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BWFE2015-0244a 78-495 CALLE TAMPICO 4 4, WNUCl/ D Q V9ICE( 0 7-7125 LA QUINTA, CALIFORNIA 92253 D 0 7-7011 COMMUNITY DEVELOPMENT DEPARTMENTI SPECTIONS 7-7153 BUILDING PERMIT JUL TO 2015 7 20/2015 Application Number: BWFE2015-0244 0 CR OF LAQUINTA Property Address: 80871 VISTA LAZO S MUNITY DEVELOPMENT DEPARTMENT APN: 762250010 81871 VISTA LAZO Application Description: SMITH RESIDENCE/LIONS GATE/GARDEN WALL BERMUDA DUNES, CA 92203 Property Zoning: Application Valuation: $6,000.00 Applicant: Contractor: MARK MARTIN MASONRY MARK MARTIN MASONRY 78760 RUNAWAY BAY 78760 RUNAWAY BAY BERMUDA DUNES, CA 92203 BERMUDA DUNES, CA 92201 (760)345-0977 Llc. No.: 784794 --------------------------------------------------------------------------------------------- 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 forceand ffect. Lice"C19Lic se No.: 784794 cDatntractor.7—Z®—I`��OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State III, 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 of the Business and Professions Code) or that he or she is exempt therefrom and the ig 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. Q. Lender's Name: Lender's Address: 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. I 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 the workers' compensation laws of California, and agree that, if I should beco ubject to the workers' compensation provisions of Section 370 qP the Labor de I shall orthwit comply with those provisions. 14 �%�j Date:�°��� ApplicantI(.: \. WARNING: FAILURE TO SECURE WORKERSTION C ' C PENSA�ERAGEIS�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 cgfistruction, and hereby authorize representatives of this city to enter on I above- inentioned property for inspection purposes. 7'z 1 Date: a Signature (Applicant or Ag r J FINANCIAL: DESCRIPTION� *y •M �^ j ACCOUNT QTY=, AMOUNTi �PAIUx SPAID'DATE` y A 5s Y. 1 : t" s Y BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 7/20/15 • .. • METHOD # RECEIR ry CHECK 14 ti44,vi� � MARK MARTIN MASONRY CHECK MR200 7433 MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTIONYfcA000UNT� `QTY 4,1miPA �rPAID.DATE: WALL/FENCE - FIRST 100 LF 101-0000-42404 0 • $47.86 $47.86 7/20/15 PAID`BY ��F METHbD `RECEIPT #'CHECK, CLTU BYE" nr k MARK MARTIN MASONRY CHECK• MR200 { 7433 MFA ¢z DESCRIPTION � k tU ACCOl1NT? TY' AMOUNT y� PAID ` TPAID`bATE' WALL/FENCE -FIRST 100 LF PC 101-0000-42600' 0- $60.91 $60.91 7/20/15 �r 3` PAID BY METHOD #� CHECKV, CL TD BY p ,> i`�' s•c _ 7.' r 8.: x;'�. Y -f G.. �` 9t , 1 .RECEIPT kx i Yh"r. �+ 4.:. �<.^..•t' �yy' ;.4 N ; rv..0 MARK MARTIN MASONRY CHECK V. MR200 7433 MFA Total Paid forFENCE OR FREESTANDING WALL- $108.77 $108.77 • 1• 1• .77 • .. • - FTS..' • ,. - � ,r- a... . r 7 r + y,. - _ '. _ 3`•, 4 � fel.. ' • '` `• , Description: SMITH RESIDENCE/LIONS GATE/GARDEN WALL Type: WALL/FENCE Subtype: Status: ISSUED Applied: 7/20/2015 MFA Approved: 7/20/2015 MFA Parcel No: 762250010 Site Address: 80871 VISTA LAZO LA QUINTA,CA 92253 Subdivision: TR 28034 Block: Lot: 30 t Issued: 7/20/2015 MFA Lot Sq Ft: 0 - Building Sq Ft: 0 Zoning: Finaled: Valuation: $6,000.00 Occupancy Type: - Construction Type: ` Expired: 1/16/2016 MFA No. Buildings: 0 ti No. Stories: 0 _ No. Unites: 0 Details: 90 LF 6' GARDEN WALL [CITY AND ANGELUS SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. r PProve O SSU J �ADDITIONAL SITES 4 r CONDITIONS CONTACTS .Y'T': .. � �"•f.t•. •-c .: .: aW <sv.?K.x �F`. :."