Loading...
BPAT2016-0016Z 1. 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPAT2016-0016 Property Address: 52320 AVENIDA RAMIREZ APN:• 773262004 Application Description: VALDEZ / PATIO Property Zoning: Application Valuation: $450.00- Applicant: 450.00 Applicant: JOSE VALDEZ 52320 AVENIDA RAMIREZ LA QUINTA, CA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S 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 Professions Code, and my License is in full force and effect. License Class: _ License No.::CONV:140528101254115165 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 (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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 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 h or she did not build or improve for the purpose of sale.). 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 contractor(s) licensed pursuant to th C ntractors' State License Law.). am exempt under Sec. _ . B.&P.C. for this reason Date: �( `� Owner- CONSTRUCTION wnerCONSTRUCTION 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: Owner: JOSE W ACE (760 , FAX -t760),;' P'INSPACTICIP1(7,60);L!l,o -`-ITY1--0_F_LAU NTAi OMft� l INffYDEVEI nPAAPhITnci 52320 AVENIDA RAMIREZ LA QUINTA, CA 92.- 53 Contractor: JOSE VALDEZ 52320 AVENIDA RAMIREZ LA QUINTA, CA 92253 (760)771-3027 Llc. No.::CONV:140528101254115165 016 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' conpensation 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: _ I, certify that in the performance of Me 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 37D0 of the Labor Code, I shall forthwith comply with those 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 ONE HUNDRED THOUSAND DOLLARS ($100,000,. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR'N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 applicaboh 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 sta:e 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 representat:ves of this city to enter upon the above-mentioned property for inspection purposes. - Date: Signature -(Applicant cr-Age FINANCIAL INFORMATION. s DESCRIPTIONS 3, ACCOUNT QTY AMOUNTS z+ PAID , ,PAID_DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 4/21/16 PAID:BY 'YMETHOD ' RECEIPT #, # ¢ — CLTD BY ., • , , s ,CHECK - x JOSE VALDEZ CASH R14968. RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 ESCRIPTION � ACCOUNT �'` ` ` QTY i• AMOUNTPAID s; s s z. r� PAID DATE 1, _ ,? x , PATIO COVER, STD, OPEN 101-0000-42404 0 $97.17 .$97.17 4/21/16 Y PAID BYE, METHOD e ' ; RECEIPT # ;•F CHECK # CLTD BYE f> r'*•`f - of JOSE VALDEZ CASH R14968 RSE DESCRIPTIONQ :ACCOUNT,' QTY@ANIOUNT� '',PAID PAID.DATEF PATIO COVER, STD, OPEN PC 101-0000-42600 0 $95.72 $95.72 4/21/16 '� PAID BYE r x 4", �METkIOD y't x t `RECEIPT # } CHECK # CLTD BY JOSE VALDEZ CASH R14968 RSE Total Paid for PATIO COVER/ COVERED PORCH/ LATTICE: $192.89 $192.89 t -ACCOUNT.,rQTY'' AMOUNTS -:4 PAID AID. DATE! _ - SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.50 4/21/16 PAID BY'Le METHOD k i f. RECEI(?T # }CHECK # CLTD BY �_. is JOSE VALDEZ CASH R14968 RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50 TOTALS:• Description: VALDEZ / PATIO • • • Type: PATIO COVER Subtype:. CITY STANDARD/PRE- Status: APPROVED Applied: 3/31/2016 RSE ON •DATE T COMPLETION DATE: ' " ' vACT16N. ENGINEERED - OPEN .CHRONOLOGY Approved: 4/20/2016 JJO Parcel No: 773262004 Site Address: 52320 AVENIDA RAMIREZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 82 Lot: 19 Issued: UNIT 10 3/31/2016 Lot Sq Ft: 0 R' Building Sq Ft: 0 Zoning: Finaled: Valuation: $450.00 Occupancy Type: Construction Type: Expired:. No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: ADD NEW PATIO COVER AT ENTRY PER CONV. LIGHT FRAMED CONSTRUCTION 602 CRC CODES. .. , ,:: ADDITION -.�_" .- AL SITES .' 