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LICENSED CONTRACTOR 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 # Lic. Class Exp. Doato
6,64238 -11 111c_
Date ^" „ o� Signature of Contractor40,
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).
( ) I, 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&P.C. 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 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 1'a,gtApT 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 becp me,9615ject to the
workers' compensation laws of California, and agree,W f if ,I should become
subject to the workers' compensation provisions of"Sectioh 3700 of the Labor
1 P P � �. �
Code, I shall forthwith comply with those provigion
Date Applicant /
Warn Ing: -Failure o 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 repres ntatives of this City to enter upon
the above-mentioned property for -i sn pei tio,PY'purposes.
Da/W If ' J
BUILDINGPERMIT PERMIT#
DA,TF r VALUATION152
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ADDRESS:..�P r!utiVRd1A C:S.RC
OWNER
CONTRACTOR/DESIGNER/EN (NEER'
78-495 CDAUX, TM?ICO
53685 E' f UMM", . DX
LkLID&A CA. 91%2253
1A QUAW A CA 92M
C760)771-1180 C111A 2851
USE OF PERMIT
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RECEIPT
DATE
BY
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INSPECTOR
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INSPECTION RECORD
OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR
BUILDING APPROVALS MECHANICAL APPROVALS
Set Backs I Underground Ducts
Forms & Forlinn Duets
Slab Grade Retum Ajr
Steel Camt l.mimm Air
Fee-1 Deck O.K. Exhaust Fans
VJr�t; —FA U.
FraminEr;� � CCrnlpresya- �
ITtisuialirs�t j Vents
Firolne P.L. _ I —�- Grills
1-r��cr T.O, �I _ I Fans & Canlral�
:.; Wall Insuiat
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Heater Tina,
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— 0 K. for Finish Plaster
— COMMENT
UNRY Notice (Gas)
ELECTRICAL APPROVALS
Temp, Power Pate
Un&,rarourrd idua
Rough Wiring
Low Vollaga Wiring
Fixtures
Main Service
Sub Panels
Fmtertor Recvptacie,
G.F.I.
Smoke Detectors
Temp- Use of Power
Final—
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CITY OF LA QUINTA
Specifications for the Rehabilitation of 52-985 Avenida-Ca� rranza
(See attached drawing. Note: the attached drawing is only being provided to give an
example about the 2.5' garden wall and landscaping.)
EXTERIOR
Landscape:
♦ Cultivate and amend existing soil to provide fertility to support new landscaping.
♦ Assure that irrigation lines at front yard cover of all plant areas.
♦ Install time clock for irrigation lines.
♦ Install new drought resistant, durable sod in front yard lawn areas. Ensure coverage
of all plant areas.
♦ Remove the oleander bushes and all the other bushes in the front yard.
♦ Trim trees in the front yard as necessary.
♦ Install new 2.5 ft. garden wall at corner of Avenida Carranza and Calle Chihuahua
across frontage. See the attached conceptual drawing and visit 53-760 Avenida
Vallejo to see how the desert-scape and garden wall can be designed. (The wall
should front Calle Chihuahua and also front Avenida Carranza. See the attached
parcel map for aerial of garden wall placement.) The garden wall should stretch from
the northern edge of the property line 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.
♦ 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 25 shrubs and plant accents along house foundation, side 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 Carranza 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 near the front door to
match the new exterior lights installed at the garage door.
F:XRSG\LAQUINTA\LQHP\Rehab Program\PropRehab\Group B\52-985aveCamanzaSpecs.doc
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♦ Replace garage door with aluminum roll up overhead door, insulated, bake white
finish, and automatic door opener. Door openers to meet code with regard to child
sensors.
♦ 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
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
line up with the neighboring fence. On the fence facing Calle Chihuahua install 2
stucco columns, and create a fence between the columns, do not create a steel frame
construction gate. (Visit 53-760 Avenida Vallejo for an example of the stucco
column and steel frame construction for the gate).
Hardscape:
♦ Steam clean existing driveway and walkways (as necessary).
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.
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♦ The successful bidder will also have five days from award of bid to obtain a City
Business License.
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