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0311-097 (AR)it 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. Date Date /- t -->Signature of Contractor 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 Olnpensation, 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 - i, x. Signature of Owner tql� WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of i perjury one of the following declarations: ( ) I have and, will maintaima certificate of conseri 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 Policy No. (This section need not be completed if the permit valuation is for $100.00 or less). (ter 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 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 forthwith comply with"those provision Date: I / ��APPlicant, Warning: Failure to secure Workers' Compensation coverage is unlawful shall subject an employer to criminal penalties and civil fines up to $100,00la addition to the cost of compensation, damages as provided for in Section 3 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safor a permit subject to the conditions and restrictions set forth onapplication. 1. Each person upon whose behalf this application is made & each perso 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 issuanceof 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 representatives of. this City' to enter upon the above-mentioned property for inspection purposes. �,gnature (Owner/Agent)! �. �'�� Ai (R�y� 6_f Dated � BUILDING PERMIT PERMITk s DATE ., YtLUATIONSx�� � 0 LOT TRACT. t . JOB SITE ADDRESS 52-940AVENff)A F,4J.'W; .E7 APN ' OWNER CONTRACTOR / DESIGNER / EN [NEER RI(:''c AM) "L Y EE 0iWMft3TJ.Mr17f'R :42-940 AVR RAIv]T "/., Lik QLQ14-TA CA 9225:3 E CBIX USE OF PERMIT - TZEME "MAL ADWION 303 SY, A13DITION � i t TR:ACT CONST RLICTIO14 398,0n :iT E.',').' A.`:t'i ) S osr co. -F CONS'1r' UCT.4:O1H .16,'72.4.40 Wlll. r FEE 810YA(l ARY CONSTRAJCT1O?' FYr 101.000.418.000 3180.00 PLAN CHECK FEE 101-000-439-318 $159.40 111l=;:GHANICAL FEY 101-000.421.000., SHOO Mt.W,TRtCAL, FP,E .101-000.420-000 $44.29 ' PLUMBING FEE 101 ••000-41.E<000 $521" � STRt7NO ' RESID 101-000-2441-000 51.6'1 /ra NOV 13 2003 ' CITY OF LA QUINTA . FINANCE DEPT. STIB-TCnAL CO Ri kC:Tl03r1'.Aly) PLAN C7W. -°�. wags I PRE-PArD FbX. 3 $0.00 TOTALi'.1�i�tVtiR'Y' IrMS DUE AbW .. t RECEIPT DATEBY DATE FINALED INSPECTS INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings —16 Ducts Slab Grade Return Air - Steel Combustion Air Roof Deck G Exhaust Fans O.K. to Wrap a G F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath _ p Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final, Water Piping Plumbing Final. Pwmbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover, Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) �/f/ COMMENTS: ; 4 OWNER/ 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 "Owner/ Builder" 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 perscnally 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 lawto 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 wo,.k (including materials and other costs) is $200.00 or more for the entire project, and such persons are not lice_-ised 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 emplo-er-and you are subject to several obligations including 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 K -venue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your cbligatioris 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 employees, without a licensed contractor or subcontracar, 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 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 confirn 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 F • (7, ) 7 7-7011 OWNER'S SIGNATURE/DATtj J�_91qU PROPERTY ADDRESS PERMIT NUMBER(s) r _ y �7 COUNCIL/RDA MEETING DATE: November 18, 2003 AGENDA CATEGORY: BUSINESS SESSION: ITEM TITLE: Consideration of a Request .to Waive the Underground Wiring Requirements Prescribed in Section CONSENT CALENDAR: 8.03.020 of the La Quinta Municipal Code, Associated With the Construction of a Room Addition at 52-940 STUDY SESSION: Avenida Ramirez. Applicant: Mr. Richard Tyree PUBLIC HEARING: jZ fJ�. RECOMMENDATION: - Waive the Underground Wiring Requirements of Section 8.03.0 20 of the La Quinta Municipal Code, associated with the construction.of a room addition at 52-940 Avenida Ramirez, subject to the findings in Exhibit A. FISCAL IMPLICATIONS: None. CHARTER CITY IMPLICATIONS: None. BACKGROUND AND OVERVIEW: Project Proposal Mr. Richard Tyre has applied for a room addition permit for his resi(fence at(52-940 Avenida Ramirez In accordance with Electrical Code requirements, electrical wiring improvements to external utility connections need to be installed. The applicant ha requested a waiver from these underground wiring requirements, under Section 8.03.020 of the La Quinta Municipal Code. Public Agency Review A copy of this request was sent to all applicable City Departments on Oc-ober 30, 2003. All Written comments received are on file,with the Community Development Department. /o FINDINGS AND ALTERNATIVES: Section 8.03.020, Article 120-6, specifies that the City Council may grant a waiver from the underground wiring requirements of this article, if the specific provision in question would be unreasonable, impractical and cause undue hardship to the applicant or the general public. If the City Council does grant a waiver, it may impose reasonable conditions in the interest of protecting and preserving the public health, safety and general welfare. In this case, a review of the facts and circumstances by the Building and Safety Director was conducted. It was determined that site conditions will cause practical difficulties and unnecessary hardship to the applicant, due to underground obstacles (existing footings), and topographical conditions (difference in surrounding lot elevations) (see Attachment 1). To require underground installation of existing wires in this case could be considered unreasonable and, under Section 8.03.020, Article 120-6, staff recommends a waiver of these requirements pursuant to the findings contained in the attached Exhibit A (Attachment 2). The alternatives available to the City Council include: 1. Waive the Underground Wiring Requirements of Section 8.03.020 of the La Quinta Municipal Code, associated with the construction of a room addition at 52-940 Avenida Ramirez, subject to the attached findings in Exhibit A; or 2. Do not approve the Underground Wiring Waiver request; or 3. Provide staff with alternative direction. Respectfully submitted, Jerr H rman/ Corfnmonity Development Director Approved for submission by: Mark Weiss, Acting City Manager Attachments: 1. Site Plan Exhibit 2. Exhibit A 02 ATTACHMENT #1 MINUTE MOTION 2003 - FINDING OF APPROVAL WAIVER TO UNDERGROUND WIRING 2003-003 RICHARD TYREE NOVEMBER 18, 2003 EXHIBIT "A" The La Quinta City Council has reviewed a request for a waiver to the underground wiring requirements of Section 8.03.020, in regard to certain property improvements proposed at 52940 Avenida Ramirez in the City of La Quinta. In accordance with Title 8 of the La Quinta Municipal Code Section 8.03.020, Article 120-6, the City Council hereby determines the following findings of fact: 1. The property owner, Mr. Richard Tyree, did submit an application JWUW 2003-003), under Section 8.03.020 of the La Quinta Municipal Code, requesting a waiver to the requirements of Section 8.03.020. 2. The application was submitted to the Community Development Department, and a review. of the facts and circumstances by the Building and Safety Director was conducted. 3.. The La Quinta City Council has determined that site conditions will cause practical difficulties and unnecessary hardship to the applicant, due to underground obstacles (existing footings), and topographical conditions (difference n surrounding lot elevations). The requirement for -underground installation, of existing wires in this case would be unreasonable, impractical and would cause undue hardship to the applicant.