BWFE2016-020678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2016-0206
Property Address: 53445 AVENIDA VILLA
APN: 774093022
Application Description: SANTA YNEZ / 80LF OF COMBO WALL / 85LF OF WALL / 2 PILASTERS
Property Zoning:
Application Valuation: $8,000.00
Applicant:
LENCH DESIGN STUDIO INC DBA LENCH CONSTR
P 0 BOX 450
LA QUINTA, CA 92247
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.: 1010416
Date Contractor (0N c��t
1 l
OWNER -BUILDER DECLARATION C�
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).:
'(_) 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
WOlKER'S COMPENSATION DECLARATION
I hereby affirm under penzIty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provides for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
n I00 have and will maintain workers' compensation insurance, as required
eby
37of the Labor :ode, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carri ' ) MPT Pdicy Number: _
l tl certify that in :he performance of the work for which this permit is issued, I
n
sh I no _ loy any persc n in any manner so as to become subject to the workers'
c 'mpensation laws of Cali ornia, and agree that, if I should become subje o e
workers' compensation previsions of Section 3790 of he Labor Code, I all fo hwith
comply with those provivisic ns.
Applican ,04
WARNING: FAILURE TO SE. --URE WORK S' COMPENSATION COVERAGE ISNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER CRIMINAL PENALTIES AND CIVIL FI ES UP TO
ONE HUNDRED THOUSAND DOLL08 ($100,000). IN ADDITION TO THE 96ST OF
COMPENSATION, DAMAGIS AS PROVIDED FOR IN SECTION 3706 OF T7 LABOR CODE,
INTEREST, AND ATTORNEYS FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application 6 hereby made to the Building Official for a permit subject to
the conditions and restrictons set forth on this application.
1. Each person upon wh ase behalf this application is made, each person at whose
request and for whose berefit 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 crnission related to the work being performed under or
following issuance of this F ermit.
2. Any permit issued as z result of this application becomes null and void if work is
not commenced within 18 ) days from date of issuance of such permit, or cessation of
work for 180 days will subj2ct permit to cancellation.
I certify that I have read the application and state that the above information is correct.
I agree to comply with all :ity and county ordinances and stat?Ir w elating to building
construction, and hereby authorize representatives of this cityer upon the /
above-mentioned propert- for inspection purposes.
Datt.ignature (Applicant or Agent): -
Date: 9/20/2016
Owner:
RONALD STOCKDALE
.50855 WASHINGTON ST STE C
LA QUINTA, CA 0
-J
'Contractor:
e
P? w
LENCH DESIGN STUDIO INC DBA LENCH
P 0 BOX 450
tCONSTR
L� .
LA QUINTA, CA 92247
,
(760)578-1077°
Llc. No.: 1010416
r �---
WOlKER'S COMPENSATION DECLARATION
I hereby affirm under penzIty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provides for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
n I00 have and will maintain workers' compensation insurance, as required
eby
37of the Labor :ode, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carri ' ) MPT Pdicy Number: _
l tl certify that in :he performance of the work for which this permit is issued, I
n
sh I no _ loy any persc n in any manner so as to become subject to the workers'
c 'mpensation laws of Cali ornia, and agree that, if I should become subje o e
workers' compensation previsions of Section 3790 of he Labor Code, I all fo hwith
comply with those provivisic ns.
Applican ,04
WARNING: FAILURE TO SE. --URE WORK S' COMPENSATION COVERAGE ISNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER CRIMINAL PENALTIES AND CIVIL FI ES UP TO
ONE HUNDRED THOUSAND DOLL08 ($100,000). IN ADDITION TO THE 96ST OF
COMPENSATION, DAMAGIS AS PROVIDED FOR IN SECTION 3706 OF T7 LABOR CODE,
INTEREST, AND ATTORNEYS FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application 6 hereby made to the Building Official for a permit subject to
the conditions and restrictons set forth on this application.
1. Each person upon wh ase behalf this application is made, each person at whose
request and for whose berefit 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 crnission related to the work being performed under or
following issuance of this F ermit.
2. Any permit issued as z result of this application becomes null and void if work is
not commenced within 18 ) days from date of issuance of such permit, or cessation of
work for 180 days will subj2ct permit to cancellation.
I certify that I have read the application and state that the above information is correct.
I agree to comply with all :ity and county ordinances and stat?Ir w elating to building
construction, and hereby authorize representatives of this cityer upon the /
above-mentioned propert- for inspection purposes.
Datt.ignature (Applicant or Agent): -
Date: 9/20/2016
Applicant: Contractor:
LENCH DESIGN STUDIO INC DBA LENCH CONSTR LENCH DESIGN STUDIO INC DBA LENCH CONSTR .
P 0 BOX 450 P 0 BOX 450
LA QUINTA, CA 92247 LA QUINTA, CA 92247
(760)578-1077
Llc. No.: 1010416
---------------------------------------------------------------------------------------------
Detail: 80OF 6' GARDEN W/2' RETAINING AND 85' OF 6' GARDEN WALL AND 2 PILASTERS
NORTH PL AND FRONT YARD [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED -WITH STUCCO, PAINT, OR TEXTURED COATING
WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES.
Application Number:
BWFE2016-0206
Owner:
Property Address:
53445 AVENIDA VILLA
RONALD STOCKDALE
APN:
774093022
50855 WASHINGTON ST STE C
Application Description:
SANTA YNEZ / 801-F OF COMBO WALL/ 85LF OF WALL/ 2 PILASTERS
LA QUINTA, CA 0
Property Zoning:
Application Valuation:
$8,000.00
Date: 9/20/2016
Applicant: Contractor:
LENCH DESIGN STUDIO INC DBA LENCH CONSTR LENCH DESIGN STUDIO INC DBA LENCH CONSTR .
P 0 BOX 450 P 0 BOX 450
LA QUINTA, CA 92247 LA QUINTA, CA 92247
(760)578-1077
Llc. No.: 1010416
---------------------------------------------------------------------------------------------
Detail: 80OF 6' GARDEN W/2' RETAINING AND 85' OF 6' GARDEN WALL AND 2 PILASTERS
NORTH PL AND FRONT YARD [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 CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS A3MINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
COMBINATION GARDEN/RETAINING WALL - FIRST 1001-F
101-0000-42404
0
$95.72
DESCRIPTION
ACCOUNT
CITY
AMOUNT
COMBINATION GARDEN/RETAINING WALL - FIRST 10OLF PC
101-0000-42600
0
$60.91
Total Paid for COMBINATION GARD =N/RETAINING WALL: $156.63
DESCRIPTION
ACCOUNT
CITY
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: $108.77
TOTALS: $266.40
Bin # ,
City of La Qu«Eto
Building 8t; Safety Division
Permit u. 78-495 Calle Ta.iipico
La Quinta, CA 92253 - (760) 77,.-7012
ilding Permit Application and Tracking Sheet -y--
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Submittal
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TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical'
Subcontacl'or List
Called Contact Person
Plumbing
Grant Dced
Plans picked up
S.M.I.
I-I.O.A. Approval
Plans resubmitted
Grading
IN 11OUSE:-
'rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks_ Appr
Date of permit issue
School Fees,
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Total Permit Fees
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FOR COMPLETENESS OF DRAWINGS FOR BIDDING PRIOR TO ISSUANCE OF BUILD1NGPERMITS
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