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BWFE2016-011578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BWFE2016-0115 Property Address: 80248 CHAMPIONS WY APN: 775220021 Application Description: SIGNATURE / 115LF OF 6'H BLOCK WALL AT SIDE YARDS Property Zoning: Application Valuation: $2,000.00 Applicant: CALIFORNIA WEST CONSTRUCTION INC 5927 PRIESTLY DRIVE STE 110 CARLSBAD, CA 92008 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 License No.: 927267. 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 ($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.). I ) 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 I 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/24/2016 Owner: RREF II CWC LAQ LLC 5927 PRIESTLY DR STE 110 CARLSBAD, CA 92008 Contractor: - CALIFORNIA WEST CONSTRUCTION INC 5927 PRIESTLY DRIVE STE 110 CARLSBAD, CA,92008 (760)918-6768 Llc. No.: 927267 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 the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 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 relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: • Signature (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION ACCOUNT. CITY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 5/25/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY Mary C Nettles CREDIT WEB818 201605 85013 140923 ECON Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE Credit Card Fee 101-0000-43505 0 $2.73 $2.73 5/25/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY Mary C Nettles CREDIT WEB818 2016052515140923803 ECON Total Paid for Credit Card Fee: $2.73 $2.73 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 $14.50 $14.50 5/25/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY Mary C Nettles CREDIT WEB818 20160585013'140923 ECON DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $47.86 5/25/16 PAID BY METHOD RECEIPT # CHECK #. CLTD BY Mary C Nettles CREDIT WEB818 20160585013 140923 ON DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $60.91 5/25/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY Mary C Nettles CREDIT WEB818 20160585013140923 ECON Total Paid for FENCE OR FREESTANDING WALL: $123.27 $123.27 TOTALS:00 $127.00 Permit Details PERMIT NUMBER {?1:15 City of La Quinta BWFEJ201T6` Description: SIGNATURE / 115LF OF WH BLOCK WALL AT SIDE YARDS Type: WALL/FENCE (WEB) Subtype: CITY STANDARD/PRE- Status: ISSUED Applied: 5/23/2016 ECON APPROVED Approved: 5/24/2016 AOR Parcel No: 775220021 Site Address: 80248 CHAMPIONS WY LA QUINTA,CA 92253, Subdivision: PM 20426 Block: Lot: 17 Issued: 5/25/2016 ECON Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,000.00 Occupancy Type: Construction Type: Expired: 11/21/2016 ECON No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 115LF OF 6' GARDEN WALL AT SIDE PROPERTY LINE [ORCO SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. j Applied to Approved 1-3 Approved to Issued M Printed; Friday, lune 24, 2016 8:01:15 AM 1 of 3 SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES EMAIL SENT TO APPLICANT THAT PLANS ARE APPROVED AND E-MAIL Al ORTEGA 5/24/2016 5/24/2016 PERMIT IS READY TO ISSUE. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT CALIFORNIA WEST CONSTRUCTION 5927 PRIESTLY DRIVE CARLSBAD CA 92008 (760)918-6768 mnettles@californiawe INC STE 110 stcommunities.com CONTRACTOR CALIFORNIA WEST CONSTRUCTION 5927 PRIESTLY DRIVE CARLSBAD CA 92008 (760)918-6768 mnettles@californiawe INC STE 110 stcommunities.com OWNER RREF II CWC LAQ LLC 5927 PRIESTLY DR STE CARLSBAD CA 92008 (760)918-6768 mnettles@californiawe 110 stcommunities.com Printed; Friday, lune 24, 2016 8:01:15 AM 1 of 3 SYSTEMS Permit Details PERMIT NUMBER �t City of La Quinta BWFE-201'6=0115 BOND INFORMATION Printed: Friday, June 24, 2016 8:01:15 AM 2 of 3 ,, sysrrnts CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # . METHOD PAID BY .BY 201605251 BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 5/25/16 WEB818 514092380 CREDIT Mary C Nettles ECON 3 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: 201605251 Credit Card Fee 101-0000-43505 0 $2.73 $2.73 5/25/16 WEB818 514092380 CREDIT Mary C Nettles ECON 3 Total Paid for Credit Card Fee: $2.73 $2.73 WALL/FENCE - EA 201605251 101-0000-42404 0 $14.50 $14.50 5/25/16 WEB818 514092380 CREDIT Mary C Nettles ECON ADDITIONAL 50 LF 3 WALL/FENCE - FIRST 201605251 101-0000-42404 0 $47.86 $47.86 5/25/16 WEB818 514092380 CREDIT Mary C Nettles ECON 100 LF 3 WALL/FENCE - FIRST 201605251 101-0000-42600 0 $60.91 $60.91 5/25/16 WEB818 514092380 CREDIT Mary C Nettles ECON 100 LF PC 3. . Total Paid for FENCE OR FREESTANDING WALL: $123.27 $123.27 TOTALS:00 $127.00 BOND INFORMATION Printed: Friday, June 24, 2016 8:01:15 AM 2 of 3 ,, sysrrnts Printed: Friday, June 24, 2016 8:01:15 AM 3 of 3 Cp1ff.'YSTrMS ATTACHMENTS Attach ment"Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 5/24/2016 AJ ORTEGA SITE PLAN (APPROVED) BWFE2016-0115 - SITE 1 PLAN (APPROVED).pdf BWFE2016-0115 - 1ST DOC 5/23/2016 EtrakitContractor 1ST SUBMITTAL SITE SUBMITTAL SITE 1 PLAN PLAN.pdf BWFE2016-0115 - DOC 5/23/2016 EtrakitContractor BLOCK WALL DETAIL BLOCK WALL DETAIL 1 (APPROVED) (APPROVED).pdf DOC 5/23/2016 EtrakitContractor WALL SUMMARY SHEET BWFE2016-0115 -WALL 1 SUMMARY SHEET.pdf Printed: Friday, June 24, 2016 8:01:15 AM 3 of 3 Cp1ff.'YSTrMS