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BWFE2017-0056..3aw 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BWFE2017-0056 D Property Address: 78660 AVENIDA TORRES t`�-- APN: 770171008 1 2 2017 1J Application Description: MOONEY RESIDENCE /BLOCK WALL 1 L ' Property Zoning: CIY'i IA(]UINiA Application Valuation: $8,000.00 GOiAAgIJNITY DEVEL04MEPR DEPARTD1ENT Applicant: FARWEST MASONRY LLC P 0 BOX 2972 , INDIO, CA 92202 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 C29. D06 License No.: 9�94261 Date" i i�� Gontraetor. / !:f, (l/k e ^14 g&I e -i 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).: (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.). (1 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) 777-71;5 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/12/2017 Owner: GAIL MOONEY 78660 AVENIDA TORRES LA QUINTA, CA 92253 Contractor: FARWEST MASONRY LLC P 0 BOX 2972 INDIO, CA 92202 (760)834-8109 Llc. No.: 994261 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 performarte of thew rk for which'this permit is issued. q 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: FALLS LAKE FIRE AND CASUALTY COMPANY Policy Number: FLA003313 I certify that in the performance of the work for which this permit is issue J, 1 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 forthwit i comply with those provisions. 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 COLE, 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, End 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 Cf 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 build?ng construction, and hereby authorize representatives of this city to enter upon the above-mentio /ed property for inspection purposes. -Date: r� / lignature-(Applicant or Agent): j Date: 4/12/20'_7 Application Number: BWFE2017-0056 Owner: - Property Address: 78660 AVENIDA TORRES GAIL MOONEY APN: 770171008 78660 AVENIDA TORRES Application Description: MOONEY RESIDENCE / BLOCK WALL 163 LF LA QUINTA, CA 92253 Property Zoning: Application Valuation:_ $8,000.00 i Applicant: Contractor: FARWEST MASONRY LLC FARWEST MASONRY LLC , P 0 BOX 2972 P 0 BOX 2972 INDIO, CA 92202 IND.IO, CA 92202 (760)834-8109 ---------------------------------------------------------------------------------------------- Uc. No.: 994261 Detail: 80 LF OF 6 FT HIGH AND 83 LF OF 5 FT HIGH AND 2 PILASTERS [PROTOTYPE II S1.21 PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCC-D, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN THE BACK OF CURB AND ANY FENCING SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2016 CALIFORNIA BUILDING CODES. 1 j DESCRIPTION r ACCOUNT QTY AMOUNT WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 $30.40 DESCRIPTION ACCOUNT QTY 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 i Total Paid for BLOCK WALL: $144.40 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 1 $5.00 { Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 i �V T 4 � J V J � { Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 i �V T 4 � J � i Bin # City. of La Quints Building sF Safety Division Permit b 78-495 Calte Tampico . La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet Project Address: P d -Tol-resOwner'sNamc: (itO A. P. Number: Address: 3suo &emdaTort—r5 Legal Description:City, ST, Zip: Cr4 as < Contractor: 5 G O n -ho n e: Tele P Address: P a Project Description: city, ST, Zip: g3 $ (oh I oCE. wcx, . Telephone: a 7 5 7 96097 ...city State Lic. # Lic. _ Arch.,`Engr., Designer: Address: O City, ST, Zip: Con fracttn Type: Sfa a Lic. #• r JectnP �cir le one : New Add'n Alter Repair.ai Demo Name of Contact Person: C 2 Sq. Ft.: #Stories: # Units: / Telephone # of Contact Person: y 9 b n Estimated Value of Project: V or APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. 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 correctionsrissue Electrical SubcontactorList Called ContactPcrson Plumbing r Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE_:- 3'd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, t Total Permit Fees J 1