06-2611 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
06-00.0.0.26=1-1
Property Address:
51045 AVENIDA RAMIREZ
APN:
77.3-061-013-2 -000000-
Application description:
RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
2000
Applicant:
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I he-reby,affirm under penalty, -of, perjury that I am licensed under provisions of Chapter 9 (commencing with
Sectiori'7000) of Division 3 of the.Business and Professionals Code, and my License is in full force and effect.
License rClass: •LicenseNo.:
Date: Contractor:
OWNER-BUILDERDECLARATION -
Thereby affirm under penalty of perjury that I am;ez pi 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,'*prove, demolish, or repair any structure, prior "to its issuance, also requires the applicant for the
permit_to filen signed: statement that he or'she is licensed pursuant to the provisions of the Contractor's State
Liceuse;Law.,(Chapter 9acommencing•with-Section 7000) of Division 3 of -the Business and Professions Code) or
Oat he orshe is exempt therefrom'and the 6asis'f6r.the alleged.ezemption. Any violation of Section 7031.5 by
pplicanrfor a permit sublects,the applicant to a civil. penalty of. hot more than,five hundred dollars (5500).: '
l,, as owner of. the property; or,my employees with wages as their sale compensation, will do the work,and
the structure is not -.6tended or offered for said (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 far"sale.- If, however, the building or improvement is sold within
one yeavof completion; the owner -builder will have ihe'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'arid Professions Code: The Contractors' Stat ense Law does not apply.to an owner of
property who builds or improves thereon, and who co is for7t projects with a contractor(s) licensed
pursuant Contractors'' State -License Law. .
1 _ I d am exempt under Sec. , B &P.C. for sr e
te:.
C" CONSTRUCTION LENDING.AGENCY
I herebyaffirm 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
VOICE (760).777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/07/06
Owner:
JIM CURRIE
51045 AVENIDA RAMIREZn
LA QUINTA, CA 92253 [>ti
--------------------- D --------
JUL 0 7 2006
Contractor:
Owner CITY OF LA'ouwra
-------------------
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 La6tir Code, for the performance of the work'foi which this permit is
issued.
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
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 t cer compensation laws of California,
and agree that, if I should become subject ,e•workers" ompensation provisions of Section .
3700 of the Labor Code, I shall fo
WARNING: FAILURE T CURE `K R7: S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EN1PL E MINALPENALTIES.AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100, .'.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 setforth 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.thispermit. "
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..
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 horize representatives
of this county to enter upon the ab e -mentioned property for inspecti oses.
,Gate: !' ( ' O4,gna (Applicant or
Application Number . . . 06-00002611
'
Permit . . RE -ROOF
Additional desc .
Permit Fee ,, . . .. 30.00
Plan Check Fee ..
.00
I's'sue Date . . .
Valuation . . .
. 0
`
Expiration Date 1/03/07
Qty Unit Charge .Per
-
Extension
-- - - - - - - - - ---BASE_FEE
3010.0 ?r
= Special Notes- and_,.Comments
RE . ROOF HOUSE WITH '.CLASS ."A" MATERIALS
s _
ONLY 7 _
Fee summary' Charged
Paid Credited.
Due
- - - - - - -
- -;--7 - - - -
Perm tYFee' Tot, 30.: �
--- - - - - - - - --7-7, -
.:00 00
-
30:00
Plari Check fiotal 0-0"
.00• 00'
;: 00 .
Grand Tbtal 30.' 0:0
.00 00
30; Q'0
LQPERMIT '
Bin #
City of La Quints
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Build,ing Permit Application and Tracking Sheet
Permit # `
Project Address: -5/04-�5
AvenidaeamIr'OZ3Owner's
Name: V /rYJ 0,ur,-/6
A. P. Number: '77-3 — Mo l '".
C)13
Address: �%%p� . VAY7 t6"" 6jr4l 0 /
Legal Description:
Contractor: Cc�rL�%'
City, ST, Zip:4 ! Pel(3 /d6
Tdlephone('?O10z/3 - 3333
Address: P,?
&1-e• /
Project Description:
City, ST, Zip:
Telephon
State Lic. # :
Arch., Engr., Designer:
City Lic. #:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
Project type (c.ircle one): New Add'n Alter Repair Demo
State Lic. #:
Name of Contact Person:
Sq. Ft.:
# Stories: `
# .Units:
Telephone # of Contact Person:
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd'
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed; ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionsfissue
Electrical
Suhcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I. .
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections,'issue
Developer Impact Fee
Planning Approval
Called Contact Person
A,I,P.P,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
02/21/2006 16:40 7607777011 LA'GUINTA PAGE 02/02
cFM or TttE� 7&495 CALLS TAMPICO — LA QUOTA, CA01FORNIA 92253
TELEPHONE (760) 77`7-7012 FAX (760) 777-7011
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in' yourname listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as''Owner/Buildei' • you ire the responsible party Of record on such a
Permit. Building permtu 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
liabiliry if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed acid 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 variuus.trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
Lf 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 arc not licensed as contractors or
subcontractors, then you maybe an employer.
If you arc an employer, you must register with the State and Fedetal Government as an employer and you are subject
m several obligations including State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability irisurance cosrs and unemployment eornpchsacion contributions.
There may be financial risks for you if you do nor carry out these obligations, and these risks arc especially serious with
respect to worker'i compensation insurance.
For more specific iati
nformon about yourobligations under Federal Law, contact the Internal Rcvenue Service (and, if
you wish, the U.S: Small Business Admiostration). For more specific information about your obligations under Stare
'Law, contact the Department of Bent Payments -and the Division of Industrial Accidents.
9f the structure is intended for sale, property owners who are not licensed contractors 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'arc not required to be signed by property oanets unlcsi they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in you,
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 arc 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 Callc Tampico
La Quinta, CA 92253
(760) 777-701.2
FAX 0
R'S SIGNATUR£IDATE
PROPERTY ADDRESS
PERMIT NUMBER(s)
OWNMBUILDERINFORMATION
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 requiredto 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,fier-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 -$206.00. -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 Federat 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 aboui;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 Industriai 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 ."OwnerBuilder" building
permit, erroneously implying that the property -owner is providing his. or her owi► 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) 77,7-_7(��
--�WNER'S SIGNATURE/DATE
PROPERTY ADDRESS
PERMIT NUMBER(S)