20 µ Printed: Thursday, April 21, 2016 4:16:16 PM 1 of 3 - SYSTBti1S t • • • TYPE STAFF NAMES ON •DATE T COMPLETION DATE: ' " ' vACT16N. "NOTES .CHRONOLOGY $� PLAN CHECK SUBMITTAL RAMSES SEVILLA 3/31/2016 3/31/2016 RECEIVED - CALLED ANGEL TO INFORM HIM THE PLANS ARE READY FOR TELEPHONE CALL JIM JOHNSON 4/7/2016 4/7/2016 CORRECTIONS CALLED ANGEL GERERDO TO INFORM HI THE PLANS ARE TELEPHONE CALL JIM JOHNSON 4/20/2016 4/20/2016 READY TO ISSUE CONDITIONS CONTACTS ,rte. � a.F �. - 7. �p p.: •" "' S i va..'w^e._ NAME:TYPE 'NAME °. ADDRESSI A CITY STATES ZIP PHONE FAX # EMAIL tt } ,� +. APPLICANT JOSE VALDEZ 52320 AVENIDA 'LA QUINTA CA 92253 (760)771-3027 RAMIREZ Printed: Thursday, April 21, 2016 4:16:16 PM 1 of 3 - SYSTBti1S t Printed: Thursday, April 21, 2016 4:16:16 PM 2 of 3' ' srsrcnns CONTACTS NAME TYPE NAME' ADDRE551' CITY '� STATE ZIP PHONE ' FAX EMAIL '< . ;... °.'.h •"F:rA4�' Z^ RM;;•. . E...c,Ay .\, ! K R5 cn wa.. CONTRACTOR JOSE VALDEZ 52320. AVENIDA LA OUINTA CA 92253 (760)771-3027 RAMIREZ OWNER JOSE VALDEZ 52320 AVENIDA LA QUINTA CA 92253 (760)771-3027 RAMIREZ FINANCIAL INFORMATION r , "Y.. .�.. � ° a....j gym:{ s . DESCRIPTION,; ¢ ��� �s XCOUNT =� ,�:.QTY w MP Iya� w ,,.AMOUNT � A b P I i41 IP A 0 D E RECE T# " H K # ,., M TH £. .w ICLTD'.. -CHE E .OD PA D BY vii <, s. BSAS SB1473 FEE 101-0000-20306 0 $1,00 $1.00 4/21/16 R14968 CASH JOSE VALDEZ RSE Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PATIO COVER, STD, 101-0000-42404 0 $97.17 $97.17 4/21/16 R14968 CASH JOSE VALDEZ RSE OPEN PATIO COVER, STD, 101-0000-42600 0 $95.72 $95.72 4/21/16 R14968 CASH JOSE VALDEZ RSE .OPEN PC Total Paid for PATIO COVER / COVERED PORCH /LATTICE:' $192.89 $192.89 SMI • RESIDENTIAL 101-0000-20308 0 $0.50 $0.50 4/21/16 R14968 CASH JOSE VALDEZ RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50 $194.39 $194.39 INSPECTIONS PARENT PROJECTS ' RETURNED - 'r REVIEWS ;: 'STATUS`" REMARKS r REVIEW TYPE'. REVIEWER ; SENT DATE' DUE DATE - ,h DATE r s NOTES *., • 1ST BLDG NS (2 WK) JIM JOHNSON 3/31/2016 4/7/2016 4/7/2016 REVISIONS REQUIRED 2ND BLDG NS (1 JIM JOHNSON 4/13/2016 4/20/2016 4/20/2016 APPROVED WK) Printed: Thursday, April 21, 2016 4:16:16 PM 2 of 3' ' srsrcnns 7 BOND ATTACHMENTS +-,..i�. -::��` .' aw:':-.vv re!wYe r:X ;'::i"v"Y ... -... rn...... . .::� ed"�'F �... p � v.::. ...?Ac")' .. q 'P�,A. a^'"� .'.^^� "'Alf, Attachment T. e: � DESCRIPTION " PATHNAME °SU,BDIR '-ETRAKIT',9NABLED: .:.C.REATED • - ;E„ ,OWNER _. A . 52-320 AVENIDA 52-320 AVENIDA DOG 4/7/2016 JIM JOHNSON , 0 RAMIREZ.docx RAMIREZ.docx RESPON ESE TO RESPONESE TO DOC 4/20/2016 JIM JOHNSON' CORRECTIONS CORRECTIONS 0 BRES2016-0016.pdf BRES2016-0016.pdf 2016-02-0311.00.50 2016-02-0311.00.50 IMAGE 4/4/2016 KEVIN MEREDITH o HDR.jpg HDR:jpg IMAGE 4/4/2016 KEVIN MEREDITH. 2016-03-04 10.19.52.jpg 2016-03-0410.19.52.jpg 0 Bin # City of La Quinta Building 8t Safety Division Calle Tampico La Quinta, CA 92253 - (760) 777-7012 b 1 b Building Permit Application and Tracking Sheet Permit #78-495 Zd� Project Address: 2 —300 tioer Rqt-,• (R—Gz .0 Name: A. P. Number: Address:/ �-32 lot r Legal Description: City, ST, Zip: yl �' 2 Z S 7 Contractor: T ele hone• 2 P O Address: S 2 -32p Project Description: City, ST, Zip: 225 '3 //��� {�t/nno. Telephone: 2 D . State Lic. # : City Lie. Arch., Engr., Designer: Address: PV City., ST, Zip: Telephone: . Construction T Occu acc Type: P Y: State Lic. # Project type a cit w (circle one • New Add'n Le A r ReA air Demo _ 0....... TZ--..... Name of Contact Person: A)rJ (�V Sq. Ft.: ' 2 # Stories: # Units: Telephone # of Contact Person:%(� —1 6 2z 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 Cates. Reviewed, ready for corrections Plan Check Depos# Truss Cates. Called Contact Person Plan Check Balance Titte 24 Calcs. Plans picked up' Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- '"! 