12-1009 (DEMO)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T -,&t aF 4v 4"
Application Number:
`12-00001009---
Property Address:
78073 CALLE BARCELONA
APN:
770 -182 -002 -9999 -000000 -
Application description:
DEMO - COMML/OTHER
Property Zoning:
VILLAGE COMMERCIAL
Application valuation:
0
Applicant: Architect or Engineer:
in,
PIA
BUILDING & SAFETY 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 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
ai6y applicant 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
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.).
1 _) I am exempt under Sec. , B.&P.C. for this reason
Date:Owner:
CONSTRUCTION L DING 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: � J H
LQPERMIT
VOICE (760) 777-7012
0 FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
DESPRAS MICHEL
---------------------------------
Contractor:
Owner
Date: 8/31/12
ID Q Q
AIG 112.12
- - CITY OF LA QUINYA
FINANCE DEPT.
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 c=at, 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.
WARWNG: 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 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 state laws relating to building construction, and hereby authorize representatives
ofthiscounty toenterupon the above-mentioned property for inspection purposes.
Hate. 3 Ltr S ature (Applicant or Agent
Application Number . . . . . 12-00001009
Permit DEMO PERMIT
Additional desc .
Permit Fee . . . . 45.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date . . 2/27/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
----------------------------------------------------------------------------
Special Notes and Comments
DEMO EXISTING TRASH ENCLOSURE IN
PREPARATION FOR WALK-IN COOLER AND DEMO
EXISTING LOW WALL AT N. P/L
Fee summaryCharged Paid
- --------------------
Credited
-----------------=---
Due
----------- -----
Permit Fee Total 45.00
.00
.00
45.00
Plan Check Total .00
.00
.00
.00
Grand Total 45.00
.00
.00
45.00
LQPERMIT
Michel Despras
August 31, 2012
Re: Property at 78073 Calle Barcelona, La Quinta, CA 92253
To whom it may concern:
I, Michel Despras, am the rightful owner of the aforementioned property. I hereby give my full
permission to my tenant Lavender Bistro to demolish the existing cement block wall on the
premises and in addition, to demolish the existing abandoned trash enclosure. I give my tenant
authorization to make any and all necessary provisions to fulfill this purpose.
Respectfully,
Michel Despras
o F RSV
,
� 7t FSP
S 7 o
41.q q'y
q 18
March 22, 2012
MICHEL DESPRAS
78073 CALLE BARCELONA
LA QUINTA, CA 92253
OFFICE OF
CLERK OF THE BOARD OF SUPERVISORS
DIVISION OF ASSESSMENT APPEALS
151 FLOOR, COUNTY ADMINISTRATIVE CENTER
P.O. BOX 1628
RIVERSIDE, CA 92502-1628
Office: (951) 955-9688
FAX: (951) 955-1409
RE: APPLICATION 11-06530 FOR CHANGED ASSESSMENT
ASSESSMENT If: 770182002-0
DEAR APPLICANT/AGENT:
KECIA HARPER-IHEM
CLERK'OF THE BOARD
We are in receipt of your Application's for Changed Assessment for the 2011/2012 Regular tax roll,-
however
oll;however the required filing fee was omitted or not submitted.
As per Resolution No. 2011-139, every application filed after July 1, 2011 requires a filling fee of $30 per
application/parcel number.
Please submit your payment in the form of a check, cashier's check or money order, payable to the
County of Riverside, no later than April 22, 2012. Please note, cash will not be accepted. Failure to
provide such payment on or before the given deadline may result in your appeal being dismissed by the
Assessment Appeals Board.
The Assessment Appeals Board decision is final and no further action will be taken.
V
u
Office A sistant III
Internet - http://www.co.riverside.ca.us
wO�
I
/ IZ#=
P.O. Box 1504
LA QUINTA; CALIFORNIA 92247-1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
I11M"TIANTI NOTICE 10 FROMTY OWNER
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 at
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form—to make you awatn 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 rend:, 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.
oVRWWs ACKN0Wi.EDGKEN1 AND VERUWATION of MFORNAMN
CT7OIVS: Bead and initial each statement below M signify you andw3tand or verify this information.
