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BWFE2015-0082, 78-495 CALLE TAMPICO D VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT FAX (760) 777-7011 FAX (760) 777-7153 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. License Class: C-8, C10, C29, C53 License No.: 656128 Date:. S S Contractor: L/Z for VOWNER -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 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 11, 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.). (_j 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: 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. /f? 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 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. p Date: Applicant: ZWJ,1fFf EZ 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- mentioned property for inspection purposes. Date: S y S Signature (Applicant or Agent):�0/%Fi �6b+'►/.eC� Date: 4/29/2015 Application Number: BWFE2015-0082 Owner: Property Address: 54010 CANANERO CIR PAULUS APN: 767780066 54010 CANANERO Application Description: PAULUS / 8LF OF 5, BLOCK WALL AT SIDE YARD LA QUINTA, CA 92253 Property Zoning: a Application Valuation: $500.00 -f o O zz Applicant: Contractor: o TESERRA TESERRA O —' w PO BOX 1280 PO BOX 1280 Q v COACHELLA, CA 92236 COACHELLA, CA 92236 Z (760)398-9222 Llc. No.: 656128 �--� 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: C-8, C10, C29, C53 License No.: 656128 Date:. S S Contractor: L/Z for VOWNER -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 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 11, 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.). (_j 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: 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. /f? 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 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. p Date: Applicant: ZWJ,1fFf EZ 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- mentioned property for inspection purposes. Date: S y S Signature (Applicant or Agent):�0/%Fi �6b+'►/.eC� DESCRIPTION FINANCIAL INFORMATION ACCOUNT PAID PAID DATE QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY 'METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 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 $0.00 PAID BY METHOD RECEIPT #' CHECK # 'CLTD BY Total Paid forFENCE OR FREESTANDING WALL- TOTALS:0• $108.77 $0.00 00 Description: PAULUS / 8LF OF 5, BLOCK WALL AT SIDE YARD Type: WALL/FENCE Subtype: Status: APPROVED Applied: 4/29/2015 SKH Approved: 4/29/2015 SKH Parcel No: 767780066 Site Address: 54010 CANANERO CIR LA QUINTA,CA 92253 Subdivision: TR 32879 Block: Lot: 289 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 COACHELLA Details: 8 LF OF 5' GARDEN WALL 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. Printed: Wednesday, April 29, 2015 10:11:16 AM 1 of 2 C)MWSYSiEMS STATE ZIP PHONE FAX EMAIL NAME TYPE NAME ADDRESSI CONTACTS CITY APPLICANT TESERRA PO BOX 1280 COACHELLA CA 92236 CONTRACTOR TESERRA PO BOX 1280 COACHELLA CA 92236 OWNER PAULUS 54010 CANANERO LA QUINTA CA 92253 Printed: Wednesday, April 29, 2015 10:11:16 AM 1 of 2 C)MWSYSiEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY 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 forFENCE OR FREESTANDING WALL* $108.77 $0.00 PARENT PROJECTS ATTACHMENTS Printed: Wednesday, April 29, 2015 10:11:16 AM 2 of 2 Cg?—W— srsreMs INSPECTIONS COMPLETED RESULT DATE REMARKS NOTES SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE BOND BEAM BLD FINAL" BLD FOOTINGS BLD PARENT PROJECTS ATTACHMENTS Printed: Wednesday, April 29, 2015 10:11:16 AM 2 of 2 Cg?—W— srsreMs Qin # City of La Quinta Building 8c' Safety Division Permit # P.O. Box 1504, 78-495 Caffe Tampico La Quinta, CA 92253 - (760) 777-7012 �jUJ�DI Building Permit Application and Tracking Sheet Project Address: S ()l &N gb C Owner's Name: (� S A. P. Number: Address: 910 c1lette Legal Description: City, ST, Zip: Contractor: .Cse-xgp- :yy$�.�f i }:'iG.fiyJi'}f:R't-: iyG')�iitv:,•f: Telephone: Address: /do . vE s y Project Description: city, sl, Zip: 17 fj� 9Z Z OA p 6039 22z Tele hone:26—JO State Lic. # : 69-61-17& City Lic. k Arch., Engr., Designer: Address: City., ST, Zap: ££�BM.;`�i Telephone: ° �` ' State Lia #: t 4:s. y 4; Construction Type: Occupancy: Project type (circle one);! Add'n Alter Repair Demo Name of Contact Person: . es its:. Telephon@ #,of Contact Person:6 D —2 cf Estimated Value of Project: S� 0 , o a APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss-Cales. Called Contact Person Plan Check Balance Tide 24 Cates. Plans picked up Construction Flood plain plan Pians resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M L H.O.A: ApproVal Plans resubmitted Grading IN HOUSE:- 7rd Review, ready for correcdonsrissue Developer Impact Fee Planning Approval Called Contact Person. A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees �I 7pc CATALFNA, LARGE PAVER DECKM - 'BELLA' F HIGH BLOCiS ALL STUCCO AND PUNT TO PAATCH HQUSE: WFIH SDUD WROUGHT IRON aATE. SELF CLOSING, AND SELF LATCHING, TO MATCH EXISTING GATE .� �,•' _ err .�. I �:�i 'y_ �:.' � .t L��. ir ■ _!ir m—NEiiimii` �maW .1l�.fii�t' W, p� to —. 0N- .7 �y� ��r. M r�Y ® v'NL DETAIL STAiNLE�SS STEEL VARE wf ANCHDR BOLTS r ARTIFICAL TURF WITH HEADER BOARD 1 INCH LAYER OF W SC.'REENED APACHE BE AWN GRAVELOVER D.G. i WN LAYEP OFm %- SGR£ENE❑ APACHE BROM [TRAVEL OVER D.G Ltl 110 Di3 TESER A Builders � Fspeptional outdoor Ewing Pb4LS k SPA& I LANI}SCAPE t UA30WY $b-IOU Ave. 54 Qndlda -CA.92236 T#• 760.aDO-9222 Fax 7R.399.9258 PLW7 KEY VEE/P+L4 5In11r16 Cmmm 0owm LIPAI71P.0 u- 0 �a >•sr�a i wa ruoeo.uon eu Ae C) kLn Mn ■laorr n�aa i"*x °�' a---g4'r lR Tb� {®�� i 1 S�-R:S 'S CJI %7RF o`er¢ •M1 �I }P —9eIFJ} 1�[917P� pA/lr� - — L 9MIA foukoa ra• Emmcpg = i� - LL LciKwh%mALLAhEtoj YLP! L� *I11A MUM7DTPWk - 44 - mm cams 1ae.wift 76119 5t� Al anATG Tom-. - - _ Ana -: MMMIAW .-._. C .L - FRW YARD - � Imo. rie ��7k. efryllR CITY OF LA QUINT, BUILDING & SAFETY DEpT. APPROVED FOR CGNSTHEJCTION DAT r 7pc 4TAUNa ve.w *WEED BARRIER TO BE INSTALLED IN ALL COBBLE AND GRAVEL AREAS !REW. mij CMMEN15 — a rF rppq A,f "FbI -OVAL LANDSCAPE PLAN FOR- MICHELLF PAULUS RESIDENCE 54-010 CANANERO CHRCLT y k 1 LA DUINTA, C.. TH W;H2B9ANTING. PEA I ,�15.r�i/s�— I1 is