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BWFE2017-024078495 CALLE.TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/5/2017 Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED Owner: Application Number: BWFE2017-0240 LA QUINTA 4 PROJECT LLC Property Address: 52975 AVENIDA HERRERA 1229 PRINCETON ST STE 6 APN: 773324025 SANTA MONICA, CA 90404 Application Description: LA QUINTA 4 PROJECT LLC / 298LF BLOCK WALL Property Zoning: Application Valuation: $10,000.00 Applicant: D q Contractor: JAMES ANGLE D M J'S FAMILY CONSTRUCTION INC P O BOX 815 DEC U 5 2 017 THOUSAND PP:LMS, CA 92276 COMMUN11yp�OF� QUINTA (760)343-2000 fCOPMfNTDfpgRTMENT Llc. No.: 1010E-18 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 /� T Date_-_ -L-.0 - ( Contractor: // d -4 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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).: (_J 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.). ( ) 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 Na Lender's Address: WORKER'S COMPEWATION DECLARATION hereby affirm under penalty of perjury one -of the following declarations: I have and will maintain a certific:,te of consent to self -insure for workers' :ompensation, as provided for by Section 31�00 of the Labor Code, for the performance :,/he ork for which this permit is issued. have and will maintain workers' =ompensation insurance, as required by i3760 of the Labor Code, for the performance of the work for which this permit is ssued. My workers' compensation insurance carrier and policy number are: Carrier: EXEMPT Policy Number: _ _ I certify that in the performance cIf the work for which this permit is issued, l shall not employ any person in any manner -o as to become subject to the workers' compensation laws of California, and agree -hat, if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseprovisions. ^� Date:4 Z —J - (1 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,)00). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. . APPLICANT ACKYOWLEDGEMENT. 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 Cify 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 cancellaton. I certify that I have read this application anc 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 purpose!. Datil 5_17 Signature (Applicant or Agent �^� i Date: 12/5/2017 Application Number: BWFE2017-0240 _ Owner: Property'Address: 52975 AVENIDA HERRERA LA QUINTA 4 PROJECT LLC APN: 773324025 1229 PRINCETON ST STE 6 Application Description: LA QUI NTA 4 PROJECT LLC / 298LF BLOCK WALL SANTA MONICA, CA 90404 Property Zoning: ,. Application Valuation: $50,000.00 Applicant: Contractor: JAMES ANGLE M J'S FAMILY CONSTRUCTION INC P O BOX 815 THOUSAND PALMS, CA 92276 (760)343-2000 Llc. No.: 1010918 Detail: 248LF OF 6GARDEN WALL ON BOTH SIDE PROPERTY LINES AND FRONT OF PROPERTY [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. iFINANCIAL DESCRIPTIONACCOUNT INFORMATIOW 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: TOTALS: $5.00 $195.43 n :. City. of La Quina Bt111t 8t Safety Division P.O Box 1SO4,'78.495 Calle Tampko 4.Quhw, CA 92253 --(760) 777-7012 Uldbg Permit Application and Tracking Aeet Permit # PrujmAdd!xw- Ownees m me:. A P. Tamber.Address: - lh >��D 57� Low Dmiom ab, ST. zap: Cour: Telephone: Adldvress: Project De�xipti,cn: . City. $1, Z'P= a C9 C oyyLl `� Tdephone: o _ —ZCap 6' state Lia 0: jb 10 %y Lica L , Ad" v L v •. Clty. ST. 36,5 Tdeph�e: -3 - 35 b6 mon type . O=pan,cy: State LI& #: C '(o fo 2 S 3 Project type (,circle one): New Add'n ., Anes Rqw Dano Name of Cot►tact Pease®: 3 r Sq. Ft.: J $ f # stories: # Unity Tdcpbmc # of CbnW Pas= O -$ 7 Y - 3 /I Bstimaiod Value of Projet APPLICANT: DO NOT WRITE BELOW THIS UNE A Sabmimi .RWd - RWd TBACh M ]?ZB U FM— Plo Seb Pian Check sabmined Dow Amomt Sanetseai Cath. Reviewed, rea ft for eo recti m Play Cbeek Deposit. . Trw aim Caw Comet Perm Pisa Cbek StIane. 11de 24 Calet. Pian picked up Cons&ucdm Flood Ob Plan Plain resnwl ed • , Mecbaailcal G�dbE P� 2" Review, ready for aorrenfiomNrsue Mectrieal Snbooatactor Urt Cattell Coabet Penna Plumbing Grant Deed Plain ptdced ap SM1 H.OA Apprrwai Plans raabmlt0ed Gradtog IN HOUSE.^- ''• Review; ready for oorraett w1wae Developer in[pset Fee Planft Approval• CaikB Guaiac(Peaoa A".P. Pub. Vi kL Appy Date of permit israe Sehod Fees TOWI?a=HFes