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BSPN2014-002578-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: .4 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BSPN2014-0025 53630 AVENIDA RAMIREZ 774122007 SPECIAL INSPECTION TO REPAIR HOUSE BACK TO PRIOR CONDITION Applicant: SOMER BOSCHETTI 4404 YEATES CT RANCHO CORDOVA, CA 92253 g�1 t/ t t SEP 05 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT' VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: SOMER BOSCHETTI 4404 YEATES CTI RANCHO CORDOVA, CA 92253 Contractor: OWNER BUILDER / LIC. No.: 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.: 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 (cant 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�he 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 the Contractors' State1icense Law.). I am exempt under Sec. B.&P.C.,for this reason Dated `S — U q O 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.). Lender's Name: Lender's Address: Date: 9/5/2014 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' compensation insurance, as required by Section 3700 ofthe 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 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 3J00 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 IN 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 thisapplication. 1. Each person upon whose behalf this appliotion 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 tie 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 ordim nces and state laws relating to building construction, and hereby authorize representatves of this city to enter upon the above- mentioned property for inspection purposes � `-S-Zo►N -— - Date: Signature (Applicant of n FINANCIAL INFORMATION DESCRIPTION ACCOUNTS AMOUNT' PAID +'w PAID DATE. - ' SPECIAL INSPECTION 101-0000-42404 1 $71.50 $71.50 9/5/14 `Y` PAID; BY,� s M RECEIPT # ;ter' 'CHECK #:'' a'CLTD B. ti yds c :s=,r ��'n r = » x. ,'*? w , SOMER BOSCHETTI DEBIT R1002 AZA w r DESCRIPTION '�, ' x °. ^, ' x': ACCOUNT r s Q TY NT ` AMOU_ �: DATEt PAID E _.,._. .. : 1 Permit Number: BSPN2014-0025 Description: SPECIAL INSPECTION TO REPAIR HOUSE BACK TO PRIOR CONDITION Applied: 9/5/2014 Approved: 9/5/2014 Site Address: 53630 AVENIDA RAMIREZ Issued: Finaled: City, State Zip Code: LA QUINTA, CA 92253 Status: APPROVED V Applicant: SOMER BOSCHETTI Parent Permit: Owner: SOMER BOSCHETTI Parent Project: Contractor: OWNER BUILDER Details: SPECIAL INSPECTION TO REPAIR HOUSE BACK TO PRIOR CONDITION. 2013 CALIFORNIA BUILDING CODES. r f Printed: Friday, 05 September, 2014 1 of ICRUVCIFEW SYSTEMS Bin #!• Permit # Project Address: 6 3 O City of La Quinta -Building 8T Safety Division. P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit. Application and Tracking. Sheet: � � (L�j 1 Owner's Name: So A. P. Number: Address: Legal Description: City, ST, Zip: Telephone. >: = Address: �V D A. bV*a NA Project Description: City, ST, Zip: ►�. tQ �-LL zzo . t>S Telephone: let L C' d lJ State Lie. # : City Lia #; Arch., Engr., Designer- esignerAddress: Address: City., ST, Zip: Telephone: Construction Type: Occupancy: roJ cttyP (circle one): New Add'n Alter Demo State Lic. . Name of Contact Person:Lf�Cfr Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 76 O --870M _6 qfl Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACICTTIG PERMIT FEES. Plan Sets PIan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance. ' 'Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for corrections(ssue Electrical Subcontactor List Called Contact Person Plumbing • Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`d Review, ready for corrections/issue Developer Impact Fre Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees P,O. BOX. 1504 LA QuIN.A; CAL[FORNiA `92°247-1504 BiJiLDaNG &_$AFETy DEP.A-TMENT' .78-495' CA'LLE T'•Amptco LA:QUtNTA, CALIFotzN(A 92253 (7fr0) 7^77-70.i2 �y , AX(760) 777-7011 RISTACKA, GE 'Disclosures 8i Forms for Owlter B►uiXders Ap.piyii9for°.Construion. Frmuts; TANTI.-1�IUTIC 10 PRO`PR y nvvm v Dear Property Owner -Ari agpheahon for a building permit bas • been,.subm ttin :our name listin improvements specified at _ ' .