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BWFE2015-031678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tuff 4 4 Qubap COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT ,1--1 1114111111- 110111 1 50 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: BWFE2015-0316 Owner: Property Address: 51911 MADISON ST MARK RINDLESBACH APN: 777470021 Property Zoning: Application Valuation: $36,190.00 Applicant: Contractor: RICE CONSTRUCTION � ���� I✓ 0 6 2015 RICE CONSTRUCTION 44701 SAN JOSE 44701 SAN JOSE PALM DESERT, CA 92260 CIiyQFCa,�.�INTA COMMUNITY PALM DESERT, CA 92260 DEVELOPhIENT DEPARTMENT (760)408-6426 Llc. No.: 852723 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.: 852723 / c r Dat' er r l WContractor: Q t, ( C 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 countythat requires a permit to construct, after, 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).: (1 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: Date: 11/6/2015 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 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 Code, I shall forthwith comply with tho provisions. � Date: 1` —y(Appl(t WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS 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 e r upon the above-mentio,Wd property for inspection purposes. I a Signature (Applicant or Agent): A�TINANCIALINF•• e DESCRIPTIONR� <£ AMOUNTPAIDNs DATE; r 4. �t4y +ACCOUNTh .,.x: CtTY xPAID BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 11/6/15 1 { x.i` 7 -9 ,.k�,4. .Y.. ".✓ F "Yrt..,. F .sY yy,§ .. ny'Yik _EXS �% :;�i^ih': F' i, rW 1Y PAIDBY METH OD:,g h -t'4 RECEIPT #` "a #{a<fCLTD BY Q.+g", y" CHECK �..., RICE CONSTRUCTION CHECK R10660 2332 SGU Total Paid for BUILDING.STANDARDS ADMINISTRATION BSA: $2.00 $2.00 ` < 3HYf. z <- .. ; Sµ ACCOUNT 'QTY fi = PAID PAIMDATE ;DESCRIPTIONr r z -0r AMOUNTS x�x, z >� WALL/FENCE - EA ADDITIONAL 50 LF 101-000042404 0 $232.00 $232.00. 11/6/15 PAI BYs s D �z METHOD�.��F k h RECEIPTS# -"ra CHECK #gx CLTD BY ¢F,: .. f>>+t E.":,_.. ..a , RICE CONSTRUCTION CHECK R10660 2332 SGU '. n - " h 3 �`rf., ESCRIPTIO ? ` '`. k "v'.q,`,. "+3 k fA>.�.*Y`�.� aC,+ `L e `.a&'k'a '..YF. �' ,d'S 4"T - ryg tk �, 'ni„a EY.'yYCS .s,4 t �x, PAID`DATE y `ens.{ACCOUNT Y`.�F y qQN >��vA5M0UNT4�,s+PAID WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86. $47.86 11/6/15 Afll :4 ::Ay`�a{.'+ PAIDBYr k. ��... METHOD l# CLTD BY€ ,< xrRECEIPT#> q, 5.<CFIEGK -<r . RICE CONSTRUCTION . CHECK R10660 2332 SGU YY fE? DESCRIPTION;&<, QTY . AMOUNTZY'u ` PAID �§ pA000UNT ,. ,. it „_� PAIQDATEM WALL/FENCE : FIRST 100 LF PC 101-0000-42600 ., 0 $60.91 •$60.91. 11/6/15 ,. r?: ;1±•E?a4"}=":.Y; .9-mCHECWXit4t-4`-N,��C T RICE CONSTRUCTION CHECK R10660 2332 SGU Total Paid for FENCE OR FREESTANDING WALL: °$340.77 .$340.77 Description: GOLDENVOICE / SITE WALL CONSTRUCTION AND ALTERATION Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: APPROVED Applied: 11/5/2015 AOR APPROVED Approved: 11/5/2015 LUR Parcel No: 777470021 Site Address: 51911 MADISON ST LA QUINTA,CA 92253 Subdivision: TR 31852 Block:. Lot: A Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $36,190.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 _, ACTION DATE Details: PERIMETER GARDEN WALLS AT RETENTION BASIN. GARDEN WALLS AT 52 AVENUE ENTRY. 854LN FTX 6FT HT PER APPROVED PLANS & CITY STANDARDS. FINISH RETAINING WALL AT RETENTION BASIN & ADD 1 COUSRE OF BLOCK TO EXISTING EAST & SOUTHEAST PERIMETER WALLS, SEE COURSE ADDITION DETAIL. 