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BWFE2019-004178-495 CALLE TAMPICO D 1_ VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/20/2019 Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED Owner: Application Number: BWFE2019-0041 HAGERTY RICHARD G / HAGERTY BERNICE L Property Address: 52525 AVENIDA BERMUDAS Application Description: DORSEY / 145LF OF 6' BLOCK WALL INSIDE NORTH AN EAST PL DRIV Property Zoning: Application Valuation: $3,625.00 Applicant: D Contractor: UNDER CONSTRUCTION UNDER CONSTRUCTION 18300 FORD AVE 18300 FORD AVE DESERT HOT SPRINGS, CA 92241 MAR 2 0 2019 D DESERT HOT SPRINGS, CA 92241 CITY OF LA QUINTA (760)972-7721 DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 909599 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 lass: LicenseAl Date: r tractor: 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 N Lender's Address: 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 th ork for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Sect an 700 of the Labor Code, far the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: STATE COMPENSATION INSURANCE EUND Policy Number: 9019557 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 379P of the Labor Code, I shall forthwith corn l with those provisions. a Dates Applicant: 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 ofthis 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 t9 enter upon the above - mentioned property for inspection purposes. Dat �I J �signature(ApplicantorAgen Date: 3/20/2019 Application Number: BWFE2019-0041 Property Address: 52525 AVENIDA BERMUDAS APN: 773305013 Application Description: DORSEY / 145LF OF 6' BLOCK WALL INSIDE NORTH AN EAST PL DRIV Property Zoning: Application Valuation: $3,625.00 Applicant: UNDER CONSTRUCTION 18300 FORD AVE DESERT HOT SPRINGS, CA 92241 Owner: HAGERTY RICHARD G / HAGERTY BERNICE L Contractor: UNDER CONSTRUCTION 18300 FORD AVE DESERT HOT SPRINGS, CA 92241 (760)972-7721 LIc. No.: 909599 Detail: 145LF OF 6' BLOCK WALL AT NORTH AND EAST PL, NEXT TO DRIVEWAY, AND 18LF AT NORTHWEST CORNER FOR PROPANE TANK [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. DESCRIPTION WALL/FENCE - EA ADDITIONAL 50 L 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 F 101-0000-42404 0 $32.02 ACCOUNT QTY AMOUNT 101-0000-42404 0 $53.37 ACCOUNT CITY AMOUNT 101-0000-42600 0 $66.71 Total Paid for BLOCK WALL: $152.10 ACCOUNT QTY 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 QTY AMOUNT 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 V Nmx rnn mCo. r 00 mm �... m 00 LA [ 00 m C '— 2m i o> m� n�zo cn L/r r", z .0 -n < Mo-� r f nC 0 I 0m C z�mz D RESIDENCE ��orlr l✓ul� 0 X cn 71, =m Pill b 00 2m G) D Z r o, g sno 1, cDn mw-r---I _ �cnn —Dz I >v � z o -i , <,� , v00 F .0;o I CO Z I w �- I I �� I Project :address: APN #: ` f Applicant Name: Address: 00 PLAN LOCATION: I Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech 7� City, ST, Zip: Telephone: _ -772 / Email: i ` �c' ✓ aivation of Project $ Contractor Name:; vl o Address: J 17 City, St, Zip L. e— Telephone: 7U— 7 7 ] — 7 7 Email: �Vlll !� State Lic:C��%s'�j C1 City Bus Lic: Arch/Eng Name: Address: City, St, Zip Telephone: Email: State Lie: City Bus Lie: ew SFD Construction: Conditioned Space Garage Patio/Porch Fire Sprinklers Construction Type: Grading: Bedrooms: I Stories SF SF SF SF Occupancy: # Units: Property Owner's Name: M21]��c;�I ,� �. New Commercial / Tenant Improvements: Address: �� Pj(y G Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email, — `] —7 / CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000