Loading...
06-0862 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00000862 Property Address: 79567 CORTEZ LN APN: 649-051-011-11 -2667 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2867 MMIM4��fflyv wwff. #411 M Applicant: Architect or Engineer: oyrl`' a JA ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am.licensed under provisions of Chapter 9 (commencing with Section 7060) of Division 3 of the'Business and Professionals Code, and my License isin full force and effect. License Class: License No.: Date: Contractor: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the _Contractor's StateLicenseLaw for the following reason (Sec. 703'1.5, 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 theContractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3'of the a 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).: O 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. 70441 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'foraale. If, however, the building or improvement is sold within one yearof completion; the owner -builder will have the burden of proving that he-or'she,did not build or improve for the purpose.of Sale.). 1 _ 1, 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 Uoense: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 _ 1 I am exempt under Sec. , BAP.C.Aol�this reason Date: Owner: CONSTRUCTrQN,LENDING AGENCY I hereby affirm under penalty of perjury that there is -a construction lending agency for performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: a, Lender's Address: I+ VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: EPIC ENTERPRISES P.O. BOX 12052 PALM DESERT, CA 92255 --------------------------------- Contractor: Owner Date: 3/03/06 ------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a cert ficate of consent to self -insure for workers' compensation, as provided for by Seciion 3700 of'the Labor Cade, for the performance of the,work for which this.permivis issued. I.havwand 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 Pshould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, all hwitfi comply tit t se provisions. ta-. icam: WARNIN _: F ILURETo SECURE WORKERS' CO P [ON .COVERAGE ,IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 0100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES 4S -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 resu t;of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quints, 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.pemg4 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 permitto cancellation. I certify that I have read this application and state that the above information is correct. Lagree to comply with all city and county ordinances and state laws relating to i struction, and hereby authorize. representatives of this co my enter upon the��above mentioned pro rt r or action purAmin- 0445"s: ign rS(Applicant or Ape_ Application Number . . . . . 06 -00000862 - Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee 54.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 2867 Expiration Date . . 8/30./06 Qty Unit Charge. Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ----------------------------------------------------------------------- Special Notes and Comments 106 L.F. 6' BLOCK WALL, 10 L.F. 5' BLOCK WALL, PER APPROVED PRECISE GRADING PLAN, BOTH CITY STANDARD Fee summary Charged -------------------------- Paid Credited Due ----------- Permit. Fee Total 54.00 ---------- .00 ----------- .00 5.4.00 Plan Check Total .00 .00 .00 .00 Grand Total 54.00 .00 .0'0 54.00 Bin# City of. La Quinta Building at Safety Division P.O. Box 1.504, 78-495 Calle Tampico La Quinta, CA'92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit:# Project Address: ''l �� GQ 1e � N Owner's Name: �Wtr,- PRI JC A. P. Number. Address: • d . 6 rj d �.O ✓� Legal Description: City, ST, Zip: Contractor: Address: Telephone: 56¢ Project Description: City, ST, Zip: Telephone:. State Lie. # : City Lic. #: Arch., Engr., Designer: 1 Address: City, ST, Zip: Telephone: Constrw ion Type: Occupancy: State Lic: #: Project type (circle ;one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft:: #•Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRACKING • PERMITTEES Plan Sets Plan•Cbeck submitted Item Amount Structural Calces Reviewed,• ready for corrections Plan Check Deposit Trans Calces. Called contact Person Plan Check Balance Energy Calces. Plans Picked up Construction Flood plain plan Plana resubmitted Mechanical Grading. plad 2'' Review, ready for correctious/lssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plana picked up S.M.I. H:O:A. Approval Plans resubmitted Grading INHOUSE:- sw Review, ready for corrections/issue Developer Impact.Fee Planning Approval Called Contact Person A.LP.P. Pub. N'ks. Appr Date of permit issue School Fees -Total Permit Fees OWNER/BUILDER INFORMATION 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/Builder" 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 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 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 $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 State and Federal Government as an employer and you are W,mbject— 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 befinancial 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 contracts 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 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 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 bQ - PROPERTY PERMIT NUMBER(S)