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BWFE2016-0072 Revision 178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Applicant: JOE W STEMMER 1R 42335 WASHINGTON ST #355 PALM DESERT, CA 92211 `&4 4 ' 4 Qu&rcu CommU DEVELOPMENT DE . RTN BUILDING PERMIT 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. 1 License Class: B License No.: 605857 1 I O: , S' Contractor: OWNER-BUI ECLARATION 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 ) 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 TIONS (760) 777-7153 42335 WASHINGTON ST #355 PALM DESERT, CA 92211 (760)880-3525 Llc. No.: 605857 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: _ Polity Number: _ 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 bject to the. workers' compensation provisions of Section 3700 o the Labor o e, I hall forthwith comply with those provisions. Date: /6 Applican WARNING: FAILURE TO SECURE WORKEVOMPENSATION 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 inform on is correct. I agree to comply with all city and county ordinances and state laws re 3 " to building construction, and hereby authorize representatives of this city to ente on he above-mentioned property for inspection purposes. �- Date: 'T NO Signature (Applicant or Agee V Application Number: BWFE2016-0072 Property Address: 77975 CALLE CO MA APN: 774135013 Application Description: STEMMER / OCK WALL Property Zoning: Application Valuation: $5,200.00 Applicant: JOE W STEMMER 1R 42335 WASHINGTON ST #355 PALM DESERT, CA 92211 `&4 4 ' 4 Qu&rcu CommU DEVELOPMENT DE . RTN BUILDING PERMIT 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. 1 License Class: B License No.: 605857 1 I O: , S' Contractor: OWNER-BUI ECLARATION 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 ) 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 TIONS (760) 777-7153 42335 WASHINGTON ST #355 PALM DESERT, CA 92211 (760)880-3525 Llc. No.: 605857 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: _ Polity Number: _ 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 bject to the. workers' compensation provisions of Section 3700 o the Labor o e, I hall forthwith comply with those provisions. Date: /6 Applican WARNING: FAILURE TO SECURE WORKEVOMPENSATION 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 inform on is correct. I agree to comply with all city and county ordinances and state laws re 3 " to building construction, and hereby authorize representatives of this city to ente on he above-mentioned property for inspection purposes. �- Date: 'T NO Signature (Applicant or Agee V FINANCIAL • • DESCRIPTION. ACCOUNTQTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 3/21/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY JOE W STEMMER JR CHECK R14052 6174 RSE Total Paid for.BUILDING STANDARDS ADMINISTRATION BSA: $1.00. $1.00 DESCRIPTION . ACCOUNT QTY AMOUNT PAID PAID DATE' COMBINATION GARDEN/RETAINING WALL - FIRST 10OLF 101-0000-42404 0 $61.36 $61.36 4/27/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY JOE W STEMMER JR CASH R15087 MFA Total Paid for COMBINATION GARDEN/RETAINING WALL: $61.36 $61.36 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 $14.50 $14.50 3/21/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY JOE W STEMMER JR CHECK R14052 6174 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-02404 0 $47.86 $47.86 3/21/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY JOE W STEMMER JR CHECK R140S2 6174 RSE DESCRIPTION ACCOUNT QTY ! AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $60.91 3/21/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY JOE W STEMMER JR CHECK R14052 6174 RSE Total Paid for FENCE OR FREESTANDING WALL: $123.27 $123.27 TOTALS: a OF Description: STEMMER / BLOCK WALL Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: ISSUED Applied: 3/21/2016 RSE APPROVED Approved: 3/21/2016 RSE Parcel No: 774135013 Site Address: 77975 CALLE COLIMA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 240 Lot: 1 Issued: 3/21/2016 RSE UNIT 23 CHRONOLOGY TYPE Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,200.00 Occupancy Type: Construction Type: Expired: 9/17/2016 RSE No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 130 OF 6' COMBO WALL [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. Printed:. Wednesday, April 27, 2016 12:35:59 PM 1 of 3 JsYSTEMs ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE - 3TAEF NA�IIE' ACTIN BATE COMP LETION DATE NOTES CONTRACTOR CAME IN AND CHANGED 130 LF OF GARDEN PUBLIC COUNTER VISIT MARY FASANO 4/27/2016 4/27/2016 WALL TO 130 LF OF COMBO WALL. PAID THE DIFFERENCE IN PRICE CONDITIONS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT JOE W STEMMER JR 42335 WASHINGTONPALM DESERT CA 92211 ST #355 CONTRACTOR JOE W STEMMER JR 42335 WASHINGTON PALM DESERT CA 92211 ST #355 OWNER STEMMER JOE W JR & VICKY L 42215 WASHINGTON PALM DESERT CA 92211 ST #35S I Printed:. Wednesday, April 27, 2016 12:35:59 PM 1 of 3 JsYSTEMs PARENT PROJECTS Printed: Wednesday, April 27, 2016 12:35:59 PM 2 of 3 SYSTEMS FINANCIAL • 1 INSPECTIONS SEQID.. """INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY SCOPE OF WORK DOES NOT MATCH BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 3/21/16 R14052 6174 CHECK JOE W STEMMER JR RSE Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 D BSA: DETAIL, REVISE SCOPE OF WORK AND COMBINATION OBTAIN NEW DETAIL FROM PERMIT CENTER. GARDEN/RETAINING 101-0000-42404 0 $61.36 $61.36 4/27/16 RI5087 CASH JOE W STEMMER JR MFA WALL -FIRST 10OLF Total Paid for COMBINATION GARDEN/RETAINING WALL: $61.36 $61.36 WALL FENCE - EA 101-0000-42404 0 $14.50 $14.50 3/21/16 1114052 6174 CHECK JOE W STEMMER JR RSE ADDITIONAL 50 LF WALL/FENCE -FIRST 101-0000-42404 0 $47.86 $47.86. 3/21/16 1114052 6174 CHECK JOE W STEMMER JR RSE . 100 LF WALL/FENCE - FI RST 101-0000-42600 0 $60.91 $60.91 3/21/16 R14052 6174 CHECK JOE W STEMMER JR RSE 100 LF PC • Total Paid for FENCE OR FREESTANDING WALL: $123.27 $123.27 TOTALS: PARENT PROJECTS Printed: Wednesday, April 27, 2016 12:35:59 PM 2 of 3 SYSTEMS INSPECTIONS SEQID.. """INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE SCOPE OF WORK DOES NOT MATCH PERMITTED, UNLEVEL BACKFILL REQUIRES ' FOOTINGS AOR 4/27/2016 4/27/2016 DISAPPROVE USE OF SPECIAL WALL CONSTRUCTION D DETAIL, REVISE SCOPE OF WORK AND OBTAIN NEW DETAIL FROM PERMIT CENTER. PARENT PROJECTS Printed: Wednesday, April 27, 2016 12:35:59 PM 2 of 3 SYSTEMS