� 4), A V g yourself :as the builder of the ,property, :Vice are. v'dm 2�1 blajAvi tP 1 Z� �aix:/�- 'tj� iOil g You whir an Owner Builder Aclmowledgment-and• lufosmatieri;Ve.rifrcatioit.I'onn tee.make.you aware of your, responsibilities and possible nsk-you mayincur by -having this perimit issued in your namo as the OwnerrBuilder. We will• not issue a building;permlf utttit:you�4ave Eeatt; initiated your.u'ndersts�n ing.of each�provisiou, signed; and returned `this form to us at our official address indicated. An a$ent of the owner cannot, execute, this:notice unless you, the property owner., obtain the prior approval of the permitting auWo'ity.. O'% -q 'R'S XCWNQ-'VM- EDG. NT' A:NDE$tIT-ICATION Or; Dime—TIONS Read and initial each statement bejo vSniY to si i.. You intd&-sIIS ORI IA ,! rd or rerlJy this enformctirin: h& I' .understand a frequent rac&c, of . buiidin P unlicensed persons is to have the property owner olktain an "Owner -Budder, g perinitthat erroneously implies�that.the property owner is providing. his or; her, own labor and ritaterial personally: an Owner -Builder, .may be held liable and subject to serious; financial risk for I, as any injuries sustaine i` by an unlicensed, person g ori my property and 1'is or whir her employees r wor(an. 'My homeowner's insurance 'nay not.paovide coverage .for those i*ries-, pe willfally acting as.an Owner -Builder and am aware of -the limits of ray:insurance,covc'�gc for injuries, to.vacirkers on my property.. • ��I understand bwld' ' .. pe;nZits are not required to be signed by property owners unless t1py. are responsible for the construction and are. not iii'iing a licensed Contractor to :Assume this res onsibilit P y understand as an'" Gwner-Builder" T am the re onsible myself from potentiat finanicial risk. by tiring a l'censed Contractop and liav northe n the perntit I .understand, that L may protect'. own. ;permit filed in his or her name instead of my 4. f understand Contractors are required by law to be.licensed and bonded in California and i Permits and contracts. o Lst their. license ntunbers on I' understand if I.employ or otherwise engage an y persous� other than California licensed Contractors; and the total value. o' under tate and is at least five hundreddollars($500), including labor, and. materials, I may be .considered an "employer" under. state and federal law. I .understand if I Wn considered an "employer" 'under state and federal law I must re ''s . .9. . etr'mOnt,' withhold •payroll ' taxes, • provide workers' compensation disabiligr t� with. the state and federal compensatioi' for each "employee:" L' also understand my failure: to abide by these [awscmaytsulreet me to seee to rio financ at. risk; . ?. _T .understand under California Contractors' State License Law, an Owncr-Builder who bui' structures cannot .legally build 'them with the .intent to offer, them for sale, unless all work- is perforined1by liceny re sed subcontractors and, the number. ,of structures does not. exceed. four within any calendar. year, .or all of tlae: work is under cor'tract;with a Iicepsed general building..Contractor. • performed .I understand as ah. Owner. Biuilder if, k sell the .property for which this permit is issued, .I may be held. liable for any financial or personal, iri�ttrxes .sustaitred by any subsequent owner(s) that: result from any latent construction defects in the workmanship or matetrals.. L I understand .I may obtain more information regardiag .my obligations as an "employee' from t)re intemA1 Y 0e` ue Service, the l nited.States Small Business. Administration, the California nepactn* of -Benefit Paymetift:,, and.the California Division of industrial Accidents. I.. also understand i may. contact the. California Contractors' State License ( - s ,'i3') at 1- f300-321-'CSLB (2752) or www.cslb.ca.gov for more information about ficensed c6ittractors. t ;,in aware. of and'consent to .anOwner-Builder building. perurit applied form my narxie; and: undrstnnd that I• am the party legally and financially respomible .. fox proposed construction . activity at, (he following :address: L agree that, as the party legally. and financially responsible'for thus proposed•constmction actYvi=y,1!wiH. abide by All ws pp ad regiruetnents that govern Owner -Builders as -well as enployers. t agree to notify the issuer of this, form immediately ofany addiiions;,deletiops, o ' ckrc ges to: aw of the informatioh I have provided ou .this form. Licensed contractors are regulated by laws .designed to. protect the public. if you eontraet with someone who doesnot have.a license,: the'Contracters' State License Board may be unable to•Assfsfi ytiu with any finaneial loss yoir may sustain &q a result of a complaint Your only remedy:against ;unlicensed Contractors may be-iwiivil• court- it is:.also important for. yowta understand that.if an. ualicense&Coutractor or employee of that: individual or fmx is injured, white; worlerng on your property; yqu may be field liable for•damages. If .you obtain a pedifit as Owner -Builder and wi h to Itrtre Contractors- y<iu wijF be .responsibEe: for verifying .whet€reF or. not •.those Contractors. are properly.-dieeased and the sttatus: of their wotkers' eompertsation•insurance coverage. Before a building perinit can be issued, this .form i ust be.completed and signed by the property owner and returned• to tore agency responsible fora ssuiirg i e..per.WL Nate. A,:copy of tke propertyr owner's• di:ives's*ense. forrrc notarkafion•,or otfter verification acceptable to the agency i ..regicir.'ed. to be. presetitet!`wh' #4, permit is: issued to• verify.`the.property owner's signature. Signature of property owner• r Date Note: The followingAulhurizatian Form is required to he completed by.the properly owner oPly whendesigniving an agent of the property owner to apply fora construction permit for the Owner -Builder. Ax L V ♦Fl\L' L\ V LlJ 11L.C1.F.JlI' Excluding. the Notice to Property Owner, the execution of which I understand is my persoxral respousxb ity, I herc<5y authorize •tho following person(§) to act as my agent(§} to apply for, sign, and file the documents necessazy.to otitain an:Owner-Builder Kermit for my project. . Scope of Constructionl'roject (or Description of Work): R Project i ocationor Address: rJ�6�C� "VZ°i/L! /ti. I re Z Naive of Authorized Agent: Tel No 7v v l 5H 64 el -7. . Address of Authorized Agent ` Z� fQJ CH ODA 14 ►.t N P T i-� P o (� �ZZo. l 1 declareunder penalty of perjurythat I am the property owner for the. address listed above and i person2lty filled out the above information and certify. its accuracy. Note r1' copy of the owner's driver's license, form irotarization,. or other verification acceptable: to tJle agency is requtred''14 be presetited when the permit is issued to verify the pro erty cw er's sign, Property Owner's Sigrialure: State of California `� - =�� e Date: County of Sacramento Subscribe and swom . (or affi m d) before on t is day of iel►tl' 2(� . 1, 05_ S_ ABRINA VAL:fJEZ by U COMM: N 1998269 proved to me on the basis of satisfactory, qu t NOTARY PUBLIC -CALIFORNIA evidence to be the pers (.60f ho appeared of a me. 2 SACRAMENTO couNTY Q roR COMM. EXPIRES NOV..18, 2018-' Signature • Provide signed authorization from owner to pull permits in his name. • He can then pull a permit for a.special inspection. Pay fees. • Submit plans showing restoration of drywall in garage ceiling, diagram the wal where 2 x 4's were removed, and restore drywall, insulation, and electrical to original condition. • The building inspector will go for the scheduled inspection to let them know e::actly what he needs done. • Satisfy code on painting eaves: • Remove unpermitted patio cover, or submit plans and get permitted. Must bE consistent with City engineered detail. • Remove debris from s/side yard. • Remove mechanical equipment from n/side yard. •. Restore power by 9/10/14 or evacuate dwelling. Anthony Moreno City of La Qccinta Animal Control/Code Compliance Supervisor 760-777-7034 amoreno@la-quinta.org S t © t� . U iW7 Nam <1 WWI Z - a rage i or i f-f-PZ *LA •s P -C P L�&C-f- 6Lut- A cL AT C i, g.`( \6\,N --r q-..AJ'vk0N Dt-,j L•✓ AL c-_ - http://user.govoutreach.com/laquintaca/viewattachmentns.php?city=125&site=laquintaca&a... 9/5/2014 ,, .. � . .' t .. � - �