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BWFE2016-0170f! ? 78-495 CALLF TAMPICO LA QU`INTA, CALIFORNIA 92253 - „DESIGN & DEVELOPMENT DEPARTMENT S~=. r` ,I. '7 Applicant: DISCOVERY BUILDERS CALIFORNIA INC DBA DB 14605 N 73RD STREET SCOTTSDALE, AZ 85260 BUILDING PERMIT JUL 29 2016 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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.: 915336 nY/�/✓v""� (Co._, ntr�or: / • ' 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).: . (_J 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, 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/28/2016 Owner: EAST OF MADISON P O BOX 1482 LA QUINTA, CA 0 Contractor: DISCOVERY BUILDERS CALIFORNIA INC DBA DB 14605 N 73RD STREET SCOTTSDALE, AZ 85260 (480)624-5200. Llc. No.: 915336 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. ,..41101IN,1 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: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Polity Number: YJUB282D7797 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 abor Code, I shall forthwith comply with those provisions. 4 Da _� -2a �li Applicant: WARNING: FAILURE TO SECURE WORK RS' 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 t er u n the above-mentioned property for inspection purposes. r— Date -16/ "�� Signature SApplicanYorAg t): Application Number: B`WFE2016-0170 Property Address: 52505 MERIWETHER WY APN: 767690025 Application Description: ALLEN SMOLINSKY / BLOCK WALL Property Zoning: Application Valuation: $30,000.00 Applicant: DISCOVERY BUILDERS CALIFORNIA INC DBA DB 14605 N 73RD STREET SCOTTSDALE, AZ 85260 BUILDING PERMIT JUL 29 2016 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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.: 915336 nY/�/✓v""� (Co._, ntr�or: / • ' 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).: . (_J 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, 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/28/2016 Owner: EAST OF MADISON P O BOX 1482 LA QUINTA, CA 0 Contractor: DISCOVERY BUILDERS CALIFORNIA INC DBA DB 14605 N 73RD STREET SCOTTSDALE, AZ 85260 (480)624-5200. Llc. No.: 915336 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. ,..41101IN,1 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: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Polity Number: YJUB282D7797 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 abor Code, I shall forthwith comply with those provisions. 4 Da _� -2a �li Applicant: WARNING: FAILURE TO SECURE WORK RS' 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 t er u n the above-mentioned property for inspection purposes. r— Date -16/ "�� Signature SApplicanYorAg t): f Y r 1 Date: 7/28/2016 Application Number: BWFE2016-0170 Owner: Property Address: 52505 MERIWETHER WY EAST OF MADISON APN:, 767690025 P 0 BOX 1482 Application.Description: ALLEN SMOLINSKY / BLOCK WALL LA QUINTA,,CA 0 Property Zoning: Application Valuation: $30,000.00 Applicant: Contractor: DISCOVERY BUILDERS CALIFORNIA INC DBA DB DISCOVERY BUILDERS CALIFORNIA INC DBA DB 14605 N 73RD STREET 14605 N 73RD STREET SCOTTSDALE, AZ 85260. SCOTTSDALE, AZ 85260 (480)624-5200 --------------------------------------------------------------------------------------------- Llc. No.: 915336 Detail: 101LF OF 6' GARDEN W/2' RETAINING AND 165LF OF 6' GARDEN W/1' RETAINING WALL 5 PILASTER FIRE PIT NOT IN PIRMIT [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT . BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT f WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 $14.50. DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 • DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF PC, 101-0000-42600 0 $60.91 Total Paid for FENCE OR FREESTANDING WALL: $123.27 DESCRIPTION ACCOUNT QTY AMOUNT RET WALL <=12 - EA ADD 50 LF 101-0000-42404 