1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
ding permit that erroneously implies that the property owner is providing his or her own labor and material personaft. 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
itruction
y pity.
2. I understand building permits are not required to be signed by property owners unless they are responsible for the
and are not hiring a licensed Contractor to assume this responsibility.
63 I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
!f from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
f44
. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
is and contracts.
.1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
y construction is at least five hundred dollars ($500), including labor and materials, i may be considered an "employer"
8er state and federal law.
6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal
rnment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensatioir for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
4k
7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
s tures 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 the work is performec
under contract with a licensed general building Contractor.
r
8. I understand as an Owner -Builder if I sell the property for which this penieit is issued, I may be held liable for any
financial or personal. 4uries sustained by any subsequent owner(s) that result from any latent construction defects in the
Fmansip or materials.91derstand I may obtain more information regarding my obligations as an "employee ' from the bAerml TLcwnue
h
ce, the United Stages 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 (CSL13).at 1-
-321-CSLB (2752) or www.cslb.ca.gov for more information'about licensed contractors. .
10-1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
arty legally and financially responsible for proposed construction activity at the following, address:
I. I agree that, as the party legally and fuoancially responsible for this proposed construction activity, I will abide by all
ible laws and requirements that govern Owner -Builders as well as employers.
2. I agree to notify the issuer of this form immediately of any additions, deletions, or to any of the information I
:hao provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with
omeow who does not have a license, fire Contractors' State License Board may be unable to -assist you with any finaucierl loss
You may sustain as a result of it cogrplaint. Your only. remedy.agairist unlicensed Contractors' may be in'eivil court. It is' also
important for you to understand that if an unhoensed.Contractor or employee of that individual or firm is injured while wonting
on your property; you may be held hable'for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsiyle for veri jring whew or not those Com maors are; properly lid and the status of their w0Fkers',
compensation insuraace 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 issaft t he.permit. Note: A copy of ike property owner's dWvea:'s e, forM nota dMi or
other verification acceptable to bra agency is required to be presented'when the permit is in" to Yet*dieP�Pe113'
owner's signature.
Signature of property owner Date:,( L�41 Z
Note: The following Authorization Form isfregwred 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 ACT ON PROPERTY O"EWS BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agents) to apply for, sign, and file the documents necessary to obtain air Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent: Tel No
Address of Authorized Agent:
I declare under penalty of 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 other verification
acceptable to the agency is required d be presented when the permit is issued to verify the property owner's signature..
Property Owner's Signature: Date:
Btn.#
Qty. of .La Quinta
Bulldtng a Safety Div 6n
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Addr=t S d� 3
Owner's Name: .
A. P. Number. U �Z —00 9•.—" 3
Legal Description: L6to ' { 4 k
City, ST, Zip
Contractor.
Telephone: - ,.
Address:
Project Description:
City. ST, Zip: L. 6
Telephone:
State Lia #: City Lie*.
I
Arch, Engr., Design M �.�, (�u lr "Y
� h„ N
Address: 0p� 1
11 b ..;J�3S'
(AlF 4
t
City., ST, Zip:
Telephone: 4 0—+96 " 7
State Lie. #: e I gZ
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repan Demo
Name of Conma Perso .
Sq. FL: # Stories:#Units:
Telephone # of Contact Person: 4
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG PEPJWUFEES-
Plan Sets
Plan Check submitted Item Amount
Structural Calls.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Cala.
Caged Contact Person Plan Check Balance
Title 24 Calci.
Plans picked up Construction
Flood plain plan
Plans resubmitted.. Mechanical
Giading plan
2" Review, ready for correctionshssue Electrical
Subeontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.KL
H.O.A. Approval
Plans resubmitted Grading
N HOUSE:-
''i Review; ready for eorrectionallssue Developer Impact Fee
Planning Approval.
Called Contact Person A.I.P.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees