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BWFE2017-016978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BWFE2017-0169 Property Address: 78631 TALKING ROCK -TURN APN: 770300029 Application Description: BRANGEL/ 9 LF IN REAR PROPERTY FOR BBQ Property Zoning: Application Valuation: $1,000.00 Applicant: D ENGSTROM CONSTRUCTION MANAGEMENT 77455 EVENING STAR CIRCLE I INDIAN WELLS, CA 92210 SEP 1 1 2017 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 .Date: 9/11/2017 Owner: DOUGLAS BRENGEL 345 E COLORADO BLV NO 203 PASADENA, CA 92253 Contractor: ENGSTROM CONSTRUCTION MANAGEMENT 77455 EVENING STAR CIRCLE INDIAN WELLS, CA 92210 CITY OF Ila OUINTA (760)668-3961 COMMUNITY DEVELOPMENT DEPARTMENT LIC. No.: 835648 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 Cl a : B License No.: 835648 Date: Contractor: VAJ vJ , 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.). (_)1, 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: 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' ation, as provided for by Section 3700 of the Labor Code, for the performance of t k for which this permit is issued. f A have and will maintain workers' compensation insurance, as required by S 700 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9022651 _ 1 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 3 00 the Labor C de, , forthwith complUhthose provisions.D?�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 la s relating to building construction, and hereby authorize representatives of this ci t nter up t ove- menn d pr erty for inspection purposes. Date J Sigoature.(Applicanto_ a or gen' Date: 9/11/2017 ' Application Number: BWFE2017-0169 Owner: Property Address: 78631 TALKING ROCK TURN DOUGLAS BRENGEL APN:: 770300029 345 ECOLORADO BLV N0.203 Application Description: ' BRANGEL / 9 LF IN REAR PROPERTY FOR BBQ PASADENA, CA 92253 Property Zoning: Application Valuation: $1,000.00 . Applicant: Contractor: ENGSTROM CONSTRUCTION MANAGEMENT ENGSTROM CONSTRUCTION MANAGEMENT 77455 EVENING STAR CIRCLE 77455 EVENING STAR CIRCLE INDIAN WELLS, CA 92210. INDIAN WELLS, CA 92210 (760)668-3961 Lic. No.: 835648 ------------------------------------------------- ------------- --------------------,------.---- Detail: 9LF GARDEN WALL AT REAR YARD [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, 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. DESCRIPTION a a • aON 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 Total Paid for BLOCK WALL: $114.00 DESCRIPTION. ACCOUNT QTY AMOUNT BSAS SR1473 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 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: •$5.00 Bin# City of La Quinta Building & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Permit Application and Tracking Sheet Permit# 8WFG*jftfVPVjI6Jjding Project_Address' A (a, .�. Qwnerrs Name: _ A.P. Number ti Address:..' tom.] _ o v�� Legal Description: City, ST dip: ; 2-2 C7 CiS Telephone: f can Add`%e� ' t Pr�oject'Descripfion: City",.ST;Zip• Telephone. /� State-Lic:'-#� r City Lic #: Arch, Engr., Designer: Address- . City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Proj. Type New Add'n Alter Repair Demo Name of Contact-, SgFt: # tories # Units: Telephone of Contac t1' A / (oma j �� / f 10 Esti' e VaIOuOject APPLICANT: DO NOT WRITE IIELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check Submitted Item Amount Structural Calcs Reviewed, ready for corrections Plan Check Deposit: Truss Calcs Called Contact Person Plan Check Balance: Title 24 Calcs Plans Picked Up Construction: Flood Plain Plan Plans Resubmitted Mechanical: Grading Plan 2nd Rev, Ready for corrections / Electrical: Subcontractor List Called Contact Person Plumbing: Grant Deed Picked Up S.M.I. HOA Approval Resubmitted L3rd Grading IN-HOUSE ev, Ready for corrections / Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Apps Date of permit issue School Fees Total Permit Fees .- ClTy-®F L� C�I.JINI"/ \ ' ` BUILDING & SAFETY DEPT., i Existing Hedge APPROVED -- - - n - . - . � ., - • ' �It,: �- -� +n,�, ��� d�, , ���. 3 y �;�:, . �. •" �r�� . �'�`SP -y; ,� .,, y. �.�'�+r`',,�E' ` !" �", a-.,.\ai4�tll{��iJ� y � j : ' F,., �r-. �%.:X ,�� lW�{I� , �,,;� Existing Landscape .. �tL•` ,CS i Y.!.,*,C:. �d'%$�i}'s�rA":vahf. t'�'�iCn N�%,1w a+Yi.:�`. �/.` 1• ll/ t _ to remain � � < � _ ter �,. , f�.•r�• ,r T Eta ''t»�Y ,��,,��'�� f, � ` - �' 4 h'3�G 'h � 1s r � `c•' 4`" ,��,x�s .fir -�',. •t�� / r 7'.,:. , �i'e: - ,.f: �l,�y.l _ i � � , -,� ' yr 3'^+�• 4: �' x. / V�: `.0 � .�...,. �, .Yp: �¢. . "' �� '"aA. r '� `•' «?,:: ,�j�: a -, yt. a ..»xzS. t F !' i� LEMM6SN°y° _ i _\ � F' EXfSTIN^G OL VE TREE u � �, _ts?` `' �,�,�,G,. S. ti. 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