Loading...
BWFE2017-0210A T�4 a � 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED Application Number: BWFE2017-0210 Property Address: 53133 AVENIDA RUBIO APN: 774042019 Application Description: MEJIA / 88LF BLOCK WALL Property Zoning: Application Valuation: $88.00 n n Applicant: ILU IVAR ENSMINGER NOV 15 Z017 53133 AVENIDA RUBIO LA QUINTA, CA 92253 CITYOFLAOUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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 mylicense is in full force and effect. License Class: _ License No.: Da e: Contractor: OWNER -BUILDER DECLARATION 1 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 E alleged exemption. Any violation of Section 7031.5 by any applicant for a permit the applicant to a civil penalty of not more than five hundred dollars ($500).: !com<ern'sation, as owner of the property, or my employees with wages as their sole 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 VOICE (760).777-7125 FAX (760) 777-7011 1NSP£CTIONS (760) 777-7153 Date: 11/15/2017 Owner: MAYELY MEJIA 630 S GRENFALL RD APT 5 PALM SPRINGS, CA 92253 Contractor: OWNER BUILDER Llc. No.: WORKER'S COMPEASATION DECLARATION I hereby affirm under penalty of perjury ore of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section _ 700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain worker:' compensation insurance, as required by Section 3700 of the Labor Code, for the pe°iormance of thework for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carr' Policy Number: _ I certify that in the performance of the work for which this permit is issued, I shall n t employ any person in any mannef so as to become subject to the workers' compensation laws of California, and agree that, if 1 should become subject to the workers' compensation provisions of Secti 0 of the bor Cod th comply with those provisions. Date: S Applicant. v WARNING: FAILURE TO SECURE WORKERS COMPE SATION EIS 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. 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 APPLICANT ACKNOWLEDGEMENT within one year of completion, the owner -builder will have the burden of proving that he IMPORTANT: Application is hereby made to the Building Official for a,permit subject to orihe 'd not build or improve for the purpose of sale.). the conditions and restrictions set forth or. this application. as owner of the property, am exclusively contracting with licensed contractors to 1. Each person upon whose behalf this application is made, each person at whose co struct the project. (Sec. 7044, Business and Professions Code: The Contractors' State request and for whose benefit work is per formed under or pursuant to any permit issued License Law does not apply to an owner of property who builds or improves thereon, as a result of this application , the owner, and the applicant, each agrees to, and shall and who contracts for the projects with a contractor(s) licensed pursuant to the defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and Contractors' State License Law.). employees for any act or'omission related to the work being performed under or i� am exempt under Sec. C. for this ason 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 ev0 to e: Own for 180 days will subject permit to cancellation. CONSTRUCTION LE 'f ING A I hereby affirm.under penalty of perjury that there is a nstruction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: I certify that I have read this application aW state that the above information is correct. I agree to comply with all city and county ordinan state faF�Fk?_Ve) construction, and hereby authorize represzn ryes ofthis city tomentioned property for inspection purpo Date: Signature (APPIi©� Date: 11/15/2017 Application Number: BWFE2017-0210 Owner: Property Alkire':' °' 381.83 AVENIDAIm" 10 MAYELY MEDIA APN: 774042019 630 S GRENFAIL RD APT 5 Application Description: MEJIA / 88LF BLOCK WALL PALM SPRING-31 CA 92253 Property Zoning: Application Valuation: $88.00 Applicant: Contractor: IVAR ENSMINGER OWNER BUILDER 53133 AVENIDA RUBIO LA QUINTA, CA 92253 Llc. No.: Detail: 88LF OF 6' GARDEN W/2' RETAINING ON SOUTH PROPERTY .LINE [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, HAVEA SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2016 CALIFORNIA BUILDING CODES. FINANCIAL ./. DESCRIPTION ACCOUNT QTY AMOUNT RETAINING/COMBINATION WALL EA 50LF 101-0000-42400 0 $31.20 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: $148.23 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: $164.23 r