The URL can be used to link to this page

06-0314 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 INTIM IIIII I I I IIS 31 IE Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 54385 AVENIDA ALVARADO 774-235-018-6 -000000- WALL/FENCE COVE RESIDENTIAL 5667 Tilt 4 4 acing.' Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION 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, altei, 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 atru,applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: (is ( 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 Ce: The Contractors' State License Law does not apply to an owner of property who builds or improves threon, and who contracts for the projects with a contractor(s) licensed pursuantto the Contractors' State icense Law.). 1 1 I am exe pt under Sec. , B.: C. for this reason C1�n tve.-.86...AL NSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury tha . - -s a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, iv. C.). Lender's Name: Lender's Address: LQPERMIT Owner: HARRIS M/M JEFFREY BRIAN 54385 AVENIDA ALVARADO LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: Owner Date: 1/19/06 WORKER'S COMP& I hereby affirm under penalty of perjury one of t e followin. de I have and will maintain a certificate o 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. Carrier _ I have and will maintain wor Code, for the performanc insurance carrier and polic rs' compensation insurance, as required by Section 3700 of the Labor of the work for which this permit is issued. My workers' compensation number are: Policy Number certify that, in the performs a 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 b come subject to the wo ikers' compensation provisions of Section 37,00 -of the.Labor Code, I s• SII forthwith comply wi h those provisions. I V pplic WAR NG: FAILURE TO SECURE W • ERSCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 'E ' LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND' DOLLARS (5100,000). 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 applice(n becomes null and void if work is not commenced within 180 days from date of issuance of s ch permit, or cessation of work for 180 days will subject pe mit to cancellation. I certify that I have read this application and state that th above information is correct. I agree to comply with all city an. count ordinances and state laws relating to buil mg constructio and hereby authorize representatives of this .. n t. enter upon the above-mentioned property for inspection p. rposes. • gnature,(Applicant o v _ _ Application Number 06-0000.0314 Permit Additional desc . Permit Fee . . . Issue Date . ... Expiration Date . • • WALL/FENCE PERMIT 81.00 7/18/06 Qty Unit Charge Per Plan Check Fee Valuation . . BASE FEE 4.00 9.0000 THOU BLDG 2,001-25,000 .00 5667 Extension 45.00 36.00 Special Notes and Comments 'ON EACH SIDE P/L 80 LF 6' BLOCK WALL & 20 LF 5' BLOCK WALL AND ADDITIONAL 37LF 5' WALL TO FORM COURTYARD. PER CITY STANDARD. Fee summary . Charged Paid Credited Permit Fee Total Plan Check Total Grand Total 81.00 .00 81.00 .00 .00 .00 .00 .00 .00 Due 81.00 .00 81.00 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNERBUILDER 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 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 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 .7-7012 FAX. 60) 7777--7011 C9�'v u /g/0 OWNER'S SIGNATURE/DATE s Anre-Avu- PvKAn L4- ck 95a53 PROPERTY ADDRESS C96f — -3/r PERMIT NUMBER(S) Bin# Permit #. 06-'9f Project Address: City of La Quinta Building ez Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 922.53 -.(760) 777-7012 Building Permit Ap li ation and Tracking Sheet 6R ST T >lei0141.Ug4e60 Owner' N e: je �1t�� 5 A. P. Number: �?�-01 Legal Description: Contractor: OW M Address: City, ST, Zip: Telephone: Address: ?j'QSAWb.A-- ML -fl City, ST, Zip: cii` lam( t ( N L C4 a015 Telephoneq",90,- /—.aykJ Project Description: Name of Contact Person: Telephone # of Contact Person: Submittal Req'd • Estimated Value of Project: APPUCANT: DO NOT WRITE BELOW THIS UNE Rec'd Plan Sets Structural Calcs. Truss Calcs. Energy Cates. Flood plain plan Grading. plan TRACKING Plan Check submitted Reviewed, ready for corrections Called Contact Person Plans picked up PERMIT FEES Item Plan Check Deposit Plan Check Balance Amount Construction Plans resubmitted Mechanical 2°' Review, ready for corrections/issue Subcontactor List Grant Deed • Called Contact Person H.O.A. Approval IN IiOUSE:- Planning Approval Pub. Wks. Appr School Fees Plans picked up Plans resubmitted Electrical Plumbing S.M.I. Grading ird Review, ready for corrections/issue Called Contact Person Date of permit issue Developer Impact Fee A.I.P.P. Total Permit Fees 54 -US / e + t A A Lv KAI° LA Cfk Qaas3 -1-(0o - Tec C¢ MtitmcoQ6 : ' a/05 012 Lok- (o T- uk. aco4 100' 2OraG" Construction is tt0T PERMITTED on the following Code Holidays: New Year's Day Dr. Martin Luther King Jr. Day President's Day Memorial Day Independence Day Labor Day Veteran's Day Thanksgiving Day Christmas Day A RE -INSPECTION FEE OF OVED 30 WILL BE CHARGED ITHE F PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! CITY OF to QUINTA BUILDING & SAFETY DEPT. APPROVED FFOR CONSTRUCTION DA "��