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BWFE2014-1107
.f 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN:, Application Description: Property Zoning: Application Valuation: BWFE2014-1107 53962 GRAY AVE 767890004 BLOCK WALL 27 LF i Applicant: DISCOVERY BUILDERS CALI 14605 N 73RD STREET SCOTTSDALE, AZ 85260 Tiht 4 4 Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 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 Date: ! fi Contractor OWNER -BUILD ECLARATION I hereby affirm under penalty of perjury th 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/7/2014 Owner: MADISON CLUB OWNERS ASSN P 0 BOX 1482 LA QUINTA, CA 0 Contractor: DISCOVERY BUILDERS CALIFORNIA 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. _ 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:_ 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, andagree that, if I sh Id become subject to the workers' compensation provisions of Section 3700 of a Labor Code, I shall forthwith comply (with those provisions. Date: /t;4(y Applicant: WARNING: FAILURE TO SECURE WORKER MPENSA7THEE S UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO INAL PENAINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100 0). IN ADDITIFCOMPENSATION, DAMAGES AS PROV ED FOR IN SECTLABOR 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 relyAng to building construction, and hereby authorize representatives of this city to entlyupon the above- mentioned gropierty for inspection purposes. Date: 0 v Signature (Applicant or Ag DESCRIPTION FINANCIAL •• !, 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 - 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 for FENCE OR FREESTANDING WALL $108.77 $0.00 • 1LS: $109.77 $0.00 Permit Details PERMIT NUMBER City of La Quinta BWfE�2014-1107 t., 7 Description: BLOCK WALL 27 LF Type: WALL/FENCE Subtype: Status: SUBMITTED Applied: 10/6/2014 MFA Approved: Parcel No: 767890004 Site Address: 53962 GRAY AVE,CA Subdivision: TR 33076-2 Block: 999 Lot: 9999 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,750.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 27 LN FTX 6 FT HT BLOCK WALL PER ANGELUS STANDARDS AND APPROVED PLANS CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. Process Summary -- �S ,.i. 1 ,>-1=717n, aX• r .iv , 4 a fi'.. CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Tuesday, October 07, 20141:28:54 PM 1 of 2 CIT I— CVCTFMC na TV PERMITE NUMBER City 0, E _11077 2 BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT# CHECK# METHOD PAID BY CLTD WALL/FENCE - FIRST 101-0000-42404 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 $108.77 $0.00 011 T R, SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FOOTINGS BOND BEAM FINAL" v � '-BOND INFORMATION 4`4 Real A" 0 T TACHMEN S* 44 4N'Ift IN Mk"m w, Ak _1 * A 11 i F , . , '.#rc ".. Printed: Tuesday, October 07, 20141:28:54 PM 2 of 2 COW"'. Bin # City of La Quinta i Building &r Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # `� (� � W Project Address: j 3 q�pZ ,c. �C ; tf�. X12 Owner's Name:. A. P. Number: .76'4 91 0 o Address: afj ,,� .� -L Legal Description: City, ST, Zip: CK (� �, „� C A ZZs Contractor: �I SCav2 �.. i Kx� S C� �•-� Telephone: -7(00 Address: `i0 s--%�- va:. S Z Project Description: City, ST, Zip: La 0, cA 117-5 2 � I e � � � � � . � IB lti� ( l Telephone: City Lic. #: I Oy V0 State Lic. #:-a91533(--, Arch., Engr., Designer: Address: -7'. fid. a-�LW Y I i k 1 Z City, ST, Zip: �� l� t CA 7- J (7 Telephone: 160117411y �� , • • �`�� � -µ ,� State Lic. #:�! Construction Type: Occupancy: -� Project type (circle one) New Add'n Alter Repair Demo Name of Contact Person: ,.x Sq. Ft.: 4 #Stories: # Units: Telephone # of Contact Person: 8 -. 719 -4 13 K I i Estimated Value of Project: % % S` C7 . Q0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan r4 Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 30 Review; ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person Ad.P.P. Pub. Wks. Appr ' Date of permit Issue School Fees Total Permit Fees Feb 24,2016 1004: 9 AM ' File Edit Commands Help iiIMOAno'PUBLICSECTOR NaviUne iii a .gym * Application 12-00001305Fel - - - - - - ® Bonds Property Information Application. ® Contractor escrow Address: 53962 GRAY AVE Application desc: entry gate adj. to guard ho ® Fees LA OUINTA• CA 922:53 Application status: PERMIT ISSN © Global balance due Location ID: 58202 Status Date: 6/25/2013 inspecbontnstory �I Omer nave: EAST OF MADISON LLC Application type: STRUCTURES OTHER THAN BUILD ® Miscellaneous informa t APN:767-200-998-S -330762- Application date: 11/01/2012 ® Names Alternate ID: Zoning: RL LOW DENSITY RESIDENTIAL Tenant name/number: JEFF PREVOST _ ® Permits I Subdivision: _ _ _ it - ► - ® Plan tracking s ® Receipts ; Contractor Information Outstanding Inspections p ® square footage caicuia CL Contractor Name: INTERACCESS SYSTEMS Insp Schedule Confirmation I ® Structures Contractor Number: 14-00001771 Type ID Date Number I ® Valuation calculations Type: SUB CONTRACTOR --------------- ------ ---------- ------------ Status: ACTIVE No outstanding inspections exist Contractor Requirements Doc Number ...................... --------------- TAIIL FIRE i FOOTINGS 10001 AO f 11/0772013 DA - 11707/2013 - FOOTINGS -` - V - i0002 — .' -AO- -- i-117-1272013 I AP- Ij 11/12/2013 r 4 51. ► Print— �� < Cancel -- •. _Y Exit_ J 4# Refresh ��; "&P VIA F-1 14 Land tnqulry Documents .