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BWFE2017-0046e', , , 78-49S. CALLE•:TAM.PJCO, . LA QUINTA, CALIFORNIA 92253 44aw DESIGN & DEVELOPMENT DEPARTMENT Application Number: BWFE2017-0046 Property Address: 78361 W DEACON DR APN: 770210025 Application Description: RUBIN RESIDENCE / BLOCK WALL 147 Property Zoning: Application Valuation: $14,000.00 Applicant: A S T STONE CORPORATION 1279 W MAIN STR. STE. 205 EL CAJON, CA 92020 MAR 17 2017 F CITYOFLAOUINTA _' COMMUNITYDEVELOPMENTDEPART(dENT 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: C29, C54 License No.: 8 9q6 te:J �1ntractor: f 14111_v� 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 Name: Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: ' . 3/17/2017 J'Z Owner: RUBIN RESIDENCE: 78361 W DEACON DR LA QUINTA, CA 92253 Contractor: A S T STONE CORPORATION 1279 W MAIN STRL STE. 205 EL CAJON, CA 92020 (619)401-8871 Llc. No.: 816966 WORKER'S COMPENSATIDN DECLARATION I hereby affirm under penalty of perjury one of the 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. _'I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfornance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY Policy Number: FLA0003157 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 thac, if I should become subject to the workers' compensation provisions of Section 3'00 of the Labor CodA, I shall forthwith comply with those provisions. 1,3—i --L?-:: Aplicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLA FUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINIAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,008). 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 Zity 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 applimtion 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 cancel ation. 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 representa-.ives of this city �to enter upon p above-mentioned property for inspection purses. Sire (Applicant or Agent) Date: 3/17/2017 Application Number: , ,BWFE2017-0046 Owner: Property Address: 78361 W DEACON DR RUBIN RESIDENCE APN: 770210025 78361 W DEACON DR Application Description: RUBIN RESIDENCE / BLOCK WALL 147 LF LA QUINTA, CA 92253 Property Zoning: Application Valuation: $14,000.00 Applicant: Contractor: A S T STONE CORPORATION A S T STONE CORPORATION 1279 W MAIN STR. STE. 205 1279 W MAIN STR. STE. 205 EL CAJON, CA 92020 EL CAJON, CA 92020 (619)40178871 Llc. No.: 816966 --------------------------------------------------------------------------------------------- Detail: 45 LF OF 24" RETAINING AND 102 LF OF 6' GARDEN BLOCK WALL [CITY SPECIFICATIONS] PRECISION CONCRETE BBOCK 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 PRC:PERTY OWNER. 2016 CALIFORNIA BUILDING CODES. FINANCIAL DESCRIPTION .• /, ACCOUNT QTY AMOUNT RETAINING/COMBINATION WALL EA 501-F 101-0000-42400 0 $15.20 DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 $15.20 DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $50.67 j DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $63.33 Total Paid for BLOCK WALL: $144.40 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 L. I AL>: �)1nPUAU P" I as �. 'Rubin Residence /Lot 11 Tradition O Slse � MJOT 1-- Mi- la QOinu. CA M57 }30 • Helton DeFord & Associates Ir90 wor onasW�o ruvin c. 9±rso °Iux:1909195)ASi0 IOJol0±-3.1.. CA Lm.�,.ew±a° i . ' CITY OF LA QUINT: ' BUILDING & SAFETY DEPT.' APPROVE® -,,FOR \� CONST _ \ \\\`\\`\\\`\\\\\�`� `\` 1 TJti .............. 9 Ti ' E�y �I , 4 � I , •��1 a - 7 r li#— � i j,i I�� r I. -1 kl t \I =rte EM1 t s ' 9 g _'_.-------'------- ----- saa ___._--- -,-- -- --- '----- -- ----'-----'--- - - - — —- - WMI06-17 I. bo L/ k J- 10 P" I as �. 'Rubin Residence /Lot 11 Tradition O Slse � MJOT 1-- Mi- la QOinu. CA M57 }30 • Helton DeFord & Associates Ir90 wor onasW�o ruvin c. 9±rso °Iux:1909195)ASi0 IOJol0±-3.1.. CA Lm.�,.ew±a° i . Bin.# City. of La Qui(1ta Butldtng 8t Safety Aivision P.O. Box 1504,78-495 Catle Tamptco Ia.Quinta, CA 92253 • (760) 777-7012 Building Permit Application and Tracking Sheet Permit # f�(7 W� Project Address: �� Q�O� (� (� °t e1}�j Owner's Name:. I A 01,66 A. P. Number. Address: Legal Description: Contactor: 'C :;(—Otic C.O±�..P • City, ST, Zip: Telephone: ,;• dss�;" '��'�' Address:7';b( Sf.1h0 LfJ Project Description: �,,,rPLy 1,-e,- ¢L(, C.AA,) l ,an 'tiQ.�( (,%� a1 -/t City, ST, Zip: Vi1XI f LOG1� P�� Pc -r.} -r r' -vel T t, i h U- S . Telephone: 7%U' N� f{6� q 1 a i t rX. iYCi��a; 3 : State Lie. #: �t(� �� City Lic. #'t'yvclO&f Arch., Engr., Designer. (� Address: 'I City., ST, Zip: Telephone: State Lic. #: Name of Contact Person: 1 J i Construction Type:. C 7 Occt panty: Project type (circle one): New Add'n Alter Repair Demo C Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: 440. Estimated Value of Project: noon APPLICANT: DO NOT WRITE BELOW THIS LINE H Submittal Req'd Recd TRACKING ?ERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit. 'Fuss Cates. Called Contact Person Plan Check Bdance. Title 24 Calci. 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.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review', ready for eorrectionslissue Developer Im']act Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees