BWFE2017-023978-495. CALLS ,TAURIC0
LA QUINTA, CALIFORNIA 92253
Tit* 4 4 09. &Z
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: . WALL/FENCE/CITY STANDARD/PRE-APPROVED
Application Number:
BWFE2017-0239
Property Address:
52245 AVENIDA DIAZ
APN:
773251013
Application Description:
LA QUINTA 4 PROJECT LLC / 298LF BLOCK WALL
Property Zoning:
Application Valuation:
$10,000.00
Applicant:
JAMES ANGLE �l
DEC 0 5 .2017
CITY OFLAQUI—M-
COMWNITYOEVELOPMENTOEPARTMENT
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.: 1010918 x%
Date" Contractor: le
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.).
(� 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/5/2017
Owner:
LA QUINTA 4 PROJECT LLC
1229 PRINCETON ST STE 6
SANTA MONICA, CA 90404
Contractor:
M J'S FAMILY CONSTRUCTION INC
P0BOX 815 •
THOUSAND PALMS, CA 92276
(760)343-2000
Llc. No.: 1010918
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one :)f 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.
�l have and will maintain workers' aompensation insurance, as required by
e iQ on 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: EXEMPT Polity 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 tiat, 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: �2 �—� Applicant:
WARNING: FAILURE TO SECURE WO KERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,C00). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE
INTEREST,
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, andthe applicant, each agrees to, and shall
defend, indemnify and hold harmless the City-iof La Quinta, its officers, agents, and
employees for any act or omission related to Oe work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this applf-ation 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 cancellation.
I certify that I have read this application and s' :ate that the above information is correct.
I agree to comply with all city and county ordi lances 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 Dr Agent): �— V
f
's
Date: 12/5/2017
Application Number: BWFE2017-0239
Owner:
Prcrp&tijWddress '52245 AVEMDA'DFAZ
LA QUI NTA 4 FROJECT LLC
APN: 773251013
1229 PRINCETON ST STE 6
Application Description: LA QUINTA 4 PROJECT LLC / 298LF BLOCK WALL
SANTA MONICA, CA 90404
Property Zoning:
Application Valuation: $10,000.00
Applicant:
Contractor:
JAMES ANGLE
M J'S FAMILY CONSTRUCTION INC
P0BOX 815
THOUSAND PALMS, CA 92276
(760)343-2000
---------------------------------------------------------------------------------------------
Llc. No.: 1010918
Detail: 298LF OF 6' GARDEN WALL ON ALL SIDES PROPERTY [CITY SPECIFICATIONS) PRECISION CONCRETE BLOCK SHI4LL 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 F-ROPERTY OWNER. 2016 CALIFORNIA
BUILDING CODES.
0
.:::AESCRIPTION
FINANCIAL •• •
ACCOUNT QTY
AMOUNT-
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404 0
$62.40
DESCRIPTION
ACCOUNT QTY
AMOUNT-
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
, $52.01
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC •
101-0000-42600 0
$65.02
Total Paid for BLOCK WALL:
$179.43
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
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
TOTALS:.
0
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Qt�. Of ' La QuInta
BAft at Safety DMshm
P.O. Box 1504,"78-495 Calle Tampico
LaQwbu, CA 92233 -.-(760) 7777012
Building Permit Application- and Tracking Sheet
Permit #
Project Address:
Owner's Name:. Ly q.A," eJ
e
A- P. Number.Z,?
Addrew: , jI,h�;� LC 1. �0,�2 _
Legal Description: LC>
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'City. ST, Zip: 4 G 0 oq"
Contractor. 114 T�s T,+AiLLY s)yo
Telephone, 2 3 2�125 ? -99K 2-
Project Description:
Address: 61S
City, ST, Zip: CIA-
TelcPhOue-'
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State Lic. 9: jb 10 We c.
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Arch., Ew., Designer
"J
H;
Ad":
City., SL Zip: f4-Z 9
Telephone: Construction Type:. Occupancy:
State Lic. M C -jo (0 15- 3 Project type (circle one): New Add'n. Alter Repair Demo
Name of Contact Person: sq. Ft: # Stories: F# u7t,:
Telephone igofCoftictPerson:0 Estimated Value offtjcct
APPLICANT: Do NOT WRITE BELOW THIS LINE
#
Sub mittal
Req1d_
Rev'd
TRACIMG
FERMrrnzS
Plan Sets
Plan Check submitted
item Amount
Stmetand Calla.
Reviewed, ready for corrections
PUB Check Deposit.
Truss CRT=.
Called Contact Person
Plan Check Balance
Title 24 Calle.
Plans picked up
Construction
Mood Plain plan
'Pians raubmitted.'.
Mechanics]
Grading plan
2'! Review, ready for corrections/issue
Electrical
Subcontactor list
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S3U
B.O.A. Approval
Plans reubmitted
Grading
IN HOUSE:-
Review; ready for correctionsAssue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.U.P.
Pub. Wks. Appr
Date of pertalt Ism
School Fees
lTotal Permit Fen
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