RER (13-0603)49565 Loren Ct
13-0603
P.O. BOX 15014;'-;
78-495 CALLE TAMPICO
LA QUINTA;'CALIFORNIA 92253 w ,,, BUILDING &SAFETY DEPARTMENT
BUILDING'PERMIT
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
13-00000603
49565 LOREN CT
602 -290 -006-
REMODEL. -
02 -290 -006 -REMODEL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
1500
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 fcommencing 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
pp iclicl ant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
/l, 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.).
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.).
j' I am exempt under Sec. , B.&P.C. for this reason
C
Dat_eif Owne ,
CV CONSTRUCTION LENDING AGENCY .
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 fSec. 3097, Civ. C.). -
Lender's Name:
Lender's Address: tr
LQPERD9iT
Owner:
DELANY, GERARD & MAKI
49565 LOREN CT
LA QUINTA, CA 92253
Contractor:
Owner
r.
VOICE (760) 777-701.2
FAX (760) 777-70111
INSPECTIONS (760) 777-7153
Date: 5/22/13
WORKER'S COMPENSATION DECLARATION
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
'Fcertify 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 subject to the workers' compensation provisions of Section
" 370'0 of the LLaabboor„Code, I shall fo hwith comply with those provisions.
X "
Datc V a1 PPlic`:t:
WARNING: FAILURE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 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 state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned properrf,ec purposes.
• o enter
u
Dat -r (Signature (Applicant or Agent):
;`,Application Number . . . . . 13-00000603
------ Structure Information GARAGE PARTITION TO CREATE STORAGE AREA -----
Other struct info CODE EDITION
2010
Permit . . BUILDING PERMIT
Additional desc .
Permit Fee 35.00 Plan Check Fee
- 22.75
Issue -Date Valuation
1500
Expiration Date 11/06/13
Qty Unit Charge Per-,
Extension
BASE FEE
15.00
10.00 2.0000 HND BLDG 501-2,000
-----------------------------------------------------------------------------
20.00
Permit . . ELECT - ADD/ALT/REM
Additional desc .
Permit Fee 18.75 Plan Check Fee
4.69
Issue Date . . . . Valuation . .
. . 0
Expiration Date 11/06/13
Qty Unit Charge Per
Extension
BASE FEE15.00
5.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
----------------------------------------------------------------------------
3.75
Special Notes and Comments
PARTITION AT EXISTING GARAGE TO CREATE
ENCLOSED STORAGE AREA [CONVENTIONAL]
THIS PERMIT DOES NOT INCLUDE ADDITIONAL
CONDITIONED SQUARE FOOTAGE, SPACE TO BE
USED FOR STORAGE.ONLY. MINOR ADJUSTMENT
2019-663 [JWJ/CODE CASE 12-6136 [JM]
- 2010 CALIFORNIA BUILDING CODES.
- May 10, 2013 4:02:24 PM AORTEGA
-----------------------------------------------------------------------------
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged` Paid Credited
Due
Permit Fee Total 53.75 .00 .00
53.75
Plan Check Total 27.44 .00 .00
27.44 ,.
Other. Fee Total 1:00 .00 .00
1.00
Grand Total 82.19 .00 .00
82.19
LQPEFN1IT
Bin fi
City of La uInta' l
Building ez Safety Division
P.O. Box 1504, 78-495 Calle Tampico r. • `
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
13'OiO 3
Project Address:' (7.775-
Owner's Naime M CjqJDktV
A. P. Number: 0,z Zc o ,,P06
Address: - CS
Legal Description: 1-47- 2
City, ST, Zip: LA 4Z 4•
Contractor.
Telephone: 76
RTM-
Address:
Project Description:
City, ST, Zip:
1 -7 L
C
Telephone:! 'Y , ,
`":mac
C0
State Lie. # : City Lie. #•
Designer. CP F
C- tc- go 1% • 6t ?
Address: W - 6 2Z c -::W5 T
City, ST, Zip: [ J
Telephone: ?60 346M—SG
Stateof o
Name of Contact Person: F 5
Construction Type: Occupancy: ,
Project type (circle one): New Add'n Alter Repair Dcmo
Sq. Ft.: 7' . # Stories: T # Units:.
Telephone # of Contact Person: 760 ?j 6
Estimated Value of Project• I
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Rev'd
TRACKING, I
PERMIT FEES
Pian Sets
Pian Check submittedI V/
Item
Amount
Structural Calc&
Reviewed, ready, for corrections
Plan Check Deposit
Truss Cale.
Called Contact Person
Plao Check Balance
Energy: Coles.
Plans picked up
Construction
'
Flood plain plan
Pians resubmitted
Mechanical
.
Grading plan
21' Review, ready for corrections/issue NI
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
A/\%
II.O.A. Approval
Plans resubmitted
Grading
W HOUSE:-
''' Review, ready for correctio issue
Developer Impact Fee
Ptaeai .9 Approval
Called Contact Person '060
Pub. Wks. Appr
Date of permit issue
'y
School Fees
Total Permit Fees
$Q.,
156t.4o wt * (,B1.1":YZAtMa- &L Ole
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLC TAMP160 (760) 777-7000
LA QUINTA, CALIFORNIA 92253 FAX (760,) 777-7101
March 15, 2013
Mr. Gerard Delaney _ S
49-565 Loren Court
La Quinta, CA 92253. ..
SUBJECT: MINOR ADJUSTMENT 2013-663 '
49-565 LOREN COURT
Dear Mr. Delaney:
This letter is to report that the Community Development Department has reviewed
your Minor Adjustment application (MA 2.013-663), pursuant to .Section 9'.210.040-
of
.210.040of the City of La, Quinta Zoning Code.
REQUEST:
Grant up to a 10% adjustment to reduce the minimum interior garage width from
twenty feet (20') to eighteen feet (18') to allow for the construction of a structural
addition within the garage.
' CONDITIONS:
1. A building permit shall be obtained prior to construction.
2. -The proposed construction shall comply with all .other .development
standards as required under the La Quinta Zoning Code.
DECISION:
Approval is granted for the requested adjustment subject to the above listed
conditions and based on the following findings:
1. Minor Adjustment 2013-663 is consistent with the La Quinta General Plan,
in that the proposal does not alter the approved land use for the property, or
affect land use on surrounding similar properties.
2. Minor Adjustment 2013-663 is consistent with the intent of the La Quinta
Zoning Code, in that the requested adjustment will be conditioned to comply
with all other development standards as required under said Zoning Code.
3. Processing and approval of Minor Adjustment 2013-663 is in compliance
with the California Environmental Quality Act. The adjustment requested falls
under CEQA Guidelines Section 15305(a) as a "Minor Alterations to Land" -
Class 5 Categorical Exemption.
4. Approval of Minor Adjustment 2013-663 is not detrimental to the public
health, safety and general welfare, nor injurious or incompatible with other
properties and land use in the vicinity. The adjustment has no impact on
health or safety issues, and will not affect physical. land use characteristics
in the vicinity.
Please be advised that the City only approves one Minor Adjustment for one
setback per lot; regardless of the percentage of the development standard adjusted.
This approval relates only to allowance of the reduction as stated above, and does
not imply any entitlement or approval of a building permit for any structures shown
on the plans on file. All other development standards of the La Quinta Zoning Code
are applicable and shall be adhered to in preparing plans for building plan check.
If you have any additional questions, please contact me at 760-777-7125.
r
1_
6;2-
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
7$-495 CALLEJAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
08T' INZ7 NUTIU Tn P PERTX OWNER
Dear Property Owner.
An application for a building permit has been submitted in your name listing ourself as the builder of the property
improvements specified at (T -S_ Loy Ci -C (11Vy1 1 _ A
We are providing you with au Owner -Builder Acknowiedgmeat and Information Verificatioti Form to make you aware of your
responsibilities and possible risk you may incur by havingg this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OMR'S ACIQN0,WLEI)G—M TT AND'VERIFICATION OF DWOMAi>iON
D7fRECTTONS. Read and initial each statement below to signify you understand or verify this information.
1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder''
wilding permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property
21_2. I understand building. permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
J" 6. d understand if I am considered an "employee' tinder state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk.
7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
tructures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be he'_d liable for any '
financial or personal. iojuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
9. I understand I may obtain more information regarding my obligations as an "employer' from the Internal Revenue
eivice, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
art le all and financially usibte for construction activr at the following address:
y r.r r y p --6- i. ,n 1\ Z-
1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
ave provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while woriting
on your property; you may be heldhable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's tfcarese, farm ie0tar*ff6t*1% or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner Date:
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understandis my personal responsibility, I hereby authorize
the following persons) to act asmy agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's License, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: Date:
, _. .
t.