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07-2198 (RR)Permit Details City of La Quinta Description: Type: RE -ROOF Subtype: Status: CLOSED Applied: 7/26/2007 Approved: Issued: Finaled: Expired: Parcel No: 773315025 Subdivision: Lot Sq Ft: Valuation: $5,000.00 No. Buildings: Site Address: 52860 AVENIDA OBREGON LA QUINTA,CA 92253 Block: Lot: Building Sq Ft: Zoning: Occupancy Type: Construction Type: No. Stories: No. Unites: Details: Process Summary CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE _ ZIP PHONE FAX EMAIL CONTRACTOR DANTOR MARTINEZ CONSTRUCTION 81057 AVENIDA ROMERO 92201 (760)537-1502 OWNER A & A HOMES LLC 70600 COUNTRY CLUB DR 92270 (760)537-1502 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY PERMIT FEES 0 $30.00 $30.00 7/27/07 Total Paid for PERMIT FEES: $30.00 $30.00 Printed: Tuesday, February 11, 2025 11:23:45 AM 1 of 2 CRWSYSTEMS Permit Details City of La Quints IlimiiimML DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY REPLACEMENT INSP CARD 10160003220600 $15.00 $15.00 11/8/11 Total Paid for REPLACEMENT INSP CARD: $15.00 $15.00 INSPECTION SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES RE -ROOF - FINAL AJ ORTEGA 11/10/2011 11/10/2011 DISAPPROVE D CORRECTIONS: -PRE ROOF INSPECTION NOT COMPLETED. -RECALL WHEN READY. November 10, 2011 1:11:00 PM AORTEGA RE -ROOF - FINAL STEVE TRAX 11/16/2011 11/14/2011 APPROVED REVIEWS REVIEW TYPE I REVIEWER I SENT DATE DUE DATE IRE DATE STATUS REMARKS NOTES BOND INFORMATION ATTACHMENTS Printed: Tuesday, February 11, 2025 11:23:45 AM 2 of 2 CRWSYSTEMS r. PO . 7 8 BOX 1504 e''=495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 i -tit- 4 t►;K;w BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS. (760) 77777153 Date: 7/26/07 Application Number:07-:00002198 Owner: Property Address: "52860 AVENIDA OBREGON MIRIAM KAHN APN- 773-335-025-6 -000000= 52830 AVENIDA OBREGON Application description: RE -ROOF LA QUINTA, CA 92253 Property Zoning_ ••`` COVE' RESIDENTIAL �t -----------------'-------.--------- Application valuation: 5000 Contractor INW Applicant: Architect or Engineer: Owner } U ------- -- -r------ -- - _ G11Y OF LAQUINTk 4�1 — FINANCE DEPT: --————-,--————————-—————————————--—-—————=——-——————————————— — — — — —— --- --- ---'—----=-•-----——----—---- LICENgl CONTRACTOR'S DECLARATION, - - _ WORKER'S COMPENSATION DECLARATION I•hereby affirm under penalty ofperjury that I am licensed under provisions,ofChapter_9.(commencing:with - - , I hereby affirm under penalty of perjury one of the following declarations Section 70001 of Division 3 ;of.'the Business and _P.rofessionals Code, -and my License is in full`force.pntl effect. _ I have and will.maintain a,certificate of,-consen_t to•self-insure for workers' compensation, as provided License Class: License No.: t•. • for by Section"3700'of the Labor Code`, for the performance of_the'v;brk.for which this permit is ,. issued. Date: "Contractor: s _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performanceof the work for which this permit is issued. My workers' compensation . OWNER -BUILDER DECLARATION - insurance carrier _and policy number are: 1 hereby affirm under penalty of perjury that I am exempt frorrthe Contractor's State License Law for the ' Carrier I Policy Number following reason (Sec. 7031 .5, Business and Professions Code: Any city or.county that requires a permit -to I certify that, in the performance of.the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner.so as to become subject io the workers' compensation laws of California, .. - permit to file a signed. statement that he or she is licensed, pursuant:to the provisions of the Contractor's State ' and agree that, if I should'become subject to the work ompensation provisions of Section License Law`(Chapter 9 (commencing with Section,700dfof Division 3'of the Business and'Professions Code) or " 700 of the Labor Code,I shall'forthwith comply wi se provisions. _ that he or she is exempt therefrom and the basis for the alleged exemption.; Anyvialation of Section 7031.5 by . - - a pplicant for a permit subjects tfie applicant to a civil not more.than.fivehundred�dollars (55001.: Date:,.- _ 'Applicant: i. ' - ( &) .I; as owner'of,the property, or my employees. with wages as their•sole compensation, will do the work, and �� the structure isnoiintended oroffereil.for sale (Sec: 7044, Business and Professions Coce: The WARNING: AILURE TO SECURE WORKERS', COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors'`State'License Law does not apply to'an owner of property who builds or improves. thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED fHOUSAND. :and who does:the.work:himself or herself through his or her own employees, provided that the.. DOLLARS (5160,000).* IN ADDITION TO THE'COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are. not intended or offered' for. sale. If, however, the building or improvement is sold within SECTION 3706'OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.- - - - _ - .one year of •completioii,.the owner-buildei will have the burden of proving that he or she -did not build or - - -improve for the purpose of sale.). ' - - - ` APPLICANT ACKNOWLEDGEMENT- - .