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BWFE2016-014978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 I L Td4aw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BWFE2016-0149 Property Address: 50630 BREVA APN: 776330009 Application Description: CITRUS PERIMETER WALL /•BREVA ST Property Zoning: Application Valuation: $9,500.00 Applicant: GENE STOLL 9005 FRONTAGE RD STE 250 WOODRIDGE, IL 60517 =per JUL 0 7 2016 IEP ALI 0' CITY OF LA OUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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. -p License Class: A License No.: Hate 734478 IW1L - ,.' ntractor: dam�' >h ps.� f - c /y OWNER -BUILDER 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.). (_) 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 N Lender's Address: ITRUS PERTREE AEJO, CA 0 Contractor: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 1 H THOMPSON & SONS INC 79-607 COUNTRY CLUB DR #2 BERMUDA DUNES, CA 92201 (760)345-6003 Llc. No.: 734478 L " Date: • 7/7/2016 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 of the work for which this permit is issued. 1 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 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. — A i WARNING: FAILURE TO SECURE WORKERS' 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 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-mentio edrproperty for inspection purposes. h to: ��y Sig aiure.(Applicant or Ag t): DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 7/7/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY GENE STOLL DEBIT R16873 BWFE2016-0149 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $47.86 7/7/16 PAID BY METHOD RECEIPT # CHECK # -CLTD BY GENE STOLL DEBIT R16873 BWFE2016-0149 MFA DESCRIPTION 'ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 .0 $60.91 $60.91 7/7/16 PAID BY METHOD RECEIPT # ' CHECK # CLTD BY GENE STOLL DEBIT R16873 BWFE2016-0149 MFA Total Paid for FENCE OR FREESTANDING WALL: $108.77 0• $108.77 0• Description: CITRUS PERIMETER WALL / BREVA ST Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: ISSUED Applied: 7/7/2016 MFA APPROVED Approved: 7/7/2016 MFA Parcel No: 776330009 Site Address: 50630 BREVA LA QUINTA,CA 92253 Subdivision: TR 32068 Block: Lot: 9 Issued: 7/7/2016 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $9,500.00 Occupancy Type: Construction Type: Expired: 1/3/2017 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 STATE Details: 40' PERIMETER BLOCK WALL AT REAR PROPERTY [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. CONDITIONS Applied to Approved Approved to Issued Printed: Thursday, July 07, 2016 12:14:45 PM 1 of 2 CR?WSYSTEMS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT GENE STOLL 900S FRONTAGE RD STE 250 WOODRIDGE IL 60517 CONTRACTOR J H THOMPSON & SONS INC 79-607 COUNTRY CLUB DR #2 BERMUDA 1 DUNES CA 92201 JJHTSONS@AOL.COM OWNER RMB CITRUS 18 PEPPERTREE ALISO VIEJO CA 0 Printed: Thursday, July 07, 2016 12:14:45 PM 1 of 2 CR?WSYSTEMS BOND INFORMATION Printed: Thursday, July 07, 2016 12:14:45 PM 2 of 2 (/(__ V SY57EMS CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # • METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 7/7/16 R16873 BWFE2016- DEBIT GENE STOLL MFA 0149 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: WALL/FENCE - FIRST 101-0000-42404 0 $47.86 $47.86 7/7/16 R16873 BWFE2016- DEBIT GENE STOLL MFA 100 LF 0149 WALL/FENCE -FIRST 101-0000-42600 0 $60.91 $60.91 7/7/16 R16873 BWFE2016- DEBIT GENE STOLL MFA 100 LF PC 1 0149 Total Paid for FENCE OR FREESTANDING WALL: $108.77 $108.77 TOTALS:0• 0• .77 BOND INFORMATION Printed: Thursday, July 07, 2016 12:14:45 PM 2 of 2 (/(__ V SY57EMS 11-Y OF LA Sul. j)ING & S COQ RU --y `Lmy !N THE CITY OF LA -QUINTA, COUNTY OF RIVERSIDE, 6TATE OF CALIFORNIA TRACT No.. 32068 STORM WATER POLLUTION CONTROL PLAN 1211!P� 5 =V-. 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CD" rl wlB.: -.K-1 - "I• 1�, E'_'Ed k-� r._ Sr. Ns9- 4r G0 cw-- _:'I !!al" ift; Lr :- ;I0 Z 2AE; .1 r2X i)�'z 4.*. �� -4 E Ke�c FSe=-AU'l 10 V*mq 'Kid SANOB 11L w -_s _w_ --x :�KxF. .qxy.-q 121t=--lz c� --if 10•' ------------- ------ ------- -MIC-D.- 4r_�' �z 'w. ln- 7 1* 014-E, :!:"a LIZ5 'er--K T* -k m -,I- 1.6ZI 5�.Rz rz %Y.-' isF "Mw U "VI`_L iF-cle ?.:C!5( AGM.M-'" BF. L^J.0 $;El NO% T17<_ cc-iact *0 sz.)WZ W*:' w.kk -NA4.1- M 4 'xM�k_v-* '9W ea5!5 wlr:520 f'.!" Ar'! .4 =v^_- -.a.; vx__ ::R Llw�._` X ME pwFM_- FIN U417-ItIl 4 :I 4'6'}r r.1.1 SLT FENCE N F. z:: Cf- A JL -w cALpw.(K TRACT NO. 32068 mlw vew 53;zw JA V� 'c xK: STORM WATER POLLUTION YQ. C0(4STRUCTK)N ENTRANM_qgj,�& S=z PREVENTION PLAN ?"ca S.wpp. P 5c K:_/, S. T. C. S_ 5.11IL TUC ('.a IPA IIW, B in # City of LQ Quanta. �- Building 8z Safety Division Permit # 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: 13�ZL✓4 S.r v., 6W Name: e S A. P. Number: Legal Description: Address: City, ST, Zip: Contractor: s o rn s ele hone: Telephone: Address: 1 (� D e v r� T e- U, Z Project Description: �ti S v o-1^ 46 l City, ST, Zip: 1-5 C- r MV AC�, T.� v ewe E 0. g ZZ a 3 Telephone: P o . -)4., '3 a State Lic. # Arch., Engr., Designer: 1 v 5 Address: '4 2: Z- I• C4 -v )�. City., ST, Zip: 3"7 e-. Telephone: s S 1D onstructi n Type: e• � .� OccuPan cY W Lic. roJeStato cttYP' a circle one): . N w Add'n Alter Repair Demo o Name of Contact Person: J C, A 1z l oh .. 14 o Lr- # Stories: # Units: Telephone # of Contact Person: P Estimated Value of Project: tG - - APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2". Review, ready for corrections/issue Electrical Subconta,ctgr List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. i H.O.A.-Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees