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BWFE2017-001478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BWFE2017-0014 haw 4 DESIGN &DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 44030 CALICO .CIR CIR APN:. 604091034 Application Description: JONES / BLOCK SIDE OF -HOUSE Property Zoning: I certify that in the performance of the work for which this permit is issued, I Application Valuation: $1,000.00 Applicant: compensation laws of California, and.agree that. if I should become subject to the MAURICE PHILIP PEGORELLI i P. 0 BOX 541 comply wit those provisions. TWENTY NINE PALMS, CA 92277 - w VOICE (760) 777-7125 FAX (760)777-7011 INSPECTIONS (760) 777-7153 Date: 1%27/2017 Owner: BRIAN JONES 92253 g EF do Contractor: n o MAURICE PHILIP G ALI C4 s o PO BOX 541 �E" TWENTY NINE P S, A.922�7 U (714)404-5514 o Llc. No.: 823063 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of 'he following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensa6n, as provided for by Section'3700 of the Labor Code, for the performance License Class: B License No.: 823063 of ttZw,p or which this permit is issued. Contract Q (� X �� NX_ �►r1 have and will maintain workers' compensation insurance, as required by ^ctio 3700 of the Labor Code, for the performance of the work for which this permit is issued y workers' compensation insurance carrier and polity number are: OWNER -BUILDER DECLARATION Carrier: X MPT Policy Number: I hereby affirm under penally of perjury that l am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and.agree that. if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 370 of the Labor. Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply wit those provisions. Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 the Business Professions Code) he is s / 1 of and or that or she exempt therefrom and the Dat Applicant#��LEr��—ti 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 WARNING: FAILURE TO SECURE WORKERS' CON. PENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_) 1, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,00Q. IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR N SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOVLILEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this: application. he or she did not build or improve for the purpose of sale.). 1. Each person. upon whose behalf this application is made, each person at whose (_) I,, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application ,'the owner- and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the. work being performed under or the Contractors' State License Law.). following issuance of this permit. (_) I am exempt under Sec. . B.&P.C. for this reason 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 isauance of such permit, or cessation of work for 180 days will subject permit to cancellztion. Dater Owner: I certify that I have read this application and state that the above information is correct. CONSTRUCTION LENDING AGENCY I agree'to comply with all city and county ordin-cnces and state laws relatingto b ilding' I hereby affirm under penalty of perjury that there is a construction lending agency.for construction, and hereby authorize representatives of this city to enter upon th the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: above-mentioned pr perty for inspection purpo6es. Date: Z 1 Signature Agerlt) (Applicant or Lender's Address Date: 1/27/2017 Application Number: BWFE20170014 Owner: Property Address: 44030 CALICO CIR CIR BRIAN JONES APN: 604091034 Application Description: JONES / BLOCK SIDE OF HOUSE 92253 Property Zoning: Application Valuation: $1,000.00. Applicant: Contractor: MAURICE PHILIP PEGORELLI MAURICE PHILIP P=GORELLI P 0 BOX 541 P 0 BOX 541 TWENTY NINE PALMS, CA 92277 TWENTY NINE. PALMS, CA 9227.7 (714)404-5514 Llc. No.: 823063. Detail: 10LF OF 6' BLOCK WALL DIVIDING FRONT FROM BACKYARD [CITY SPECIFICATIONS) PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. r � DESCRIPTION _ FINANCIAL INFORMATION ACCOUNT QTY AMOUNT: WALL/FENCE - FIRST 100 LF 101-0000-424040 AMOUNT '$50167 502-0000-43611 DESCRIPTION ACCOUNT 2tTY AMOUNT WALL/FENCE - FIRST 100 LF PC 101-0000-426000 $6333 Total Paid for BLOCK WALL: $114.00 ` DESCRIPTION ACCOUNT D.TY AMOUNT BSAS SB1473 FEE , 101-0000-20306 0 $1.00: Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00. �� AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Bin ## Permit #i . Project Address: ,y �/�. 3t� .. Q'ty of La Qu«nta " Buiiding 8t• Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet Owner's Name: A. P. Number: Address: 'D v af L G Legal Description: City, ST, Zip: Contractor: VAP U Address: alb. CG C.Y T l h n �. e e o e. Project Description: City_ ST, Zip: J , Telephone: ne• Po . h State Lic: # : City Lic. #; Arch., Engr., Designer: ------------------------------ Address: City, ST, Zip: Telephone: one: tructi n Con Cos o Type- aIe Y: YP Occupancy: P ,. Sta toLic _ # • Project nPa (circle le ne): New Add'n• Alter Repair. r Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE aY Submittal Req'd Rcc'd TRACKING PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deport Truss Calcs. Called Contact Person Plan Check Balan _e. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Revicw, ready for corrections/issue Electrical . Subcontactor List Called ContactPcrson Plumbing Grant Deed Plans picked up S.M.I. Ii:O.A. Approval Plans resubmitted Grading IN ROUSE:- Jrd Reyiew, ready for corrections/issue Developer Impact ree Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Aper Date of permit issue School Fees, Total Permit Fees