Loading...
08-1102 (BLCK)(• P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: ' 08-00001102 78655 SAGUARO DR 646-313-015-115 -000000- WALL/FENCE MEDIUM DENSITY RES 1300 Architect or Engineer: M ------------- LICENSED CONTRACTOR'S DECLARATION dI S. IRA 4 r i a' Cr 1r BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 provisjons'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 therefromandthe basis for the alleged exemption. Any violation of Section 703.1 .5 by any applicant for a permit subjects the applicant to a civil penalty of.not-more than five hundred dollars ($500).: ( ) I; as owner. of the propertyr.or. my employees with wages as theirsole compensation, will do the work, and the structure isnot.intended or offered for.sale (Sec. 7044, Business and Professions Code: The ' Contractors%StateLicense Law does not apply to anowner ofproperty, 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 _ 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 _ 1 I am exempt under Sec. , B.&P.C. for thisjreason , Dater iio 'f. so — y * _Ow_ n�Vr 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: LQPERI%IIT Owner: JUAN HERNANDEZ 78655 SAGUARO LA QUINTA., CA 92253 ( Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/26/08 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. - - 1 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.carrie'r and policy number are, Carrier ---------- --- ------.------ Policy.Number I certify that, in the performance of tne.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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION'COVERAG E IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND . DOLLARS 1$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 county to enter upon the above-mentioned property for inspection purposes. Application Number . . . . . 08-00001102 Permit . . . . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 31.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1300 Expiration Date 12/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 2.0000 HND. BLDG 501-2,000 16.00 ---------------------------------------------------------------------------- Special Notes and Comments 52 LN FT X 6 FT HT BLOCK WALL TO CITY STANDARDS AND APPROVED PLANS Fee summary Charged ----------------- Paid Credited Due -------------------- Permit Fee Total 31.00 ---------- .00 ---------- .00 31.00 Plan Check Total .00 .00 .00 .00 Grand Total 31.00 .00 .00 31.00 LQPEINIIT C Bin # City of La Qurnta - Building 81 Safety Division P,; P.O. Box 1504 78-495 Calle Tampico ► ` La Quinta, CA 92253 -'(760) 777-7012 Building Permit Application and Tracking Sheet Permit # a, P.roject�`A'ddre- ss:s �j E tOw�ne^Name: �_ 11 41.Id A. P. Number: ^ ddr`ess: Z S' p Ir Legal Description: Conntr�or: Project Description:. ,city; ST; zip: tNo crA a tj cee� Telephone• �0�S*by yJ�«fl.= g �} N,-" ce 0 _State-Uic:o# : j,? A City Lic. #: Arch., Engr., Designer: --f=©�/ Ho Address: -4L City, ST, Zip: Telephone: h. s Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo. Y Name of Contact Person:Sq. Ft.: # Stories: #Units: Telephone # .of Contact Person: - _Estimated Value -of -Project (—(. ;766 o o , Q s APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd, TRACKING . PERMIT FEES Plan Sets 'Plan Check submitted Item Amount uctural Calcs. Reviewed, ready for corrections Plan Check Deposit I uss Calcs. Called Contact Person Plan Check Balance ergy 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 (5r- �6�O5S SUc�Uaro ��. I OWNEOOLDI R 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 required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person appliesior.the proper permit in'his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number, on all permits for which they apply. If you plan to do your own.work; with the:exceptioh of':various trades that you plan to subcontract, you should be aware of the following information fof your benefit and: protection. 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 more for the entire. project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government asan employer and you are subject to several obligations include State and Federal; income tax withholding, federal .'social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out. these obligations, and these risks are especially serious with respecrt6-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). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are 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 to be}; contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor'and material personally. Building permits are not required to'be signed by. property owners unles -they are performing their own work personally. Information about licensed contractors maybe obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street„ Sacramento, California 95814. ' Please complete and return the enclosed•:owner-builder verification form so that we. can confirm that you are aware of these matters. The building permitwill':not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 i WNER'S SIGNATURE/D E 7&,-�5--svl Uan Ln 4 (4 asz PROPER DRESS PERMIT NUMBER(S)