Loading...
06-1858 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06 -OS 0001.8-5.8 Property Address: 52585 AVENIDA OBREGON APN: 773-284-017-4 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 3354 Applicant: Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 5/08/06 Owner: JIMENEZ DAVID 52585 AVENIDA OBREGON LA QUINTA, CA 92253 --------------------------------- 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 Professionals Code, and my License is in full force and effect. License Class: License No.: Date: Contractor: 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 plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 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 ate: CONSTRUCTION LENDING AG PTfZ,C f/ 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 Address: LQPERMIT Contractor: Owner ---------------------------- WORKER'S COMPENSATION ­u.n.. — 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 Policy 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 su ' he workers' compensation rovisions of Section ® 3700 of the or Code hall fo with co ly with se provisi ate: v Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE FUL,- N SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP E 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 Director of Building and Safety 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 information is correct. I agree to comply with all city and county ordinances and stat laws relating to building construction, and hereby authorize representatives of this coynty to enter upon the ove-mentioned propertrfospect oseste: S' ature (Applicant or Ag r Application Number . . . . . 06-00001858 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date Valuation . . . . 3354 Expiration Date 11/04/06 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 18.00 ---------------------------------------------------------------------------- Special Notes and Comments 51 L.F. 5- GARDEN WALL, 90 L.F. 6 - GARDEN WALL, BOTH CITY STANDARD Fee summary Charged Paid Credited Due Permit Fee Total 63.00 .00 .00 63.00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 .00 .00 63.00 LQPERMIT Dear Property Owner: P .:78x495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 TELEPHONE (760) 777=7012 FAX (760) 777-7011" OWNER/BUILDER INFORMATION An application fora _building permit'has been submitted in your name' listing yourself as the builder of the property improvements specified. , For your protection you _should beawarethat as,"Owner%Builder" you are the responsible party of record on such a rm permit. Building peits.are- oti•equired to be signed by -property owners unless they are: personallyperforming their own work. If your 'work. is 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 byaaw 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 whichthey apply. If you plan to do your own .work, with the exception, of various trades thatyou 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 X200,00 or more'for the entire project, and such.'pers'ons are not licensed as contractors or subcontractors, then" you may bean 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. fax 'witHholding;. federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you.if you do notcarry`out these obligations, and these risks are especially serious with respect to worker's compensation insurance.. For more specific information about your obligationun s ifier Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Sr"I'Business:Adminisiration) For'inore specific ii formation,about:your obligations under State Law, contact the Department of $etiefit Payments, arnd-:the .Divisiomof Industrial'Accidents. x If the structure is .intended for 'sale; property owners who' are not licensed contracts, are allowed top erform_ their work personally or through their own employees; without a licensed contractor,or subcontractor, only under limited conditions. A frequent practice of. unlicensed;, persons professing, -to be contractors is to •secure an " Owner/Builder" building permit, erroneously implying that the property; owner. is providing lis or her' ow_n labor. and material personally. Building permits are norequired' to'be signed by property owriers: 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 SIGNA UREIDATE Z - � �� .�(/�. .082 �G� O /✓. PROPERTY ADDRESS PERMIT NUMBER(S) ,...- ,a�.�.a-a..� rr^--,r.,, �r�;__ t. .F��",`:.i-,,s-:--�•�. �..: 1 .... _A=s.: