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08-1110 (PLBG)a1 •� P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA,.CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property' Zoning:, Application valuation: Applicant: ICA 7707 01110 5-4'4720 AVENIDA RAMIREZ 774-244-026-17 -000000- PLUMBING COVE RESIDENTIAL 500 Architect or Engineer: / "4-. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: PETER SUAREZ 54420 AVENIDA RAMIREZ LA QUINTA, CA 922.53 (760)578-2642 Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/27/08 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 Wepor she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by pcant for a permitsubjects the applicant to a civil penalty of notmore 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 applyto 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. oUcompletion; 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 .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' State License Law.). ( 1 I am exempt under Sec. , BAP.C. for this reason - i/ 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: LQPERAIIT issued. I have and will maintain workers' compensation ' a s 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 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 be e s lect [ ewor rs' compensation provisions of Section / -7�773700 of the LaborCode, I all for with mpt h those provisions. Date:)k- 2 -08' ppiic�ni: WARNING: FAILURE TO SECURE ORKERS' 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 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and slate laws relating to building co uction, and her by authorize representatives of this county to enter upon the above-mentioned property f inspe tion p po Date: v � � a ignature�Applicant-or�Agen'I) ' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I amlicensed under provisions of Chapter 9 (commencing with S� ION DECLARA ION I hereby affirm under. penalty of perjury one of the follod�l rations: WORKER'S COIfothe Section 7000) of Division 3 of the Business and Professionals Code; and my License is in full force and etfe_ct. - _ I have and will maintain a certificate of coto se = mpensation, as -provided License Class: License No.: for by Section 3700 of the Labor Codeperform work for which this permit is 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 Wepor she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by pcant for a permitsubjects the applicant to a civil penalty of notmore 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 applyto 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. oUcompletion; 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 .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' State License Law.). ( 1 I am exempt under Sec. , BAP.C. for this reason - i/ 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: LQPERAIIT issued. I have and will maintain workers' compensation ' a s 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 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 be e s lect [ ewor rs' compensation provisions of Section / -7�773700 of the LaborCode, I all for with mpt h those provisions. Date:)k- 2 -08' ppiic�ni: WARNING: FAILURE TO SECURE ORKERS' 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 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and slate laws relating to building co uction, and her by authorize representatives of this county to enter upon the above-mentioned property f inspe tion p po Date: v � � a ignature�Applicant-or�Agen'I) LQPERAUT Application Number . . . . . 08-00001110 Permit . . . . _ . PLUMBING Additional desc . Permit.Fee• 18.00 Plan Check Fee 4.50 Issue:Date Valuation . . . . .0 Expiration Date 12/24/08 Qty Unit.Charge Per. Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 Special-'Notes and Comments -----_----- GAS LINES FOR .PROPANE TO KITCHEN PER APPROVED PLANS PER JJ Fee summary Charged Paid Credited Due Permit Fee Total 18.00 .00 .00 18.00 Plan Check;Total 4_.50 .00 :00 4.50 Grand Total 22.50. .00 .00 22.50 78-4.95CALLE TAMPICO — LA OU*lNTA, CALIF.ORNIA,�92253 TELEPHONE (760)" 777=7012 ,? FAX.=(760) 7774011 c ! t l OWN "VILDER ,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.requi`red to. bye signed by property ownersunless Ali are personally performing their own work. If your:work is;:being:performed byaomeone other;than yourself; you may protect yourself from possible liability if that person applies fort. proper.'permit'in'his or her name. d Contractors, are, required byelaw to;be.licensed andsbonded.by the,State of:California and to have a business license from the City or County. They are also'requim&by law to put,theic,license number on all permits for which they apply' If you plan to do your own work,'.with the a ception of,various. trades that you"plan to subcontract, you should be aware:ofthe following information foryour�,benefit and, -protections ' 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 I more, for the. entire 'project, and"such persons'. are;,. not licensed as contractors or subcontractors, then you maybe an employer: —If you are an employer, you must register.with:the StAe and. Federal,. Government as an employer and you are subject to several obligations include State and Federal income tax withholding, f6d6rah socialsecurity taxes, worker's compensation insurance, disability insurance`costs: and. unemployment compensation contribufions. 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).T6rAmore specific information about your obligations under State Law, contact the Department of Benefit Paymenm,And the'Division of Industrial Accidents. If the structure is intended, for sale,•property. ownerswho, a e,.not licensed contractors are allowed to perform their work personally or through,their`own`employees', without a licensed contractor'or subcontractor, only under limited conditions. A frequent practice of unlicensed•!persons professing t be contractors is to secure an.'"OwnerBuilder" building permit, erroneously implying that'the= property ;owner is ro"viding his or: her.. own labor and material personally. Building permits are not required' to fbe signed byjproperty owners`?unless they are performing their own work personally. Information about licensed,. contractors may bleuobtained by contacting the Contractors' State License Board in your communityor at 1020 N.'S[reet, _Sacramento; California 95814 Please complete and returnxhe enclosed owner builder Verification form so'that,we tan -confirm that you are aware of these matters: The buildmg`lpermtt.will no£be issued until the,verifcauon.is.returned# Very truly yours, F CITY OF LA'`QUINTA ,ry - DEPT. -OF BUILDING AND SAFETY 78495 Calle Tampico La Quinta, CA 92253' (760) 777-7012 FAX: '(760) 777-7011 Perez - y OWNER'S SIGNATURE/DATE PROPERTY ADDRESS PERMIT NUMBER(S)' i .,1 : '.,:..... ''..�;-f`.t _:� ,:.... .• ".. .. �.._ _ .:;.'? 't. ,.?�.,__. .._ aur '.r.'•� -'T. i:."=::. �'te. m �vpas�D � o(�nae X02 Cool�io? • �1b1C, Csoc� �QaJ��c2 c.,-�c�-�- ��E�J�GE L1.EG. V2 (AckTrt9_ G�Q�UE I �m Sy�2o d�viIDo", e 0 Bin # City of Qf Luinta 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:1�IE Owner's Name: AQ� A. P. Number: Address: 11544ZQ 1 Legal Description: Contractor: City, ST, Zip: LA Telephone: Address: < Project Description: City, ST, Zip: C-�S LAOerS Telephone: City Lic: #: tTG State Lic. # : Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction.Type: Occupancy: State Lic. #: Project type (circle one): New . Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stones: # Units: Telephone # of Contact Person:eo Estimated Value of Project: APPLICANT: b0'NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called ContactPerson Plan Check Balance Energy 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 HOUSE:- "d 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