06-1482 (BLCK)A4;
P.O. BOX 1504
78-495 CALLE TAMPICO
LA _QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
ABN:
Application description
Property Zoning:
Application valuation:
Applicant:
W06%01000 78_2
53540 AVENIDA�OBREGON
774-115-.001-1-0000,00-
WALL/FENCE
COVE RESIDENTIAL
1525
Architect or
P lA
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/11/06
Owner:
ESTRADA ANTONIO
53540.AVENIDA OBREGON
LA QUINTA;.CA 92253
---------------------------------
Contractor:
Owner
'`- LICENSED CONTRACTOR'S DECLARATION - WORKER'S.bOMPENSATIOfJ DECLARATION
I, hereby affirm under, penalty of perjury that I am licensed under provisions'of Chapter 9 (commencing with I hereby affirm under penalty of perjury one "of.the following declarations:;`=;
Section 7000) of Division 3 of the Business and Professionals Code)
and'my License is�in.full force and effect. - _ I have'and will maintain a;certificate of,consent to self -insure for workers -compensation, a_s provided
License Class: License No.: `� - - for by Section.3700 of. the Labor Code, for the performance of the work for which this permit is
.issued.. .
;-(Date: - Contractor: - _ 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
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
' I hereby affirm under penalty, of perjury that I:am.exempt from the Contractor's State License Law for the - .Carrier Policy.Nuniber _ e
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 ork for whit :pe it is iss ed, I s a - •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
esubject to th wor ' tom'- nsation laws o ahfomia
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 be bject to the wor - m_ pe` ation'provisions of ction
.Ltcense;Law.(Chapter9 (commencing with Section 7000) of Division 3 of the Business and -Professions Code) or 3700 of the Labor -Code, I s II hwith comply wi is'ons.
.thathe or she is exempt therefrom and. the basis for the a11e6ed exemption. Any violation"of, Section )031.5 by ,
any applicant for a permit subjects the applicant to'a civil penalty of not'more than five hundred dollars ($5001.: Daj— -tj scant: • - '
(Az i I'as owner of the property,"or my employees with wages:as theirsole ,compenSa, n will ;j
pe work, and
.the structure is not intended or offered for sale (Sec. 7044, Business and Professions' Code: The
Contractors' State License taw does not apply to an owner of property who builds or improves thereon,
and who does the work himself orherself through his or her "own employees, provided that the
improvements are,not intended.or offered for'sale. If, however, the building.or improvementis sold within
one year. of:completion, the owner -builder wiil l ave the burden of proving that he or she.did.not build or
• - improve for the.vurpose'of "sale.).
(_ 1 1, 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.).
(_ 1 I am exempt under Sec. B.&P:C. for this reason
Date;Owner:
TR T DING AGENCY
I hereby affirm under. pe Ity perjury that t is a c nstruction len 'ng agency for the performance of the
work for which this per sued (Sec. .1.
Lender's Name:
Lender's Address: Q�l Pr
LQPERMIT
'WARNING: FAILURE TO SECURE WORKERS' COMPENS COVER GE IS UNLAWFUL, -AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINESUP.TO.ONEHUNDRED 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 1 ays ill subject
permit to cancellation.
I certify that I have read this application and state that the abov nfor ation is correct. I to co I with all
city and county ordinances and state laws relating.to building ion, and hereb ut oze re senta
of this 'county to enter upon the abo -mentioned property for sp ion purposes
iDate: . • `0® Si re (Applicant or Agent):
Application Number . . . . . 06-00001482
Permit . . . WALL/FENCE
PERMIT
Additional desc . .
Permit Fee . . . . 37.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 1525
Expiration Date 10/08/06
Qty Unit Charge Per
Extension
BASE
FEE
15.00
11.00 2.0000 HND BLDG
501-2,000
22.00
----------------------------------------------------------------------------
Special Notes and Comments
61 L.F. 6- GARDEN WALL, AT EAST
SIDE OF
PROPERTY, ORCO SYSTEM
Fee summary Charged
-----------------
Paid Credited
Due
-------------------
Permit Fee Total 37.00
----------
.00
--------..
.00
37.00
Plan Check Total .00
.00
.00
.0.0
Grand Total 37.00
.00
.00
37.00
LQPERMIT
Bin #
City of La Quinta
Building U Safety Division
P:O. Box 1504, 787495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit,#
Project Address: 452>_5 0 AUt;' 0 (3Q6otJ
Owner's Name:
A. P. Number:
Address: 53 —",6 _ L akfi-&,V►'U
Legal Description:
Contractor:PQVWO��QJAAAOS(_Ppe AAA eM10i
City, ST, Zip: �1 (�� Z Z 3
Telephone:
Address: �, 3_qqU (5- — �
Project Description:
City, ST, Zip: /A- lq 2 .Z �3
�- 0 i�J bL K -
Telephone: �fjs -ZC�Z%
n
�j L s'i- Si D of 2d t
State Lic. #: �6y
C7i � I
City. Lic. #:
Arch., Engr., Designer:.
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING.
PERMIT FEES',
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Coles.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan2nd
Review, ready for correctionsrssue
Electrical
Subcontactor List
Called Contact -Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7rd 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
l
OWNER/BU-II.DER INFORMATION
Dear Property Owner:
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 be aware that ,as ."OwnerBuilder" you are, the responsible party 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 than yourself, you may protect yourself from possible
liability•if that person applies for the proper permif 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 'put their'license number on all permits for which .they
apply.
If you plan to do your own work, with the exception of various trade's 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 familyt and the work (including materials
and other costs) is .$200'.00 ` or 'more for : the entire project,`' and • such persons ' are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the ,$,tate and Federal Government as an employer and you are subject
to several obligations include 'State and. FederaF;iiicome ,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 risk 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) Ror more specificjriforination aGout your obligations under State
Law, contact the Department of Benefit Payments and, the Division of 11 Industrial 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 a aicensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed'persoris professing -to be contractors is to secure an "Owner/Builder" 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 the.y•aare 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 willnot be issued uintil'tlie yerificanon 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 SIGNATURE/ DATE
SVC) 42
PROPERTY ADDRESS
0&- /qea
PERMIT NUMBER(S)
g t .
To FILro5� ,3 ,MIIY7 NY
66
Ot
P, o. Box 1504
LA. Q:UINTA,CALIFORNIA' 92.2`.47-,1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPico : ;F (760) 777-7012
LA QUINT'A,'CALIFORNI'A 92253• } FAX (760) 777-7011
Janua 9 2007
rY ,
Mr. Antonio Estrada -
53540 Avenida` Obregon
La Quinta; CA 92253
RE: Building Permit Extension Request - 53540 Avenida Obregon.
Dear'Mr. Estrada:
have reviewed your letter`dated:December 24, 2606, requesting. a time
extension for the ni
December 24, 2006
City Of La Quinta
(Building Department)
Attn: Greg Butler
Re: Permit Number 06-1482 for Antonio Estrada
We are writing you to request a one time 180 day extension on Permit #06-1482 with
the City Of La Quinta. The reason we are unable to complete the job in the time given is
because we ran over our budget, combined with pressure from Code Enforcement to do
improvements to our front landscape.
If this is not acceptable or you have any questions, please contact me at 760-685-2627.
jT�arkk You,
7
Antonia Estrada
760-685-2627
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