2013 BUILDING CODES. Printed: Friday, November 06, 2015 10:33:02 AM 1 of 2 mil LJ SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY. TYPE STAFF NAME _, ACTION DATE COMPLETION DATE NOTES TELEPHONE CALL LUIS URIBE 11/5/2015 SPOKE WITH TOM RICE, PERMIT IS APPROVED AND READY TO BE ISSUED CONDITIONS CONDITION .. DATE DATE DATE CONTACT_ STATUS REMARKS NOTES_ TYPE ADDED REQUIRED SATISFIED BUILDING BUILDING 11/5/2015 PENDING INSPECTION BUCKET READY TO ISSUE BUILDINGNEEDS: 11/5/2015 11/6/2015 COMPLETE COMP INSURANCE CERTIFICATE-, CHECKLIST BUCKET ASSESSOR'S COPY, -AND VALUATION. NAME TYPE NAME. ADDRESS1 CITY STATE ZIP PHONE FAX - EMAIL .`., APPLICANT RICE CONSTRUCTION 44701 SAN JOSE PALM DESERT CA 92260 tomrice65@yahoo.com Printed: Friday, November 06, 2015 10:33:02 AM 1 of 2 mil LJ SYSTEMS Permit Details PERMIT NUMBER t City of La Quinta BWFE-20115'=031 • \2 -LA e:. s�. CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR RICE CONSTRUCTION 44701 SAN JOSE PALM DESERT CA 92260 tomrice65@yahoo.com OWNER MARK RINDLESBACH 0 PARENT PRQJECTS Printed: Friday, November 06, 2015 10:33:02 AM 2 of 2 cff? SVSTC•MS FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD, BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 11/6/15 R10660 2332 CHECK RICE CONSTRUCTION SGU Total Paid for BUILDING STANDARDS ADMINISTRATION $2,00 $2.00 BSA: WALL/FENCE - EA 101-0000-42404 0 $232.00' $232.00 11/6/15 R10660 2332 CHECK RICE CONSTRUCTION SGU ADDITIONAL 50 LF WALL/FENCE -FIRST 101-0000-42404 0' $47.86 $47.86 11/6/15 R10660 2332 CHECK RICE CONSTRUCTION SGU 100 LF WALL/FENCE - FIRST 101-0000-42600 0 $60.91 $60.91 11/6/15 R10660 2332 CHECK RICE CONSTRUCTION SGU 100 LF PC Total Paid for FENCE OR FREESTANDING WALL: $340.77 $340.77 TOTALS: $342.77 $342.77 PARENT PRQJECTS Printed: Friday, November 06, 2015 10:33:02 AM 2 of 2 cff? SVSTC•MS Bin # Qty Of La Q uIn to Building &r Safety Division Permit #�'� l — A3LIp 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 5111 tso�t St Building Permit Application and Tracking Sheet Project Address: Owner's Name: �� 1(/ ► VQ j �-(, ' L �, A. P. Number: —7 I R— a_70 — O i (p Address: C� u 1lv I' S rt $\V a 5I ui't 5 0 l Legal Description: City, ST, Zip: Contractor: c �.,� 1., • ���.� `flYi J t r V�•�i 1 1 � �• 01'3 V .: ��U V .;. Telephone -."52;5- ,•.•yy;�::::: Address: 9 101- rJ' 0 tj bSk A oi � Project Description: City, ST, Zip: PALM OS G+[T CA — p` OR a (DQi aAJ RE L Telephone: 7W (o-74-oQ 3- >>::; f•. ;^;;;. ri,;.{x. {a ?,•;.'a' d. l�V� State Lic. # : �� 212 City Lie. #: Arch., Engr., Designer. �O S 0 -t fh I Wal Address: City., ST, Zip: Telephone: State Lie. ;N<•:;..:...: v's « < _ :: <.:5,<>><::w :.:;.;;: •.:. f w:v�:�4x9.it>.�v1}:. M1}'{Y "'�'sr>^'<`tiw"x A>::,s' Construction Type: I U VIS l Occupancy: �l Project type (circle one): ew Add'n Alter air Demo Name of Contact Person: l i Sq. FL: # Stories: IA ict #Units: �j 6l Telephone # of Contact Person: Estimated Value of Projec . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewved, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Pian Check Bala nee Title 24 Calcs. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"j Review, ready for correctionsfissue Electrical SubcontactorUst Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IIOUSE:- Review, ready for corrections%slue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date or permit issue School Fees; Total Permit Fees