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BWFE2017-022678-495 CALLE..TAMPICO Ct 0 D 1A QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: WALL/FENCE/CITY STANDARD/PRE-APPROVED BWFE2017-0226 81753 BAFFIN AVE 767700041 RICHARD DOAN / 190LF BLOCK WALL $2,000.00 Applicant: BRIAN KIETH P0BOX 8011 RANCHO SANTA FE, CA 92067 D QD .NOV 21 2017 D 91TV V Iii OWINM 9E1I0N AND MOOMENT DEPARTMENT 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 lass: �� ens�No.:CONV: 810 2 078728 .Date:; VV CC//bb))r��'/r7�or: V. OWNER -BUILDER DECLARATION 7 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, 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.). (_J 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 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/21/2017 Owner: RICHARD DOA.N CONSTRUCTION P 0 BOX 8011 RANCHO SANTA FE, CA 92067 Contractor: RICHARD DOAN CONSTRUCTION P 0 BOX 8011 RANCHO SAN11A FE, CA 92067 (858)756-4930 Llc. No.::CONY:140528101254078728 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury oneof the following declarations: I have and will maintain a certificate of consent to self -insure for workers' tion, as provided for by Section 3730 of the Labor Code, for the performance k for which this permit. is issued. nd will maintain workers' :ompensation insurance, as required by S ion 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: _ . 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner 90 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 Labor Cqde, I shau4prthwith compllyw�iit-h-thosvisions. ADe' Applicant: v WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIIV INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,:300). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. . APPLICANT ACKF'OWLEDGEMENT. IMPORTANT: Application is hereby made to :he Building Official for a permit subject to the conditions and restrictions set forth on dais application. 1. Each person upon whose behalf this apdication 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, an J the applicant, each agrees to, and shall defend, indemnify and hold harmless the Cit-+ 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 app iication becomes null and void if work is not commenced within 180 days from date of is--uance 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 orcinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon th bove-, mentioned property for insaection purposes Ze &gnature (Applicant or Agent): ^ Date: 11/21/2017 Application Number: BWFE2017-0226 Owner: Propeity'Address: '81753 BAFFIN AVE' RICHARD DOAN CONSTRUCTION APN: 767700041 P 0 BOX 8011 Application Description: RICHARD DOAN / 190LF BLOCK WALL RANCHO SANTA FE, CA 92067 Property Zoning: Application Valuation: $2,000.00 Applicant: Contractor: BRIAN KIETH RICHARD DOAN CONSTRUCTION P0BOX 8011 P6BOX 8011 RANCHO SANTA FE, CA 92067 RANCHO SANTA FE, CA 92067 (858)756 4930 ------------------ -------------------------------------------------------------------------- Llc. No.::CONV:140528101254078728 Detail:' 190LF OF 6' GARDEN WALL AROUND EQUIPMENT AND PATIOS ON 3 SIDES OF -DWELLING [CITY AND ORCO SPECIFICATIONS] PRECISION CONCRETE BLOCK 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. ..-:.Y DESCRIPTION WALL/FENCE - EA ADDITIONAL 50 LF DESCRIPTION WALL/FENCE - FIRST 100 LF DESCRIPTION WALL/FENCE - FIRST 100 LF PC DESCRIPTION BSAS SB1473 FEE DESCRIPTION Credit Card Fee ACCOUNT QTY 101-0000-42404 0 ACCOUNT QTY 101-0000-42404 0 ACCOUNT QTY 101-0000-42600 0 Total Paid for BLOCK WALL: ACCOUNT QTY 101-0000-20306 0 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: ACCOUNT QTY 101-0000-43505 0, Total Paid for Credit Card Fee: F -A 81154111111 $31.20 AMOUNT $52.01 AMOUNT $65.02 $148.23 AMOUNT $1.00 $1.00 AMOUNT $2.96 $2.96 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 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 ,1 1 , •� r �� V x°• t ''tom o".F }r �iFy _ . �. a xer'r '*r ::. 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' AA -n n i m R n u° 5 THE MADISON CLUB z o ®� ° ° LOT # 118-8 61750 Beffin Qn®wm® dry ©mhh, CA 92253 1 (I F v I t � t t __.• .. ------ .. --- PERMIT I# 1: et °' _ ;' ' C✓ PLAN LOCATION ' Project Address: Project Description: Pool, Renrodel,Add't, Elcet, Plumb, Mech APN 4: address 'New SFD Construction: Address: Applicant Namc: City, St, ZipJ&-h4:� Address: 021 Telephone: I �% — (� .- City, ST, Zip: 20 Email: I C' �` �4 �ZOb'L Telephone: O `T .. State Lic: City Bus Lic: Email: ('7 4-V Valuation of Project S o IA, Contractor Name: Construction Type: Occupancy: address 'New SFD Construction: Address: Conditioned Space SF City, St, ZipJ&-h4:� Garage SF Telephone: I �% — (� .- Patio/Porch SF Email: I C' �` �4 �ZOb'L Fire Sprinklers SF State Lic: City Bus Lic: U krch/Cng Name: Construction Type: Occupancy: address Grading: 'ity, St, Zip. Construction Type: Occupancy: Telephone: Bedrooms: Stories: # Units: :mail: ;tate Lic: City Bus Lic: 'roperty Owner's Name: New Commercial /Tenant Improyenents: ,ddress: Total Building SF 'ity ST, Zip Construction Type: Occupancy: elephone: mail: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000