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BWFE2015-011878-495 CALLE TAMPICO Ct D �N.MACl/ LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BWFE2015-0118 Property Address: 59655 SEVILLE APN: 764710009 Application Description: ANDALUSIA TM 31681-3 LOT 183 / BLOCK WALL 256 LF Property Zoning: 1. Each person upon whose behalf this application is made, each person at whose Application Valuation: $6,400.00 Applicant - issued as a result of this application , the owner, and the applicant, each agrees to, and T.D. DESERT DEVELOPMENT, L.P. 81-570 CARBONERAS employees for any act or omission related to the work being performed under or LA QUINTA, CA 92253 following issuance of this permit. Owner: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/14/2015 T D DESERT DEV ( 12 81570 CARBONERAS t�---1 "' LA QUINTA, CA 0 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 to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or 00 following issuance of this permit. (_) I am exempt under Sec. B.&P.C. for this reason_ _ 2. Any permit issued as a result of this application becomes null and void if work is Contractor: T.D. DESERT DEVELOPME .P. Q t 81-570 CARBONERAS 71 LA QUINTA, CA 92253 ; ` ' ii Llc. No.: AEC212 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, _ I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: _ icense No.: AEC212 of t rk which this permit is issued. 1 ave ill maintain workers' compensation insurance, as required by Date: Contractor: S cti 370 the La or Code, for the performance of the work for which this permit ' is issued. My workers compensation insurance carrier and policy number are: OWNER-BUILDEDEC TION Carrier:— Policy Number: _ I hereby affirm under penalty of perjury that I am exempt from the Contractor' State _ I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Cq e: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the e, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with t se pr v* ions. 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 Date: Applicant: 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 WARNING: FAILURE TO SECURE WORKERS' CO SA ION COVERAGE IS UN FUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES P TO (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST F compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (_) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (_) I am exempt under Sec. B.&P.C. for this reason_ _ 2. Any permit issued as a result of this application becomes null and void if work is 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 issues! (Sec. 3097, Civ. C.). Lender's Lender's Address: 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 Pon the above- mentioned' rroope for inspection purposes. Date: `� ,- Signature (Applica t or Ag DESCRIPTION FINANCIAL .• ACCOUNT 1• QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 $58.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forFENCE OR FREESTANDING WALL TOTALS:$0.00 $166.77 $0.00 , S 5 4 4' p OF Description: ANDALUSIA TM 31681-3 LOT 183 / BLOCK WALL 256 LF Type: WALL/FENCE Subtype: Status: UNDER REVIEW. Applied: 5/12/2015 MFA Approved: Parcel No: 764710009 Site Address: 59655 SEVILLE LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: 183 Issued: Lot Sq Ft: 0 Building Sq Ft: D Zoning: Finaled: $6,400.00 Occupancy Type: Construction Type: Expired: ,Valuation: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 256 LF GARDEN WALL [ANGELUS SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. ,. : ..,. ,.:+1_- 'fir' E •"}caD�-CHRONOLOG ., . f er..f Y .,,::''2.s`�!� ONDITIONS�,;,> ,r '`i:. ter},.•. 'wr`,;,. t `'t'� . ^'a.,w:.. 'Wir7"F P7731 t�` N."9 1 ": '4 yy ly++ z�' ,�k t h'. r t,�: 3'" 0,� -j r ♦.i r 1 �. x 1. r 5 yC'' {: it _.f'- Printed: Thursday, May 14, 2015 5:50:56 PIA 1 of 2 OL.i V U SYSTEMS 6. is..F.i �r`i la'�" ''L ,r+' t s.•' P • • • T. OF 1r, ' s .INSPECTIONS -- !, WNWINFO RIVIATION FR ,BO� �� Printed: Thursday, May 14, 2015 5:50:56 PM 2 of 2 C U V LJ SYSTEMS �-J. LTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY I—C BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: WALL/FENCE - EA 101-0000-42404 0 $58.00 $0.00 ADDITIONAL 50 LF ' `JVALL/F =FIRST 00 101-000042404 0 $47.86 $0.00 100 LF WALL/FENCE -FIRST 101-0000-42600 0 $60.91 $0.00 100 LF PC Total Paid for FENCE OR FREESTANDING WALL $166.77 $0.00 7- 7 ` V. ' s .INSPECTIONS -- !, WNWINFO RIVIATION FR ,BO� �� Printed: Thursday, May 14, 2015 5:50:56 PM 2 of 2 C U V LJ SYSTEMS