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BWFE2015-0346LICENSED 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.: 963887 Dater /7 ' Contractor: OWNER -BUILDER 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 Name: Lender's Addre! 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 nsation, as provided for by Section 3700 of the Labor Code, for the performance ofWfr which this permit is issued. ave 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, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Cle? I shall forthwith comply with those provisions. Date: d- Applicant: �0%t*C WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, 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 enter upon the above-mentioned prope y for inspection purposes. Date: 0 / Signature (Applicant or Agent): 78 VOICE (760) 777-7125 78-495 CALLE TAMPICO D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/7/2015 Application Number: BWFE2015-0346 Owner: Property Address: 55135 AUTUMN VALLEY CT MONTERRA PROP APN: 767860034 55075 MONROE ST Application Description: MONTERRA / 95LF OF 6' BLOCK WALL LA QUINTA, CA 0 c, Property Zoning: Application Valuation: $5,605.00 z o`-' m Applicant: Contractor: m T c7 D WOODBRIDGE PACIFIC GROUP LLC WOODBRIDGE PACIFIC GRO SEC 27271 LAS RAMBLAS SUITE #100 27271 LAS RAMBLAS SUITE lflf MISSION VIEJO, CA 92691 MISSION VIEJO, CA 92691 a O O (949)348-8162 d A, Llc. No.: 963887 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.: 963887 Dater /7 ' Contractor: OWNER -BUILDER 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 Name: Lender's Addre! 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 nsation, as provided for by Section 3700 of the Labor Code, for the performance ofWfr which this permit is issued. ave 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, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Cle? I shall forthwith comply with those provisions. Date: d- Applicant: �0%t*C WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, 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 enter upon the above-mentioned prope y for inspection purposes. Date: 0 / Signature (Applicant or Agent): FINANCIAL • 1 DESCRIPTION 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 for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY r 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 •• Description: MONTERRA / 95LF OF 6' BLOCK WALL Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW Applied: 12/2/2015 SKH APPROVED Approved: Parcel No: 767860034 Site Address: 55135 AUTUMN VALLEY CT LA QUINTA,CA 92253 Subdivision: TR 32742 Block: Lot: 34 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,605.00 Occupancy Type: Construction Type: Expired: No'. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 95LF OF 6' GARDEN WALL AT WEST PROPERTY LINE [PROTO II SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. Printed: Monday, December 07, 2015 5:14:08 PM 1 of 2 CRW SYS7EM5 CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME' ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT WOODBRIDGE PACIFIC GROUP LLC 27271 LAS RAMBLAS SUITE #100 MISSION VIEJO CA 92691 SZABALA@WOODBRID GEPACIFIC.COM CONTRACTOR WOODBRIDGE PACIFIC GROUP LLC 27271 LAS RAMBLAS SUITE #100 MISSION VIEJO CA 92691 SZABALA@WOODBRID GEPACIFIC.COM OWNER MONTERRA PROP 55075 MONROE ST LA QUINTA CA 0 Printed: Monday, December 07, 2015 5:14:08 PM 1 of 2 CRW SYS7EM5 Printed: Monday, December 07, 2015 5:14:08 PM 2 of 2 CN? SYSTEMS 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 for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: 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 TOTALS:•• • •• Printed: Monday, December 07, 2015 5:14:08 PM 2 of 2 CN? SYSTEMS / SCALE: 1"=30' 1 _J f LOT ::. > 34 a PLAN 3 h Z 55-135 AUTUMN VALLEY COURT IL $ $ $ S \�� {yam{(-� LA -UM f7/a I- 1 ! \ �.I 71z!r!SAS -_-) `ROVE FOUR SEASONS PLACE FOR CONSTRUCTION DATE L� BY -- ._., LEGEND NOTE: SOME ITEMS MAY NOT BE APPLICABLE FOR THE LOT SHOWN HEREON. BE ELECTRIC -MANHOLE FENCE -- a -- AREA DRAIN & DRAIN LINE 0 ELECTRIC -TRANSFORMER BLOCK WALL = SWALES ELECTRIC-PULLBOX RETAINING WALL ■ BUBBLER BOX ® TELEPHONE -PEDESTAL IN PILASTER CURB & GUTTER I POWER, TELCO, CATV & GAS O FLATWORK E� CATCH BASIN METER LOCATION PROPERTY LINE 4 STREET/STOP SIGN 00 AIR CONDITIONING UNITS ---- RIGHT-OF-WAY O H.O.A. MAINTAINED LANDSCAPE --- PUBLIC UTILITY EASEMENT --- STREET CENTERLINE FO -0.1 POOL EQUIPMENT -&-S— SEWER MAIN & MANHOLE SEWER CONNECTION —W— WATER MAIN — WATER SERVICE METER POOL/SPA —� SLOPE � FIRE HYDRANT ,w.pg 27271 Las Ramblas Suite 100 MONTERR LOT EXHIBIT LOT 34 Mission Viejo TRACT 32742 WOODBRIDGE California 92691 PACIFIC GROUP @PGA WEST 55-135 AUTUMN VALLEY COURT Tel: 949-348-8162 LA QUINTA, CALIFORNIA WOODBRIDGE PACIFIC GROUP RESERVES THE RIGHT TO MAKE MODIFICATIONS AND CHANGES TO ITEMS INCLUDING BUT NOT LIMITED TO LOT GRADING AND DRAINAGE, LOT LINES, FENCE LOCATIONS, PAD ELEVATIONS, TOP AND TOES OF SLOPES, RETAINING WALLS, UTILITIES LOCATION, MAILBOXES, DRIVEWAYS, SIDEWALKS AND SETBACKS. ALL UTILITIES, SIGNS, FENCES AND DIMENSIONS ARE SHOWN AS APPROXIMATE. LOCATIONS AND DIMENSIONS MAY VARY DEPENDING UPON CONSTRUCTION CONDITIONS. THIS LOT EXHIBIT WILL NOT BE UPDATED TO REFLECT ANY MODIFICATION, CHANGES OR REVISIONS THAT HAVE BEEN MADE ASA PART OF THE CONSTRUCTION OF THIS LOT. BUYER IS EXPRESSLY ADVISED NOT TO ALTER THE DRAINAGE OF THE LOT. Bin City of La Quinta . Building &' Safety Division V 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #{ Project Address: �� — �j��Ui%�f%i �' Owner's Name: L•d'f L�ZI/A714 A. P. Number: %WO Aja �[�! Address: Legal Description: P64 ffP-iW City, ST, Zip; ContractorkjdLvbb Telephone: 3 Address: Project Description: City, ST, Zip: Telephone: 760' 3/ 3 60O ED 0 G� o�G�5 State Lic. # : City Lic. #: 40.4," Arch., Engr., Designer: V Address: City, ST, Zip: o ne: Telephone:h ................................... ......... ..... Con tructi n TY Pe: Occupancy: Lic. #. oStato Project type one) New Add'n Alter Repair air Dem Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: \ APPLICANT: DO NOT WRITE BELOW THIS LINE t/ Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for-corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN ROUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. I'ub. Wks. Appr Date of permit issue School Fees, Total Permit Fees