(_ 1 I, as -owner of the property, am exclusively -contracting with licensed contractors to.construct the project (Seci IMPORTANT .Application is.hereby made to the Director of, 'Build'ing-and Safety for a permit subject to the 7044,. Business and•Professioris Code:. The Contractors' State License Law does'riavapply to an owner of conditions and restrictions' "set forth on this application.. - property who builds or -improves thereon, and who:contracts for the projects with a contractors) licensed 1. Each person upon whose behalf ihis'application is made, each person at whose request and for - pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1. I am exempt rider Sec. ' , B.&P.C. for this reason . ' the owner, and the applicant, each agrees to,.andahall defend, indemnify and hold harmless the City of.La Quinta, its officers, agents and employees for a'ny act or omission.related to the work being performed under or following issuance ofthis.permit. .Date: Owner: / 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 CONSTRUCTION LENDING AGENCY permit to cancellation. ' 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinanc/andtate laws relating to building construction, and hereby authorize re sentatives of this co ty t enter uabove-mentioned property for inspection purposes. ' Lender's Name:- te`:G' - "` GZ = nature'IApplicant-or_Agentl:�P '/ Lender's Address: . LQPERMIT - - , Application Number . . 07-00002198 Permit . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 1/22/08 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------.------------------------------------- Special Notes and Comments RE -ROOF WITH CLASS "A" MATERIALS Fee summary Charged Paid Credited Due Permit Fee Total 30.00 .00 .00 30.00 Plan Check Total .00 .00 .00 .00. Grand Total 30.00 .00 .00 30.00 LQPERMTT Bin City'of La Quetta. Building U SafetyDivision P.O. Box 1'504,1'78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 ..Building Permit Application and Tracking Sheet Permit # a A Project Address: Owner's Name: A. P. Number: Address: G " �F Legal Description: " Contractor: Address: City, ST, Zip: Telephone: % Project Description: City, ST, Zip: Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, $T, Zip: Telephone: State,Lic. #: Name of Contact Person: Construction Type:, Occupancy: Project type (circle one): New Add'n Alter Repair Demo . Sq. FL: # Stories: # Units: . . Telephone # of Contact Person: Estimated Value of Project:Soo(') .1 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal keq'd "Reed TRACK NG PERMIT FEES, Plan Sets " Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact'Person Plan Check Balance Energy Calcs. Plans picked up " Construction Flood plain plan Plans resubmitted Mechanical. Grading:plan 2°" Review, ready for" correctionsrssue Electrical " Subcontactor List Called Contact Person Plumbing. . Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmittedGrading INHOUSE:- '` Review, ready for correctionsrssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees . OWNER/BUILDER INFORMATION Dear Property Owner: d 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/Builder" you. are the responsiblep arty of record on such a permit. Building permits are not required to be signed by property owners unless they.are;personally performing their own work. If your work is being performed .by someone other'th'an yourself, you may protect yourself from possible liability if that person applies -for the proper permit in`his or her name. Contractors are required by law 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 Out their license number on'+all permits for which they apply. If you plan to do your own work, with the exception of .various trades thar.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 $200.00 or more for the entire project, and such persons are notlicensed as contractors or subcontractors, then you may be employer. If you. are an employer, you must register with .the Stateand Federal; Government as an, employer and you are subject to several obligations include State and Federal income tax 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 not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information,about your obligations under Federal Law, contact, the Internal Revenue Service (and, if you wish, the U.S. Small Business.Administration). For: more specific information -about your, obligations under State Law, contact the Department.of Benefit Payments and the Division of Industrial Accidents.': If the structure is intended .for: sale, -property owners_ who are not.licensed contractors; are allowed to perform 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 ad "Owner/Builder" building permit, erroneously implying 'that "the '.property owner ' is' providing his or hers oWwAab`or and material personally. Building permits' are not required ao be signed by. property owners`unless'they arep''erforming their own work personally: Information about licensed contractors may be obtained' byr,contacfirig the Contractors' State License Board in your community or at 1020-N. Street, :Sacramento, California 95814: Please complete: an& return 'the enclosed owner -builder verification form so that we can -confirm that you are aware of these matters:_ Th'e building permit -,will not be issued until the yerification..is:ceturned'!',� 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 URE/DA E` ,5o2 -860 09 ®-n PROPERTY ADDRESS :0 -7- 198 PERMIT NUMBER(S)