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, .ti Total Permit Fees z P.D. BOX 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 PROPERTY OWNER'S PACKAGE Disclosures & Forms for Owner -Builders Applying for Constructi.:)n Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the bLilder of the property improvements specified at We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your. responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not.issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority: OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this informatior.. :JV L I understand a frequent practice of unlicensed persons is to have the property owner obtair. an "Owner -Builder" building permit that erroneously implies that the property. owner is providing his or her own labor and material personally. I, as an Owner -Builder, maybe held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. r 2. I. understand building permits are not required to be signed by property owners unless they aze responsible for the construction and are•not hiring a licensed Contractor to assume this responsibility. J"J 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or hei name instead of my own.. . 4. I understand Contractors are. required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500)i including labor and materials, I may be considered an ".employer" under state and federal law. -I'V 6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance; and contrib-ite to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to.serious financial risk. 7. .1 understand under California Contractors' State License Law,' an Owner -Builder who builds sirgle-family residential structures. cannot legally build them with .the intent to offer them for sale, unless all Work is performed by licensed subcontractors and the number of structures does not exceed.four. within any calendar year, or all of tle work is performed under contract with a.licensed general building Contractor. �J 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries 'sustained. by any subsequent owner(s) that result from any latent cons miction defects in the ,workmanship or materials. 9. I understand.I may obtain more information regarding my obligations as an "employer" frorr_ the Internal Revenue Service, the United States Small.Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 80/0-321-CSLB (2752) or www.cslb-ca.gov.for more information about licensed contractors. V 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally, and financially responsible for proposed construction activity at the - following address:_ 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as.well as employers. V 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form.. Licensed contractors are regulated by laws designed to protect the public..If you contract with someone who does not have a license, the. Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result' of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm. is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage.. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued eo verify the property owner's signature. Signature of property own` L��!1 Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACTON PROPERTY OWNER'S BEFALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibilitj, I hereby authorize the following person(s) to act as my agents) to apply for, sign; and file the documents necessary to obtain, an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work):0V.14- 17o Project Location or Address: 2— 20 Name of Authorized Agent: Tel No. Address of Authorized Agent: I declare under penaltyof perjury that I am the property owner for the address listed above and I .personally filled out the above information and certify its accuracy. Note: A copy of the.owner's driver's license, form'notarization, or oiler verification acceptable to the agency is required to be presented when the permit is issued to verify the property owners signature. Property Owner's Signature:: Dater