICANT: DO NOT WRITE BELOW. THIS UNE ?
M
Submittal
Req'd-
Reed
;,.TRACICIPIG
PERMIT FEES'
Plan Sets
it -
Plan Check submitted
"
Item Amount
Structural Calcc.
Reviewed, ieady for'corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person,
Plan Check Balance
Title 24 Calm'
Plans picked'up
Construction
Flood plain plan
-Plaits resubmitted
Mechanical
Grading plan
2a! Review, ready for. correctlonili sue
Electrical `
Subcontaetor List
is
Called Contact Person
Plumbing
Grant Deed '
Plans picked up
H.O.A. Approval
,?In resatiinitteAd ;,`
Grading 'a
I1V HOUSE:-iew;
ready er corrections/issue
Developer. Impact Fee
Planning Approval'Called
`Coatact Person
A.LP.P.
Pub. Wks. Appr
J.Dat of permit issue;
School Fees
Total Permit Fees