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BWFE2015-011778-495 CALLE TAMPICO D `�NMhCl/ LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BWFE2015-0117 Owner: Property Address: 59865 SEVILLE T D DESERT DEV APN: 764710016 81570 CARBONERAS Application Description: ANDALUSIA TM 31681-3 LOT 190 / BLOCK WALL 203 LF LA QUINTA, CA 0 Property Zoning: Application Valuation: $5,075.00 Applicant: T.D. DESERT DEVELOPMENT, L.P. 81-570 CARBON ERAS LA QUINTA, CA 92253 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 Cla s: License No.: AEC212 r Date: % Contracto .' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Conractor'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.). (_) 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 Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: T.D. DESERT DEVELOPMENT, L.P 81-570 CARBON ERAS LA QUINTA, CA 92253 Llc. No.: AEC212 Date: 5/14/2015 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' comp!tion, as provided for by Section 3700 of the Labor Code, for the performance of::wo7okof hich this permit is issued. ve and will maintain workers' compensation insurance, as required by a abor 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 L Code, I shall forthwith comply with ose prov' ions. Date: �� Applicant: WARNING: FAILURE TO SECURE WORKERS' CO ION COVERAGE IS YLIUL, 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 r u on the above- mentioned ropert or inspection purposes. Date: �� Signature (App cant or Agen DESCRIPTION FINANCIAL INFORMATION ACCOUNT 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 $43.50 $0.00 PAID BY METHOD RECEIPT It 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:imimmm00 $152.27 $0.00 Description: ANDALUSIA TM 31681-3 LOT 190 / BLOCK WALL 203 LF Type: WALL/FENCE Subtype: Status: UNDER REVIEW Applied: 5/12/2015 MFA Approved: Parcel No: 764710016 Site Address: 59865 SEVILLE LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: 190 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: S5.075.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 203 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. 'CHRONO GY µr, 3 �.` }# ��GP�rifi..Yr'S'": •4 '" '',; .rj ..C47•'..."`""'�.a 4 �a �u�^,a"a,t Jx�5 FINANCIAL INFORMATION - '� k. u'��,?:'4__... ,. .... n•n.. :....t,. -a.. a`-;;3'T5i' di" Printed: Thursday, May 14, 2015 5:49:32 PM 1 of 2 (QJ L.1 LJ U SYSTEMS INSPECTIONS BOND INFORMATION ATTACHMENTS Printed: Thursday, May 14, 2015 5:49:32 PM 2 of 2 ?WSYS TEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS 561473 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 $43.50 $0.00 ADDITIONAL 50 LF WALL/FENCE - FIRST i0i-0000-42404 0 $47.136 $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 $152.27 $0.00 TOTALS:00 INSPECTIONS BOND INFORMATION ATTACHMENTS Printed: Thursday, May 14, 2015 5:49:32 PM 2 of 2 ?WSYS TEMS