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BRES2015-039078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 N auu�1 V COMMUNITY -DEVELOPMENT DEPARTMENT I�BUIL0ING PERMIT t� Application Number: . BRES2015-0390 JU I XCT ® 9 2015 L Property Address: 51031 MARBELLA CT CT IIII APN: 777320006 CITY OF LA QUINTA Application Description: LENZ RESIDENCE / PILASTER AND GASGLfINEUNITYDEVELOPMENT DEPARTMENT Property Zoning: Application Valuation: $6,000.00 Applicant: COMMON GROUND CONCRETE BREAKING INC DBA 72877 DIANAH SHORE STE 103-172 RANCHO MIRAGE, CA 92270 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: D00�6, CS3 License No.: 745278 0 � Date: �' 7 ' /S 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).: (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 ISec. 3097, Civ. C.). Lender's Name: Lender's C� IIII I'll I Illlll III" 33 VOICE (760) 777-7125 FAX (760) 777-7011 . INSPECTIONS (760) 777-7153 Date: 10/9/2015. Owner: JERRY & SHARION•LENZ 51031 MARBELLA CT LA QUINTA, CA 92253 Contractor: COMMON GROUND CONCRETE BREAKING'INC DBA 72877 DIANAH SHORE STE 103-172 RANCHO MIRAGE, CA 92270 (760)799-9174 Llc. No.: 745278 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, 1 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, Nhall forthwith comply with those provisions. Date: �7-�� —Applicant: ��,�!�( - 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 enter upon the above-mentioned property for inspection purposes. , . p Date: Signature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION' ACCOUNTQTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/9/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMON GROUND CONCRETE BREAKIN CHECK MR230 2139 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 10/9/15 PAID BY METHOD RECEIPT #, CHECK # CLTD BY COMMON GROUND CONCRETE BREAKIN CHECK MR230 2139 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 10/9/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY -COMMON GROUND CONCRETE BREAKIN CHECK MR230 2139 MFA Total Paid for ELECTRICAL: $48.34 $48.34 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $47.86 10/9/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMMON GROUND CONCRETE BREAKIN CHECK MR230 2139 MFA DESCRIPTION ACCOUNT QTY AMOUNT. PAID. PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $60.91 10/9/15 PAID BY METHOD RECEIPT #. CHECK # CLTD BY COMMON GROUND CONCRETE BREAKIN CHECK MR230 2139 MFA Total Paid for FENCE OR FREESTANDING WALL: $108.77 $108.77 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $12.09 10/9/15 PAID BY = METHOD RECEIPT# CHECK # CLTD BY COMMON GROUND CONCRETE BREAKIN CHECK MR230 2139 MFA DESCRIPTION ACCOUNT- QTY AMOUNT PAID PAID DATE GAS SYSTEM, -1-4 OUTLETS PC '101-0000-42600 0 $24.17 $24.17 10/9/15 PAID BY METHOD RECEIPT # CHECK,# CLTD BY COMMON GROUND CONCRETE BREAKIN CHECK MR230 2139 MFA Total Paid for PLUMBING FEES: $36.26 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.78 $0.78 10/9/15 PAID BY METHOD RECEIPT.# CHECK # CLTD BY COMMON GROUND CONCRETE BREAKIN CHECK MR230 2139 MFA Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.78 $0.78 Permit Details PERMIT NUMBER City of La Quinta BREs201150390 Description: LENZ RESIDENCE / PILASTER AND GAS LINE Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED Applied: 10/9/2015 MFA Approved: 10/9/2015 MFA Parcel No: 777320006 Site Address: 51031 MARBELLA CT CT LA QUINTA,CA 92253 Subdivision: TR 31349 Block: Lot: 36 Issued: 10/9/2015 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $6,000.00 Occupancy Type: Construction Type: Expired: 4/6/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 ZIP PHONE FAX EMAIL Details: CONSTRUCT (2) 8'-6" ENTRY COLUMNS TO MATCH EXISTING STUCCO AND NEW 1" GAS LINE TO FIRE POT. PER 2013 CALIFORNIA