The URL can be used to link to this page

13-0737 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000737 Property Address: 46143 ROADRUNNER IN APN: 600-041-020- - - 'Application description: REMODEL - RESIDENTIAL Property Zoning: MEDIUM DENSITY RES Application valuation: 2500 Applicant: Architect or Engineer: ow -.9.4 cm u� LICENSED CONTRACTOR'S DECLARATION 4 " ® ,� VOICE (760) 777-7012 A FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT �� .. INSPECTIONS (760) 777-7153 BUILDING PERMIT I hereby affirm under penalty oT 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 an pPlicant for a permit subjects the applicant 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 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 contractorls) licensed pursuant to the Contractors' State License Law.). 1 _ 1 I am exempt under Sec. , B.&P.C. fol this reason XDate: C� 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: LQPERMIT Owner: PARAMJIT KAUR 46143 ROADRUNNER LA QUINTA, CA 92253 Contractor: Owner r ,e ITS' OF LA QUINTA ElNANCF_ DEPT Date: 6/17/13 ----------------------------------------------- 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 1 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 VO" compensation provisions of Section X37000 of the Labor Co e, shall forthwith co y wi ose provisions. CDateal �//�pplicant:C- 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 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. gree to comply with all city and county ordinances and state laws relating to building construction, and here thorize representatives of this county to enter upon the above-mentionedprope y 57 mspectio purpose Date Gf Signature (Applicant or Agen Application Number . . . . . 13=00000737 ------ Structure Information PATIO ENCLOSURE/GAS LINE/HOSE BIB/ELEC ----- Other struct info . . . . . CODE EDITION 2010 Permit . . . PATIO COVER 2013 Additional desc . Permit Fee 95.81 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 2500 Expiration Date 12/14/13 Qty Unit Charge, Per Extension 1.00 , 95.8100 EA MISC'PATIO ENOL, STD ----------------------------------------------------------------------------- 95.81 Permit ELECTRICAL 2013 Additional desc . Permit Fee 23.83 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/14/13 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC DEVICES, FIRST 20 ---------------------------------------------------------------------------- - 23.83 Permit . . PLUMBING 2013 Additional desc Permit Fee 23.84 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/14/13 Qty Unit Charge Per Extension 1.00 11.9200 EA PLBG WATER INST/ALT/REP 11.92 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS 11.92 - ---------------------------------------------------------- -Special Notes and Comments (48) INCH HIGH PATIO ENCLOSURE WALL, GAS LINE, HOSE BIB AND ELECTRICAL RECEPTACLE [CONVENTIONAL] THIS PERMIT DOES NOT INCLUDE ADDITION TO CONDITIONED -SPACE OR OBSTRUCTION OF EMERGENCY ESCAPE AND RESCUE FROM EXISTING BEDROOMS..2010 CALIFORNIA BUILDING CODES. June 17, 2013 8:53:45 AM AORTEGA ----------------------------------------------------- ------------------------ Other Fees . . . : . . ... . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, ELECTRICAL 23.83 PLAN CHECK, PLUMBING 35.75 LQPERMIT Application Number . . . . . 13-00000737 Fee summary Charged Paid Credited. Due Permit Fee Total ------- 143.48 ---------- .00 -----.----- ---------- .00 143.48 Plan Check Total .00 .00 .00 .00 Other Fee Total 60.58 .00 .00 60.58 Grand Total 204.06 .00 .00 204.06 LQPERD1IT Bin # City of La Quibia Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # IV 0131 Project Address: 140 /C/.3 'Owner's Name: �j 66 Mr. A. P. Number: Address: 4?tj t-W 6f< L Legal Description: City, ST, Zip: Contractor; (MU W_a-qa�— P, Telephone: 0 Address: Project D I escription: City, ST, Zip: I 7 Telephone: N.................. State Lic. # City Lic. #.. Arch., Engr., Designer: r 0 T— Address: 0 'fe. W t4 City., ST, Zip: Telephone: State Lic. #: ............ M . . . . . . . . . Name of Contact Person: j b E-KSq.Ft.: Construction Type: Occupancy: project ect type (circle one): New Add'n Alter Repair Demo #Stories: # Units: Telephone # of Contact, Person: '74 o - 57 r 33 / o Estimated Value of Project: 2, 0 'a APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Reqld Recld TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount ' Structural CaIcs. Reviewed_, ready fo for corrections Plan Check DeDosit Truss Cales. Called Contact PersonPlan Check Balance Tide 24 Cales. Plans picked up Construction Flood plain plalk' Plans resubmitted Mechanical Grading plan 2 d 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:- 3dReview, ready for correctlonV40 I OL I Developer Im-aact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees TotalPermitFees bl �� lZoi3 • (4WV W40%om %mm-1 -To LS&&4Z -1: K-1 P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 PROPER? BUILDING dr• SAFETY DEPARTMENT OWNER'S PACKAGE (760) 777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner-Ballders Applying for Construction Permits t c Dear Property Owner: An application for a building porn* has been -VAO"od is ion specified at yow Deme IbWft youndf as the builds of the property We are providing you wApq,�-Builder Acl�dt owlonent and I matiea Veri�atim Form to make you ammo of yaw br'h'tM and risk you may inm by btvwg dm ppm iss sed in yore name as the Oe'et:r-BtnkkT. We wW sot Osteo a 4aildlag pe1,ft natal sass have dead, ieitWei signed. and retsrmed this form to as at our otlkial address Indicated, An agent of theaow ca mot exeevft �g unless you, the PrvPerty owner, obtain the prior approval of the permittigg authority. urKE(-TTQNS: Read and satid each statattent beMw to =gn1fyourasderstand or Merl dui mfc�ttee&err understand a frequpK practice of unlicensed persons is to have the building perdrat st+osoovsl Property owner obtain an "Owner -Builder' Y implies that the property owner is providing his or her own labor sad material an Owner -Builder, may be held liable and subject to serious financial tisk for any I, as and his or her employees while y injuries sustained by an unlicensed person injuries I am willfull ac t my Pity. My homeowner's m6waRm may not ptovide coverage for those y acting as an Owner -Builder and am aware of the limits on my Property. of my iusruance coverage for injuries to wodM , I2. I understand Wilding Permits are not tIUCtion and are not requiredto be sighedby property owners unkss they are responuble for the and am not a Gcensod Contractor to assume this responsibility. 