05-3725 (RR)P:O. BOX 1504
78-495 CALLE TAMPICO,
LA QUINTA, CALIFORNIA 92253
Application Number:S .00
Property Address: 5162,0 AVENIDA OBREGON
APN: 773,-124-007-4-OOOOOC
Application description: RE -ROOF
Property Zoning: COVE RESIDENTIAL
Application valuation: 5000
Applicant:
Architect or
BUILDING & SAFETY DEPARTMENT
BUILDING.PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
YESSAYIAN RUPERT. E
51-620 AVENIDA OBREGON
LA QUINTA, CA 92253
------------------------
Contractor:
Owner
Date: 8/23/05
LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION'S
I hereby affirm under penalty of perjury than) am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury'one of the following. declarations
$ectionJ0001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintaWa certificate of consent to "self=
LQPERMIT
Application Number . . . . . .05-00003725
Permit . . RE -ROOF
Additional desc .
Permit Fee . . . . 30.00
Plan Check
Fee
.00
Issue. Date... . . . .
Valuation
0
Expiration Date 2/19/06
Oty Unit Charge Per
Extension
'
BASE FEE
30.00
-----------7-------------
Special Notes. -and Comments
REROOF WITH.EAGLEITE INTERLOCKING.
CONCRETE ROOFING'TILES..
Fee 'summary ChargedPaid
Credited
-
Due
Pe =-it.Fee.:Total. 30.00•.;.
.00
.00 -----30.00.
Plan Check Total 00'00
00
00
Grand Total -30.00
.00
.00
30..00 '
LQPERMIT
A
O.WNER%BUILDERINFORMATION
Dear Property Owner:
An application. for a building permit has .been submitted in.your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware .that'as "Owner/'B'uilder" you are the responsible party of record on such a
permit. Building permits are not regWied.to be signed -by property;owners unless they are, personally performing their
own work. If your work' being performed'. by someone other than -yourself, you may protect yourself from possible
liability if that person applies for the proper permit, in his or. her name.
Contractors are required bylaw to be licensed'and bonded by the State of California and to have a business license
from the City or County. They are also required, by law" to put their license number on all permits for which they
apply.
If you plan to do your own_ work, with the exception of, various trades that. you plan to subcontract, you should be
aware of the following information for your benefit and'. protection:
If you employ or otherwise engage any persons other -than your immediate family, and the work (including materials
and other costs) is $2.0A:00_or more .for the entire project, and such persons are- not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with .the' State and Federal -Government'as an. employer and you are subject
to several obligations include State and Federal income tax withholding, federal: social securitytaxes, worker's
compensation insurance, disability insurance costs and unemployment'compensat on.contributions.
There may be financial risks for youifyou do not carryouf these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligationsUnder Federal Law, contact theJ 'tecnal`Revenue Service (and, if
you wish, the U.S. Small Business Administration). For'mdre, specific information-. about your obligations under State
Law, contact the Department of Benefit Paymenis'.and':the'Division'of.Indusfrial Accidents.
If the structure is intended for sale, property owners who. are :not licensed :contracts are allowed to perform their
work personally or through their own_ employees, without a4icei sed.contractor o%.subc6ntractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to -be contractors•is.,to'=secure an "OwnerBuilder" building
permit, erroneously implying; that. the property .owner is providing his..or her own labor and material personally.
Building permits are not required to. be signed by.property owners unless' they are performing their own work
personally.
Information about licensed contractors may be obtained by -contacting the Contractors' State License Board in your
community.or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so.that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.'
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
FAX: (760) 777-7011
OWNER'S SI NATURE/DATE
S 6209'ut Ai
PROPERTY ADDRESS
72PERd S 372-,S-
PERMIT
MIT NUMBER(S)
'. `- -� � • .t y {tir?. 'Efir; � � ;
785105_CALLE'-lSTADO - LA QUINTA, CALIFORNIA 92253 =;,(619) 564.2246
January 2.3,"19.9.1
Directors Mortgage
Insurance Department
P. O . .`Box .14;89
Riverside, ` CA -9250"2
Dear Sirs:
The structure-located at . 51.-6.20 Avenida., Obregon is located
in a "B". flood .•Ione per the ,revised 'F.1.R:.M. (?panels 060709
005 A and 0010''A) for La Quinta` The.,,prop`erty was
previously .des gnated`as zone•,AO (dep'th .<two (2) feet)•.
If you have any questions, "I eel*-' free,--to-contact me.
Sincerely_,'
BUILDING AND .:SAFETY,
t
Tom .Hartung
Director of Building and Safety
TH/lc
cc: Ruppert Yess;ayian
i
MAILING ADDRESS P.O. BOX"]504 LA QUINTA, CALIFORNIA 92253