BLCK (05-2849)49095 Marimba Ct
05-2849
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 05 -00002849 -
Property Address: 11. 49095 MARIMBA DR
APN: X646=300-037-- -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTI
Application valuation: 3150
Applicant:
T414t44Q"
BUILDING & SAFETY DEPARTMENT
Architect or Engineer:
10 /A
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.:
ate:
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
anypplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
1, 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 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 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
Contractor:
/ Date: L l ner: V C4 K Z V
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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
IERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
VAZQUEZ ADAN J
49095 MARIMBA DRIVE
LA QUINTA, CA 92253
---------------------------------
Contractor:
Owner
Date: 7/11/05
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
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 I should become subject the workers' compensation provisions of Section
3700 of the Labor Codde j I sj/ II forthv; a omply with those provisions.
! 1 11 cant: '6!`seL V , Z
WARNIE TO SECURE WORKERS' 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 requestand 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 o enter upon the above-mentioned property r i spection qurqoses.
) : ignature (Applicant or Agent): K mow.
tir.-Gam`•-. •.
.t
- - .
Application Number . . . . . 05-00002849
b
Permit, . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee •63.00
Plan Check Fee
.00
Issue Date
Valuation
3150
Expiration Date 1/07/06
t
Qty Unit Charge Per
Extension
BASE FEE
45.00
2.00 9.000.0 .THOU BLDG 2,001-25,000
18.00
-----------------------------------------------------------------------------
Special Notes and Comments
71.5 L.F. 6' GARDEN WALL @ REAR OF
PROPERTY. 54.5 L.F. 6' GARDEN WALL Q
NORTH SIDE OF PROPERTY, CITY STANDARD
Fee summary Charged Paid
Credited
Due
----------------- ---------- .---------
`" ` Permit Fee Total 63-.00
--------------------
.00 .00
63.00
Plan Check Total .00
00 <:00
.00
Grand Total 63.00
.00 .00
63.00
LQPERNM
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 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 carryout 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
OWNER'S SI NATjU ATE
PROPERTY ADDRESS
v 5 a5 z1S
PERMIT NUMBER(S)
4
3;
`r
Total Permit Fees
ain rY
.. .
......... .
.........................
City of La Quint'j.
Permit # 0`
Building U Safety Division
P -O- BOX 1504, 78-495 Calle Tampico
j
La Quinta, CA 92253 - (760) 777-7012
Building Permit APPlication and Tracking Sheet
.
Project Address: _-1l
Owner's Name.'
A. P. Number:
/7' !'y5 i .Z - f/.E L
Legal ;Description:!Pl/y i
Address:
C
Contractor: 1
City, ST, Zip:
Telephone: to
. 7
Address:
ess:
City, ST, Zip:
Project Description: LOC%
/ g*
elephone:
ta to Lic #
[Arch.,
:City
a N 6 ac o ' zo -e r UI2s S
Lic.'il:
Engr., Designer:.
FY
Address:
City, ST, Zip: ,
Telephone:
® 77A . ' 10710 F .
State te. #-
-
Construction stru
cti 0 Type:
c: Oc cu an c_yw ,v r
D t'
•
Name of Contact Person:
Project .
e ct R e circle
P ( one):. Nein Add'n Alter Repair. Demo
Telephone # of Contact Person:
Sq. Ft.: 22 22
#Stories:
# Units:.
Estimated Value of Project: yt 490,0#0 °
APPLICANT: DO 'NOT WRITE BELOW THIS LINE
N
Submittal
Rc9'd
Recd
TRACKING'
Plan sets
PERMIT FEES
Plan Check submitted
Structural Calcs.Item
Reviewed, read'
}• for
Amount
Truss Calcs.
corrections
Plan Check Deposit
.Called Contact Person
Title 24 talcs:
Plan Check Balance
Plans picked'up
Flood plain plan
Construction
Plans resubmitted
Grading plan
2"' Review,
Mechanical
Subcontactor List
ready for corrections/issue
Electrical
Called Contact Person
.
Grant Deed
Plumbing
Plans picked up
ILO.A. Approval
Plans. resubmitted
IN IIOUSE:_
Review
Grading
Planning Approval
eady for corrections/issue
Developer Impact Fee
Called Contact Person
Pub. R'ks. Appr
Date of permit issue
A.i.P.P.
School Fees
Total Permit Fees
( f
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 49-095 Marimba Court LA QUINTA, CALIFORNIA 92253
Owner
Bar Cott Development
Mailin
Address >68-713 Perez Road #I
Cathedral CJ -0- zip 92.234
Contractor
Samar
Address
City Zip
State Lic. 337077
& Classif.
Arch., Engr.,
Designer
Address
City
Zip
Tel -
3_9_024
Tela
City 1219
Lic. # -
Tel.
State
Lic. #
No.
BUILDING: TYPE CONST. OCC: GRP.:
A: P. Number Parc La Quinta
€4904
Legal Description
Project Description Plan 2222, Phase i
Lot 37
Sq. Ft. 2222 No. 2 • No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and mylilicens pis in full force and
effect./
1 • ( I I %
r L i
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he 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).
❑ 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
i.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
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.
Date owner
NOTICE TO APPLICANT: N, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
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 city to enter' the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
Lstlmateo valuation
$112,161
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
387.64
Const.
465.50
Mech.
53.00
Electrical
85,19
Plumbing
98.00
S.M.I.
7.98
Grading
Driveway Enc.
Infrastructure
2,523,63
y
TOTAL
3s62+3.84
$3,620.84-
REMARKS'
REMARKS`
5 iiiyy y {
i 11 -irL .f{ !'i t..Y" ,MY i .•Y lr tf . ,}
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE - INSPECTOR
12/6/88
Issued by: Date Permit
Validated by:
Validati
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL. Sp. FT.
DUCT WORK
ROCKSTORAGE
FOUND. REINF. vbt ,
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
REINF. STEEL
GAS (FINAL) TEMP. POLE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
WATER HEATER SERVICE
FINAL INSP.
DRAINAGE PIPING
CAR P. SQ. FT. ®
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
WALL Sp. FT.
LUMBER GR. FINAL INSP.
DRINKING FOUNTAIN
SQ FT ®
I o
l/
2
U!1
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLU IUvrl
NUNDERGROUND
'4110 -
A.C. UNIT
COLL. AREA
SLAB GRADE 7 3/
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF. vbt ,
GAS (ROUGH) Xj/-V/mq- METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR. FINAL INSP.
n
FRAMING NAL INSP.
ROOFING $
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING.A, 7/1 7
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
wrarc noel
I o
l/
2
U!1
REMARKS:
SIGNATURESIINITIALS
GARDEN WALL FINAL