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BWFE2017-0008LICENSED 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.: 945713 Date�l '�(� W(2 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 (Sec. 3097, Civ. C.). Lender's Lender's WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of tie 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. OF 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 --arrier and polity number are: Carrier: EVEREST NATIONAL INSURANCE COMPANY 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 a: 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: 2G l % Applicant: v 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 N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOW' EDGEMENT 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 Cty 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 applica`ion becomes null and void if work is not commenced within 180 days from date of is mance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and'stalle 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 representati+es of this city to enter upon the above-mentioned property for inspection purposes. Date: i —02C—( —7 Signature (Applicant or Agent): 8.� I!!J4,11) VOICE (760) 777-7125 78-495 CALLE TAMPICOFAX D LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT FAX(760) 777-7011 (760) 777-7153 BUILDING PERMIT Date: 1/24/2017 Application Number: BWFE2017-0008 Owner: p Property Address: 50909 CEREZA PRESIDIO Fd CITRU.3, LLC. y APN: 776340028 73081 FRED WARIMG DR.Z Application Description: CITRUS / 234 LF OF BLOCK WALL PALM DESERT, CA 92260a Property Zoning: Application Valuation: $5,850.00 ;n C Z Applicant: Contractor: S t� ECOWIZE INC ECOWIZE INC m D 73081 FRED WARING DRIVE 73081 FRED WARIMG [F* o PALM DESERT, CA 92260 PALM DESERT, CA 922 a v n (760)776-8300 Llc. No.: 945713 m Z --------------------------------------------------------------------------------------------- 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.: 945713 Date�l '�(� W(2 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 (Sec. 3097, Civ. C.). Lender's Lender's WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of tie 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. OF 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 --arrier and polity number are: Carrier: EVEREST NATIONAL INSURANCE COMPANY 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 a: 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: 2G l % Applicant: v 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 N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOW' EDGEMENT 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 Cty 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 applica`ion becomes null and void if work is not commenced within 180 days from date of is mance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and'stalle 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 representati+es of this city to enter upon the above-mentioned property for inspection purposes. Date: i —02C—( —7 Signature (Applicant or Agent): 8.� I!!J4,11) Date: 1/24/2017 Application Number: BWFE2017-0008 Owner: Property Address: 50909 CEREZA PRESIDIO Fd CITRUS, LLC. APN: 776340028 73081 FRED WARING DR. Application Description: CITRUS/ 234 LF OF BLOCK WALL PALM DESERT, CA 92260 Property Zoning: Application Valuation: $5,850.00 Applicant: Contractor: ECOWIZE INC ECOWIZE INC 73081 FRED WARING DRIVE 73081 FRED WARII9G DRIVE PALM DESERT, CA 92260 PALM DESERT, CA 92260 (760)776-8300 --------------------------------------------------------------------------------------------- Llc. No.: 945713 Detail: 234LF OF 6' GARDEN WALL AT SIDE PL'S [CITY SPECIFICATIONS) PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE. DESCRIPTION I U I ALb: FINANCIALINFORMATION ACCOUNT QTY AMOUNT ' WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 $45.60 DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $50.67 DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE- FIRST 100 LF PC 101-0000-42600 0 $63.33 Total Paid for BLOCK WALL: $159.60 DESCRIPTION ACCOUNT qTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS. ADM INISTRATION BSA: $1.00 - DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: 5.00. $5.00- IUTALS: j165.60 Bin #City of La Quinta Building SF Safety Division 78-495 Cafle Tampico Permit #/yQ� La Quinta, CA 92253 - (760) 777-701,2 6CO' wilding Permit Application and Tracking SheEt Project Address: U >� 0 4 Owner's Name: PR�c3 / pl t� e r (!c'� 3 �� e A. P_ Number: 6 —3'Y0 " U28' Address: 720 g Er, eh (,t/K /,v& Legal Description: City, ST, Zip: 10A% 10CStr`- 2 2 6 Contractor: �� � w � Telephone: o Project Description: Address: 790 t FRei,b City, ST, Zip: O—V IVI 06` &FR K Q q . Z G PPI-0 8E . Illy V K 3 10CICvl/All Y T ele ho ne P - 0 '7 0 � State Lie. # : City Lie. #- Arch., Engr., Designer: N�((a-.^) Address: 0 CO"eO eAfc;� IO K City, ST, Zip: elf- q 2%0 Tele hon e: P '79(-90 d q y �/ 7 e: O ecu as cY� n tru ctio nT P C os Y P State Lie.#: Liter r pair Demo r0JP"ecttYPe circle one): NewAdd'n ARe Name of Contact Person: 12,)L U 40) A) Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Fj. 91136 Estimated 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 Calcs. Reviewed, ready for corrections Plan Check Depoeit Truss Caics. Called Contact person Plan Check Balarxe. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrcctionsfissue Electrical . Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. I{.O.A. Approval Plans resubmitted Grading IN ROUSE:- '`' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Dale or permit issue School Fees, Total Permit Feas n.t � - LV1! CITY OF LA QUINTA ODAAMUNITY DEVELOPMENT P1V 302 F� NP 8' 2g� F 2g 9 LOT 29 [LOT- 8 PLAN 2R PLAN2 J LOT 2/ = a FF 31.17 -- --- – -- - - FF= 31.17 � ---- ---- -P-LAN-2-R- � j PAD = 30.5PAD = 30.5 .J PAD 30.4 .I 01 2g1G8 g1 T,. gQ pF F� 2F�G0 29' �g 2F��6 GFF = 30.67 GFF = 30.67 F� GFF =_30.57 -• - -. _ - -- 0. CV IpbE V -P p�' Pn3o q 0 41. .\ . 35:00° .. A m 1' 65.00' 165.00'1 :I a o f 1 426�� -----_ ( I - -- --- —— _. _ _ _ _ 4 ------ � �-- CEREZA-__I__I -- b6gp i---------------- I 1 S ------------- j ---t ----( 4 6191 11�� 06 --'L p0 g6 �g2 I, I 63 226A1 ,26• � ac T � �� — 6).00' �•• a•C +to- �°\o ••o ° ••' 60. I O\o :o eI�a ea..•'.�•\o ,oQ,� ••• 10.00'