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BWFE2015-029478-495 CAL•LE TAMPICO LA QUINTA, CALIFORNIA 92253 T,iht 4lwQ" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BWFE2015-0294 Property Address: 55101 MONROE ST APN: 767860042 Application Description: MONTERRA TM36738 ENTRY GATE STRUCTURAL Property Zoning: � Application Valuation: $2,500.00 Applicant: ¢ � STEVEN ZABALA a; n 27285 LAS RAMBLAS #230 o MONARCH BEACH, CA 92691 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 Date: 12 1.5—. /6—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 ) 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: 18 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/15/2015 Owner: LA QUINTA HOUSING 1, LLC 27285 LAS RAMBLAS, SUITE 230 MISSION VIEJO, CA 92691 � 0 Z ¢ � a; n Contractor: o WOODBRIDGE PACIFIC GROUP LLC oo 27285 LAS RAMBLAS SUITE #230 M C fV MISSION VIEJO, CA 92691 0 ? o D Ul (949)348-8162 a 9 rn Llc. No.: 9638874 C 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 t&or which this permit is issued. ve and will maintain workers' compensation insurance, as required by Sectif 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 those provisions. Date: �0�/�j�Applicant: WARNING: FAILURE TO SECURE WORKERS' COM PENSATICOVERAGE 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. Date: /e)' /o^'/a7 Signature (Applicant or Agent) E FINANCIAL •• 1 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY PLAN CHECK - YES 101-0000-42600 1 $70.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BLDG CITY STAFF - PER HOUR: $70.00 $0.00 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 AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID.DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $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 • 1 •• Permit Details PERMIT NUMBER , _ 4 a� .. r. City of La Quinta BWFE2015 029 Description: MONTERRA TM36738 ENTRY GATE STRUCTURAL Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: APPROVED Applied: 10/2/2015 MFA APPROVED Approved: 10/14/2015 JJO Parcel No: 767860042 Site Address: 55101 MONROE ST LA QUINTA,CA 92253 Subdivision: TR 32742 Block: Lot: G Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NOTES Details: 37 LN FT OF GARDEN WALLS AND 2, 241NCH DIA COLUMNS [PROTO II SPECIFICATIONS] 2014 CALIFORNIA BUILDING CODES. PARTIAL PLANNING APPROVAL FOR POSTS ONLY. 12 i Applied to Approved Printed: Thursday, October 15, 2015 5:09:18 PM 1 of 3 (OR SYS7EM5 ADDITIONAL CHRONOLOGY; CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK COMMENTS FROM CONSULTANT STEPHANIE KHATAMI 10/13/2015 10/13/2015 STRUCTURAL APPROVED RECEIVED PLAN CHECK SENT TO MARY FASANO 10/2/2015 10/2/2015 OUTSIDE PC PLAN CHECK SUBMITTAL MARY FASANO 10/2/2015 10/2/2015 RECEIVED '�A3. .��_ �9 .r`� { + �f� 3 : 1- aIj • � • � 4C� 3'f �,'�X _`- �. � -_, ��,Y 4 _ - i.T r 'i' �°� '^c`-'.` V i :5 , CONDITION DATE DATE DATE CONTACT STATUS REMARKS NOTES TYPE ADDED REQUIRED SATISFIED READY TO ISSUE JIM JOHNSON 10/15/2015 PENDING NEED PLANNING DEPT APPROVAL CHECKLIST Printed: Thursday, October 15, 2015 5:09:18 PM 1 of 3 (OR SYS7EM5 FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE . RECEIPT # CHECK # METHOD PAID BY CONTACTS HOURLY PLAN CHECK - 101-0000-42600 1 $70.00 $0.00 YES NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT STEVEN ZABALA 27285 LAS RAMBLAS #230 MONARCH BEACH CA 92691 (949)348-8162 101-0000-42403 szabala@woodbridgep acific.com CONTRACTOR WOODBRIDGE PACIFIC GROUP LLC 27285 LAS RAMBLAS SUITE #230 MISSION VIEJO CA 92691 (949)348-8162 SZABALA@WOODBRID GEPACIFIC.COM OWNER LA QUINTA HOUSING 1, LLC 27285 LAS RAMBLAS, I SUITE 230 MISSION VIEJO CA 92691 1 (949)348-8162SZABALA@WOODBRID F I GEPACIFIC.COM FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE . RECEIPT # CHECK # METHOD PAID BY BY HOURLY PLAN CHECK - 101-0000-42600 1 $70.00 $0.00 YES Total Paid for BLDG CITY STAFF - PER HOUR: $70.00 $0.00 BSAS SB1473 FEE 101-0000-20306 1 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 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:00 Printed: Thursday, October 15, 2015 5:09:18 PM 2 of 3 NAff CR UU SYSTEMS Printed: Thursday, October 15, 2015 5:09:18 PM 3 of 3 . SYS iEMS NOTES REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED REVIEWS STATUS REMARKS DATE 1ST BLDG NS (1 WK) JIM JOHNSON 10/2/2015 10/9/2015 10/14/2015 APPROVED 1ST BLDG STR (1 YOUNG 10/2/2015 10/9/2015 10/13/2015 READY FOR APPROVAL WK) ENGINEERING 1ST PLANNING (1 WALLY 10/15/2015 10/22/2015 WK) NESBIT 1ST PUBLIC WORKS BRYANSince 10/15/2015 10/22/2015 10/15/2015 COMPLETE this is an exit only gate, Public Works has no (1 WK) MCKINNEY comments. Printed: Thursday, October 15, 2015 5:09:18 PM 3 of 3 . SYS iEMS