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BWFE2016-015878-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4tit 4 atfv Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT' Application.Number: BWFE2016-0158 Property Address: 43653 E PARKWAY ESPLANADE APN: 609600046, Application Description: JASON STOKER / BLOCK WALL Property Zoning: Application Valuation: $1,000.00 Applicant: JASON STOKER PARKWAY ASPLANADE I -A QI„ INTA, CA 92.253 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under. penalty of perjury that I am licensed under.provisions of Chapter 9 tcommencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: _ License No.: Date: Contractor: 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 qp"),:as owner of the property, or my employees with wages as their sole ensation, 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 flhvr she did not build or improve for the purpose of sale.). as owner of the property, am exclusively contracting with licensed contractors to foristruct 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 and who contracts for the projects with a contractor(s) licensed pursuant to th j tractors' State License Law.). am exempt under Sec. B.&P.C. for this reason Date: � � Owner.�QJ�i7� CONSTRUCTION LENDING AGENCY I.hereby affirm under penalty of perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). ' ,Lender's Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/15/2016 Owner: JASON STOKER 43653 E PARKWAY ESPLANADE LA QUINTA, CA 92253 Contractor:!7F�L 5OWNER BUILDER 2016 43653 PARKEWAYES'PLANADE._._..._---- .LA�.PUINJA„CA92253;...V fGITYOFLQUINTA iCOFAA4LrNITYDFVELOPkIE>`JTDEP Llc. No.: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of _he following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 :)f 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 carrierand.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 3770 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' CON, PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000y. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR iN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOMLEDGEMENT 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 isauance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and stare 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 representateres of is ity to en on the above-mentioned property for inspection purposes. � Date: `(`� Signature (•ApplicantorAgent) FINANCIALINFORMATION h DESCRIPTION' ACCOUNT ' QTY MOUNT" '` • PAID FE jPAID DATE e.._�-L.. BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 7/15/16 * YPAID BY ` a Z , ,METHOD+ RECEIPT # �!s ` I� s. CHECK # E g CLTD :By JASON STOKER CHECK 1117152 5336 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.Q0 s'DESCRIPTION� :. ACCOUNTS 6� 'QN,. AMOUNTt YdY;,sPAID1 5 ka"PAIDDATE" WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $47.86 7/15/16 'd48 +� 'ciL 3 "�a. ., PAIDBY ."� S W ` �, iy gi Y #' .k' v�?'hTb' .ti=p �d+.METIOD�y t 'Vv. i<Ar ✓i.t'`{. RECEIPT# g b d aL4 . ;CHECK# CLTDBY JASON STOKER CHECK R17152 5336 RSE a `DESCRIPTION.„ �. .f x ACCOUNT y .: QTY' 'AMOUNT'S€ w c?. FY Je gg�� PAID k '� iPAID DATE WALL/FENCE -'FIRST 100 LF PC: 101-0000-42600 0 $60.91 $60.91 7/15/16 PAID BY :'? �4 i ; , f� * METHOD ,<_ � 'fi'FM' f 3 ^kt Y �* ; RECEIP.T #? a *;; ' S E 1 CHECK # " f CLTD BYE,, JASON STOKER CHECK R17152 5336 RSE Total Paid for FENCE OR FREESTANDING WALL: $108.77 $108.77 TOTALS:•• 0• .77 Description: JASON STOKER / BLOCK WALL Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: APPROVED Applied: 7/15/2016 RSE APPROVED - Approved: 7/15/2016 RSE Parcel No: 609600046 Site Address: 43653 E PARKWAY ESPLANADE LA QUINTA,CA 92253 Subdivision: TR 29323-1 Block: Lot: 146 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,000.00 Occupancy Type:' Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ��.:;.:tiaeu,r..."p'1a'S'(.11'Ms"-%kw,iW NAME;TYPE TAME Details: 11LF OF 6' GARDEN WALL [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: Friday, July 15, 2016 4:21:50 PM 1 of 2 • srsTrnas CONTACTS ��.:;.:tiaeu,r..."p'1a'S'(.11'Ms"-%kw,iW NAME;TYPE TAME *� �^..'xwwna.. VL'IJ......,,,;.�,.. .w. u .... ,;'.... CITY W r STATE .. ZIP h <PHONE ` `FAX r EMAIL p�.a,_ „., .ADDRESSl ;w a APPLICANT JASON STOKER PARKWAY ASPLANADE LA QUINTA CA 92253 CONTRACTOR OWNER BUILDER 43653 PARKEWAY LA QUINTA CA 92253 ESPLANADE OWNER . iasm cTnIrFR 42652 i PARKWAY LA QUINTA CA 92298 ESPLANADE •' • Printed: Friday, July 15, 2016 4:21:50 PM 1 of 2 • srsTrnas PARENT PROJECTS Tj lo e DATE DATE CHECk 91' T Total Paid for BUILDING STANDARDS ADMINISTRATION WALL/FENCE - FIRST 101-0000-42404 $47.86 $47.86 7/1S/16 R171S2 5336 CHECK JASON STOKER RSE 100 LF .0 WALL/FENCE - FIRST 101-0000-42600 0 $60.91 $60.91 7/1S/16 R17152 5336 CHECK JASON STOKER RSE 100 LF PC Total Paid for FENCE OR FREESTANDING WALL: $108.77 '$108.77 TOTALS.. 109.77 $109.11 PARENT PROJECTS k-: ' . . Printed: Friday, ]uk^15,20164:21:50PM Znf2 � - .==N°=~~"=^"."= e DATE 7i 7 BOND INFORMATION k-: ' . . Printed: Friday, ]uk^15,20164:21:50PM Znf2 � - .==N°=~~"=^"."=