Loading...
11-1272 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00001272 , Property Address: 78073 CALLE BARCELONA APN: 770 -182 -002 -9999 -000000 - Application description: WALL/FENCE Property Zoning: VILLAGE COMMERCIAL Application valuation: 700 T414t " BUILDING & SAFETY DEPARTMENT Applicant: Architect or Engineer: 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 Professionals 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 pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and TY� 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.). (_) 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.). (_) I am exempt under Sec. B.&P.C. for this reason e Date: ner:. 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ;;IJ! D te: 11 112'1/11 Owner: ;�� (• - I;i MICHEL DESPRAS n• o �� __._,___,_ ------------------------ FlPT Contractor: Owner —----------------- 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 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ap cant:�./_� WARNING: FAILU E TO SECURE WORKERS' COMPENSATION COVERAGE IS-UZ�VFUL, 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 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 building construction, and hereby authorize representatives Of ' coun y to a ter upon the above-mentioned property for inspection purposes. Date: ' I ature (Applicant or Agent): Application Number . . . . . 11-00001272 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 19.00 Plan Check Fee .00 Issue Date . . . . Valuation 700 Expiration Date 5/21/12 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 2.0000 HND. BLDG 501-2,000 4.00 ---------------=-----------------------------------------=-----------------= Special Notes and Comments RELOCATE TRASH ENCLOSURE: 28 L.F. 6' BLOCK WALL, COLOR TO MATCH. METAL GATES, PER PLANNING APPROVAL. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 19.00 .00 .00 19.00 Plan Check Total .00 .00 .00 .00. Other Fee Total 1.00 .00 .00 1.00 Grand Total 20.00 .00 .00 20.00 LQPERMIT Calle Barcelona Lavender Bistro Trash Storage.Proposal 30 Parking Spaces' Existing Trash Trash Line '.;Area New Trash o Location 00 Next Door Trash Bin -Drawing Not To Scale - 1. Enclosure walls will be six feet high cinder block with a light beige color to match nearby enclosures. 2. Enclosure will be constructed on a concrete -pad sloped to drain under the gate. 3. Doors will be self -latching, metal and of heavy duty construction sufficient to withstand hard usage. APPROVED BY PLANNING DEP RT ENT BY- DATE l 2 EXHIBIT �•vc,c, _ /��si. CASE NO.- S�_�,ri:c--r- � C._Z_►!'C(A,-�� w L4riG 9. /00, 200,D Next Door Trash Bin I / 1 P.O. BOX 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760) 777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner-Ballders Appjytng for Construction Permits IAF fIR�.s11YT1 NO LUCE To PR ''Huy gwm Dear Property ownw. Ari. application for a building permit has been. submitted in your name listing yourself as the builder of the property improvements specified at We are pWVWing you with an Owner -Builder Ackaowledgmeutand. Information Verification Foran to make you ave w of your FeWOusibilities and possible.risk you may incur by laving tlds petF nit. issued in your name as the Ownm,Builder. We will not issue a building.pennit until you.bave read, initialed your understanding of eack 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. 'JUM ""'UNS. Read and initial each staterrrerrtbelOw14 signify you wtdw3vind or very skis enfornurfion bl. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" dmg Pmt that erroneously implies that the propertyowner is providing his or hes own labor and material pers©m�y. I, as an Owner -Builder, may be 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 our my, property. 12. I understand building permits are not required to be signed by property owners unless they are responsible for the uctlon and are not hiring a licensed Contractor to assume this responsibility. WiI understand as an `Owner-Builder"I am the responsible party of record on the permit. I understand d at I may protect from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. �4. I understand Contractors are required by law to be tieeased and bonded in California and to list their license numbers a is and contracts. 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total vale of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an `employe under state and federal law. �6. I understand if I am considered an "employes" under state and weral taw, I must register with the state and fede government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unentploym, compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious finm risk understand under California Contractors' State License Law, an Owner -Builder who builds single-family resides »� Y structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licen subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is perfon under contract with a licensed general building Contractor. I understand -as an Owner -Builder if I sell the propertyfor which this permit is issued,..l may be liable for any . cial•or personal.trries uu�amed by any subsequent owners) that result from any latent construction defects in the worlananship or materials: 9. I understand I may obtain more information regarding my obligations as an "employee" from. the- Internet Revenue rnce, 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 (CSM atl- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 0. 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: [agree that, as the party legally and fWattcially responsible for lois proposed construction activity, [will abide by all ill�lle laws and requirements that govern Owner -Builders as well as employers: 12. 1 agree to notify the issuer of this form immediately of any additions; deletions, or changes to any Of the infonnaum I hav 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 boom, fire Contractors' State License Board may be unable to assist you with any financial loss you may sustaia as a result of a complaint Your only remedy against unlicensed Contractors may be iQVtVd court. It is also imponaet for you to understand that if an omlictmsed Centrwor or employee of aunt individual or &M is 0010d wbile working on your property, you may be Add for damages. If you obtain a permit as Owner -Boulder and wish to him Contractors, You will be responsible for v or not those Contractors are;prepaly Neensed and Etre status of GL& wotkc& oompensation msuranoe coverage. Before a building permit cm be issued, this form must be completed- and signed by the property owner and returned to the agency responsible for isttdot the f mmkt. Mote: A copy of dw p VerW owner's dWver.'sgmesai fww ns m or other very adon accep"k to ae-agency is r+agUh-ad to be praseated when &a permit is inum to *a* the propem owner's signature. Signature of property owner Date- Note: aae Note: Ae 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. AUIE1RIMTI.ON OF AGENT TO ACT ON PROPERTY OMNAR'S 6xcludiag.the Notice to Property Owner, the txmption of which I understand is my personal raVensibility, I hwby authorize the following penaon(s) to act as my Vis) is apply for, sign, and file the documents necessafy to obWn an Owner -Builder Permit for my project Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjurythat I am the property owner for the address listed above and I personally filled out the al information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other venfication acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.. Property Owner's Signature: _ Date: 'Bin # City ®f 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 Permit # �. ti Project Address: 3, (,1C)\ Owner's Name: f Z4 A. P. Number: r% �� v- a - 0c) - Address:— Legal Description: ICy3 ''t d,4 City, ST, Zip: Contractor: ° �raCt� Tl m 8 ( l' 7 5 Q,.1. CSc Telephone ] Address: LOUh' /� Project Descr iption: City, ST, Zip: 1 Telephone: / it State Lic. # : City Lic. Arch., Engr., Designer: 6 Address: 'T "tit City., ST, Zip: Telephone: Construction T pe: `oc� cA/� `t Occupancy: State Lic. Pa circle one): New Add'n Alter Repair ty Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Perso: 7(&-) -�5104 Estimated Value of Project: 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 Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2". Review, ready for corrections/issue Electrical Subeontactor 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