06-1699 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
'51300 AVENIDA RAMIREZ
773-083-003-22 -000000-
WALL/FENCE
COVE RESIDENTIAL
3717.
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/02/06
Owner:
VICTOR ROMERO
51300 AVE RAMIREZ
LA QUINTA, CA 92253
---------------------------------
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 N6.:
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 (Chapter9 (commencing with Section 7060) 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
plicant for a permit subjects the applicant to a civil.perialty ofnot.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
irnprove,for the purpose of sale.).
1 _ 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 contractors) licensed
pursuant to the Contractors' State License Law.).
I—) I am exempt under Sec. B.&P.C. for this reason
Date• ��—�� Own - �%6r�yl f/ W � e1:ii
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.1.
Lenders Name:
Lender's Address:
LQPERMIT
Contractor:
Owner
MAY A
WORKER'S COMPENSATION DERAT1910
I hereby'affirm under penalty of perjury one of the following declarations: ` • ®F
I have and will maintain 'acertificate of consent to self -insure for wor bided
for by. Section 3700 of the Labor Code; for the performance of the work for. whit _ - it is
issued. '
I have and will maintain workers' compensation insurance, as required by Sectiori'3700 of.the Labor
Code, for the performance -ofthe work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier Policy Number
I certify that, inShe 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
3700 of the Labor Code, I shall forthwithcomply with those provisions.
WARNING:. FAILURE 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 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 property for inspection purposes. M Q y�
Det -'C �Q Signature,lAoolicant*orrAaentl.: y V, 1 'f O3/ - el (/
Application Number . . 06-00001699
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 63.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 3717
Expiration Date 10/29/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
2.00 9.0000 THOU BLDG 2,001-25,000
18.00.
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Special Notes and Comments
140 LF 6' BLOCK WALL ALONG REAR & SIDE
PROPERTY LINE WITH LAST 10' OF SIDE
WALL @ 5' ENDING 12' FROM FACE OF
CURB.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
LQPERMIT
OWNER/BUILDER INFORMATION
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.
For your protection you, should -be aware that as "Owner/Buildef" you-are-the:responsible party of record on such a
permit. Building permits are'not required to be signed, by property owners unles's,theyare,ersonally performing their
lr
own work. If your work is being performed'by someone other than yourself, you --may protect yourself from possible
liability if that person applies the proper permit in his or .her name.
Contractors.are required by law to be licensed. and.borided_by'the State of Galifornia and -to. have a business. license
from the City or County. They are ,alsorequired by law -to put their license number ori`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 otherwiseengage 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 carry out these obligations, and these risks;are especially serious with
respect to worker's compensation insurance.;
For more specific. information about your obligation_ s' under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For. more specific information abouty"br 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 throtigh.tlieir 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 owd Iaboe 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 coritractors maybe obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street,,Sacrament", California 95814.
Please complete and retufn the enclosed owner -builder. verifrcaiioii form- so' ihat;we-can•'confirm that you are aware of
these matters: The building permh 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
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OWNER'S SIGNATURE/DATE
;bo
PROPERTY ADDRESS
NO�(
PERMIT NUMBER(S)