BWFE2017-0237rN
D �N.NUCl/ VOICE (760) 777-7125
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN &DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/5/2017
Permit Type/Subtype:
WALL/FENCE/CITY STANDARD/PRE-APPROVED
Owner:
Application Number:
BWFE2017-0237
LA QUINTA 4 PROJECT LLC
Property Address:
51845 AVENIDA VALLEJO
1229 PRINCETDN ST STE 6
APN: f
773171017
SANTA MONICA, CA 90404
Application Description:
LA QUINTA 4 PROJECT LLC / 298LF BLOCK WALL
Property Zoning:
Application Valuation:
$10,000.00
Applicant:
JAMES ANGLE
D
Contractor:
M J'S FAMILY CONSTRUCTION INC
-
P0BOX 815 -
DEC O
5 2011
THOUSAND PALMS, CA 92276
COMMl1NITYDEVE�o
(760)343-2000
MCITY QNTDEPpgNTA TMEN7
Llc. No.: 1010518
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
Date: L eD '� I 1 Contractor: -
OWNER- UILDER 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).:
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.).
(� 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.).
LL -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
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificrte of consent to self -insure for workers'
compensation, as provided for by Section 3730 of the Labor Code, for the performance
of the ork for which this permit is issued.
haveand will maintain workers',:ompensation insurance, as required by
Se ion 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insuranca carrier and policy number are:
Carrier: EXEMPT Polity Number: _
_ I certify that in the performance of the work for which this permit is issued, 1
shall not employ any person in any manner so 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 Section. 3700 of the Labor Code, I shall forthwith
comply with those provisions..
Date: 2' S- I, Applicant:
WARNING: FAILURE TO SECURE WO KERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,600). 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 -he Building Official for a permit subject to
the conditions and restrictions set forth on tH is application.
1. Each person upon whose behalf this app'ication 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 Cita of La Quinta, its officers, agents, and
employees for any act or omission related tothe work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this appl cation 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 represewatives of this city to enter upon the above-
mentioned property for inspection purposes..
Date: I Z— S I 1 Signature (Applicant or Agent): J
- Date: 12/5/2017
Application Number: BWFE2017-0237 Owner:.
Propertq`Ai9dress: ""',-51845 AVENIDA VALLEJO LA QUINTA 4 F,ROJECT LLC
APN: 773171017 1229 PRINCETON ST ST£ 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.0 BOX 815
THOUSAND PALMS, CA 92276
(760)343-2000
Llc. No.: 1010918
--------------------------------------------------------------------------------------------
Detail: 147LF OF 6' GARDEN WALL ON NORTH SIDE PROPERTY AND FRONT OF PROPERTY AND 100LF 8' COMBO RETAINING ON SOUTH SIDE[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 iERMANENT IRRIGATION SYSTEM,
AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNTQTY
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
0
Total Paid for TECHNOLOGY ENHANCEMENT FEE: •$5.00
TOTALS: $195.43
1
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City of La Quints
BtOft or Safety Division
P.O Box 1504,-78.49S Calle Tamplw
ta.Qr 94 CA 92253 -.-(760) 777-7012
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