BWFE2019-000678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:-
EDGAR BENJAMIN BERNAL
73-673 PACH ETA SQUARE
THOUSAND PALMS, CA 92276
T4t!t 4 4 Q"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
WALL/FENCE/CITY STANDARD/PRE-APPROVED
BWFE2019-0006
53034 VIA DONA
777380011
APC-STRINGER JR., LLC/ 142LF INTERIOR BLOCK WALLS
$10,000.00
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: C-8, C29 License No.: 1015356
Date: !- Contractor: L� . 9, L 4ft
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/11/2019
Owner:
APC-STRINGER JR., LLC
44835 DEEP CANYON
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PALM DESERT, CA 92211
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Contractor:
EDGAR BENJAMIN BERNAL
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73-673 PACHETA SQUARE
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THOUSAND PALMS, CA 92276 M
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(760)404 9648
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Llc. No.: 1015356
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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
ofk for which this permit is issued.
t1l:
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:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
Carrier: FALLS LAKE FIRE AND C U I TV COMPANY Policy Number: FLAG09706
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions.
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 for
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Car.
any applicant a
Date: I Applicant: r a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
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
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(_) I am exempt under Sec. . B.&P.C. for this reason _
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
Date: Owner:
work for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the
Lender's Name:
above -mentioned property for inspection purposes.
/ Date: ! i� _ Signature (Applicant or Agent): `� a., o�d�
Lender's Address: t f�
Date: 1/11/2019
Application Number: BWFE2019-0006
Property Address: 53034 VIA DONA
APN: 777380011
Application Description: APC-STRINGER JR., LLC / 142LF INTERIOR BLOCK WALLS
Property Zoning:
Application Valuation: $10,000.00
Applicant:
EDGAR BENJAMIN BERNAL
73-673 PACH ETA SQUARE
THOUSAND PALMS, CA 92276
Owner:
APC-STRINGER JR., LLC
44835 DEEP CANYON
PALM DESERT, CA 92211
Contractor:
EDGAR BENJAMIN BERNAL
73-673 PACHETA SQUARE
THOUSAND PALMS, CA 92276
(760)404-9648
Llc. No.: 1015356
Detail: 142LF 6 RUNS OF INTERIOR WALLS [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.
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PL:RNIIr - - -
PLAN L04CATInN.
FP1uj,dAddr,,-s- 53-034 VIA DONA, LA QUINTA, CA 92253
Project Description- aT�'1�t
LA VN 4:
BLOCK WALLS BY DETAIL FROM LA QUINTA CITY STD.FREESTANDIG W.
S' HIGH 6" WIDE MASONRY WALL 10 LFT.
6 HIGH fi' WIDE MASONRY WALL: 70 LFT
Applicant Name: EDGAR BENJAMIN BERNAL
Address: 73-673 PACHETA SQUARE
4' HIGH 6" WIDE MASONRY WALL: 52 LFT
C it'..:S T , Zip: THOUSAND PALMS, CA 92276
4.5' HIGH 2' SQ. COLUMNS: 2 EA.
Te leph one : 760 57B6148
Email:
I
Valuation of Project 5 $10,000.00
Contractor Name- EDGAR BENJAMIN BERNAL
W dr�:,s: 73-673 PACHETA SQUARE
C itv. Sr_ Lip THOUSAND PALMS, CA 92276
I rlephune:
Stale. Lic- C-29.1015356 Cily BUS Lic:
Arch Ent dame:
tit_ Zip
�•rlepia�x;r
Finail:
State I ic-
C it• Bus Li.c:
Property Owner's ;Name: APC-STRINGER JR., LLC
Addr e,�: PO BOX 3420
(_ itv, tT Zip PALM DESERT, CA 92261
t';�iepl�c,,,ti
Email
1'err tiFD Construction:
Conditioned Space SF I
Garage
i Pario Porch
SF
SF
I Construction Type: Occupancy:
1_
(:railing:
Bedrooms: Stories:# [.nits:
� I
New Commercial I Tenant Improvements:
Total Building SF
Construction Type: occupant;,.
78495 CALLI TAMPICO
LA WNTA, CA 92253
760-777-7000
DESCRIPTION
WALL/FENCE - EA ADDITIONAL 50 LF
DESCRIPTION
WALL/FENCE - FIRST 100 LF
DESCRIPTION
WALL/FENCE - FIRST 100 LF PC
DESCRIPTION
BSAS SB1473 FEE
DESCRIPTION
RECORDS MANAGEMENT FEE
DESCRIPTION
TECHNOLOGY ENHANCEMENT FEE
ACCOUNT CITY
AMOUNT
101-0000-42404 0
$16.01
ACCOUNT CITY
AMOUNT
101-0000-42404 0
$53.37
ACCOUNT QTY
AMOUNT
101-0000-42600 0
$66.71
Total Paid for BLOCK WALL:
$136.09
ACCOUNT CITY
AMOUNT
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
ACCOUNT CITY
AMOUNT
101-0000-42416 0
$10.00
Total Paid for RECORDS MANAGEMENT FEE:
$10.00
ACCOUNT CITY
AMOUNT
502-0000-43611 0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00