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BWFE2017-019578-495 CALLE TAMPtGO LA QUINTA, CAUFOR-NIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: TAtvl 4 4 Qu&- to DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT WALL/FENCE/CITY STANDARD/PRE-APPROVED BWFE2017-0195 77165 AVENIDA ARTEAGA 658210032 HACKNER / 55 LF GARDEN WALL AT FRONT COURTYARD $3,500.00 Applicant: CORE CONSTRUCTION AND DEVELOPMENT 18086 MONDANION ROAD APPLE VALLEY, CA 92307 D �9� OCT IQ -2917 CITY OF LA QUINTA DESIGN AND DEV40PMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION t 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.: 849561 j Dit7,16c (I EC fon ~ W� 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, 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.). (_)1, 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 Na Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/12/2017 Owner: LISA HACKNER 517 MORENO AVE LA QUINTA, CA 92253 Contractor: CORE CONSTRUCTION AND DEVELOPMENT 18086 MONQANION ROAD APPLE VALLEY, CA 92307 (310)429-125D Llc. No.: 849561 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty•of perjury one :)f the following declarations: I have and will maintain a certific.te of consent to self -insure for workers' compensation, as provided for by Section 3770 of the Labor Code, for the performance of the rk f which this permit is issued. 41 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 insuranca carrier and policy number are: Carrier: GRANITE STATE INSURANCE COMPANY Policy Number: WC001469908 _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner s-.) 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 Sectior 3700 of the bor Code, I shall forthwith comply with those provisions. Dal l% Z App C"' v �A � WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIWNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,600). 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 he 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 Citi of La Quinta, its officers, agents, and employees for any act or omission related torthe work being'performed under or following issuance of this permit. 2. Any permit issued as a result of this app5cation 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 cancellatian. I certify that I have read this application and :tate that the above information is correct. I agree to comply with all city and county orcinances and state laws relating to building construction, and hereby authorize represen=atives of this city to enter �eament ioned/pproopeer'tytfoorr inspection purposes. Dat!(? I 5ignaturg(APPlican- or ARent)� Date: 10/12/2017 Application Number: BWFE2017-0195 Owner: Pro perti%'Address:'',:;'77165 AVENIDA ARTEAGA LISA HACKNER APN: 658210032 517 MORENO AVE Application Description: HACKNER / 55 LF GARDEN WALL AT FRONT COURTYARD LA QUINTA, CA 92253 Property Zoning: Application Valuation: $3,500.00 1 Applicant: Contractor: CORE CONSTRUCTION AND DEVELOPMENT CORE CONSTRJCTION AND DEVELOPMENT 18086 MONDANION ROAD 18086 MONDANION ROAD APPLE VALLEY, CA 92307 APPLE VALLEY. CA 92307 (310)429-1256 --------------------------------------------------------------------------------------------- Llc. No.: 8495E1 Detail: 55LF OF 6'& 5' HIGH GARDEN WALL AT FRONT COURTYARD [CITY SPECIFICATIONS] PRECISION CONCRETE BOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN THE'BACK OF CURB AND ANY FENCING SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2016 " CALIFORNIA BUILDING CODES.. -DESCRIPTION FINANCIAL •• • ACCOUNT ` QTY AMOUNT WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $52.01 DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $65.02 Total Paid for BLOCK WALL: $117.03 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 Total Paid for TECHNOLOGY ENHANCEM_NT FEE: $5.00 Bin# City of La Quinta Building & Safety Division Permit#I�_ 78-495 Calle Tampico -lot La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet - Project Address- 7 ID Z 64 Owner's Name: ISKN E .A ('�Ac A.P. Number Address: C5 ( C71(e-rvc fie Legal Description: City, ST, Zip: Ca Contractor: /i O� 2Ve Address: t �.(� lU Project Descriptfon: City, ST, ZipD:f L &0, 64'41 W%U, Telepho O ZS^O zAZI _._.._ State Lic.#: Q q C� City Lic #: Arch, Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Proj. Type New Add'n Occupancy: Alter Repair Demo State Lic. #: Name of Contact: 1 I �e SgFt: #Stories # Units: Telephone of Contact: 3 p LZ� 2� "l Estimated Value of Project: J APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check Submitted Item Amount Structural Calcs Reviewed, ready for corrections Plan Check Deposit: Truss Calcs Called Contact Person Plan Check Balance: Title 24 Calcs Plans Picked Up Construc-,ion: Flood Plain Plan Plans Resubmitted Mechanical: Grading Plan 2nd Rev, Ready for corrections / Electrica- Subcontractor List Called Contact Person Plumbing: Grant Deed . Plans Picked Up S.M.I. 130A Approval Plans Resubmitted Grading IN-HOUSE 3rd Rev, Ready for corrections / Developer Impact Fee Planning Approval Called Contact Person' A.I.P.P. Pub. Wks. Apps Date of permit issue School Fees Total Permit Fees