08-1727 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00001727
Property Address: 51300 AVENIDA RAMIREZ
APN: 773-083-003-22 -000000-
Application description: REMODEL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 150
Applicant:
T41YI 4�w
Architect or Engineer:
14�_
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
FONG, OMAR & CINDY
51300 AVENIDA RAMIREZ
LA QUINTA, CA 92253
(760)200-6318
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/17/08
__________________________________________________________________________________--- _____________
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self, -insure for workers" compensation, as provided
License Class: License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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
any policant 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, 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 theproperty, 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 . for this reason "
\ Date: caner:
COYSTRUCTPK 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
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 whichh-this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier - - - - - - - - - -- - - - - - - - - - - -- Policy Number
I certifythat, 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 show d become subject to the workers' compensation provisions of Section
3700 of the Labor C , Is hall fort ith comply with those provisions.
Date: pplicant:
WARNING: FAILURE TO SEC E WORKERS' COM14SATION 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 ofthisapplication,
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 bu'Id' construction, and hereby authorize representatives
of this ��nature
topon the above-mentioned prope r ins pecti 'poses.
Date: (Applicant or Agent):
Application Number . . . . . 08-00001727
Permit . .
. BUILDING PERMIT
Additional desc .
.
Permit,Fee . . .
. 15.00
Plan Check
Fee
9.75
Issue Date . . .
.
Valuation
. . .
. 150
Expiration Date
4/15/09
Qty Unit Charge Per
Extension
. BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and
Comments
WINDOW CHANGE OUT
U -FACTOR 0.35 SOLAR
HEAT GAIN 0.21 VISABLE TRANSMITTANCE
0.52
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . ENERGY
REVIEW FEE
.98
Fee summary
----------- -- ----
Charged Paid
Credited
Due
Permit Fee Total
---------- ----------
15.00
----------
.00
----------
.00
15.00
"Plan Check Total
9.75
.00
.00
9.75
Other Fee.Total
.98
.00
.00
.98
Grand Total
25.73
.00
.00
25.73
LQPERMIT
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351- 35 06adz
OVAWR/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:"OwnerBuilder" 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 benefitand 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 employer.
If •yoa•• 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 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 contractors are allowed to perform their
work personally or through their own. Iemployees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to becontractors 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; Califorhix 95814: -`
Please complete and return the, enclosed owner -builder verification for6so 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,
78495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
FAX:, ('760) 7�77--7700111
--OWNEP SiGNATURE/,@�1TE
(/!4`C� e0a�vle
PROPERTY ADDRESS
08 - /7-2
PERMIT NUMBER(S)
Z
Bin #
City of La Quinta .
F Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 51 Rd
UC °
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: 61 a
Telephone: /
Address:
Project Description:
City, ST, Zip:
Telephone:
r
State Lie. # :
Arch., Engr., Designer:
City Lie. #:
Address:
City, ST, Zip:
Telephone:
,µ
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair
Demo
Name of Contact Person:(i/nv/4
U 16,
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
— —1,'
Estimated Value of Project: C, .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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
Subcontactor 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