BWFE2017-0131LICENSED 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 a Professions Code, and
my License is in full force and effect.
License Class: B License No:: 605857
Date: Contract
OWNER-BLER 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).:
( ) 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
(760)880-3525
Llc. No.: 605357
WORKER'S COMPE YSATION DECLARATION
I hereby affirm under penalty of perjury o -ie 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 ork for which this permit is issued
I have and will maintain workees' compensation insurance, as required by
Sect 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: EXEMPT 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 manna so as to becom subject to the workers'
compensation laws of California, and agr that, if I sho come subject to the
workers' compensation provisions of Sect' n 3Wtkbr Code, 1 shall forthwith
comply 'th th se provisions.
Date: Applica
WARNING: FAILURE TO SECURE WOR _ COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($103,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDEC FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made -o the Building Official for a permit subject to
the conditions and restrictions set forth or: this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is pwormed 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 ;ssuance of such permit, or cessation of work
for 180 days will subject permit to cancellztion.
I certify that I have read this application and state that the above inform ion is correct.
I agree to comply with all city and county c rdinances and atelaws rel i g to building
construction, and hereby authorize repres ?ntatives of this ity o ent p n the above-
mentioned property for inspection purpos as.
Date: 11-4
Signature (Applicant or Age t):
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/13/2017
Application Number: BWFE2017-0131
Owner:
c�
Property Address: 52590 AVENIDA VILLA
STEMMER o
APN: 773304004
52590 AVENIDA VILLA z
Application Description: STEMMER / 150LF OF BLOCK WALL AND 25 LF OF 5/6 BLOCK WALL
_
LA QUI NTA, CA 92253 r C V
Property Zoning:
Application Valuation: $175.00
v i
M1j 0I 9
Applicant:
Contractor: vo
JOE W"STEMMER JR
~
JOE W STEMMER JR L
42215 WASHINGTON ST #355
42215 WASHINGTON ST #35 m
PALM DESERT, CA 92211
�--�
PALM DESERT, CA 92211 -' =
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 a Professions Code, and
my License is in full force and effect.
License Class: B License No:: 605857
Date: Contract
OWNER-BLER 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).:
( ) 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
(760)880-3525
Llc. No.: 605357
WORKER'S COMPE YSATION DECLARATION
I hereby affirm under penalty of perjury o -ie 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 ork for which this permit is issued
I have and will maintain workees' compensation insurance, as required by
Sect 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: EXEMPT 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 manna so as to becom subject to the workers'
compensation laws of California, and agr that, if I sho come subject to the
workers' compensation provisions of Sect' n 3Wtkbr Code, 1 shall forthwith
comply 'th th se provisions.
Date: Applica
WARNING: FAILURE TO SECURE WOR _ COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($103,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDEC FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made -o the Building Official for a permit subject to
the conditions and restrictions set forth or: this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is pwormed 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 ;ssuance of such permit, or cessation of work
for 180 days will subject permit to cancellztion.
I certify that I have read this application and state that the above inform ion is correct.
I agree to comply with all city and county c rdinances and atelaws rel i g to building
construction, and hereby authorize repres ?ntatives of this ity o ent p n the above-
mentioned property for inspection purpos as.
Date: 11-4
Signature (Applicant or Age t):
Application Number:
BWFE2017-0131
Property Address:
52590 AVENIDA VILLA
APN:
773304004
Application Description:
STEMMER / 150LF OF BLOCK WALL AND 25 LF OF 5/6 BLOCK WALL
Property Zoning:
Application Valuation:
$175.00
Applicant:
JOE W STEMMER JR
42215 WASHINGTON ST #355
PALM DESERT, CA 92211
Owner:
STEMMER
52590 AVENIDA VILLA
LA QUINTA, CA 92253
Contractor:
JOE W STEMMER JR
42215 WASHINGTON ST #355
PALM DESERT, CA 92211
(760)880-3525
Llc. No.: 605857
Date: 7/13/2017
Detail: 150 LF OF V COMBO WALL W/2' RETAINING AT NORTH AND EAST PL 25LF OF 5'/6' WALL AT FRONT YARD, WING WALLS, AND UTILITY [CITY
SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE
PROPERTY. THE AREA BETWEEN THE BACK OF CURB AND ANY FENCING SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM,
AND BE CONTINUOUSLY MAINTAINED BY.THE PROPERTY OWNER. 2016 CALIFORNIA BUILDING CODES.
