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BWFE2017-006278-495 CALLE.TAMPICO 4 aw LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BWFE2017-0062 Property Address: 52521 AVENIDA HERRERA APN: 773293013 Application Description: LEWIS / 120 LF OF 5'/6' WALL INSIDE NORTH AND EAST PL Property Zoning: Application Valuation: $15,000.00 Applicant: ALL SERVICE INDUSTRIES INC DBA MAMELLI B 881 W 18TH ST COSTA MESA, CA 92627 - 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. C33 License No.: 994307 fDate� �q Contract0r:"4A. & 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, 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: JAY LEWIS 52521 AVENIDA HERRERA LA QUINTA, CA 92253 19/7017 LU =, r` _� o cmF N 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 3700 of the Labor Code, for the performance of the k for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 00 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9202769 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dater 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 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 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 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. Dat�i V1— Signature (Applicant or Agent) Z j � _ 7 e l � .!� LU o�M :5 a _ Contractor: ALL SERVICE INDUSTRIES INC a D AMRU B p W L u 881 W 18TH ST Q U p COSTA MESA, CA 92627 Z ® c3 (949)395-3244 cn Llc. No.: 994307 p 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 3700 of the Labor Code, for the performance of the k for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 00 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9202769 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dater 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 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 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 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. Dat�i V1— Signature (Applicant or Agent) Z j � _ 7 e l � .!� I I Date: 4/19/2017 Application Number: BWFE2017-0062 Owner: Property Address: 52521 AVENIDA HERRERA JAY LEWIS APN: (773293013 52521 AVENIDA HERRERA Application Description: LEWIS / 120 LF OF 5'/6' WALL INSIDE NORTH AND EAST PL LA QUINTA, CA 92253 Property Zoning: Application Valuation: $15,000.00 Applicant: Contractor: ALL SERVICE INDUSTRIES INC DBA MAMELLI B ALL SERVICE INDUSTRIES INC DBA MAMELLI B 881 W 18TH ST 881 W 18TH ST COSTA MESA, CA 92627 [ } COSTA MESA, CA 92627 (949)395-3244 --------------------------------------------------------------------------------------------- Llc. No.: 994307 Detail: 120 LF OF 5'/6' WALL INSIDE NORTH AND EAST PL [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 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. I I DESCRIPTION FINANCIAL •• 1. 