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BWFE2018-0212Twyl 4 66P QaKt 78-495 CALLE TAMPICO VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/15/2018 Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED Owner: Application Number: BWFE2018 0212 DONALD GENE CHLH 1115CC Property Address: 54140 AVENIDA CORTEZ 54140 AVENIDA CO EZ APN: 774192007 LA QUINTA, CA 922% Application Description: CHURCH / 34LF GARDEN AND 32LF COMBO WALL AT FRONT Ca C7 Property Zoning: COURTYARD C—) Application Valuation: r o $6,500.00 9 G Applicant: � Contractor: y N C --' DONALD GENE CHURCH R G DESIGNS � co 54140 AVENIDA CORTEZ LA QUINTA, CA 92253 1033 ROSE GLENN AVM--t ROSEMEAD, CA 91770 : (213)923-8806 Llc. No.: 843396 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.:3396 r Date: Ci 25 Contractor: 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 Name: Lender's 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 work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 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 X M� PT Policy Number: --( - I certify that in the performance of the work for which this permit Is issued, I shallinot 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. Date: / b f dr Applican . WARNING: FAILURE TO SECURE WOR 1=RS' 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 lating to building -onstruction, and hereby authorize representatives of this city Lier n the above -mentioned property for Inspection purposes. )ate: %O Signature (Applicant or ge if Date: 10/15/2018 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: DONALD GENE CHURCH 54140 AVENIDA CORTEZ LA QUINTA, CA 92253 BWFE2018-0212 Owner: 54140 AVENIDA CORTEZ DONALD GENE CHURCH / STELLA C. CHURCH 774192007 54140 AVENIDA CORTEZ CHURCH / 34LF GARDEN AND 32LF COMBO WALL AT FRONT COURTYARD LA QUINTA, CA 92253 $6,500.00 Contractor: R G DESIGNS 1033 ROSE GLENN AVE ROSEMEAD, CA 91770 (213)923-8806 Llc. No.: 843396 Detail: 34 LF OF 6' GARDEN WALL AT COURTYARD WITH 32' LF OF RETAINING WALL AT THE NORTH PROPERTY LINE. (2) CITY STANDARD PILASTERS AND (2) NEW GATES TO BE ADDED AT SOUTH, AND SOUTH-WEST PORTIONS [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. FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT RETAINING/COMBINATION WALL EA 501-F 101-0000-42400 0 $15.60 DESCRIPTION ACCOUNT CITY AMOUNT WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $52.01 DESCRIPTION ACCOUNT CITY AMOUNT WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $65.02 Total Paid for BLOCK WALL: $132.63 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 CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: e- on d ol doom o m i� 4N N 1 n �1 �� J lqb C� J� m L n 0 m N �N 3z-' lo�G Rolm,& WALL 11g 31va NOuonW1SNOO dO-A (1:3AOUddV Id30 J11u 9 v JNIQ'une diNino vi zi0 Aii to L T A Mew KfoPEY-4'IY LI NE �X�STfr1G+ f�o�sti ii fza�Er2ZY L i ioE ,rf ihr I,1•SFR-r - Project Address: Z.-LIND y'V�> Cie- e-,7 APN #: PERMIT #� r�2d i (02 1 Z PLAN LOCATION: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech -�7' A A- f( r .. _ 1 Applicant Name: blUrjRLD ecq (2 Address: 5`1lljo 0,,j Lo�Z'EZ City, ST, Zip: Telephone: Email: Valuation of Project $ I 78495 CALLE TAMPICO �ls �� ��• LA QUINTA, CA 92253 �� 760-777-7000 OFFICE USE ONLY # Submittal Req'd Rec'd Plan Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License �' CITY OF LA QUINTA SUB -CONTRACTOR LIST w � �NERC-'� . Q JOB ADDRESS- 14D`AV I—�f� l 1`RMIT NUMBER. — __ _ „BUILDER - , This form shall be l2osted on the 'ob with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. roc• .r Trade 1 Classification GflPt:;.. to State Contractor's License Workers Compensation.Insu..r.4nce Q-Ay B.u.siiness License Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date (xx/xxlxx) License Number "Exp. Date (xxxx) (xx/xx/xx) (e.g. A, B, C-8) (xxxxxx) (xx/),x/xx) (e.g. State Fund, CalComp) (Format Varies) EARTHWORK (C-12)- CONMETE (C-8) FRAMING (C=5) STRUCT. STEEL (C=,b fl MASONRY (C.29) c 2 C� t r, / J �l�r r l '�2- PLUMBING (C-36) �j u� (J \��"\C'� 6tJ •. LATH, PLASTER (C=351 DRYWALL (C-9) HVAC (C-20) ELECTRICAL (C-10) ROOFING (C.39) SHEET METAL (C: 43) FLOORING (C:-15) GLAZING (c47) INSU:LATIO.N {C. 2) — SEWAGE DISP. (C-42) PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) LANb:SCAPING (G-27) POOL .(C-53) .