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09-0513 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000513 Property Address: 44215 CALICO CIR APN: 604-091-040-137 -22982 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2175 Applicant: T4'!t 4� VOICE (760) 777-7012 . FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT D�L1ate: 5/21/09 Owner: HOESTEREY PAUL R 44215 CALICO CIRCLE LA QUINTA, CA 92253 ( 2177CITY MAY 221009 Architect or Engineer: �t 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.: C 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 ny 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.). 1 _ 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. , B.&P.C. for this reason G Date:--� %'� � ` Owner.' CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performan of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Contractor: EPT, 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 37bO 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 700 of the Labor Code, I shall forth ith comply with those provisions. Date: L7�pplicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAW L, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND D 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 this c� my entteer upon the above-mentioned property for insp� purposes. Dater `��� Signature (Applicant or Agent): �( Application Number . . . . . 09-00000513 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 2175 Expiration Date . . 11/17/09 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ---------------------------------------------------------------------------- Special Notes and Comments 87 LN FT X 6FT HT GARDEN BLOCK WALL PER CITY.STANDARDS AND APPROVED PLANS. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total -------------------- 54.00 ---------- .00 ---------- .00 54.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 55.00 .00 00 55.00 LQPERMIT 4t O L 3�-1k,N r-\ (I sIT' pvOl- Frank A. Lucido 44210 Mariposa Court La Quinta, CA 92253 (760) 772-1422 May 21, 2009 City of La Quinta Building and Safety Division P.O. Box 1504 78-495 Calle Tampico La Quinta, CA 92253 Re: permit application Dear Sir or Madam: My neighbor, Paul Hoesterey, is applying for a permit to build a garden wall on our common property line. I understand all or a portion of the footing and the block wall may be on my property. With this letter, I am granting my approval for such action and expressing my support for the issuance of a permit to build the wall. Please feel free to contact me if you need any additional information. Sincerely Frank Lucido °FEW P.O. BOX 1504 LA QUANTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENT .78-495 CALLS TAMPICO (760) 777-7012 LA QUANTA, CALIFORNIA 92253 FAX (760) 777-7011 PROPERTY OWNER'S PACKAGE Disclosures & Forms for Owner -Builders Applying for Construction Permits LMEO—AIMTr NOTICE.10 pROPERTX Q"M Dear Property Owner Ari. application for a building Pernuit has been submitted .in your namelisting yourself as the builder of the .property impr,Gvements specified at 'a-\ S' CA \ CA l -LIA. . We are .providing you with an Owner -Builder Acknowledgment and Informati6n Veiific6tion Form to make you aware 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 -gave read, initialed your understands of each'provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute thisnotice unless you, the property owner, obtain the prior approval of the permitting authority. OVRWWS ACKNQVT"G NT AND YERMCATION OF R OOR MAMN Df`,ECTWNS: Read and initial each•statement below -to signify you understand or' verify this information. 1 I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing hisor her own labor and materw personally. 1, 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 on my property. ,2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are. not hiring a licensed Contractor to assume this responsibility.. . 3. I understand as. an "Owner -Builder" Tarn the responsible party of record on the permit. I understand that I may protect myself'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 licensed and bonded in California and to list their license numbers on permits and contracts. 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. Y _,6. I understand if.I am considered an "employer" under state and federal law, I must register with the state and. federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unempoyment . compensation for each "employee." I also understand 'my failure to abide by these laws may subject me to serious financial risk 7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures 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 performed under contract with a licensed general building Contractor. o°• I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or persona injuries sustained by any subsequent owners) that result from any latent construction _defects in the w`o\rk_manship or materials. � 9. I understand I may obtain more information regarding my obligations as an "employee" from the internal Revenue 'Service, 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 (CAR). at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. *10. 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: I I. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all a hcable laws and requirements equirenients that govern Owner -Builders as.'ell as employers. C2. I agree to notify the issuer of this form immediately of any additions, deletions, or, changes to any of the infgrmatieh I Lave 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 license,. the Contractors' State License Board may be unable to assistyou with any finaneial loss . . you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in'eivil court: It is also important for you to: understand that if an• urilicensed Contractor or employee of that individual or firm. is injured while working on your property; you may be held, liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are property licensed and the status of their wofkers' compensation insurance 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 issuing;fhe..permit. Note: A copy of the property -owner's di•4ver!s.l�'cen5ei form notarica�n3 or other verification acceptable to . the agency is required to be, presented when the permit is issued to verify the property owner's signature. Signature of property, owner Date: PPrj-,1 I wAve-r,-,=- Note: The 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. Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following persons) to act as my agents) to apply for, sign, and file the documents necessary to obtain 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 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'to tie presented when the permit is issued to verify the property owner's signature.. Property Owner's Signature: Date: Bin # Qty of La Quinta Building 8L 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: LV4'a \ S e a LV- o cif- el.s- Owner's Name: Pc, -,V 0-b es+,z r Q_ A. P. Number: O —0 q j — 040 2— Address: C:r eL.A Legal Description: City, ST, Zip: L Q-A— Contractor: (p Telephone: ) Address: Project Description: r� .r./'lA City, ST, Zip: Telephone: J /1 spleL State Lic. # : City Lie. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: one: State Lic. #: Construction Type: Occupancy: PancY Project type (circle one • New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: "1(0 o Estimated Value of Project: * ,4 o oo - APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 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:- ''" 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