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 DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF PC 101-0000-42600' 0 $63.33 Total Paid for BLOCK WALL: $129.20 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 TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: TOTALS: $5.00 $135.20 t Bin ii Qty y %f Lit Q uin t a' Guifdina St Safety Division Permit u 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701.2 Building Permit Application and Tracking Sheet ` -_P,ioject Address: -Z 3-1- L O-vvncr s Name: A. P. Number: -Add ess: �-Z S7-2-�-•eJP_ � r vc� Legal Description: City, ST, Zip: aW� ` Clb— 2Z. ntract r• Co o . l� P- l e.. SE V S s Tele A hone: 3 t t7 2 � AddreJs: W� \�k*-, Ste; 1�, -ProjectDescription: �rµ,LL� �L�Q- -CiJ ST, Zip: Cvs I`ta- �esjL La` Ci242, Telephone: a � S 3 a 'S to Lic. # : a Gl Ll 3 t7-4- City Lic. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: cti n Type: Occupancy: cYtruCon s P State Lic. #- Repairair Project tYPeia'(circle one),: New Add'n Alter Demo. �Na'me of Contact Person: ��E.; . Ft.: #Stories: #Units: r `Telephone # of Contact Person: q L4 9 r Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. 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 'Subcontact'or List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. M.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 The S YD YW.LLC Residence' , SITE KOG�v]- ' T • .. 1 SCALE IN FEET �- 9 A t . • ' i `' - MCINTY MAP ; 1 'y ~ • f r � C EN SE NAD A ALLE :, r . . TP(102.05) - gTP(10-1.74) ,^ TP(1o1.3.) -- - -- ` TP(100.00) J, ; TPOoosov v- �--r- CPH ' TC(102.09) 1 TC(w1.]6) TC(101.11) TC(100.71) I, ---- ---- — -- �� 11,(100.34) W I - SET •%• ON TOP It \ I - TF OF CURR FOR I II \k PROPERTY UNE I ' • PROLONGATION7 1 . r - __ (S 89-59-52- - - _ - -�. _ (101;6) \ \\ i' ' Ex. SIRE \ NANE 9 a ---------_ 1 I ` — _-- --_ _ — SET 3/4 I.P. �`� ( . I T _ • ( RCE 1 4 1� J \\ y I - c I l R7° {_ µ^ ' 1• t, 1 . 1' I 1 TC(100.92 I a •� - ` �� "�•_. • • i. .•, 1 • G(100.4]) II • .„ a .. r .I' II _ II i I I�V..7) FINISH FLOOR (103,15) 0 SET 3/4• P. acE 1461 �P j III W I OWNER, CD — — — — — — I . . 20.93 i it I THE SYDY LLC I — - 1796 MONROVIA AVE - 4 Ij 3' P.U.E. I — I I II I COSTA MESA CA, CA 92627 _ 11 I I I I• I �� I I • - ti, W g I I I ur TC( 48 mpol.as) I LEGAL DESCRIPTION ] • - f11 . L'- —J I G(IOI.oQ • I LOT 1 BLOCK 88 OF SANTA CARMELITA„VALE LA OUINTA - - • _ Y TI UNIT 10, RECORDED -IN MAP BOOK 18, PAGE 70 z go BASIS OF BEARINGS: ^ A P I ®w" I - °I I BEING THE CENTERLINE OF AVENIDA HERRERA - —^ J ,, + i I ,1'13' II i S OF SEC 10, AS SHOWN ON SANTA 'CARMELITA UNIT 10 r a I I I III M. B. 18/70' N 00'OJ'07 "" E,co w { I-� E SITE BENCHMARK: �- -� o • Y • ., • ` `1, p h n. $ ..r I �.' .. _ . .. �.6t' I 'w i - .. OFITHE IRON, PIPE AT E C£NTERL/NRE WHICH THE TOP . T I - • + !_11! I 99�9:5ZE - 100.00) _ ) INTERSECDON OF CALLE, ENSENDA AND AVENIDA •HERRERA ,r A I ASSUMED £L= )ao.00 _ I t G(i 'o) I TP(Ioz.o3) Oo° .. T' FO 2x2 ON o.z' u� YFN�I I n� NO.1461 SOURCE OF TOPOGRAPHY: - < I + II * DP. 3 -31 -II * THE TOPOGRAPHY SHOWN HEREON WAS OBTAINED BY A r I r' f I ( ) ) si CIV1- FIELD SURVEY BY JHA ENGINEERS ON 11/09/2016 . I I TC(102.39j I ` TP 102.31 _(' +Q i� . 