BUILDING CODE 72877 DIANAH SHORE STE 103-172 RANCHO MIRAGE Printed: Friday, October 09, 2015 10:24:05 AM 1 of 3 Cff? SYSTEiNS CHRONOLOGY NAME -TYPE NAME ADDRESS1. CONDITIONS CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT COMMON .GROUND CONCRETE BREAKING INC DBA 72877 DIANAH SHORE STE 103-172 RANCHO MIRAGE CA 92270 CONTRACTOR COMMON GROUND CONCRETE BREAKING INC DBA 72877 DIANAH SHORE STE 103-172 RANCHO MIRAGE CA 92270 OWNER JERRY & SHARION LENZ 51031 MARBELLA CT LA QUINTA CA 92253 Printed: Friday, October 09, 2015 10:24:05 AM 1 of 3 Cff? SYSTEiNS INSPECTIONS PARENT PROJECTS Printed: Friday, October 09, 2015 10:24:05 AM 2 of 3MAJF R UW SYSTCMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/9/15 MR230 2139 CHECK COMMON GROUND MFA CONCRETE BREAKIN Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 10/9/15 MR230 2139 CHECK COMMON GROUND MFA CONCRETE BREAKIN DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 10/9/15 MR230 2139 CHECK COMMON GROUND MFA CONCRETE BREAKIN Total Paid for ELECTRICAL: $48.34 $48.34 WALL/FENCE - FIRST 101-0000-42404 0 $47.86 $47.86 10/9/15 MR230 2139 CHECK COMMON GROUND MFA 100 LF CONCRETE BREAKIN WALL/FENCE - FIRST 101-0000-42600 0 $60.91 $60.91 10/9/15 MR230 2139 CHECK COMMON GROUND MFA 100 LF PC CONCRETE BREAKIN Total Paid for FENCE OR FREESTANDING WALL: $108.77 $108.77 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $12.09 10/9/15 MR230 2139 CHECK COMMON GROUND MFA OUTLETS CONCRETE BREAKIN GAS SYSTEM, 1-4COMMON 101-0000-42600 0 $24.17 $24.17 10/9/15 MR230 2139 CHECK GROUND MFA OUTLETS PC CONCRETE BREAKIN Total Paid for PLUMBING FEES:. $36.26 $36.26 SMI - RESIDENTIAL 101-0000-20308 0 $0.78 $0.78 10/9/15 MR230 2139 CHECK COMMON GROUND MFA CONCRETE BREAKIN Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.78 $0.78 TOTALS: INSPECTIONS PARENT PROJECTS Printed: Friday, October 09, 2015 10:24:05 AM 2 of 3MAJF R UW SYSTCMS � Permit Details PERMIT NUMBER City of La Quinta BRE52015,103.94 ATTACHMENTS Printed: Friday, October 09, 2015 10:24:05 AM 3 of 3 SYSTEti1S I Bin # City of La Q urn to Building 81- Safety Division . . 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name: A. P. Number: Address: Legal Description: 4 City, ST, Zip: Contractor: Tele hone: P Address: Kiect Description: City, ST, Zip: one: Telephone: P - I z 91Qt State Lic. # : City Lic. #.: .190 gati .. Ll VY1t:ifr Arch., Engr., Designer: Address: City., ST, Zip: Telephone:Construction Type: Occupancy: ic. #• oStote : New Add'n Alter Repairair Demo Project nP (circle one): Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: W5stimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'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 2nd 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 HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date or per issue School Fees, Total Permit Fees Customer The Lenz Residence City 51031 Marbella Ct., La Quinta Date 5 -Aug -15 "APPENDIX A" Per Plan Design dated July 13, 2015 Concrete.Work $27,813 Demo existing decks & grass area, re -for new concrete - approximately 1930 .ft. New gni concrete at side gate & door area - approximately 192 sq.ft Courtyard colored bands around stamped fields -163 LF x 1'w .2 - steps - colored concrete to match bands ' Stamped concrete field - match existing (as close as possible) a proximately 1930 s .ft. of color stamp_ _ Add approximaiety $5;aq,t of°staiaaped: cQnc€ate_ -- -- j Drains inear:conerete.dectcin flus�i;;ewetin <diains.ta.make sureik6ikirl , :ut:in risers fet softie . -brass ca s Gas to courtyard (homeowner to pots purchase pots Low volt wiring to pots i Wrought Iron $4,529 Side panels at front entry - 6'h x 5'w, powder coated Center gate at en (match sidepanels) - 6'h x 64- powdercoated I ` Arch for low volt light - per plan - powder coated Light on arch per specs) Masonry 11,600 Front entry columns - stucco to match house 2 - 8`6" h x 2'x3 112', engineering for footing included - - -- ............. _..:.... Rear seat wall - 57 LF x 18"h, stone faced, stucco back, cantilevered colored concrete cap . _. _.