FINANCIAL •• •
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RETAINING/COMBINATION WALL EA 501-F
101-0000-42400
0
$45.60
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$30.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$50.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$63.33
Total Paid for BLOCK WALL: $190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:00
Bin #
Permit ;'
Project Address: J �,� (�
Qty of La Quinta
Buifdino, & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
_ Owner's Namc:
A. P. Number:
0
Address:
Legal Description: �j L20
l 1
City, ST, Zip: n CPO �ZZ 1 l
Contractor: r:
Telephone: 0 S06
Address:Z
ti
Project Description:
b
City_ ST, Zip:
AAA M
Te Ic h nc• C� �
P 0
-
,l.
S
State Lic. # : �b
City Lic. 616
Arch., Engr., Designer:
Address:
City, ST., Zip:
Telephone:
-
:::! !<V^:::tri•
I_ FaneY
Construction Occupancy:
n TY Pe• :
lPl V
fa Lic. i
Ste Lt
one) Alter Repair. Demo bPa circle New Add'n
Name of Contact Person:dpa
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
v
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
n
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
"Plait Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
"
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready fcr corrections/issue
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.0.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issuc
Developer Impact Fee
Planning Approval
Called Contact Person.
A.I.P.P.
Pub. Whs. Appr
Date of permit issue
School Fees.
.
I
Total Permit Fees
H6HE5T POINT -
10050 FT F6
CONC.RETE LAWIN& SRAI.L NOT
BE MORE THAN V2 NC+M (M
MhU LONER THAN THE TOP OF
THE TI-IT6HOLD —
6'garden wall
dZi
%Z
— 5LOPE
THRESHOLD
HEIGHT MAX
CITY OF LA QUINT,'
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION Q�
DATE ------
100.04 FT F6
PROVIDE OPENING AT BOTTOM FOR DRAINAGE
ARABIAN JASMINE
'i
(GROUND COVER ON BURNS)
Typ.
1525,io AVee i m v )"
6' garden wall
S -OPE
21 MAX
I U1
N
of
o
2zI MAX
SUPEEi
2:AX
53-
51-01
MIN. I
5LOPE
roof pro colon
2a
. BACK Ll
.2a_
±-prpJection
V1.9-1051"PIWILIV00. nl,2010500.2= AS MOM`
A
Nol/�. i/ / I
-70'!7"S=T A-MlMr
POOL
BY OTHERS
200 5P.
SPA
OTHE
16 S.F.
10030 FT F6
o!
SIPE UNDISTURBED DIRT
2:1
Joe Stemmer Jr Const.
42215 Washington St. #355
Palm Desert, CA 92211
job: 52590 Ave. Villa, La Quinta, CA
apn: 773-304-004
i
lot: 20 b lk 141
2:1 MAX
LANMGAPE VALVES LOCATION
HEATHER -BASED
An"M IRR16ATION C04TROUJR
-USE ORBIT MODEL #26W OR SIMILAR
APPROVED
ELECTRICAL MAIN PANEL METER
&AS METER
10# /11
w.
'4777
P, 10
All
1.16H 4 EFFICIENT TREE BY OWER
-6056MTED SPECIE I'Viewflohn me*aium
ma*m a"
421 tT
META L &A TE
AJ.
DRIVEWAY �J.a `�' 250 6AL PROPANE TAW
co%.PnE Fwmto
0
Vol
-poor- ZT�
a4
samosso
AJ Ai Ai AJ AJ AJ 30 *U' a "O;�
100.04 FT Fry
DECOMPOSED 64RMITE
20 DEEP FINE DESERT 6OLD
SIDEWALK
(r-) FACE OF CURB 0 FACE OF 0"
IOODO
'DRIVEWAY APPROACH REQUIRES
DATUM DL
INSPEcnoN OF REILIC WORKS
DEPARTMENT"
40'-01 I -on
STREET GENTER LINE
M 4 EFFICIENT TREE BY OWER
-6096eo'TED 5PE61E POweltohn fWXk4WA
ma*m a"
-740FEgart c) I
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DA -1( (-5)g,