1 rl Underground Servte + r'r I cc101.89) I OF CAO Call: TOLL FREE COOaftChfEn�rle ASun.)- IN THE-CITY-OF-L-A-OUINTA w n • . , + ' y + n9TsTxmovAasa.c- > 41 NuueDr 1-800 4 w,en C. 97260 1 227-2600 - i _ ��®� TOPOGRAPHIC SURVEY MAP N u J ce�rmxiTe APN 773-93-013 DWG FILE: . 52521 AVENIDA HERREA LAYOUT, 7-70 Iwo waalma wrs swat Tau ow INUAfflEff PLOT DATE: 11/11/2016 JONu_b&' CKER R.C. /1614 EXP. 3-1717a FOR• The SYDY, LLC Joe 16-1980 -4980 CALL 1 . A CALLE ENSEIADA o e A u CA6 GA S = < < < f..)HUA CAL �- 9 A t . • ' i `' - MCINTY MAP ; 1 'y ~ • f r � C EN SE NAD A ALLE :, r . . TP(102.05) - gTP(10-1.74) ,^ TP(1o1.3.) -- - -- ` TP(100.00) J, ; TPOoosov v- �--r- CPH ' TC(102.09) 1 TC(w1.]6) TC(101.11) TC(100.71) I, ---- ---- — -- �� 11,(100.34) W I - SET •%• ON TOP It \ I - TF OF CURR FOR I II \k PROPERTY UNE I ' • PROLONGATION7 1 . r - __ (S 89-59-52- - - _ - -�. _ (101;6) \ \\ i' ' Ex. SIRE \ NANE 9 a ---------_ 1 I ` — _-- --_ _ — SET 3/4 I.P. �`� ( . I T _ • ( RCE 1 4 1� J \\ y I - c I l R7° {_ µ^ ' 1• t, 1 . 1' I 1 TC(100.92 I a •� - ` �� "�•_. • • i. .•, 1 • G(100.4]) II • .„ a .. r .I' II _ II i I I�V..7) FINISH FLOOR (103,15) 0 SET 3/4• P. acE 1461 �P j III W I OWNER, CD — — — — — — I . . 20.93 i it I THE SYDY LLC I — - 1796 MONROVIA AVE - 4 Ij 3' P.U.E. I — I I II I COSTA MESA CA, CA 92627 _ 11 I I I I• I �� I I • - ti, W g I I I ur TC( 48 mpol.as) I LEGAL DESCRIPTION ] • - f11 . L'- —J I G(IOI.oQ • I LOT 1 BLOCK 88 OF SANTA CARMELITA„VALE LA OUINTA - - • _ Y TI UNIT 10, RECORDED -IN MAP BOOK 18, PAGE 70 z go BASIS OF BEARINGS: ^ A P I ®w" I - °I I BEING THE CENTERLINE OF AVENIDA HERRERA - —^ J ,, + i I ,1'13' II i S OF SEC 10, AS SHOWN ON SANTA 'CARMELITA UNIT 10 r a I I I III M. B. 18/70' N 00'OJ'07 "" E,co w { I-� E SITE BENCHMARK: �- -� o • Y • ., • ` `1, p h n. $ ..r I �.' .. _ . .. �.6t' I 'w i - .. OFITHE IRON, PIPE AT E C£NTERL/NRE WHICH THE TOP . T I - • + !_11! I 99�9:5ZE - 100.00) _ ) INTERSECDON OF CALLE, ENSENDA AND AVENIDA •HERRERA ,r A I ASSUMED £L= )ao.00 _ I t G(i 'o) I TP(Ioz.o3) Oo° .. T' FO 2x2 ON o.z' u� YFN�I I n� NO.1461 SOURCE OF TOPOGRAPHY: - < I + II * DP. 3 -31 -II * THE TOPOGRAPHY SHOWN HEREON WAS OBTAINED BY A r I r' f I ( ) ) si CIV1- FIELD SURVEY BY JHA ENGINEERS ON 11/09/2016 . I I TC(102.39j I ` TP 102.31 _(' +Q i� . 1 rl Underground Servte + r'r I cc101.89) I OF CAO Call: TOLL FREE COOaftChfEn�rle ASun.)- IN THE-CITY-OF-L-A-OUINTA w n • . , + ' y + n9TsTxmovAasa.c- > 41 NuueDr 1-800 4 w,en C. 97260 1 227-2600 - i _ ��®� TOPOGRAPHIC SURVEY MAP N u J ce�rmxiTe APN 773-93-013 DWG FILE: . 52521 AVENIDA HERREA LAYOUT, 7-70 Iwo waalma wrs swat Tau ow INUAfflEff PLOT DATE: 11/11/2016 JONu_b&' CKER R.C. /1614 EXP. 3-1717a FOR• The SYDY, LLC Joe 16-1980 -4980