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BWFE2017-0174aw 78-495 CAVE TAMPICO,,:, �; D VOICE (760) 777-7125 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/21/2017 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: TYLER GALLAUDET 54068 AVENIDA DIAZ . LA QUINTA, CA 92253 WALL/FENCE/CITY STANDARD/PRE-APPROVED Owner: BWFE2017-0174 GALLAUDET INV 54065 AVENIDA DIAZ 79225 TORONJA 774194015 LA QUINTA, CA 9,2253 GALLAUDET / 46LF WALL AND 2LF OF COMO WALL AT FRONT YARD $2,000.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 919430 Date: - Z i Contractor: OWNER -BUIL R 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. BAP.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: W c� na Contractor: GALLAUDET CONSTRU 54-065 AVENIDA DIAZ L LA QUINTA, CA 922S3 co (760)413-7552 Llc. No.: 919430 WORKER'S COMPENSATION 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 37® of the Labor Code, for the performance of �3700 hich this permit is issued. and will maintain workers' compensation insurance, as required by She 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 Policy Number: _ certify that in the performance'of the work for which this permit is issued, I sh not imploy any person in any manner so as 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 fo with comply with those provisions. Date: t Applicant: WARNING: FAILURE TO SECURE WORKER ' CCMPENSATION 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 1he Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this appication 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 performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date cf 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 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. . �� Date: el -2 Signature (Applica®t or Agent) G A Date: 9/21%2017 Application Number: j.BWFE2017-0174. Owner: Property Address: 54065 AVENIDA DIAZ GALLAUDET INV APN: 774194015 79225 TORONJA Application Description: GALLAUDET / 46LF WALL AND 2LF OF COMO WALL AT FRONT YARD LA QUINTA, CA 92253 Property Zoning: Application Valuation; $2,000.00 Applicant: - Contractor: TYLER GALLAUDET GALLAUDET CONSTRUCTION 54068 AVENIDA DIAZ 54-065.AVENIDA DIAZ LA QUINTA, CA 92253 LA QUINTA, CA 5 253 (760)413-7552 Llc. No.: 919430 Detail: 46LF WALL AND 2LF OF COMBO WALL AT FRONT YARD [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE -COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN THE BACK OF CURLS AND ANY FENCING SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROFERTY OWNER: 2016 CALIFORNIA BUILDING CODES. A FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT RETAINING/COMBINATION WALL EA 501-F 101-0000-42400 0 $15.20 TECHNOLOGY ENHANCEMENT FEE DESCRIPTION ACCOUNT CITY. AMOUNT WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $50.67 DESCRIPTION ACCOUNT CITY AMOUNT WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $63.33 Total Paid for BLOCK WALL: $129.20 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMErn FEE: $S.00 r CITY OF LA QUINTA SU ONTRACTOR UST ADDRESS E W {flip PERMIT NUMBERU'. VWNE,R �� - —.._. �BUILDEI� Jai This form shall be posted on thejot)with the Building Inspection Cardat all times in a consLct,oiis place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by. the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of buildilig permit. For each applicable trade, all information requested below must be completed by sipplicaot.. "On File" is not an acceptable response. y . Tr rde n . sr' h� fieri"saCiort li7suraice City:Bus. n J ClassificatioContactsL eicene s......:: Workers Cp { . Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date (e:g. A, B, C 8) (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) (xxxx) (xx/xx/xx) EARTHWORK FRAMING (C-5)1 44 z: '.STRUCI STEL (C 51) MASONfiY (C.7J) >.:.;. Mr,,N (L I x'30_18 6J S D 5(-, i PLUMBING'(C-36):;' C.ATH-PLASTER(C=3r,)— DRYWALL (C=9):.. HVAC`. -(C 20)::: 3_LECTRICA"L.(C=101, :ROOFING (G39) SHEET METAIL F LOORING' (C 15) INSu1[':AT1oni`(c 2) SL11Ul�G'-- DISC (C42) _ PAINTING (C-33)'. " Ckt�AMIC ;l,'1LE:.(C;a4) - CABINETS (CW -6)"".. - - FENCING (C.-13) .LANDSCAPING (C -27).-.- P 0 0 L C 27): POOL (C-5 �) — --- — Bin#. City Of % Quinta Building &' Safity Division 78-495 Calle Tampico La Quinta, CA 92253.- (760) 777-7012 Building Permit Application and Tracking Sheet Permit # I'rojectAddressy <4-0 t�'LY�J?a,.DVAC Own�r'�Name: �l/�LL19�7p A. P. Number: Address: Legal Description: City, ST, Zip: ,Confra tc or: r� LL Telephone: P Address:. NO I✓ , �,/�,•-� � Project Description: City' ; ST, Zip: 1q QU t,-J TYr' 2 2 3 Tehleone- P -7 (64 3 75 'State Lic. # : 9 I q L(3 o City Lia #; Arch., Engr., Designer Address: City, ST, Zip: Telephone: -<. 'f> Con struction Type: yp Occupancy: P cY: Stateis L #: Project type (circle one):: New Add'n Alter r Repair Demo Neam of Contact Person: Z Sq. Ft : #Stories: #Units: Telephone # of Contact Person:©Project: ss Estim;Value of 2 b APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIUNG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsfissue 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 Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 21'-0" — - LI T-0" ;::':.:;.:::;:;.::::.:;::;.:;:::.:;::;.:;:::.:;::::;:::•::::':::;':; Pool Equipment Area 5'-0" 15' v Future Closet Addition ° 1 ASC r 54065 Avenida Diaz Avenida Diaz Dinz Grade CM OF LA QUINTA ►� BUILDING & SAFETY DEPT, APPR(WED FOR CONSTRUCTION DA q(.0 I�1 1 0 M m Propose 8" CMU —AAA— C eq. Heigh to adjace proposed all` CL o CL rn X w y X w m o as m 0 %e kms" n9 Ve"pgh' ^^regalydisss �f gtrade Pwul'gaMhAKeL W "^fn0yw1owarcf^driliou oposed 6' high, 8" CMU Block Wall, Partial retaining, <24' DesetLandscaping Desert Landscaping From Wall to curb = Matchin00A- g Adjacent N "I Avenida Diaz Dinz Grade CM OF LA QUINTA ►� BUILDING & SAFETY DEPT, APPR(WED FOR CONSTRUCTION DA q(.0 I�1