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BWFE2015-027918-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4t�t 4 4 Qu!Krcv COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: - BWFE2015-0279 Property Address: 80497 BLACKWOLF RUN EOLLSF4195LF APN: 775220021 Application Description: SIGNATURE AT PGA WEST TM36537 BLOCKu Property Zoning: ' I SEP 2 4 2015 Application Valuation: $15,000.00 Applicant: CALIFORNIA WEST CONSTRUCTION INC 5927 PRIESTLY DRIVE STE 110 CARLSBAD, CA 92008 CITY OF CAOUTA'� -1r` A --1 COMMU_ N`IIELOPH--RL,"EN7 rn 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.: 927267 Date: — Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am,exempt from he Contr or's State License Law for the following reason (Sec. 7031.5, Business an Professio s Code: Any city or county that requires a permit to construct, alter, improv demoli , or repair any structure, prior to its issuance, also requires the applicant for ermit 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 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 Date: 9/24/2015 Owner: fbPEF II CWC LAQ LLC P27 PRIESTLY DR STE 110 UARLSBAD, CA 92008 Contractor: CALIFORNIA WEST CONSTRUCTION INC 5927 PRIESTLY DRIVE STE 110 CARLSBAD, CA 92008 (760)918-6768 Llc. No.: 927267 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 wptk 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 policy number are: Carrier: _ Policy Number: I certify that in the performance of the work for which thi permit is issued, I shall not employ any person in any manner so as to become subject o the workers' compensation laws of California, and agree that, if I should becom subject to the workers' compensation provisions of Section 3700 of the Labor C de, I shall forthwith comply with those provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO COVERAGE S UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI 5 AND CIVI FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDI ON TO T COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3 F 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 I agree to co ply with all city and county ordinances and state laws relating to constructio and hereby authorize representatives of this y to enter upo abov�.lne lone roperty for inspection purposes. j Date: 2 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 - EA ADDITIONAL 50 LF 101-0000-42404 0 $29.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 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 $000 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for FENCE OR FREESTANDING WALL: TOTALS:00 $137.77 $0.00 Description: SIGNATURE AT PGA WEST TM36537 BLOCK WALLS 195 LF Type: WALL/FENCE Subtype: SPECIAL/ENGINEERED Status: APPROVED Applied: 9/21/2015 MFA DESIGN Approved: 9/24/2015 BHA Parcel No: 775220021 Site Address: 80497 BLACKWOLF RUN LA QUINTA,CA 92253 Subdivision: PM 20426 Block: Lot: J Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: _ Finaled: Valuation: $15,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 195 LF GARDEN WALL [ORCO SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. a__.! Applied to Approved Printed: Thursday, September 24, 2015 11:17:11 AM 1 of 2 'SYSTEMS ADDITIONAL CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT CALIFORNIA WEST CONSTRUCTION 5927 PRIESTLY DRIVE CARLSBAD CA 92008 LBELLOSO@CALWESTC INC STE 110 OMMUNITIES.COM CONTRACTOR CALIFORNIA WEST CONSTRUCTION 5927 PRIESTLY DRIVE CARLSBAD CA 92008 LBELLOSO@CALWESTC INC STE 110 OMMUNITIES.COM OWNER RREF II CWC LAQ LLC 5927 PRIESTLY DR STE I CARLSBAD CA 92008 110 Printed: Thursday, September 24, 2015 11:17:11 AM 1 of 2 'SYSTEMS Permit Details PERMIT N.U.MBER w BWFE�20�15-42■79 City of la Qu i nta BOND INFORMATION ATTACHMENTS Printed: Thursday, September 24, 2015 11:17:11 AM 2 of 2 OL.t P Ll SYSTEMS �JACCOUNT u w REVIEW TYPE >• �w SENT DATE DUE DATE RETURNED DATE STATUS CLTD - DESCRIPTION BURT HANADA 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- EA 101-0000-42404 0 $29.00 $0.00 ADDITIONAL 50 LF 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: $137.77 $0.00 U:M Wow w BOND INFORMATION ATTACHMENTS Printed: Thursday, September 24, 2015 11:17:11 AM 2 of 2 OL.t P Ll SYSTEMS w REVIEW TYPE >• REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES 1ST BLDG NS (1 WK) BURT HANADA 9/24/2015 9/24/2015 9/24/2015 APPROVED BOND INFORMATION ATTACHMENTS Printed: Thursday, September 24, 2015 11:17:11 AM 2 of 2 OL.t P Ll SYSTEMS N/ y ffitn O {i is Quionta 1--1C, k0ft ar Safety wwww Porr= i f D 0' P.O. ,Box 1504, 794.95 CA Tampico ta.Qdma, Gk 92253 - (760) 7,17.7012 �—Iding Pemi't AMication and Tracking Sheet mjectti.Add-s: .80-49 Name'. CalWest Communities .A. p, Nwm Signature at PGA Vt/est Ad&.: $92-1 Priestly Dfive, Suite110 ,mat mai cw tTM 36537 _ Ciw- ST Zip; Carlsbad, CA MO$ qt= r Calwest Communities' tci c: 760-9is-6768 y wed s; Same as above PccijjectUtscrit+tian;04 C Glty,.S"[' Zip: ra�l�r Construction of Perimeter C Lic.r.. Wails 5tntc L'ec, � : rt i'ilt? h+'._ . ...Ort File'. �� Prima �titact, i_iz 6eftos0 TelCp tr. ^ ' Caetstaurtitxt I'y°{ oco) tut^y: Statc i tc i mind Vpc (c:,tk ona)} �.� * Add'a Alta PCpa t .iktao Namtrofccmtttdtl'crmr Alt; Ulr{Citi SaUerbre etctrbaurtioFCanirsi"Perms: 760-610-9410 EmE A�iral aft+Cpjadi $1 000 APPLICANT,, DO NOT WWM OMOW THIS uNE €� Srit attC+l fecq'd. Rce{6 'TRACKNG t?1 t2MIi i*7I?S pl aStu P1161Mctk'submidtd ittxn A,ctpaat S&admnt Macer tree mw, M4 [ar mi two" ['tam 6.4 Oepoatt Trans C3 Its, Caitt d f ftUtt PaUx Ptais Chmk ITiIAhze TI11t74 Cries. ii fa. paled up Caastrucdoa ' o-4!nits Put rtca3mttteti �ictieait9�! 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