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BWFE2018-027178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: RESORT STYLES 10254 MULLAVE RIVERSIDE, CA 92503 c&ty/ 4 4 Q9,1N& DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT WALL/FENCE/CITY STANDARD/PRE-APPROVED BWFE2018-0271 78235 CALLE FORTUNA 770154007 BLACK / 151LF OF 6' HIGH GARDEN WALL AT PL VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: REBECCA KAY & IAN BLACK 78235 CALLE FORTUNA LA QUINTA, CA 92253 $10,000.00 Contractor: PD RESORT STYLES DEC 1 1 2018 10254MULLAVE RIVERSIDE, CA 92503 CITY OF LAQUINTA (951)354-8911 DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 787280 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C27, A. C21 License No.: 787280 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.). (_) 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: Date: 12/11/2018 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 ofte jork for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 37W of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: SECURITY NATIONAL INSURANCE COMPANY Policy Number: S W C1178492 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. 2, I t lzati�: II i iRr: 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. 1;� TWO Date: 12/1i/2018 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: RESORT STYLES 10254 MULLAVE RIVERSIDE, CA 92503 BWFE2018-0271 78235 CALLE FORTUNA 770154007 BLACK / 151LF OF 6' HIGH GARDEN WALL AT PL $10,000.00 Owner: REBECCA KAY & IAN BLACK 78235 CALLE FORTUNA LA QUINTA, CA 92253 Contractor: RESORT STYLES 10254 MULLAVE RIVERSIDE, CA 92503 �- I ! (951)354 8911 Z Llc. No.: 787280 . -t Detail: 151LF OF 6' GARDEN WALLATSOUTH AND WEST PROPERTY LINESAND NEXTTO DRIVEWAY [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 IRRtGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2016CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 $32.02 DESCRIPTION ACCOUNT CITY AMOUNT WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $53.37 DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $66.71 Total Paid for BLOCK WALL: $152.10 DESCRIPTION ACCOUNT CITY 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 CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 PERMIT # 0) Project Address: -78 23S %l(2 f�DKtuhq APN #: Applicant Name: -Pe-e-c,, C ru Z Address: loz5-q /-U (( rile City, ST, Zip: eZ VWS(t Cot,, `-2 Telephone: 109- 209- 7Z(e Email: reSo(-+SfiY1.e'fj & 6bL510�J' n6t— PLAN LOCATION: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech Valuation of Project $—LQ}- {_ d�� 78495 CALLE TAMPICO LA QU I NTA, CA 92253 760-777-7000