BLDG (0103-237)53925 Avenida Martinez
0103-237
' LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
bc,hapter 9 (commencing with Section 7000) of Division 3 of the Business and
YVessionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
- MIC
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ate `Z1 ZL Signature of Cont. 41;;, ' acto, _"* a 45
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code). 11
( ) 1, as owner of the property, am exclusively contracting" with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section , B&RC. for this reason
Date Signature of Owner
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,)-4, 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 & policy no. are:
Carrier Policy No.
(This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become
subject to the workers' compensation .pr ,ovisions of S ction 3700 of the Labor
Code, I shall forthwith comply with ilio e provisions
Date: Applicant,
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property,, for inspection purposes.
-Signature (Owner/Agent) ' U.., 'r Date
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BUILDING PERMIT PERMIT#
DATE VALUATION LOT 01(a_13 1 TRACT
JOB SITE _
APN
ADDRESS p D
OWNER
CONTRACTOR/DESIGNER/EN (NEER
QTY OF Lh QUMNA
wifid., COW CtUIMON
7 -49.$ CAME TA -CICO
'73091 i:"GUITIMY MUB 'DR TME A4.2
,U.N. QUwA CA 9?2233
PAIN "1: XT fC-A 912,60
t;' 60)31f 0.8453 C 3:4A# 4rX8
USE OF PERMIT
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253.00
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SUBI6AL C090'TRUCTJOYT A14-33 PLIR CHECK
$15.00
LMS PRX-P AID FEES
$0.00
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RECEIPT
DATE %
BY
DA AL
INSPECTOR
r' ) 4 1 e
INSPECTION RECORD
.` OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Retum Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL A'�PR,OVALS
Set Backs 4 �% _ _ �J
Footings (p�•�'' y�0 r
POOLS - SPAS
steel
Electric Bond
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
_
Final .S�/ O 5�
PLUMBING APPROVALS
Underground Pibg. Test
Gas Piping
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole -
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
Pee
—7 f44r
CITY OF LA QUINTA Lf> 4:::-t>.*AJ&
Specifications for the Rehabilitation of 53-925 Avenida_M iart nez
(See attached drawing. Note: the attached drawing is only being provided
to give an example of the 2.5' garden wall and landscaping.)
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EXTERIOR
Landscape:
♦ Cultivate and amend existing soil to provide fertility to support new landscaping.
♦ Install new irrigation lines at front yard assuring coverage of all plant areas.
♦ Install time clock for irrigation lines.
♦ Install new drought resistant, durable sod in front yard lawn areas.
♦ Remove any oleander bushes in the front yard.
♦ Install new 2.5 ft. garden wall at front of property across frontage per attached
drawing (wall should stretch from the southern edge of the property to within 5' from
the driveway). Wall to be stucco over concrete block, reinforced, if required, to local
code. Stucco color to match house stucco color. Per City Code, wall needs to be
setback on the property line; this is typically 12' from the curb. See the attached
conceptual drawing and visit 54-280 Avenida Madero to see how the desert-scape and
garden wall can be designed.
♦ In front of the garden wall and on the side of the driveway in the front yard, remove
any current plants and gravel and replace with desert-scape, drought -resistant,
durable, native vegetation. Fill in with desert-scape gravel. The dirt underneath the
gravel should be excavated 3 to 4 inches below grade and a plastic screen should be
laid down underneath the gravel.
♦ Install 10 shrubs and plant accents along the foundation on the sides of the house in
front yard and along new front garden wall. Use low -maintenance, durable, and
drought -resistant species, giving preference to native vegetation. (See the attached
Plant Material List)
Building Exterior: .
♦ Prep, prime and paint all exterior trim and stucco surfaces, including the four columns
for the fence (see below) and the garden wall (see above). Fill in any significant
cracks or voids on the stucco and eaves. Colors to be selected by Agency.
♦ Install address letters on the wall facing Avenida Martinez on the southern wall on the
side of the garage door, minimum 4" number height.
♦ Install new entry way/exterior lights on both sides of the garage door (one should
illuminate the address letters). Replace the entryway light in the front porch near the
front door to match the new exterior lights installed at the garage door.
♦ Install exterior wooden fence around property to conform to local code. The fence
should be constructed of 6' vertical, cedar (or similar material) slats. The existing
posts can be reused if they are in good shape. Install one steel frame gate on the north
F:\RSG\LAQUINTA\LQHP\Rehab Program\PropRehab\Group B\53-925mar inezSpecs.doc
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side of the house. The gate should be anchored by 2 stucco columns approximately
V x 1'. The fence and gate on the north side of the property should be extended to
within five feet from the edge of the garage. Also, install 2 stucco columns on the
fence on the south side of the property, and create a fence between the columns, do
not create a steel frame construction gate. (Visit 54-280 Avenida Madero for an
example of the stucco column and steel frame construction for the gate).
Hardscape:
• Steam clean existing driveway and walkways.
INTERIOR
Heating Ventilating and Air Conditioning System (HVAC):
♦ Remove existing HVAC and dispose.
• Replace HVAC system with a new split system appropriately sized for the house.
Contractor to locate compressor at a location agreed to by Agency. Horizontal fan
and coil unit to be located in the backyard, unless otherwise specified by Agency.
• Clean air defusers.
Miscellaneous:
♦ Visually inspect the unit before submitting bid. Include any and all repairs, or
replacement work not included above, but necessary to bring the unit to current code
and as new condition. Detail in bid as needed, breaking out costs separately.
♦ Before inspecting the unit, contact should be made with the occupant
at (760) _- to schedule a time to inspect the property, especially if access to
the backyard of the property is desired.
♦ Include all costs of inspections, permits, licenses, and testing as needed.
♦ Please use the enclosed Bid Form or create a Bid Form that is similar in form and
nature in the appropriate sections as needed per the above specifications.
♦ All contractors to submit contractor license number, name, and address of responsible
managing employee with bid.
♦ Successful bidder will have five days from award of bid to submit insurance
certificate including coverage for Workman's Compensation, Builder's Risk, and
Liability Insurance, with at least $500,000 coverage with the Redevelopment Agency
of the City of La Quinta, as an additionally insured. Any subcontractors should
submit proof of insurance as well.
• The successful bidder will also have five days from award of bid to obtain a City
Business License.
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