0 $29.00 DESCRIPTION ACCOUNT QTY AMOUNT RET WALL <=12 - FIRST 100 LF. 101-0000-42404 0 $47.86 DESCRIPTION ACCOUNT QTY AMOUNT RET WALL <=12 - FIRST 100 LF PC 101-0000-42600 0 $60.91' Total Paid for RETAINING WALL: $137.77 l Description: ALLEN SMOLINSKY / BLOCK WALL - Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: ISSUED Applied: 7/28/2016 RSE APPROVED Approved: 7/28/2016 RSE Parcel No: 767690025 Site Address: 52505 MERIWETHER WY LA QUINTA,CA 92253 Subdivision: TR 33076-2 Block: Lot: 33 Issued: 7/28/2016 RSE Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $30,000.00 Occupancy Type: Construction Type: Expired: 1/24/2017 RSE No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRESSI Details: 301LF OF 6' GARDEN W/2' RETAINING AND 165LF OF 6' GARDEN W/1' RETAINING WALL 5 PILASTER FIRE PIT NOT IN PIRMIT [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES ADDITIONAL SITES CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT DISCOVERY BUILDERS CALIFORNIA INC DBA DB ' 14605 N 73RD STREET SCOTTSDALE AZ 85260 SBIRDWELL@DISCOVE RYLANDCO.COM CONTRACTOR -DISCOVERY BUILDERS CALIFORNIA INC DBA DB 14605 N 73RD STREET SCOTTSDALE AZ 85260 SBIRDWELL@DISCOVE RYLANDCO.COM OWNER EAST OF MADISON. P 0 BOX 1482 LA QUINTA CA 0 Printed: Thursday, July 28, 2016 8:43:10 AM 1 of 2 C SYSTEh1S BOND INFORMATION ATTACH M E NTS Printed: Thursday, July 28, 2016 8:43:10 AM 2 of 2 • sys7r;o+s CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #, CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 7/28/16 R17447 CASH DISCOVERY BUILDERS RSE CALIFORNIA Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $2.00 BSA: WALL/FENCE - EA 101-0000-42404 0 $14.50 $14.50 7/28/16 R17447 CASH DISCOVERY BUILDERS RSE ' ADDITIONAL 50 LF CALIFORNIA WALL/FENCE -FIRST 101-0000-42404 0 $47.86 $47.86 7/28/16 R17447 CASH DISCOVERY BUILDERS RSE 100 LF CALIFORNIA WALL/FENCE - FIRST 101-0000-42600 0 $60.91 $60.91 7/28/16 R17447 CASH DISCOVERY BUILDERS RSE 100 LF PC CALIFORNIA Total Paid for FENCE OR FREESTANDING WALL: $123.27 $123.27 RET WALL <=12 - EA 101-0000-42404 0 $29.00 $29.00 7/28/16 R17447 CASH DISCOVERY BUILDERS RSE ADD 50 LF CALIFORNIA RET WALL <=12 - FIRST 101-0000-42404 0 $47.86 $47.86 7/28/16 R17447 CASH DISCOVERY BUILDERS RSE 100 LF CALIFORNIA RET WALL <=12 - FIRST 101-0000-42600 0 $60.91 $60.91 7/28/16 R17447 CASH DISCOVERY BUILDERS RSE 100 LF PC CALIFORNIA Total Paid for RETAINING WALL: $137.77 $137.77 • 04 $263.04 BOND INFORMATION ATTACH M E NTS Printed: Thursday, July 28, 2016 8:43:10 AM 2 of 2 • sys7r;o+s I Bin # Permit # Is WFE — Project Address: Jr _ 0 city of La uin to Building Si' Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet �' Owner's Name: S A. P. Number: Address: w 2 2 S -- Legal Description: City, ST, Zip: Contractor: e lG S Telephone: . Address:Pro G% — � -� 1• U of Project j Description: . City, ST, Zip: LaS C r• Telephone: ................. �. RX State Lic. # : City Lie. #•: "` `-- Arch., Engr., Designer: Address: City., ST, Zip: h Telephone: one: Construction Type: e• Occupancy: tate # S Lic • Project tYPa circle one • New Add'n Alter r Repair r D emo Name of Contact Person: 'y1' 2 Sq. Ft.: # Stories: # Units: . Telephone # of Contact Person: _ _ Estimated Value of Project: 3 a D APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES 7 Plan Sets Plan Check submitted Item Amount Structural Cates. 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-corrections/issue Electrical Subeontactor. List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. 1{.O.A. Approval Plans resubmitted Grading IN ROUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Schodl Fees, Total Permit Fees 9. LE 03MO13AMADNnimw00 VINinovi:mAlli gioz s g inr CMAE,133H NVId,3JLIS i"nl33JLIH3IJV co po CC CL E z 9. LE 03MO13AMADNnimw00 VINinovi:mAlli gioz s g inr CMAE,133H NVId,3JLIS i"nl33JLIH3IJV