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BWFE2015-0049°� „� auisclw 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: DISCOVERY BUILDERS 80955 AVENUE 52 LA QUINTA, CA 92253 BUILDING PERMIT BWFE2015-0049 81413 COLUMBUS WY 767690007 TSAR III LLC BLOCK WALL CITY STANDARD $20,000.00 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 Busi s and Professio ode, and my License is in full force and effect. License Class: _ License No.: AEC252 Date: J /D -ICS Contractor: i OWNER -BUILDER DEC RATION 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 Divisio 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 permit subjects the applicant to a civil penalty of not more than five hundred dollar ($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.). (_J 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: 3/10/2015 Owner: TSAR III LLC 2030 E. FLAMINGO ROAD LAS VEGAS, NV 89119 Contractor: DISCOVERY BUILDERS 80955 AVENUE 52 LA QUINTA, CA 92253 (760)391-5072 Llc. No.: AEC252 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. _ 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 thy] workers' compensation provisions of Section 3700 a abor Code, I shall f With comply with those provisions. Date: .3 ��s Applicant: 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 ng to building construction, and hereby authorize representatives of this city t nter pon th bovei� mentioned property for inspection purposes. D e: 3W s Signature (Applicant or Agent): 144 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 forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 $76.86 $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 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for FENCE OR FREESTANDING WALL, $185.63 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RET WALL >12 - FIRST 100 LF 101-0000-42404 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT. PAID PAID DATE RET WALL >12 - FIRST 100 LF PC 101-0000-42600 0 $60.43 $0.00 PAID BY METHOD RECEIPT•# CHECK # CLTD BY Total Paid for RETAINING WALL- $132.95 $0.00 Description: TSAR III LLC BLOCK WALL CITY STANDARD Type: WALL/FENCE Subtype: Status: UNDER REVIEW Applied: 3/10/2015 PJU Approved: Parcel No: 767690007 Site Address: 81413 COLUMBUS WY LA QUINTA,CA 92253 Subdivision: TR 33076-2 Block: Lot: 15 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $20,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: GARDEN WALLS CITY STANDARDS 63 LN FTX 6 FT HT; 50 LN FTX 6 FT HT WITH 50 LN FT 2 FT RETAINING; 5 FT HT WITH 2 FT RETAINING TOTAL 26 LN FT; 5 FT HT GARDEN WALL 17 LN FT 3 FT HT GARDEN WALL 35 X 3 FTHT LN FT PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE _ -NAME - ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT DISCOVERY BUILDERS 80955 AVENUE 52 - LA QUINTA CA 92253 zhanan@discoverybuil dersllc.com ARCHITECT KRISTI HANSON ARCHITECTS 78-185 PAINTERS PATH WAY PALM DESERT CA 92260 CONTRACTOR DISCOVERY BUILDERS 80955 AVENUE 52 LA QUINTA CA 92253 zhanan@discoverybuil dersllc.com OWNER T SAR III LLC 2030 E. FLAMINGO ROAD LAS VEGAS NV 89119 FINANCIAL INFORMATION Printed: Tuesday, March 10, 2015 11:22:12 AM 1 of 3 ctqm" SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES BOND BEAM 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 $76.86 $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 forFENCE OR FREESTANDING WALL $185.63 $0.00 RET WALL >12 - FIRST 101-0000-42404 0 $72.52 $0.00 100 LF RET WALL >12 - FIRST 101-0000-42600 0 $60.43 $0.00 100 LF PC Total Paid forRETA1NING WALL $132.95 $0.00 TOTALS:00 Printed: Tuesday, March 10, 2015 11:22:12 AM 2 of 3 RWYSTEMS INSPECTIONS SEQID- INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES BOND BEAM FINAL"* FOOTINGS Printed: Tuesday, March 10, 2015 11:22:12 AM 2 of 3 RWYSTEMS Printed: Tuesday, March 10, 2015 11:22:12 AM 3 of 3 N?WYS TEMS Bin # .0tj/ Of La Quinta Building 8L Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit" Application and Tracking Sheet Permit # Project.Address: t3ddress: ' LI J cp (u m bu-5 Owner's Name: ( G' - I � l� 6 A. P. Number. (D Address: Ao 3 o C F l a n i o .. R clE� 2,1o, Legal Description: City, ST, Zip: cftS 4e a S NV o+' V ,) 1 q Contractor: �� (( (� Telephone:>�a>x Address: cl kA&k 52. Project Description: :S City, ST, Zip:LA ^1 �a-�S3 �At�DE,11 Le.�A 3 tl Telephone: '��`G?c • i ria s •',% t to - -.. %:�TAp�1Zi1Cs-iAl`� State Lic. # : 915 :3 City Lic. #:1Ze�A�w1M('y- Wg441, (p � • � ec , Engr., Designer: 0(5-b j N jc 1 V I S ' C7 PI 1-ty 0& Lt -T . LF Address: -7 Yak Acres Path' ',4 74G �� PiLk_ City, ST, Zip: C 4 q D'1 (D c7 Telephone'.9w 9noq" ` h Construction Type:. Occupancy: N^% N.:. State Lic. #: � ....w�%:ysa�''�...' ' Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Wh(r I Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: AAqtoEstimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACIMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Title 24 Cala. Plans picked up - Construction " Flood plain plan Plans resubmitted Mechanical Grading plan r' Review, ready for corrections/issue Electrical SubcontactorList Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. 1LO.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person AJ.P.P. Pub. Wks. Appr " Date of permit issue School Fees Total Permit Fees I d� aP£ EI / 2e L =9-__________ 2 I 0 �55ai W0 C m'" m > -zo Z T g°03 -n (J) 'd- (f)rp 0 >i oa Z — J — — "! _3 — — _ .lbw — — - — — - - snawn-1o� 8 ggg € t w s g O D E < v" p �' D rr=YiY `cm •[atom Realduic. for: TSTAR III, LLCF Q(ib Ri ,yFFl ma m pp 90 o'c ` g a1 •, iii S� e ~b cY y ~ - a Z C i C� (o'N� Lot 15 -The Madison Club ® iR 9 •j ZD ~ • Sq3� 81-413 Columbus Way rti�ap •o ��o�FJ�F�n DArew,vu I La Quinta, CA 92253 $x ° 1-k COMMON BIDG.DEPf. GESIGRREVIEW