BWFE2017-0034LICENSED 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
C Date: S �(' 17 Contractor: I Z
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, 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 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 Na
Lender's
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificateof 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.
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 carrier and policy 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 as to become subject to the workers'
compensation laws of California, and agree tha" if I should become subject to the
workers' compensation provisions of Section 3300 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 3-9 -t 7 Applicant: /
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 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 periormed under or
following issuance of this permit.
2. Any permit issued as a result of this applicc—tion becomes null and void if work is
not commenced within 180 days from date of i-suance 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.
�' �� !* Signature (Applicant or Agent): �N^�
78-495 CALLE TAMPICO
] O�i
� V "i
"VOICE (/160) 77 - 25
LA QUINTA, CALIFORNIA 92253
DESIGN &_DEVELOPMENT DEPARTMENT
FAX - 11
IHISp�1S�JQ) 7 53
BUILDING PERMIT
C' MUNITy E , LA GUAM- /6 017
Application Number: BWFE2017-0034
Owner: pARTAIENT
Property Address: 50940 CEREZA
PRESIDIO FD CITRUS, LLC.
APN: 776340001
73081 FRED WARNG DR.
Application Description: PRESIDIO FD CITRUS / BLOCK GARDEN WALL
PALM DESERT, CA 92260
Property Zoning:
Application Valuation: $1,625.00
Applicant:
Contractor:
ECOWIZE INC
ECOWIZE INC
73081 FRED WARING DRIVE
73081 FRED WARI;NG DRIVE
PALM DESERT, CA 92260
PALM DESERT, CA 92260
(760)776-8300
Llc. No.: 945713
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
C Date: S �(' 17 Contractor: I Z
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, 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 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 Na
Lender's
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificateof 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.
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 carrier and policy 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 as to become subject to the workers'
compensation laws of California, and agree tha" if I should become subject to the
workers' compensation provisions of Section 3300 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 3-9 -t 7 Applicant: /
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 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 periormed under or
following issuance of this permit.
2. Any permit issued as a result of this applicc—tion becomes null and void if work is
not commenced within 180 days from date of i-suance 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.
�' �� !* Signature (Applicant or Agent): �N^�
Applicant: Contractor:
ECOWIZE INC ECOWIZE INC
73081 FRED WARING DRIVE 73081 FRED WARING DRIVE
PALM DESERT, CA 92260 PALM DESERT, CA 92260
(760)776-8300
Llc. No.: 945713
-----------------------------------------------------------------------------------------=
--
Detail: 65 LF OF GARDEN WALL AT REAR YARD [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED
COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. PER 2016 CALIFORNIA BUILDING CODES.
Date: '3/6/2017
Application Number:
BWFE2017-0034
Owner:
Property Address:
50940 CEREZA
PRESIDIO FD CITRJS, LLC.
APN:
776340001
73081 FRED WARING DR.
Application Description:
PRESIDIO FD CITRUS / BLOCK GARDEN WALL
PALM DESERT, CA.92260
Property Zoning:
Application Valuation:
$1,625.00
Applicant: Contractor:
ECOWIZE INC ECOWIZE INC
73081 FRED WARING DRIVE 73081 FRED WARING DRIVE
PALM DESERT, CA 92260 PALM DESERT, CA 92260
(760)776-8300
Llc. No.: 945713
-----------------------------------------------------------------------------------------=
--
Detail: 65 LF OF GARDEN WALL AT REAR YARD [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED
COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. PER 2016 CALIFORNIA BUILDING CODES.
Total Paid for TECHNOLOGY ENHANCEMEN— FEE: $5.00
a
DESCRIPTION
FINANCIAL .• a.
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:
$114.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMEN— FEE: $5.00
a
Y � y
Qin # .' City Gf La Quintd
Guiding &r Safety Division "
Permit,#78-495 Carle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet y
:Project Address: C6616/r? Owner's Name:
A. P. Number.
-3,Vo—oal
Address: 3 O 7_ W vN&-
Legal Description:
City, ST, Zip: allm /OG -s( C -e,- 9 V-260
it
o ri
C acf or.
TelePh nc• d — 0 -�
.............
Address: -73 1
i
r-x`_n Gh/ ol&
Project Description:
City, ST, Zip:
Q4- `7 226(1re
Telephone:
A0 d
6 a
State Lie. # :
. City Lie.
'Arch.,-Engr., Designer:
,.Address-
ddress:City,
City,ST, Zip:
,
_TlePh one:
'•
ecu sn
cYCon
tructi n Type: O
jS tato Lie. #,.
Pr J'ect type circle one • New Add'n ?Ater Repair Demo
0
Name of Contact Person:
V n!'�/�%
Sq`. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 6Q 6,7&�G} 3,6
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Rcq'd
Rec'd
TRACKING
PF -MIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
j•
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance_
: .
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°"Review, ready for corrections/issue
Electrical .
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'''. Review, ready for corrections/issue
Developer Impacl Fee
Planning Approval
Called Contact Person
c
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
�G
6.00'
13 ' i 59.88' e • a ��°
oho I o ° �. 5to .
�5 —sem—:,QAdI °—� 10'PUE
° 29° 3 �
i : c _ ° GFF = 30.57
1 GFF = 30.67 GFF = 30.67 29
r - �; 2g�G0 29b�g 29.�0
1 F 1 F 1 C
I ,
I ! � � I oF•F�
10.96
POOL'—
i I I'
5.96'
i i 2g1
LOT C
BASIN= 27.0 I �,
N 2 p.2
--I-j-- r
AINING0
sl �o
o�� _1 l_ --jo 00 °oFLOT 3
a: ' LOT 1 °OF' LOT 2 pF PLAN 1
I PLAN 1 9 PLAN 11. g 2g' FF = 31.07 2
FF = 31.17 2g' FF = 31.17 2g F� PAD = 30.4 F�
PAD = 30.5 F� PAD = 30.5 F�
rn
AV\
C
❑ ❑ v
' EXISTING PERIMETER WALL PROTECT IN PLACE