__...._..._ _......_..._.__,.........._.___.._......_.......__._._.._............ _ ......... . .._..... _. ;Stogie:` : fvuall' d`el�.te;sttico.:`ua�te:uenesr>:to:�natEfr°i`rorit�,of:wall: i �. ,._:.::..:_read_:._..:__..��...:......:..... ...... __....._ ._........._.._-........... ......... _ -- - Landscape $38,915. Front yard - clean up i— 'Bac and - remove 11 trees w/stumps irrigation _ remove 5440 sq,ft. of lawn, irrigation, 4 - 5g ixoras j s ra for ants 2 - 59mexican grasses irrigation i 20-1g blue gasses - t4;isgft tienerV,board.- deiete: _.... 1 -15g Madagascar PidIIII !-1 10 - 2 112ft. Boulders 5 - 5g russelias� 6 tons 1" -T rubble 2 - 159 Mexican fence post cactus 45 tons 318 ma"ave gold rave_ 1 5 - 5g myrtus L`i': q {.:actiftcW,turi - Ooldta. 2 5g gardenias 20�ft`;::3'^dfairi. with 56 gallon ii�ai.n :pit - c�ele3e _ — . _ 1 -flat of flowersT— 2- 7ft. Hybrid palms 1 - 2ft boulder 4 - 6ft. Hybrid palms _ T �- 3 1/2 tons 314 gravel_ �_ �I—_ 6 - 156 russelias_�_ 6 alliance LED path lights - _ _ 8 - 15g mexican grasses 10 alliance LED spot lights _ 6 - 5 mexican birds potting .soil _ � � 250.ft. of concrete curb 13 sg.ft artificial turf 6 alliance LED path lights — --t- — - ___ 7 alliance LED spot lights :5 allia - - - �. ... ............. .... ...... ............ riee�LED,down� 1�ht& - delete> ZZ tAC PTED: �-. - DATE. S 82 Sq. Ft. color stamped concrete it "'�'_—_43 Sq. Ft. 1'-0" wide color concrete (2) built-in pots by owner to have irrigationIff �\ i and low volt -lights \1 774 Mm �i 1 7' f 8 +r . :r %r t f n` J.arz Waf;. . lI` :i l' / ' ivy„::\ij�.,v'fik:.:o%>2:r.<::x.:uf2;;;.r;<` ka,:a:r:rt :orv.`v:C'..i'. %r ;. Demo existing concrete pad at door add new;��,;;,;;«;>;;,��,..�;;;;�;<<;<k,<�:.,' 39 Sq. Ft. color stamped concre —grey concrete landing slope away fromhouse ..> ,.�.r. f 1concrete). . n w 80s .ft e q 8'i% t- (T :. 2 built-in pots b owner y irrigation n ,;•�,:=i?x€` ' / 337 Sq. Ft. color stamped, con r �„ ., .. . 7 8 S Ft. 1' 0" wide color concl and of is 9 ': � ':._:�>�:� is r. ;:<.;... . 116 Sq. F . color stamped con c 1' line f• I r<vu as ne to Ire of mama start »'<.�..� '9 P r. fi ,.rs - 42 S t step V-0" de color . om light with custom wrought it n r 6" Cust o su o t rr•: iu W F.. 'Ec >�.. 4b built-in PotsYwn r ob y irrigationn and low volt lights �. ``:: ,.,•i'%/,.`',:';--!,>�'- (2) 8'-8" tall entry columns, Reinforced yy{{:K:: i::;i.•a :,. ar3 M wi h match home `< 2 C U t Stucco to atc ;3l= �(2) 6'-0" high tubular steel fence sections and 2 tubular steel gates to be designed i 1�f{ 1 4 i... it?'.tiu'W:ii ' i r/ r. :..:. - o. �. �,.' . ..,;,•,.,�;iP iiiiiii; iii -i .... .. .. TT"! .:.. .. .:�,rip,..`...:,:.::.;.or.:v.:v:ravv:....:.:.:....r.'. t;.r•;2:. or;,... h CI O. '£a i I r ILDI . QTY r , .:..................:..:.....:..:..:.:.....:................... :...............::.::.. 2, a. m n r kr �C35 A . N F�U1 .:.....:.:... .. .. .. .. ......... ..:..:u.:.::....:. r'\2a oa gg D V1• a ..............:.:............:...........:.......:. . .::::........... ....:..:... ........... .:........... f i i North East Rear Yard New Planting Bed Scale: 1/811 - 1 o" 9'-8" Stucco finish and color to match residence Extend existing entry door bell or in 0 T Pickets set at 4" O.C. r` kets set at 4" O.C. 0 ifl - 4Pic Cts set at Pick s set t i f 1 1 I L L 5'-0" Verify 3'-4„ 6'-4" 3'-4" 5'-0" Verify 13'-0" A Entry Gateway Elevation Not To Scale . CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY