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BWFE2020-0086Date: 78-495 CALLE TAMPICO T4h/ D 4,u Qk4a LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: WALL/FENCE/CITY STANDARD/PRE-APPROVED Application Number: BWFE2020-0086 Property Address: 53005 HUMBOLDT APN: 767700005 Application Description: GLENN / 10OLF RETAINING WALL Property Zoning: Application Valuation: $3,000.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/9/2020 Owner: ROTNER GLENN / ANN WALKER TRUST Applicant: D Contractor: 81335 THUNDER GULCH WAY BRADSHAW CONSTRUCTION INC BRADSHAW CONSTRUCTION INC 81335 THUNDER GULCH WAY LA QUINTA, CA 92253 FEB 18 2020 LA QUINTA, CA 92253 CITY OF LA QUINTA (760)347-4246 DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 848057 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. iLicense Class: License No.: 84M57 Date: Z �d '-y� Contractor: OWNER -BUILDER 2LYARATI I he reby. affirm under penalty of perjury that ! am exempt from the Contractor's State License Law For the fail Owl ng 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 We 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 via lation of Section 7031.5 by any applicant For a permit subjects the applicant to a civic penalty of n a t more than five hundred dollars 004: (_) 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 Me 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 C!ty of La Quinta, its officers, agents, and the Contractors' State License Law.). employees for any act or omission related to the work beirr (_) I am exempt under Sec. B.&P.C. for this reason g performed under or Foilnwing 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. 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 Ad WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 tZOO or which this permit is issued. have and will maintain workers' compensation insurance, as required by Se 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: TA E COMPENSATION INSVRANCE EUND Policy Number: 9245081 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. Date:` —f,O2V _Applicant: WARNING: FAILURE TO SECURE WORKERS . MPENSATION 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 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 yppn the above -mentioned property for inspection purposes. Date: - O Signature (Applicant or Agent): v FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100LF 101-0000-42404 0 $53.67 DESCRIPTION ACCOUNT QTY AMOUNT WALL/FENCE - FIRST 100LF PC 101-0000-42600 0 $67.08 Total Paid for BLOCK WALL 2019: $120.75 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 QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Q"4ev — GG"I al'b' I)FSEFU — Project Address: oOs - . a APN #: Applicant Name: Address: City, ST, Zip: I_1 h Telephone: 0 Email: t r , U �o�- PERMIT # �LJ ���[� 2P— 0%6 PLAN LOCATION: ? Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech r6L Valuation of Project $ 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 LOT52 VACANT G T E I n D Y 51 G. . C D L O T N "° °" °° ° z� LANDSCAPE �7 r ® * ® PALM PALM l4y-y YX. PALM PALM WALL \ TREE TREE TREE _ TREE tnE ]aQ TREE TREE r — Is M GUEST PARWNG ENTRY GATE • N ® eE, ® _----- ®-------�--------�--- —� ty /mom _ _ — ^ PA..LM — — — — EE �TREE - - TPALMREE TPALM REE PL r uRE _ _ _ r ` V - 5' G RT WALL COURIT_—— � L [ MECH. PALE TREE Jr i r I THE ✓ fWR rv�P - r -': - I GARAGE DRNECOURT ' l ° KITCHEN AIF'WA 1oEE 11 GARAGE ' O • O v PL/ r • - ` Vi a r 4_Wk•L J, r I OUTDOOR ENTRY GAIN �` `V SITTING DINING CITY OF LA QUINTA /� ■ PREE — BUILDING �SAFM.DBPT,�� - 5fh POOL APPROVED ni I ^` I UNDER SEPERATE PERMIT I PR TE —�-- � CASITA BED.115 FOR h••OirST11UCTiON � O 1 ❑ PF /BALM , • I GREATROOM -LOT 53REE . Q DATE , °�..BY o •' I PALM COURT n ei 986 00 FF ft.0 V ♦ ,r 9 . of ovERRArvc 985.5 PAD w �� 4 i � CASITA BED.gS _ I PALM •��, REEPALM REE R 4ya4lr 4 "aru„" LO �., TREE ,.I PALM I BAR —�■ C7 I ' J TREE .:9k HALLWAY MSTR BED veTe wr.. �f m 0 1I GUEST BED A2 GUEST BED.. GUEST BED44 I I b.u. ' �� Notice of CoPYright �_a - i nmr trwe�idi+L�+ ; MSTR ao �' � I `tea say oa�6se n`==°ii��e e memm m� a 0 �m�iLv rK.ee aPa raPnci Pe �M.en:n . I 5 • : ._.._..--_.. .... _-.. ._ _ f e.ww�e i,a�y�o, �1wmiedwn t .i.a � JaPr Pm�i�oPe P,�mn c �sel ` f TREE/+ Li r r �_ —__— SITE PLAN firsBive;lswue _ . � E,nsrrRcs•w LOT54 EXISTING BUILDING "�� f- Project Number 2010 (986.0 APPROVED PAD) rlhln eT Date 9/20/2018 .—By Author Checked By Checker ARCHITECTURAL SITE PLAN ,', A1.10 Scale ,/B"=,•'-B'