BWFE2017-02381
78-495 CALLEJAMPICO
LA QUINTA, CALIFORNIA 92253
4 �QuG'fw
DESIGN & DEVELOPMENT DEPARTMENT
. BUILDING PERMIT
Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED
Application Number:
BWFE2017-0238
Property Address:
52160 AVENIDA HERRERA
APN:
773224007
Application Description:
LA.QUINTA 4 PROJECT LLC / 298LF BLOCK WALL
Property Zoning:
Application Valuation:
$10,000.00
Applicant:
JAMES ANGLE L� IUI
DEC 0 5 2017
CITNV
COMMUNITY �F MQN NTA
EPAATMENT
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 A
Date 1 Z^ s 17 Contractor. �" '
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat 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).:
LJ 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.).
( 11, 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 ) 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 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
P 0 BOX 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 certificte of consent to self -insure for workers'
compensation, as provided for by Section 3730 of the Labor Code, for the performance
of the work for which. this permit is issued.
ave.and will maintain workers' F:ompensation insurance, as required by
S i 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insuranr< carrier and policy number are:
Carrier: EXEMPT Policy Number: _
_ I certify that in the performance oa the work for which this permit is issued, I
shall not employ any person in any manner s> as to become subject to the workers'
compensation laws of California, and agree fiat, if I should become subject to the
workers' compensation provisions of Sectior 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 12— S_(1 Applicant:
WARNING: FAILURE TO SECURE 'WORKES' 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 Citi of La Quinta, its officers, agents, and
employees for any act or omission related tc the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this app ication becomes null and void if work is not
commenced within 180 days from date of is: uance of such permit, or cessation of work
for 180 days will subject permit to cancellatbn.
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 represertatives of this city to enter upon the above-
mentioned property for inspection purposes
Date: • _2- S— / Signature (Applicant or Agent): `�
Date: '12/5/2017
Application Number: BWFE2017-0238 _.
Owner:
Property'-Address:`:"- ' 52160 AVENIDA HERRERA
LA QUINTA 4 P.20JECT LLC
APN: 773224007
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
P O BOX 815
i
THOUSAND PALMS, CA 92276
(760)343-2004 '
------------ --------------------------------------------------------
Llc. No.: 1010518
248LF OF 6' GARDEN WALL ON NORTH,SOUTH PROPERTY LINES AND FRONT OF
PROPERTY [CITY SPECIFICATdONS] PRECISION CONCRETE BLOCK
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
PROPERTY OWNER. 2016 CALIFORNIA BUILDING CODES.
• r
.,.DESCRIPTION
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
101-0000742600 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
City of•'La Qulnta `
AtAft armee► Mmi6n-
P.O Box 1504,78-49S Cage T=p1w
La.Qm ua, CA 92253 -,(760) 777-7012
Building Pem* Applicadon' and Trading Street
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'orv�s Name:. L - j c
A P. Nwmber:
Address: 1h 57r
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Color:
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Telephone: 2
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Stets Lia #: t✓ '(0 2 S 3
Name of Comet Person: a,,
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Cwmctlon Type:.AIL,41 Oozy:
Project type (circle one): New Add'n Altar Repair Demo
Sq. Ft: % g d Storks d Unita
T # Of Coftct Pets:
.o -S
- 3
Bstimaiod Vahic of Project (o bcd fb.
APPLICANT: DO NOT WRITE BELOW TtBS UNE
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Submittal
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TRACKING
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Plan Chic sul mltted
Item Amount
Structural Gla.
gevlewed, ready far corrections
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Construction
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2" Fierier, ready for cornctionvissue
Electrical
Subcostsctor List
Caul Gntact Person
Plumbing
Grant Deed
plans pldttd up
SOA Approval
Plans rivabmitted
Grading
IN HOUSE-
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Developer Impact Fee
Pia mft Approval
carded Contset Person
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SITE PLAN �Z l2 OLC17'C row ,
LOT 16'OF SANTA CARMELIT A� T VALE.LA QUINTA , ti
LA QUINTA• CALIFORNIA 92253
APN 773-224-007-8