3.1 understand as an , Owner -Builds" I am rho responsible ply of tteoord on the L i m if from potential financial risk by hiring a licensed Contractor and havingthe Pam understand that I may protect own. Permit filed in his or her name instead of my --4. I understand Contractors are required by law to be licensed and bonded in Permits and contracts. California seri to list their license numbers on S. 1 understand if I employ or otherwise engage under state and federal law. any persons, other than California licensed Contractors, and the total value. of y construction is at least five hundred dollars (5500), including .labor and materials, I may be considered an "employer' /- I understand if I am considered an "employee" under state and federal law, I must rtg1ster with government, withhold payroll taxes, Provide workers' compensation disabilitythe state and federal compensation for each "employee." I also understand my faihue to abide by these la m abject nit �tA° unemployment iatS risk 7. 1 understand under California Contractors' State License Law, an Owner -Builder structures cannot legally build them with the intent to offer them for saleunless all work is .o builds spererflormedl by license( subcontractors and the number of structures does not exceed four within any calendar yeas, or all of the work is performs under contract with a licensed general building Contractor. 8. 1 understand as an Owna-Builder if i sell the property for which this permit is issued, I may be he'd -liable tt. nancial or personal. i4wias wed by .any subsequent ownes(s) that result from any latent construction defects in tn fi. workmanship or material& 9. l understand 1 may obtain more information regarding my obligations as an "employee' from the bsberrtrd Rrvonue 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 (CSM at 1- 800-321-CSLB (27 52) or www.cstb.ca.gov for more information about licensed contractors. '1910.1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the fpany legally and financially rcgx=rbk for . proposed construction activity at the following address: 11. 1 agree that, as the party legally and futaacially responsible for this proposed construction activity. I will abide by all apphcable laws and requu extents that govern Owner-Btalders as well as employers. 12.1 agree to notify the issuer of this form immediately of any additions, deletions, or cbartges to any of Liss isfai natim I have provided on this form Licensed contractors an re platod by laws designod to protect the public. If you contract with someone wbo does not have a unease, the Cootractora' State Lioeme Board MY be unable to assist you with nay financara loss you may sustain as a result of a complaint- Your only remedy against unlicensed Contractors may be in civil cowl. It is aIso iarportam for you to understand that if an udlioaosed Cantwct" a eotployoe of that u dividrai of fir= is injured vvb& worbag on your property, you may be herd liable Ibr da mp$ If you obtain a permit as Owner -Buda std nth to 111e CoatrwdorS, you will be nsponmW for verifying vAndar or not dwse Coutrumn are properly lieeasod and an staves of their workers' compeowtioa ixsaraaoe coverage. Before a budding permit can be issued, tib form aaust be completed and dgned by the prepcM Owner and Ftturued to the ages" responsible for i:stdng dw peradt. Nur A con of rdrs pvrwV *wow's hirer's II - - fawn woM + or odrer ra*%adox acceptable Of d1s aparey Is ►+q drwc a be presented when As Penxk is "Ma a ..ells dw Pr#P" owner's sgaatare. Signature of property o Date: 4&3 /.3 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_ _AUTHORIZ.ATIQN OF AGENT TO ACT ON PROPERTY OVMWS BEE ALF Excluding the Notice to Property Own", the excWtion of which I understand is my personal respossibility, I hereby authorize the following persons) to act as my ageegs) to apply for, sign. No fik the doVxWmts necessary to obtain au Owna-Builderr Permit for my project. )eo irw o CLL -c Scope of Construction Project (or Description of World): Project Location or Address: ,.4(61 I% 3 lee A D RU 0 J �F-R C- N 4,A Q W �a RA c',IS 2 2-§3 Name of authorized Agent: PA RAM -'i STC' V A U (Z Tel No Address of Authorized Agent: LV 2 I deA D Q U d rJ r R 0-1 LIQ ��+1 i 1"I r� Cf} I declare under penalty of perjury that I am the property owner for the address listed above and I personally fdkd out the abov information and certify its accuracy. Note: A copy of the owner's driver's License, form notarization, or other venfwAdion acceptable to the agency is required to be presumed when the permit is issued to verify the property ow'ner's signature. Property Owner's Signature:_��W�l�� Date:��%I13 pro sQ N Q w G Xy uta q ' '1• ii � F n it P U7 .. -CITYOF'AQUINTA •.' ' i B JiCDif�G & SA=DEPT - . a A� ii FOR CONSTRUCTION U) hes'S- r Ae r jf i y2�� i--lQ � ►--�- s .11.-Q.� .� t o.J� ,j s � CITY OF LA QUINTA i -Bu-ILD-NG &-S�f�W-BEP' DU FOR CONSTRICTION Tr\— t. lJ c1b y2�� i--lQ � ►--�- s .11.-Q.� .� t o.J� ,j s �