...... .a6^:'s qy :.. .:� ,,. .-'4...::. w'..%s�`.l•C'.. ''gym"'_ .:� .' %f%✓:..,e-5`i-aY�..'4 x ".:!Y. 'e.: +i..+ti ..K4 x^w�C '*i;.'^': ..�t'.< J^.�R,�o• ."',�-dr fi.: %:.v., ° S . F... ,..✓ l+C :.�.o r .. -,.w. a :in*� .... �fi ems`.• . °'; « ?NAME„TYPE- .'^ n,�.. �, NAME... �. � �, ..ADDRESSI, w'�' .. `. '`�„...� � .�' a �...;,.. ,.... �' `�'. - z ate+” '�� v � �.� .F•w-;.<za, x, v �. ``.'c:5 g--f.:..'Y. � �"�% a� :v%F.t.. '�%<s;>;�sz` �. ;r;tari.s_. �.a�:,��,xf..�:;�. x<;..��. ,. �....Sm,.., �. �� APPLICANT MARK MARTIN MASONRY 78760 RUNAWAY BAY BERMUDA . CA 92203 DUNES INSPECTION INFORMATION REMARKS7��',Vl, TES C NT OLIN BOND BEAM BLD FINAL" BLD' FOOTINGS BLD' MARK MARTIN BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 7/20/15 MR200 7433 CHECK -MFA MASONRY Total Paid forBUILbING STANDARDS ADMINISTRATION WALL/FENCE - FIRST MARK MARTIN 101-0000-42404 a $47.86 $47.86, 7/20/ MR200 7433 CHECK :MFA 100 LF -IS MASONRY WALL/FENCE - FIRST MARK MARTIN 101-0000-42600 0 $60.91 $60.91 7/20/1S MR200 7433- CHECK MFA 100 LF PC MASONRY Total Paid forFENCE OR FREESTANDING WALL- $108.77 $108.77 TOTALS: $109.77 $109.77 INSPECTION INFORMATION REMARKS7��',Vl, TES BOND BEAM BLD FINAL" BLD' FOOTINGS BLD' BOND INFORMATION ATTACHMENTS Bin # . Cray of La ' Qurnta 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 # Project Address: C'L Owner's Name: A. P. Number: 0 10 Q Address: Legal Description: J ' < A LCA City, ST, Zip: S �� Contractor: (aP hon e: Address: —7� (oC) V_vIjawqa Project Description: City, ST, Zip:'L AA O V A-rY cc., 2ZU 3 O J_r Gf f Telephone-,?(., ne L C 7 77 n 9 "3 ' , State Lie. # 7f L % `7' =f City Lie. #: Arch., -Engr., Designer: Address: City, ST, Zip: Telephone: e one: P e: ecu Construction s uction TYP Occupancy: P Y• State to Lic. # Project type (circle rcle ne) New Add'n Alter Repair Demo. 0 Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: ;9000., e O APPLICANT: DO NOT WRITE BELOW THIS LINE 4 Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales; Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 21' 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:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval' Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees III ,,. � . , ,,��� 1 � ;..� ; ` • .. __----" 46 ')61.50TW 25' 4 458.OFG 10 x D=50'06 50,x;. R=86.00,ci�/ C�� L=75.22 457.53FS 4 OTW / CROWN 4595FG / CV or (457.15F/L { PA 457.20FS C L' DWY / -- i u , •'q , - , 4 ilcri 6,•c a __._ r\ 7 u7t cp 5 i 61.5 C�t X58. G 2 4�..00T 1 u'l PA 4 452.231NV PA 'per PA PA - �—I 51 � _ _ _ .T� . • : •- w -r.= 5.791 _ - _ .-a �— �< '.w '''<'• i. of �''' f4�. •ry • y.. ti �•. :tea` J ., �!`r il�;l�'.. �a - it CY PA VBG • � PA �, y• f _ `' ." . ' �' ,Y` � appt •'� 1 .1 ` ', y S " k i '•ire. • t , .. t h - rtrd ..� � `9'0.. f . 2.197.�J✓/ Fn ,._� , -� PA J w Y t Xi ' • ) , • . J'r C . '��'' , O� r , yai l 4� • a:� 1 .. -I� - ^"j•-. •-• - „ y'( •fit :i � •� ,"7 �� - ' f 3�v� ",'! it+,F'�'••''d'; . r1 ..� � �i f X00 ' �C J'•n , � I .s 1 PA 100, -G fel- PA 11 3.99 • •I: _ 'oe - ti moi, - -.,kv�.